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11-1360 (SFD)- . 't P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4'� 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 11-00001360 Property Address: 78271 DEACON DR W APN: 770-210-036- - - AppliCation description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 454382 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B Lice�nse No.: 346196 KDate: Contractor: L%% WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500)•: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: - HELM MARY & JONM VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/11/12 Contractor: qZ9�� KELLY PACIFIC CONSTRUCTION 999 ANDERSEN DR, #160 12012SAN RAFAEL, CA 94901(415)464-0900 Lic. No.: 346196 U(NTA ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EVEREST NATL Policy Number 7600007993111 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section ; >700 of the Labor Code, I shall forthwith comply with those provisions. Oate:I� 6 L Applicant:y ar WARNING: FAILURE TO SECU ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001. I ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives ofthis co u y enter upon the above-mentioned property for insp�s. Date: (�" Signature (Applicant or Agent): Application Number . . . . . 11-00001360 ------ Structure Information 5,212SF DWELLING/VB/RES-3/CL-A/13R [ENG] ----- Other struct info . . . . . CODE EDITION 2010 # BEDROOMS 5.00 FIRE SPRINKLERS 13R GARAGE SQ FTG 723.00 PATIO SQ FTG 676.00 NUMBER OF UNITS 1.00 --=--------7---------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 5212.00 PermitBUILDING PERMIT Additional desc . Permit Fee . . . . 1882.00 Plan Check Fee 1223.30 Issue Date . . . . Valuation 454382 Expiration Date 10/08/12 Qty Unit Charge Per Extension BASE FEE 639.50 355.00 3.5000 ----------=--------------------------------- THOU BLDG 100,001-500,000 -------------------------------- 1242.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee. 226.88 Plan Check Fee 56.72 Issue Date . . . . Valuation 0 Expiration Date 10/08/12 Qty Unit Charge Per Extension BASE FEE 15.00 5212.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 182.42 723.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.46 1.00 15.0000 --------------------------------- EA ELEC TEMPORARY POWER POLE ------------------------------------------- 15.00 Permit GRADING PERMIT Additional desc . Permit Fee' 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/08/12 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit . . . MECHANICAL • Additional desc . Permit Fee . . . . 196.00 Plan Check Fee 49.00 a LQPERMIT Application Number . . . . . 11-00001360 Permit MECHANICAL Issue Date . . . . Valuation . . . . 0 Expiration Date 10/08/12 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 9.0000 EA MECH FURNACE <=100K 45.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 3.00 9.0000 EA MECH•B/C <=3HP/100K BTU 27.00 2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 10..00 6.5000 EA MECH VENT FAN 65.00 1.00 6.5000 ---------=-------------=---------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 60.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/08/12 Qty Unit Charge Per Extension BASE FEE 15.00 28.00 6.0000 EA PLB FIXTURE 168.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 14.00 .7500 EA PLB GAS PIPE >=5 10.50 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 5,212SF DWELLING/VB/RES-3/CLASS-A/13R [ENGINEERED] THIS PERMIT DOES NOT ' INCLUDE BLOCK WALLS, POOL, SPA, WATER FEATURES OR FIRE PITS. 2010 CALIFORNIA BUILDING CODES. April 10, 2012 3:33:08 ---------------------------- PM AORTEGA ----------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 635.96 BLDG STDS ADMIN (SB1473) 19.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 122.33 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE 15.00 DIF LIBRARIES - RES 355.00 MULTI -SPECIES (MSHCP) FEE 1254.00 DIF PARK MAINT FAC - RES 22.00 LQPERMIT Application Number . . . . . 11-00001360 ---------------------------------------------------------------------------- Other Fees DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 45.44 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary ----------------- Charged Paid Credited -------------------- Due Permit Fee Total ---------- 2562.88 ---------- .00 .00 . 2562.88 Plan Check Total 1389.77 1000.00 .00 389.77 Other Fee Total 6566.73 .00 .00 6566.73. Grand Total 10519.38 1000.00 .00 9519.38 P.O. BOX 1504 ^ 1v 78-495 CALLE TAMPICO Addre Building %����, ///t. �i�I�� OUINTA, CALIFORNIA 92253 II - 1 310 APPLICATION ONLY Owner / � BUILDING: TYPE CONST. OCC. GRP. _,Q,� �� `5 Mail ng W7,2,0— Address A.P. Number Tel. Legal Description � r Contr or/j Project Description A�es SSS - Qt 1 Zip Tel. �12--93Y, & Classif./�71�/l /.q/ I Lic. # Designer t Address Lic. # LICENSED CONT: OR'S rdmy(clicens N I hereby affirm that I tensed rovis' ofommencing wit Sectio 7000) of Division 3 e Busines a Profe i s Ce is in fuJNt}orge deffect.�/ / OWNER -BUILDER 99CARATION I reby affirm that I am exempt from th ontractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance.of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT Sq. Ft. r- q , -) No. No. Dw. / Units New IK_ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation �J -,y/ �O` y60 v V PERMIT AMOUNT Plan Chk. Dep. Q(, Plan Chk. Bal. Const. Mech. Electrical Plumbing / S.M.I. t Grading Driveway Enc. ` — Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Validated by: Validation: Date Permit YELLOW = APPLICANT PINK = FINANCE CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road ¢ BERMUDA DUNES O En RANCHO MIRAGE Date 4/10/12 La Quinta, CA 92253 (/ INDIAN WELLS di PALM DESERT y No. 31248 (760) 771$515 t}% IND INTA �QINDIO y� Owner John & Mary Helm APN # 770-210-036 Address Jurisdiction La Quinta City Zip Permit # Tract # No. of Units 1 Type Single Family Residence Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 78271 Deacon Drive West 5243 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not Collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.97 X 5,243 S.F. or $15,571.71 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Bank of America - Mark Powell Name on the check Check No. 435688135 Telephone Funding Residential By Dr. Sharon P. McGehee Superintendent a Fee collected /exempt by Sh rOn MCG'�vrey Payment Recd $15,571.71 Signature � V NOTICE: Pursuant to Government Code Section 66020(d� or other payment identified above will begin to run from th which those amounts are paid to the District(s) or to another ), this wilflserve to notify you that the 90 -day approval period in which you may protest the fees late on,#hIch the building or installation permit for this project is issued, or from the date on pubiTc entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building. Department Applicant Copy - Applicant/Receipt Copy - Accounting Mar 03 12 04:07p RECORDED AT THE REQUEST OF AND First Centennial Title WHEN RECORDED MAIL TO AND MAIL TAX STATEMENTS TO: John and Mary Helm PO BOX 6582 INCLINE VILLAGE, NV 89450 Title Order No. 150-989299-09 Escrow No. 167551 -SLP 7"ra . ozo P. 1 . { DOC # 2008-0295145 05/30/2006 WMA Fee:27.00 .Page 1 of 7 Doe T tax Peld Recorded in Official Records County of Riverside Larry W. Yard Assessor, County Clerk a Recorder I 1x1111111111111111 IN IN 111111 IN 1111111 S R U PAGE SIZE OA MISC LONG RFD COPY M A L 465 .426 P��C`iO NCOR SMF NCHG 'EXAM VR T: lal uNl . )3qj DOCUMENTARY TRANSFER TAX II '715. 0 0 C M"u!ed on ft av4iderotioo orvakoo propoiycomeyea:OR Computed on aro considervtion or rake Ien fiens or eneumtxanoes tern k*V st Ems of sale. 03� First Centennial Title Sipnatwe of DedVWt a Apem aetermininp tax • Firm Name GRANT DEED BARRY L. BUNSHOFT and ROBERT P. BUNJE, AS COTRUSTEES OF THE ISABELLE KIMPTON TRUST CREATED UNDER THE KIMPTON REVOCABLE TRUST DATED DECEMBER 22,1983 ("Grantor"), for good and valuable consideration; the receipt and sufficiency of which are hereby acknowledged, hereby GRANT, SELL AND CONVEY to JOHN P. HELM and MARY B. HELM*as Community Property with right of survivorship ("Grantee"), that certain real property in the City of La Quinta, County of Riverside, State of California, described on Exhibit A attached hereto, together with all rights appurtenant thereto (herein, the "Land"). *husband and wife This Grant Deed is executed subject to all restrictions, reservations, easements, covenants and conditions of record in the office of the County Recorder of Riverside County, State of California, as of the date of recording hereof, to the extent that the same are in force and effect and applicable to the Land. A.P.N. 770-210-036-0 Dated: May 27, 2008 BarryL. Bunshoft, Trustee IF Robert P..Buoje, Trustee . .. , - - — - -- -.. MAIL TAX STATEMENTS AS D1 ECTED ABOVE . - . R 6996N6161220 pT6TUdT� MAK p62012 IUI �By I CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT -- -- Form updated & effective 9/25/2009 Green Sheet approvals are forwarded to the Buildina & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: Z/ 7 / �ZDeveloper: G� �) f—�' e E. Tract No.: Tract Name: C�� d A'i Lot No. (s): 20 Address(s): �g� ?,Z/ D444c-e�K Pit LdZ, Phone Number: (760) .'Y© - s cLS"Y9 The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the 13 ju kling & Safety Department: CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW ❖ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW ❖ WALLS. SIGNS, OTHER: PROVIDE ITEM #6 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within -6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or. provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete arid sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http:/twww.la-guihta.org/PlanCheck/m search.aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City staff. Recommended by: Date: - Public Works Distribution: ( _%:��Green Sheet to Building & Safety . ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: TACheddists - Forms & Applications\Forms & ApplicabonsIGREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc or 1' • f City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement (<1 acre/lot or Infill Project) Project Information Project Contractor: Project Phase heck one) M"'ODemolition Construction Project Name: //-6/01 0 4 (1-105i' 4,,o AA 4C-40— 1 Project Tract/Lot Numbers: Project Street Address: 79 Total Acres in Active Construction (<1 acre per Lot): Anticipated Start Date: -3 / 2 -Anticipated Completion Date: l z4 P /� PM10 Contact Information Please note: Dust control is required 24 hours a day, 7 days a week, regardless of construction status. Person listed below is responsible for dust control during business and non -business hours. Name: /'�.- — �p C".D �� L Title: 54"_0 e_fL-1�� Jae a� Company Name: GI-LiL �1`� S�ci`o ,tee Mailing Address: . /Y7Vd19-/L SO-l"i Lkle­ City, State, ZIP Code: 6'_40 _( (t4 ( 41 q © % Primary Phone #: e Z—/& Z-gl� Fax #: 24 Hour Emergency Phone#: Cell Phone #: Email Address: y[. �� G� L� i��L� ��}Ci � L C' e3 I -e-1 PM10 Certificate #: — P The above stated property owner (or authorized representative): ❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; ❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period.of project performance, regardless of project size or status; ❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; ❖ Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; ❖ Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control plan or any City/County ini iated ement activiti S. of Property Owner or Authorized Representative TACheddists - F6nns & ApplicabonsWonns & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc Date City of La Quinta - PM10 Fugitive Dust Control Plan (<1 acre per Lot or Infill Project) This Fugitive Dust Control Plan shall take into account applicable SCAQMD Regulations Rule 403, 403.1, 401, 402, 201, 203 and.Portable Equipment Registration Program (PERP). ❖ WATERING: Continuous watering is required to prevent dust and must occur'a minimum of four (4) times daily. Water shall.be applied from an adequate sized metered water source to dry soils to prevent: ■ Visible dust emissions >20% opacity ■ Visible dust emissions that travel >100 feet from the source (within site) ■ Visible dust emissions that cross any property line ❖ 'EDUCATION: The responsible dust control Individual and key personnel shall attend SCAQMD PM10 class and obtain PM10 certificate number prior to construction activity (training information may be obtained by contacting SCAQMD at (909) 396-2183). ❖ CONSTRUCTION 8r. DEMOLITION ACTIVITIES: A copy of this approved Fugitive Dust Plan must be kept on site. At least one short-term stabilization method must be used during off hours. At least one long-term stabilization measure must be.used within ten (10) days of ceasing activity. ❖ WEATHER MONITORING: Wind predictions shall be monitored. ❖ SIGNAGE: Approved signs shall be installed at a highly visible location. Please refer to the Coachella Valley Fugitive Dust Control Plan Handbook for Construction Signage Guidelines. ❖ TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If vehicles operate on pad; pad shall be kept firm and moist.through hose watering and sprinklers; and a maximum traffic speed of 15mph will be enforced.* Fugitive Dust shall be prevented by fencing off site to prevent unauthorized traffic on pad. ❖ PARKING: Parking is not allowed on pad. All vehicles must park on street at designated areas only. ❖ TRACK OUT: Provide 24 hour street cleaning and track out system as approved by City Public Works inspectors. No dirt on public.or private roads. Track out shall be cleaned up within one (1) hour of incident and at the conclusion of each workday. ❖ DIRT PILES: Dirt. piles shall be limited to 50 cubic yards and built per California Building Code grading requirements. Piles shall be kept moist or covered with tarp. material. Larger dirt piles will require stockpile or grading permit. ❖ FENCING: Provide PM10 fencing at perimeter of public roads and where applicable. Wood slat fencing can be installed at rear of property and return 20 feet on either side if HOA restrictions apply. Block walls can replace PM10 fencing during the construction phase. EQUIPMENT: Extra hoses and sprinklers shall be maintained on site. S• EXCAVATION MEASURES: All areas to be excavated or graded shall be pre -watered. Water shall also be applied during excavation or grading operations. ❖ DUMP TRUCKS: Open top dump trucks shall be wet down, moist and covered with a tarp prior to leaving site. ❖ INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as required. RECORD KEEPING: Fugitive Dust Control Plan records (i.e. self inspection records,. records of use of chemical suppressants, etc.) shall be maintained for 3 years by the Property Owner ,(or Authorized Representative). Property Owner shall. notify the City and SCAQMD within 10 days of completion of project: TAChedilists - Forms & ApplicationsTorms & Applications\GREEN SHEET cover & PM10 less then 1 Acre Revised 9-25-09.doc .l1 ESI/FME,Inc. STRUCTURAL ENGINEERS & CONSULTANTS March 29, 2012 STRACTS, INC. 51555 Desert Club Drive, Suite 300 La Quinta, California, 92253 Attn: Anton Marinkovich RE: Roof Truss Calculations and Layouts on "Helm Residence" , to be built in La Quinta, CA. (ESI/FME C233) Dear Mr. Marinkovich, We have reviewed the calculations and layouts by JMW TRUSS, dated 3/29/12 and they appear to comply with the requirements of our calculations and plans. The review of these drawings does not relieve the contractor from compliance with the drawings and specifications. This check is only for review of general conformance with the design concept of the project and general compliance with the information given in the contract documents. The contractor is responsible for confirming and correlating all quantities and dimensions, selectingfabrication process and techniques. of construction, coordinating his work with that of other trades, and performing his work'in a safe and satisfactory manner. Thank you for your attention to this matter. Please do not hesitate to contact us if we can be of further assistance to you on this project. Sincerely, ESI/F P sE O STR AiAT ERS By- 1800 E. 16th Street, Santa Ana,'CA 92701 • (714) 835-2800 9 Fax (714) 835-2819 Riverside County Fire jeparAmenl Fire Proi ,-tion Planning Section Riverside Office: 230C Market St., Ste. 150, Riverside, Ca 92501 Ph. (951) 955.4777 Fax (951) 955.4666 Murrieta Office: 39493 Los Alamos Rd., Ste A, Murrieta, CA 92563 Ph. (951) 600-6160 Fax (951) 600.6164 Palm Desert Office: 77-933 Las Montanas Rd., W 201 Palm Desert, CA 92211-4131 Ph. (760) 863.8886 (760) 863-7072 Fire Department Clearance/Release Dater: 110,11 To: J," Fax: 160 -1 -11 1 o Z Tract/Parcel Map #: Permit/Lot #: I" 112- R -S b 0 .lob Site Address: Ott QP— VJ Lr Final For Recordation Release For Building Permit(s) Shell Final Only (No Tenant) ./ Final For Occupancy - R-o.S i de0ifd SprinkPvu Building Plan Check Fees Paid Building Plan Check Fees Not Paid Other Fees Fees Not Required If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for further assistance. Authorizing Signature For Rel e 14«.�t�-�s,T. Print Name Form C — Revised 919120/3 Certificate of Occupancy T'af 4 4 Q" Community Development Department This Certificate is issued pursuant to the requirements of Chapter 1 Section R110 of the California Residential Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 78-271 DEACON DRIVE WEST Use classification: SINGLE FAMILY DWELLING Building Permit No.: 11-1360 Occupancy Group: R3 Type of Construction: VB Land Use Zone: RL Code Edition: 2010 Sprinkler Installed: YES Sprinkler Required: YES Owner of Building: HELM, MARY & JOHN Address: AR1A. Gmw nuw- By: AJ ORTEGA Building Official Date: FEBRUARY 1, 2013 POST INA CONSPICUOUS PLACE CER FICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 11-1360 Enter the Duct System Name or Identification/Tag: System i Enter the Duct System Location or Area Served: Master Bedroom Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Lpakanp Diannnstic Tp -.t - cmmnlptply new nr rpnlacpmpnt duct cvctpm Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system method: Nominal capacity of condenser in Tons' x 400 x leakage factory= 72MM-'4� ❑ Heating system method:;` / j F 21.7 x 8 OutputCaapacity in Thousands of Btu/hr x leakage factoJr(= CFM I ❑ Measured airflow method (RA3.3): _ !• Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 70 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail Reg: 212-N0010118A-M2000001A-M20A Registration Date/Time: 2012/12/27 12:52:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 11-1360 ' Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position ' during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building"cavities as'plenums orplatformreturns in lieu of ducts.';" Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at DECLARATION' STATEMENT �, J/ f` ' . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. e . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. ' . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: CSLB License: Stewart Wibrow 1696378 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in la HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798718140 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 ' Reg: 212-N0010118A-M2000001A-M20A Registration Date/Time: 2012/12/27 12:52:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 2) City of La Quinta 11-1360 Enter the Duct System Name or Identification/Tag: System 2 Enter the Duct System Location or Area Served: Bedroom 2 & 3 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. nurt i pakanp niannnctir Tact - rmmnlatply now nr ranlaramant Burt cvctam Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -111 to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system, method: Nominal capacity of condenser in Tons' 3 — x 400 x leakage factor '= 72 " CFM e 10' [3Heating system method: tr 'i "A 0 ! 21.7 x 1 Output Capacity in Thousands of Btu/hr x leakage factor = CFM ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 68 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessib/e portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail Reg: 212-N0010118A-M2000004A-M20A Registration Date/Time: 2012/12/27 12:52:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CER IFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 2) Cit of La y Quinta 11-1360 ' Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position ' during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building"cavities as plenums or platform returns in lieu of ducts. -1--s ® Mastic and -draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at eruct connections. 1 DECLARATION"STATEMENT I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. i 1 ' . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. ' . The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -SR) approved by the enforcement agency. 11 � I Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: CSLB License: Stewart Wibrow 1696378 HERS Provider Data Registry Information Sample Group * (if applicable): N/A ®tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CCl-1798718140 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Sack B LaFontaine Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 ' Reg: 212-N0010118A-M2000004A-M20A Registration Date/Time: 2012/12/27 12:52:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page i of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 3) City of La Quinta 11-1360 Enter the Duct System Name or Identification/Tag: System 3 Enter the Duct System Location or Area Served: Casita Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct i aakana niannnctic Tact - emmnlptply npw nr rpnlaepment duct cvctpm Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system.method: Nominal capacity'of condenser in Tons' Y x 400 x leakage factor = 48� CFM r t � f , ❑Heating system method:.�'i` � 21.7 x + Output Capacity in Thousands of Btu/hr x leakage factor = CFM ! ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 46 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail a Reg: 212-N0010118A-M2000005A-M20A Registration Date/Time: 2012/12/27 12:52:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CER IFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 3) City of La Quinta 11-1360 ' Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building cavities as plenums or platform - returns in lieu of ducts Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at uct connections. DECLARATIONSTATEMENT 1' / ' . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. , I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. ' . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: CSLB License: Stewart Wibrow 1696378 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ®tested/verified dwelling ad/verified dwelling in FaHEORTSsanple group HERS Rater Information CalCERTS Certificate # CCI -1798718140 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 ' Reg: 212-N0010118A-M2000005A-M20A Registration Date/Time: 2012/12/27 12:52:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency:Permit Number: 4) Cit of La y Quinta 1i-1360 Enter the Duct System Name or Identification/Tag: System 4 Enter the Duct System Location or Area Served: Living Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. niio-t 1 oa4anu ninnnnctir- Toc* - emmnlo*olu now nr rnnlaramani rhiet cuc*am Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -111 as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system method: _ _ _ _ _ r Nominal capacity of condenser in Tons 5 - x 400 x leakage factor = 120 CFM �' ❑ Heating system method: 21.7 x I Output Capacity in Thousands of Btu/hr x leakage factor= CFM / ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 91 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail 1 Reg: 212-N0010118A-M2000006A-M20A Registration Date/Time: 2012/12/27 12:52:17 HERS Provider: CalCERTS, inc. 2008 Residential Compliance Forms August 2009 CER IFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 4) City of La Quinta 11-1360 ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position 1 during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building`cavities'as plenums or platform - retdrns'in lieu of ducts.. Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at j' uct connections. DECLARATION!STATE M ENT 1r ' . I certify under,penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. ' . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: CSLB License: Stewart Wibrow 1696378 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in la HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798718140 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jock 8 LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 ' Reg: 212-N0010118A-M2000006A-M20A Registration Date/Time: 2012/12/27 12:52:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 5) City of La Quinta 11-1360 Enter the Duct System Name or Identification/Tag: System 5 Enter the Duct System Location or Area Served: Kitchen Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. flnrt 1 aalrnna ninnnnctir Tact - rmmnlatalu naw nr ranlaramant dart cuctam Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. 0 Cooling system.method: Nominal capacity'of condenser in Tons 5,1 x 400 x leakage factor= y 120", CFM s ' 11 ❑ Heating system method:" 1- 21.7 x Output Capacity in Thousands of Btu/hr x leakage factor = CFM ' + / ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 90 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail M0 Reg: 212-N0010118A-M2000007A-M20A Registration Date/Time: 2012/12/27 12:52:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 5� City of La Quinta 11-1360 'eaR Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct kage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position ' during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building'cavities,as plenums or platform-returns'in'lieu of ducts7— Mastic 7 - Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at ' uct connections. s ' ` DECLARATION'STAT MENT tr . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.. ' . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. ' . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. 1 � I � I Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: CSLB License: Stewart Wibrow 1696378 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in la HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798718140 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 Reg: 212-N0010118A-M2000007A-M20A Registration Date/Time: 2012/12/27 12:52:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. 1 System Name or Identification/Tag System 1 System 2 System 3 System 4 2 System Location or Area Served Master Bedroom 2 & 3 Casita Living HERS sample group Bedroom HERS Rater Company Name: Energy Management Services Responsible Rater's Name: 3 Certified EER Rating of the installed equipment 13.0 13.0 12.5 12.5 (Btu/Watt-hr) Make and Model Number of the installed Outdoor York York York York 4 Unit YCJF36S41S1A YCJF36S41S1A YC3F24S1A YCJF060S41S2A 5 Make and Model Number of the installed Inside Coil ADP ADP ADP ADP CV362B6 CV362B6 CV360A6 CB602F6 6 Make and Model Number of the installed Furnace or York York York York Air Handler. TMLX080B12 TMLXOSOB12 TMLX060Al2 TMLX10OC20 7 Minimum Equipment EER required for compliance 11.9 11.9 12.2 11.9 as reported on the CF -1R II I ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or $ greater than the required minimum EER in row 7, the unit complies. PASS PASS PASS PASS If the unit complies enter Pass DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: CSLB License: Stewart Wibrow 1696378 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798718140 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jack 8 LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 t Reg: 212-N0010ll8A-M2300008A-M23A Registration Date/Time: 2012/12/27 13:00:06 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-2: Verification of High EER Equipment (Page 1 of 1; Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. As many as 4 systems in the dwelling can be documented for compliance usina this form. Attach an additional form(s) for anv additional systems in the dwellina as aoolicable. 1 System Name or Identification/Tag System 5 Responsible Person's Name: CSLB License: Stewart Wibrow 2 System Location or Area Served Kitchen ® tested/verified dwelling ❑ not-tested/verified dwelling in a 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12.5 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: 4 Make and Model Number of the installed Outdoor Unit York YCJF060S41S1A Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 5 Make and Model Number of the installed Inside Coil ADP CV602F6 6 Make and Model Number of the installed Furnace or Air Handler. York TMLX100C20 7 Minimum Equipment EER required for compliance as reported on the 11.9 CF -1R M When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than the 8 required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass c/ 4 + a /411 DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -SR) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: CSLB License: Stewart Wibrow 696378 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798718140 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 ' Reg: 212-N0010118A-M2300008A-M23A Registration Date/Time: 2012/12/27 13:00:06 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 :ERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-2E Iefrigerant Charge Verification - Standard Measurement Procedure (Page 1 of S] Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in SunDIv and Return Plenums of Air Handler System Name or Identification/Tag System 1 System 2 System 3 System 4 System Location or Area Served Master Bedroom I Bedroom 2 & 3 1 Casita Living 1 ® Yes ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ® Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Faill ✓ ® Pass ✓ ❑ Fail STMS - Sensor on the Evaporator Coil System Name or- Identification/Tag - . ` System•1 --ti I • -System 2' ---System 3-- I System 4 3 [3 Yes [3The No sensor is factory installed, or field installed according to manufacturer's specifications, or f is installed by methods/specifications approved by.the Executive Director. 4 ❑Yes r r ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS 7 ❑ Yes ❑ No rater without changing the airflow through the condenser coil 5 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation 8 ❑ Yes ❑ No temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not applicable. ® N/A ✓ ❑ Pass ✓ ❑ Fail Otherwise enter Pass or Fail ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I System 1 1 System F---F-system 3 1 System 4 6 ❑ Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a digital 7 ❑ Yes ❑ No thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail Otherwise enter Pass or Fail ' Reg: 212-N0010118A-M2600009A-M25A Registration Date/Time: 2012/12/27 13:55:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CER IFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditionina Svstems System Name or Identification/Tag System 1 System 2 System 3 System 4 System Location or Area Served Master Bedroom Bedroom 2 & 3 Casita Living Outdoor Unit Serial # WIE2848966 WiL2250514 W1E2800577 W11-12086781 Outdoor Unit Make York York York York Outdoor Unit Model YCJF36S41S1A YCJF36S41S1A YCJF24SIA YCJF60S41S2A Nominal Cooling Capacity Btu/hr 35200 35200 25400 56500 Date of Verification 12/21/2012 12/21/2012 12/21/2012 12/21/2012 cauoration or magnostic instruments Date of Refrigerant Gauge Calibration 12/21/2012 (must be re -calibrated monthly) Date of Thermocouple Calibration 1L12/21/2012 (must be.re-calibrated monthly) 1 i i r Measured Temperatures (OF) System Name or Identification/Tag System 1 System 2 System 3 System 4 Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) Return (evaporator entering) air dry-bulb temperature (Treturn, db) Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Evaporator saturation temperature (Tevaporator, sat) 38.7 38.9 40.2 40.2 Condensor saturation temperature (Tcondensor, sat) 89.4 90.2 92.1 91.2 Suction line temperature (Tsuction) 44.4 45.0 47.0 48.8 Liquid Line Temperature (Tliquid) 78.2 79.1 80.1 80.0 Condenser (entering) air dry-bulb temperature 72.0 73.1 75 75.0 (Tcondenser, db) Reg: 212-N0010118A-M2600009A-M25A Registration Date/Time: 2012/12/27 13:55:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Minimum Airflow Reauirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -100°F Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (dm/ton) System Name or Identification/Tag,--e -- �' "'System'1 c= '�System'2 '; — - } System 3> System 4 Calculated Minimum Airflow,Re`quirement (CFM) 1050 1050 1,700 1750 Measured Airflow using RA3.3 procedures (CFM) 1105f 1125 1 746 1848 Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS PASS PASS PASS Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Fail Reg: 212-N0010118A-M2600009A-M25A Registration Date/Time: 2012/12/27 13:55:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INS ALLATION CERTIFICATE CF-4R-MECH-2S Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of S) MI Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 System 2 System 3 System 4 Calculate: Actual Subcooling = 11.2 11.1 12.0 11.2 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 10.0 10.0 10.0 10.0 Calculate difference: 1.2 1.1 2 1.2 Actual Subcooling - Target Subcooling = System passes if difference is between -4°F and +4°F PASS PASS PASS PASS Enter Pass or Fail PASS PASS PASS - PASS Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System i System 2 System 3 System 4 Calculate: Actual Superheat = 5.7 6.1 6.8 8.6 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range 3-26 3-26 3-26 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range 1� ` PASS PASS PASS - PASS �" Enter Pass or Fail / 'A f Reg: 212-N0010118A-M2600009A-M25A Registration Date/Time: 2012/12/27 13:55:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page S of S) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 System 2 System 3 System 4 System meets all refrigerant charge and airflow 0 not-tested/verified dwelling in a HERS sample group requirements. PASS PASS PASS PASS Enter Pass or Fail Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 // � V�r C, DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) ' complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -SR) approved by the local enforcement agency. . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: CSLB License: Stewart Wibrow 696378 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling 0 not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798718140 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 ' Reg: 212-N0010118A-M2600009A-M25A Registration Date/Time: 2012/12/27 13:55:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 :ERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-2! Zefrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5; Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 j Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the ' refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. ' Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required ' for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System 5 System Location or Area Served Kitchen 1 ® Yes ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ® Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Faill ✓ ® Pass ✓ ❑ Fail STMS - Sensor on the Evaporator Coil System Name or.Identification/Tag System.5, 3 ❑ Yes �f ❑ No The sensor is factory installed, or field installed according to manufacturer's specifications, or _ is installed by methods/specifications approved by the Executive Director. { Jr The sensor wire is terminated with a standard mini plug suitable for connection to a digital 4 ❑ Yes[ No thermometer. The sensor mini plug is accessible to the installing technician and,the HERS; j( ,�i� , J, rater without, charig ing the airflow through the condenser coil'J' f ' 8 Ye` ❑ No c When attached to a digital thermometer, the sensor provides an indication of the saturation pYeif3 temperature of the coil. 3, 4, and 5 isa pass. Enter N/A if STMS are not applicable. ✓ M N/A ✓ [3Pass ✓ [3Fail wise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I System 5 6 ❑ Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a digital 7 ❑ Yes ❑ No thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A ✓ [3 Pass ✓ [3 Fail Otherwise enter Pass or Fail Reg: 212-N0010ll8A-M2600009A-M25A Registration Date/Time: 2012/12/27 13:55:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Soace Conditionina Svstems System Name or Identification/Tag System 5 (must be re -calibrated monthly) Date of Thermocouple,, Calibration ,+ 12/21/2012 j System Location or Area Served Kitchen /' Outdoor Unit Serial # WiG29663410 Outdoor Unit Make York Outdoor Unit Model YC]F60S41S1A Nominal Cooling Capacity Btu/hr 56500 Date of Verification 12/21/2012 Gaimration OT Diagnostic Instruments Date of Refrigerant Gauge Calibration 12/21/2012 �� (must be re -calibrated monthly) Date of Thermocouple,, Calibration ,+ 12/21/2012 j (must be,re-calibrated monthly) /' Measured Temperatures (OF) / / -1 1 I 1\ C System Name or Identification a r System 5 Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) Return (evaporator entering) air dry-bulb temperature (Treturn, db) Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Evaporator saturation temperature (Tevaporator, sat) 41.0 Condensor saturation temperature (Tcondensor, sat) 90.7 Suction line temperature (Tsuction) 50.0 Liquid Line Temperature (Tliquid) 81.2 Condenser (entering) air dry-bulb temperature 75.0 (Tcondenser, db) Reg: 212-N0010118A-M2600009A-M25A Registration Date/Time: 2012/12/27 13:55:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -100°F Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airt7ow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (dm/ton) System Name -or Identification/Tag ,--System'S Calculated Minimum Airflow -Requirement (CFM) 1750 Measured Airflow using RA3.3 procedures (CFM) ' 1 860 � \ t ..7 1 `+ I rJ \. . Passes if measured airflow is greater than or equal to the - calculated minimum airflow requirement. PASS Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Fail Reg: 212-N0010118A-M2600009A-M25A Registration Date/Time: 2012/12/27 13:55:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INS ALLATION CERTIFICATE CF-4R-MECH-2S Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of S) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 5 Calculate: Actual Subcooling = 9.5 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 10.0 Calculate difference: -0.5 Actual Subcooling - Target Subcooling = System passes if difference is between PASS -4°F and +4°F PASS Enter Pass or Fail Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 5 Calculate: Actual Superheat = 9.0 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if 3-26 manufacturer's specification is not available) System passesif;.actual superheat is within the allowable su rHeat"ran a i?, t g Pass PASS f I Ent re or Fail "C ,,�f,/ rel A Y� ,1 7 .'•+ �,� � Jr( Reg: 212-N0010118A-M2600009A-M25A Registration Date/Time: 2012/12/27 13:55:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Iefrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5] Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 5 1696378 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow ❑ not-tested/verified dwelling in a HERS sample group requirements. PASS Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 J* ' DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) ' complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for I the installation conforms to the reauirements specified on the Certificate(s) of Compliance (CF -1R) aooroved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: CSLB License: Stewart Wibrow 1696378 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CCl-1798718140 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/21/2012 CC2004051 ' Reg: 212-N0010118A-M2600009A-M25A Registration Date/Time: 2012/12/27 13:55:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 I Certificate of Product Ratings AHRI Certified Reference Number: 3860701 Date: 12/19/2012 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: YCJF24S41S1 Furnace Model Number: T*(8,L)X*Al2 Manufacturer: YORK BY JOHNSON CONTROLS Indoor Unit Model Number: CV360*6 Manufacturer: ADVANCED DISTRIBUTOR PRODUCTS Trade/Brand name: ADP Manufacturer responsible for the rating of this system combination is ADVANCED DISTRIBUTOR PRODUCTS Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 25400 EER Rating (Cooling): SEER Rating (Cooling): 12.50 15.00 * Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) fisted on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION ��' The information for the model cited on this certificate can be verified at www.ahridirectory.org, Air -Conditioning, Heating, clicA-' k on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on A. 00 and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. g ©2012 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130004078957701863 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. Certificate of Product Ratings AHRI Certified Reference Number: 3653296 Date: 12/19/2012 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: YCJF36S41S1 Furnace Model Number: T*(8,L)X*B12 Manufacturer: YORK BY JOHNSON CONTROLS Indoor Unit Model Number: CV362*6 Manufacturer: ADVANCED DISTRIBUTOR PRODUCTS Trade/Brand name: ADP Manufacturer responsible for the rating of this system combination is ADVANCED DISTRIBUTOR PRODUCTS Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 35200 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 * Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information forthe model cited on this certificate can be verified at www.ahridirectory.org, A "IM' Air -Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on 0%1 an ha' and Refrigeration Institute which the certificate was issued, which Is listed above, and the Certificate No., which Is listed below. ©2012 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130004078328450897 D,. Certificate of Product Ratings AHRI Certified Reference Number: 3653303 Date: 12/19/2012 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: YCJF60S41S1 Furnace Model Number: T*(8,L)X*C20 Manufacturer: YORK BY JOHNSON CONTROLS Indoor Unit Model Number: CV602*6 Manufacturer: ADVANCED DISTRIBUTOR PRODUCTS Trade/Brand name: ADP Manufacturer responsible for the rating of this system combination is ADVANCED DISTRIBUTOR PRODUCTS Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and. Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 56500 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 ' Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information forthe model cited on this certificate can be verified at wwwahridirectory.org, Air-Conditioning, Heating, click on "Verify Certificate" link and erderthe AHRI Certified Reference Number and the date on A..0 -' and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2012 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130004077491381187 Reg: 212-N0010118A-M2600003A-0000 Registration Date/Time: 2012/12/27 12:35:25 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 11-1360 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: attic Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Leakage Diagnostic Test - completely new or replacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage ducts in conditioned space is shown in the special features section of the Allowed CF -1R, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed Leakage. (CFM) Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final' or 4% (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on theCF-1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system method: Nominal capacity of condenseF in Tons.1 x 400 x leakage factor!= 72 CFM - } d ❑ Heating system meth 21.7 x Output Capacity in Thousands of Btu/hr x leakage factor = CFM ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct Actual Leakage leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 70 Pass if Actual Leakage is equal to or less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail Reg: 212-N0010118A-M2000001A-0000 Registration Date/Time: 2012/12/27 12:07:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 J INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 11-1360 Compliance Method This dwelling was: (select one of the following two choices): ® Tested at Final ❑ Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) Visual Inspection at Final Construction Stage (if applicable) After installing the interior finishing .wall and verifying that the above rough -in tests was completed, the following procedure must be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used, ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall �----x•--�--�--�-wr . . ®New duct, installations cannot utilize building cavities as!plenums or platform -returns In lieu of ducts. I r . , , V !,i ® Mastic and draw bands;rnustjbe used in combination.with Cloth backed, rubber adhesive duct tape to seal leaks at duct connections � � � � J DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. . I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: Responsible Person's Signature: Stewart Wibrow Stewart Wibrow CSLB License: Date Signed: Position With Company (Title): 696378 12/17/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0010118A-M2000001A-0000 Registration Date/Time: 2012/12/27 12:07:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 2) City of La Quint: 11-1360 Enter the Duct System Name or Identification/Tag: System 2 Enter the Duct System Location or Area Served: Bedroom 2 & 3 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Leakage Diagnostic Test - completely new or replacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage ducts in conditioned space is shown in the special features section of the Allowed CF -1R, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed Leakage. (CFM) Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final' or 4% (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF-iR to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the,CF-1R as 3%, then use aleakage.factor-of 0.03 in the calculations.below. ® Cooling system method:�] k 4 Nominal capacity of condenser in Tons x 400 x leakage factor"= 7� M J L Heatin [3 system method: , 9 Y� .r,� 21.7 x Output Capacity imThousands,of Btu/hr x leakage factor = � CFM �t ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct Actual Leakage leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 68 Pass if Actual Leakage is equal to or less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail Reg: 212-N0010118A-M2000004A-0000 Registration Date/Time: 2012/12/27 12:21:22 HERS Provider: CalCERTS, Inca 2008 Residential Compliance Forms August 2009 IN TALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 2) City of La Quint: 11-1360 Compliance Method This dwelling was: (select one of the following two choices): ® Tested at Final ❑ Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) Visual Inspection at Final Construction Stage (if applicable) After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following Drocedure must be Derformed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ' ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct I sn Installations cannot, utilize, building cavities as plenums or platform returns in"lieu of ducts. ® Mastic and draw bands'rriust�be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at duct connections. DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. . I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. . I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: Responsible Person's Signature: Stewart Wibrow Stewart Wibrow CSLB License: Date Signed: Position With Company (Title): 696378 12/17/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0010118A-M2000004A-0000 Registration Date/Time: 2012/12/27 12:21:22 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 3) City of La Quinta 11-1360 Enter the Duct System Name or Identification/Tag: System 3 Enter the Duct System Location or Area Served: Casita Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Leakage Diagnostic Test - completely new or replacement dud system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Duds in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage ducts in conditioned space is shown in the special features section of the Allowed CF -1R, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed Leakage. (CFM) Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final" or 4% (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on�t-,h�e,C-F�-1R as 3%, then use aleeakkage.factor_of 0.03 in the calculations below. ® Cooling,'sy tem method:/( k Nominal capacity of condenser in Tons x 400 x leakage factor'= M CFM f [ All � [3 Heating system method:), 21.7 x t Output Cepacity,in Thousands,of Btu/hr x leakage factor CFM ❑ Measured airflow method (RA3.3): Enter. measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct Actual Leakage leakage pressurization test procedure from Reference Residential Appendix RA3.l(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 46 Pass if Actual Leakage is equal to or less than Allowed Leakage 19 Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail Reg: 212-N0010118A-M2000005A-0000 Registration Date/Time: 2012/12/27 12:27:29 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 3) City of La Quinta 11-1360 Compliance Method This dwelling was: (select one of the following two choices): ® Tested at Final ❑ Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) Visual Inspection at Final Construction Stage (if applicable) After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannotrutilize�building cavities as�plenums or platform returns i0ie of ducts. ® Mastic and draw bands:rnustibe used in combination. with Cloth backed, rubber adhesive duct tape to seal leaks at duct connections? DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: Responsible Person's Signature: Stewart Wibrow Stewart Wibrow CSLB License: 696378 Date Signed: 112/17/2012 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0010118A-M2000005A-0000 Registration Date/Time: 2012/12/27 12:27:29 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 4) City of La Quinta 11-1360 Enter the Duct System Name or Identification/Tag: System 4 Enter the Duct System Location or Area Served: Living Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Leakage Diagnostic Test - completely new or replacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage ducts in conditioned space is shown in the special features section of the Allowed CF -1R, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed Leakage. (CFM) Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final' or 4% (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the,CF-1R as 3%, then use aleakage.factor-of 0.03 in the calculations, below. ® Cooling;s' yste� method: r� Nominal capacity of condenseFin Tons 5 x 400 x leakage factor.'= 12Q CFM ❑ Heating system actor method:, „ 21.7 x L O itput,Capacity in Tliousands,of Btu/hr x leakage CFM r ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct Actual Leakage leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 91 Pass if Actual Leakage is equal to or less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail Reg: 212-N0010118A-M2000006A-0000 Registration Date/Time: 2012/12/27 12:32:01 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 1 1 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 4) City of La Quinta 11-1360 Compliance Method This dwelling was: (select one of the following two choices): ® Tested at Final ❑ Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) Visual Inspection at Final Construction Stage (if applicable) After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannoVutilize,building cavities as•plenums or platform7returns In lieu of ducts. ® Mastic and draw bands:rriustibe used in combination with Cloth backed, rubber adhesive duct tape to seal leaks of duct connections? ` �...��� � _ � •�^'' - _.� _ fie, ,.�'�_ �--.. �.J. �,�.1�ir�" �� DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. . I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: Responsible Person's Signature: Stewart Wibrow Stewart Wibrow CSLB License: 696378 Date Signed: 12/17/2012 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0010118A-M2000006A-0000 Registration Date/Time: 2012/12/27 12:32:01 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 5) City of La Quinta 11-1360 Enter the Duct System Name or Identification/Tag: System 5 Enter the Duct System Location or Area Served: Kitchen Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Leakage Diagnostic Test - completely new or replacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage ducts in conditioned space is shown in the special features section of the Allowed CF -1R, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed Leakage. (CFM) Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final" or 4% (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the,C��R as 3%, then use aleakage.factor of_0.03 in the calculations,below. ® Cooling, method: method: 1r 4 Nominal *= �CFMJ capacity of condenser in Tons 5 x 400 x leak factor 9 X32 �` �s I 0 �j� % Heating �11�,Thousands,of ❑ system meth"od:! 21.7 x t O'utput.CapacitBtu/hr x leakage 'fact& = CFM ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct Actual Leakage leakage pressurization test procedure from Reference Residential Appendix RA3.l(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 90 Pass if Actual Leakage is equal to or less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail Reg: 212-N0010118A-M2000007A-0000 Registration Date/Time: 2012/12/27 12:36:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-611-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2) Site Address: 78271 Deacon Drive West, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 5) City of La Quinta 11-1360 Compliance Method This dwelling was: (select one of the following two choices): ® Tested at Final ❑ Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) visual inspection at Final construction stage (it applicable) After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ' ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannot �utilize, building cavities aspplenums or platform, returns fn`lieu of ducts. i ® Mastic nd draw bands;rnustibe used in combination,with Cloth backed, rubb' er adhesive du t tape to seal leaks at duct connection¢s'? DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: Responsible Person's Signature: Stewart Wibrow Stewart Wibrow CSLB License: Date Signed: 112/17/2012 Position With Company (Title): 696378 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No ' Reg: 212-N0010118A-M2000007A-0000 Registration Date/Time: 2012/12/27 12:36:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 � I � I u INSTALLATION CERTIFICATE CF-6R-MECH-23-HERS Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quint: 11-1360 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional forms) for anv additional systems in the dwellina as aoolicable. 1 System Name or Identification/Tag System 1 System 2 System 3 System 4 2 System Location or Area Served Master Bedroom Bedroom 2 & 3 Casita Living 3 Certified EER Rating of the installed 13.0 13.0 12.5 12.2 equipment (Btu/Watt-hr) 4 Make and Model Number of the installed York York York York Outdoor Unit YCJF36S41S1A YCJF36S41S1A YCJF24S1A YCJF60S41S2A 5 Make and Model Number of the installed ADP ADP ADP ADP Inside Coil CV362B6 CV362B6 CV360A6 CB602F6 6 Make and Model Number of the installed York York York York Furnace or Air Handler. TMLX08OB12 TMLXOSOB12 TMLX060Al2 TMLX10OC20 7 Minimum Equipment EER required for 11.9 11.9 12.2 11.9 compliance as reported on the CF -1R ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to $ or greater than the required minimum EER in PASS PASS PASS PASS row 7, the unit complies. If the unit complies enter Pass DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. . I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data reoistry for multiple orientation alternatives. and beginnino October 1. 2010. for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: Responsible Person's Signature: Stewart Wibrow Stewart Wibrow CSLB License: Date Signed: Position With Company (Title): 696378 12/17/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No ' Reg: 212-N0010118A-M2300002A-0000 Registration Date/Time: 2012/12/27 12:33:34 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 ENSTALLATION CERTIFICATE CF-6R-MECH-23-HERS ✓erification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. 1 System Name or Identification/Tag System 5 Responsible Person's Signature: Stewart Wibrow Stewart Wibrow 2 System Location or Area Served Kitchen Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? 0 Yes 0 No 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12.5 4 Make and Model Number of the installed Outdoor Unit York YCJF60S41S1A 5 Make and Model Number of the installed Inside Coil ADP CV602F6 6 Make and Model Number of the installed Furnace or Air Handler. York TMLX10OC20 7 Minimum Equipment EER required for compliance as reported on the 11.9 CF -1R M When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. 0 When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than the 8 required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: Responsible Person's Signature: Stewart Wibrow Stewart Wibrow CSLB License: 696378 Date Signed: 12/17/2012 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? 0 Yes 0 No Reg: 212-N0010118A-M2300008A-0000 Registration Date/Time: 2012/12/27 12:38:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-26-HERS Refrigerant Charge Verification - Alternate Measurement Procedure (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in SuoDly and Return Plenums of Air Handler System Name or Identification/Tag 3 System 1 System 2 System 3 System 4 System Location or Area Served ,� ❑-No f i Master Bedroom Bedroom 2 & 3 Casita Living 1 M Yes ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and �/� ❑ F6iI 7 ❑ Yes labeled according to Figure in Section RA3.2.2.2.2. 2 ® Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Faill ✓ ® Pass ✓ ❑ Fail STMS - Sensor on the Evaporator Coil System Name or Identification/Tag I System 1 1 System 2 1 System 3 1 System 4 3 ❑ Yess0e . ❑ No The sensor is factory installed, or field installed according to manufacturer's specifications -or islinstalled-by methods/specifications approved:by.the Executive Director: j )' 1 Y 1 (r` i f 4 (13 Yes ,� ❑-No f i The sensor wire is terminated with a standard mini'plug suitable for connection to a digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil, -tib 5 \❑ Yes ,.f It (_ „❑ Not/,l IThe sensor measures the saturation temperature of the coil within 1.3 degrees F/ j f Yes to 3, 4; and'5°is a,pass:^Enter N/A if STMS are not .. applicable. Otherwise enter Pass or Fail "✓❑ ®N/A Y F ✓ Pass �/� ❑ F6iI STMS - Sensor on the Condenser Coil System Name or Identification/Tag I System 1 System 2 1 System 3 1 System 4 The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes 1 ❑ No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not ✓ ®N/A ✓ [3 Pass ✓ ❑Fail applicable. Otherwise enter Pass or Fail Reg: 212-N0010118A-M2600009A-0000 Registration Date/Time: 2012/12/27 12:40:05 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-26-HERS Refrigerant Charge Verification - Alternate Measurement Procedure (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Alternate Charge Measurement Procedure (for use if outdoor air dry-bulb is below 55°F) Procedures for Determining Refrigerant Charge using the Alternate Method are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The alternative charge measurement procedure requires that the system shall be installed and charged in accordance with the manufacturer's specifications for refrigerant charge using the weigh-in charging method. • Installer verification of line lengths and charge adjustment calculation must be documented on CF -6R before starting this procedure. • If outdoor air dry-bulb is 55 OF or above, installer must use the Standard Charge Measure Procedure. Weigh -In Charging Method for Refrigerant Charge Verification System Name or Identification/Tag System 1 System 2 System 3 System 4 System Location or Area Served Master Bedroom Bedroom 2 & 3 Casita Living Actual liquid line length (ft) 21 19 20 24 Manufacturer's Standard liquid line length 15 15 15 15 Calculate: difference in length (ft) 6 4 5 9 = Actual length - Standard length Manufacturer's correction factor 0.62 0.62 0.62 0.67 (ounces per foot) Calculate: charge adjustment = correction factor X difference in length 3.7199999999999997 2.48 3.1 6.03 Alternate Charge Measurement Summary: System refrigerant charge has been adjusted to,meet the'rrianufacturer'sl ns based line length PASSGCZ _717 PASS PASS PASS specifics on actual Enter.Pass'or Fail DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. . I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: Responsible Person's Signature: Stewart Wibrow Stewart Wibrow CSLB License: Date Signed: Position With Company (Title): 696378 12/17/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0010118A-M2600009A-0000 Registration Date/Time: 2012/12/27 12:40:05 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-26-HERS Refrigerant Charge Verification - Alternate Measurement Procedure (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System 5 System Location or Area Served Kitchen 1 ® Yes ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 M Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum land labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Faill ✓ ® Pass ✓ ❑Fail STMS - Sensor on the Evaporator Coil System Name or Identification/Tag I System 5 The sensor is factory installed, or field installed according to manufacturer's 3 ❑ Yes ❑ No specifications, or is installed by methods/specifications approved by the Executive 1�.+w Director.,,..e,._ . _, ...---w—,k �,.�.-� .,,,•e,�_ f'F y The sensor wire, is terminated withfa standard mini plug suitable for connection to a 4 ❑ Yes ❑ No. digiial'thermometer: The sensor mini plug is accessible to the',installing technician '? and the HERS rater.'without changing the -airflow ttirough the condenser coil 5 1 1 ❑ Yes _J [3 -No ji ,i IThe sensor measures the saturation temperature,of the coil within 113 degrees F., r. Yes to 3y4, and 5 isWpass' Enter N/A if STMS are'not Pass or Fail ``--^''1—''_'� ! ®'N/A,� 1 � ✓ ❑Pass ✓ . + p Fail. CL applicableOtherwise enter. i C rf +, t-.1 STMS - Sensor on the Condenser Coil System Name or Identification/Tag I System 5 The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not ✓ ®N/A ✓ [3 Pass ✓ ❑Fail applicable. Otherwise enter Pass or Fail Reg: 212-N0010118A-M2600009A-0000 Registration Date/Time: 2012/12/27 12:40:05 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 1 I 1 1 INSTALLATION CERTIFICATE CF-6R-MECH-26-HERS Refrigerant Charge Verification - Alternate Measurement Procedure (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 78271 Deacon Drive West, La Quinta CA 92253 City of La Quinta 11-1360 Alternate Charge Measurement Procedure (for use if outdoor air dry-bulb is below 55°F) Procedures for Determining Refrigerant Charge using the Alternate Method are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The alternative charge measurement procedure requires that the system shall be installed and charged in accordance with the manufacturer's specifications for refrigerant charge using the weigh-in charging method. • Installer verification of line lengths and charge adjustment calculation must be documented on CF -6R before starting this procedure. • If outdoor air dry-bulb is 55 OF or above, installer must use the Standard Charge Measure Procedure. Weigh -In Charging Method for Refrigerant Charge Verification System Name or Identification/Tag System 5 Responsible Person's Name: Responsible Person's Signature: Stewart Wibrow, System Location or Area Served Kitchen Date Signed: Position With Company (Title): 696378 Actual liquid line length (ft) 22 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Manufacturer's Standard liquid line length (ft) 15 Calculate: difference in length (ft) 7 = Actual length - Standard length Manufacturer's correction factor 0.67 (ounces per foot) Calculate: charge adjustment 4.69 = correction factor X difference in length Alternate Charge Measurement Summary: System refrigerant charge has been adjusted„ to meet the.mariufacturer's specifications - .--� PASS 1 , , / based on actual line I6ngth Enter Pass or Fail J DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Watson Company Responsible Person's Name: Responsible Person's Signature: Stewart Wibrow, Stewart Wibrow CSLB License: Date Signed: Position With Company (Title): 696378 12/17/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0010118A-M2600009A-0000 Registration Date/Time: 2012/12/27 12:40:05 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 Jan 1613 10:09a Jan 1413 04:59p Kelly Pacific Constructio 7607722606 p•2 760-564-3233 p.2 INSTALLATION CERTIFICATE CF-6R-MECg-D5 Indoor Air ual!and Mechanical Ventilation (Page 1 0f Site Address: Enforcement A6eocy: Permit Number. Ventilation for Indoor Air Quality (IApj: All Avetling units shaft meet the requirements ofAN.5V1ASHP.4E standard tf2.2. Ref �Fitle �Z3#Part-6 Set7ioN ^IaSQFoJ. Equation and table numbering on this CF -69 correspauds to the numbering for that e;;ormation-w'tt&ubtis_hZd SK mrdard 62.2 WHOLE -BUILDING VENTILATION Venentilat>w'Rate:wA-imchartical-srtWy system, exhaust systern, or combination thereof shall provide whole building ventilation with outdoor air each hour at no less than the rate in equation 4.1a. For dwelling octatpam densities known to be greater than (Nb, + I ), the rate shall be increased by 7.5 cin for each additional person. M YC),,,s "OVA Where: Enter Eq 4. la Calculatiow (Eq. 4.1a) Qt„ = 0.01Astoo, + 7.5(Ne.: 1) ., A, - conditioned floor area, t' Ar„or = 5 Ns, = number of bedrooms; not to be less than one Nb = 3 l Qct,,, = ventilation air requitement = %n flow rate, (chn) Qr. = Q j 3 (0 Delivered Ventilation: The effective ventilation rate of an intermittent system is the combination of its delivered capacity, its fractional on-time, cycle time, and the ventilation efPfeciiveness from Table 42- This calculation only applies Ito intalWttenrsystems pu,4 1- u Lr- i4P1 Errter Eq 4.2 Calculation where: to = vcrttmcif applicable).ilatioo air requirement from Eq. 4. I a (above) 3� (Eq. 4.2) Qr = Q, t (rd) f =daily fractional on-time. (4Z) Q ` 91 r 0070 t= ventilatian ef3rectiveoess (from Table 4.2) f ' OCya 1 v Qr= fan flow rate during the on -cycle (elfin) e = l R Or= 1l t 3G Table 4.2 - Ventilation Effectiveness for intermittent Fans Daily Fractional On -Time, f ventilation a wivemss, e f 5 35% 0.33 35% < f < 60% 0.90 60%<f <80°ro 0.75 80% 5 f I.0 Fan runs at least once every three hours 1.0 whole-BaiWi-ag Ventilation Rats Snraaary Select the method used to provide Whole - Building ventilation and enter the required fan flow rate (cf m). Select one: M hV v r�adro 12Continuous fan flow (am) = 7-7 4- l 0 Intermittent fan flow (cfm) = Use the fan flmv rate from this surnmary for selection of the whole -building ventilation fan and for the duct design for the whole -building ventilation system Provide tate system design information in applicable sections below. LOCAL VENTILATION EXHAUST Local mechanical exhaust fans shall be installed in each kitchen and bathroom. The minimum airflow rates shall be at least the amount indicated in tables 5.1 and 5.2. rabic 5.1 Table 52 Intermittent local Ventilation Exhaust Airflow Rates Contin now local Ventilation Exhaust Airflow Rates Application Airflow Notes Application Airloxr Notes Vetoed range hood Based on Kitchen Kitchen 100 cfin required if exhaust fan Kitchen SACK volume fiew is less than 5 ACH Bathroom 50 cfrn Bathroom 20 efm 2008 Resrdenn'al Compliance Forms Augtast 2009 M Jan 161310!09a Jan 1:413 04:69p Kelly Pacific Constructio 7607722606 p.3 760-564-3233 p.3 INSTALLATION CERTIFICA'T`E CF-M-MIECH-pg Indoor Air Quality and Mechanical Ven dbtion Mge 2 of Site Address: Enforcement Ageacy: Permit Number. 7�r,A•l�� L s - VENTILATION! SYSTEM DESIGN — Fan selection sod duct design criteria for compliance r'ne airflow rates required refer to the delivered arrllow ofthe system as installed and tested using a flow hooa: flow grid, or oiler airflow measuring deuce. r! fteniatitely. the airflow rating at a pressure oj0.25 in. w.c. ofa cerlifred fon may be used .o demonstrate compliance xithoat testing of the airflow ofthe installed system. provided the system ductsLrrngmeeis the prescriptive requirements of ,Table 7J, or man gracaa-er's design criteria. Other methods n7tty be used toprov de the required ventilation rater when gpvroved by o licensed destgrr professional, subject to coWirmation of delnrcred ventriation airflow of the installed system. Central Fan Mtegrared (CFQ ventilation systems shall demonstrate comp/tante byfreld resting ofthe delivered ventilation airflow ofthe installed svctent. WHOLE-BUILDM VENTILATION SYSTEM DESIGN - Identify the ventilation system design criteria (select one crtteria front this column) Requirements for installer to demonstrate compliance Kith Airflow Test code Required? Enter the installed ventilation air-rioving equipment /Prescriptive information and the installed ventilation duct system Prescriptive design (Table 7.1) information in the tables below, and certify on the CF -6R that no the instalied system conforms to the Table 7.1 prescriptive design criteria. Central forced air system fans used in Central Fan Integrated ventilation systems shall demonstrate, in air distribution. mode, 0 Central Fan Irrtegtated (CFO a watt draw less than 0.58 W/CFM per Standards § 151(f)17 . yes Submit a CF.6R-MECH-22-HERS form for each forced air unit used for a CH systern. HERS verification is requited Enter the installed ventilation air -moving equipment information and the installed ventilation duct system O Engineered Design information in the tables below, and certi!y on the CF -6R that yes the installed system conforms to the engineered ventilation systems design approved by the enforcement agency. Enter the installed ventilation air -moving equipment information and the insmiled ventilation duct system ❑ Manufacturer's design criteria information in the tables below, and certify on the CF -61t that no the installed systrm conforms to the manufacturc es ventilation system duct design criteria. LOCAL. VENTELATION SYSTEM DESIGN - Identify the ventilation system design criteria (select one criteria from this colsmo) Requirements for installier to demonstrate compliance with Airflow Test code Required? Enter the installed vimtilation air -moving equipment /Prescriptive information and the installed ventilation duct system design (Table 7.1) information in the tables below, and certify on the CF -6R that no the installed system conforms to the Table 7.1 prescriptive designs criteria. Enter the installed ventilation air -moving equipment information and the installed ventilation duct system ❑ Engineered Design infomiation in the tables below, and certify on the CF -6R that yes the installed system conforms to the engineered ventilation system design approved by fire en£oroement agency. Enter the installed ventilation air -moving equipment information and the installed ventitation duct system 1 ❑ Manufacturer's design criteria information in the tables below, and certify on the CF -6R that no the install ed system conforms to the manufactwer's ventilation system duct design criteria 2008 Residential Comptiance Forms Augus12009 7607722606 p.4 Jan 161310:09a Jan 14 13 04:59p Kelly Pacific Constructio 760-564-3233 p 4 INSTALLATION CERTIFICATE CF-6R-1NMCH-OS Iudow Air Quality and Meckanical Ventilation e 3 of 5) Site Addrm:: ^ 1 ( Enforcement Agcoey: Permit Numbtr. F, r a"� I GAS +J D Q Y� L� Table 7.1 Prescriptive Duet SizingRegniremeats System Type' (WBV or LVE(CF 0 iamoter, (is) Flea Duct Smooth Duct Fan I-lodd Numbers Fan Rating cfin 0.25 in. w Z. 56 80 1W 125 50 BO 100 vJV 125 Maximum Allowable Duct Length (ft) Vit!-11J� S Diameter, in Flex Duct Smooth Duct 3 X X X X 5 X X X 4 70 3 X X 105 35 5 X 5 NL 70 1 :5 20 NL 135 85 55 6 NL NL 125 95 NL NL NL 145 7 and eboke NL NL I HL I NL NL I NL NL NL This table assumes no elbows. Deduct 15 R of ailowabte duet lmrb for each turn, elbow, ur fitting. tntetpoIatioa and extrapolation in Table 7.1 is not allowed. For airflow values not listed. use the next higher value. This table is not applicable for airflow > 125 cf L NL = no limit on duct length of this siae. X = not allowed any length of dua of this size with assumed tuns, elbows. ftqp will exceed the retell prewire drou. INSTALLED VENT1L•ATION AIR-MOVWG EQUIPhIENT INFORMATION Yentila, ion devices and egrdpmenushall be eested and rated by HO procedures for airflow and sound. Sound rating mavimrun is 1.0 sone t'or alt condituous duyfcm; 1.0 sone for intermittent duty nhok-building fans; and 3.0 sane for intermwear duty local etlwusr fans. Refer to the Residential Compliance Mamral section d.6 for informarion about inwhrsions to these sound rating requiremenls. In the lable below. list rhe fate et;mipment installed that meets The requirement for whale- buf1dinx ventilaeian and local ventilation exhaw.. Fan or System ?game or Location' System Type' (WBV or LVE(CF Required Airflow' JVn Fan fdanufaelurat Name llphpfA-.�,V Fan I-lodd Numbers Certified Airfiowo CF1, Sound Ratilte (Sane) Fan atane Fan Power Ratio I (Watt per I CFW V F-1 vJV � Vit!-11J� S 9 1 ( 4- , Y4- f- Q - O -S V a-S f-Q-vsVa-S 36 ,1i-3, t I ts% errs So;..�- ►ti��5 91 T --T- 1) Enter the Fan or System ldentifrteion Name or Loration Home or Svstenr mingat (e.g. B4uh02" WastBath". "Kitehen0l ). 2) What t�pc of mmilalion requirement is the fan spec fled to meet? WBV (whole -building tientiliWon) or LVE E (local ventita/fon ezhawo. 3) Deter the required ventilation airflow values determined by the calculations or tables in the WHOLE 80LDOG VENIYLITV V ardor LOCAL. VENTILATION E.tiiLti L5T sections al rhe beginning of Aha installation Cerofwme (CW�. Al lead one fan m use be designated for icefor compliance with the "Whole-Buffdfng �'entl(atfon' tryuireneent. 4) D+ter the Jar; manufacture's (tame. 5) Lraer the fan model number orreries number. 6) Enter rhe fan;r Certified airflow rating at 0.23 inch tine. (CFA•,t). Farts rated at less than 0.25 ut_lr w.c. (e.g. 0.1itch w.e l ramal be used io comply svith the ventilation requirements using the prescriptive design criteria in Table ". This cerlifled airflow rasing -kahre must be equal to or greater than the required ahylaw f; -am column 3 o%this table when demonstrating compliance using Table 7.1. 1 7) Liver Ilse fan r certified sataid rating (Same) 8) Enter the fan wait draw 9) Divide the Warr volae from column a by the Cert f ed dirflow value (CF -JW) from colwni; 6 For d4ellings wily Ing theperfamance energy compliance method for sttardalone whole -building ventilation systems (does not apply io focal vendlanon ezhaustfarts), the an power ratio must be less than or eaxal ro the fan ppwer ratio whir re reed inn the Per ororomv CF -IR. 2008Residenrial Compliance Foams March 2010 Jan 161310:10a Jan 1413 05:00p (telly Pacific Co-istructio 7607722606 760-564-3233 P.5 p.5 INSTALLATION CERTIFICATE CF-6R-WCH-Oa Imkor Air 2psillity and Mechanical VeQMatioa e 4 of Site Addteas.Fafircmtnt Agency: Penrtit Number: I W ��4 INSTALLED VENTILATION DV -CT SYSTEM INFORMATION Airgows required by eke standard refer to delivered airjImc of the installed swslew as determined by testing with a flow hood, flow grin, cr other measuring device. Alternwhv!y, the installed egaipment's 11Y1 air/7ow rating at o pressure of 0.2i inch w.c. otay be used, provided the system can br inspecrad to confirm the duct siting meets the prescriptive requirement; of Table 7.1. or momyjaUurer's duct ilei (*VW errrprfo Fan or System Name or Location' Compliance Method" • P• or Ml Required Airflow' 07161) Airflow Test° (CFU) Duct T ' Number of Elbows add Fittin ° Actual Ducr Length' r Allowable Duct ungths UR1 Pan or rail° 9114 0, © F rP SO S� �r, �(N,n �+ ? G 6 r 'z �9SS 1. Enter the Far or S)afem Identificat•"on Name, or Location Name, orS)uiem identifier, There should be the smm idea:ifierc as shown in the INSTALLED FEvTILAWIVAIR-001111VG EQU1AVF- 7INFORMAT70:V table cafumn I abme. 2. Eater the arethod for aeinamtrairng compliance with the ventilation airflow requirenrnts. Enver "T " for Tested , "P"Jar Prescriptiw Table 7.1 design criteria (inspection); "M"for Manufacnvers duct design erireria (iWedian). Note: the building official may require sabmirtal ofmoru3t'oeturer:s published design criteria documeruatiert ijcomprdace is to be demomvrored by bupeerion of the installation far conformance to marurfact rer s design criteria. 3. Enter the required vewilallon oirjlow values determined by the cefcalatiam o tabtes in the WHOLE-BUffJWG LZV77LATION andlor LOCAL trEIML4T1ON MM USTseetions at the beginning of this JnsraGoliorr Certificate (CF4f0. These should be the some airflow values that .vere entered for each corresponding fan in cobtttm 3 of the INSTALLFD Ln1'TILAT J0jV AIR-M0V11 G EQUIPMW ArrOMATION tabie above. 4. if complyi"g bw o method drat requires on Airflow Te rt of the installed system, eater rhe resuft from the Airf low Test jor the bulalled system (CFM). S. Error duct type for the installed ryuent. Choices aro "Flex" or Smooth• if usitrg Table 7. I for comphosce. 6. Enlerlatalravnue►ojelboxsorjutirrgsorabrtrytturruintheventilationduetfortheinstalledpyYtem. 7. Lwar the ixNalled system's actual total duct length (fe). $, Ijcanptying by tee of (lie prescriptive design criteria or mantyociurer's design criteria, enter Lire Maximum Allowablee Duct Leno.. fit) for the nwem as determined by Table 7.1 or manufacwtrers dact design criteria. 9. (W. (W. rhesystem paces itthe lestedAirflow"egtmis orexeeedsthe RequiredAafi6w�. Ifcomplywgby demonstrating eortforurance to prescriptive desiget crarria or many(acturer's design criteria, the rysrem parses of actual total dun kngth iron catumn 7 is less than the mmtirrurn allowed ten th roti, column 8. Cnter' Pass or Fait 20OR Residential Compliance Forms august 2009 Jan 161310:10a Jan 1413 05:00p Kelly Pacific Constructio 7607722606 p.6 760-564-3233 p.6 OTHER REQUIREMENT'S The items listed below (61 Arough 6.8) correspond do the information gfwn in ASHPUE 62.2 Section 6 "Odwr Requirements". Refer also to Chapier 4.6 ofim Residentiei Compliance Manual (Section 4.6.5) for information describing these 'Other Requvements". The signature of theRexpoAsiNe Person In the declaration statemew beloiv certifies that the buitdbtg coorplies ivifh these requirements specified in.1S1.1RdE62.2Secfion 63 through 6.8 irappficable. ❑ 6.1 Tr2mfer Air ❑ 62 Instructions and Labeling 016.3 Cloths Dryers 336.4 Combustion and solid -fuel burning appliances ❑ 6.5 Garages ❑ 6.6 Ventilation Opening Area ❑ 6.7 Minimum filtration O 6.8 Air Inlets ZPrescriptive Designs: For veatilation systems that utilizeprescriprin design criteria, the signature of the Responsible Person in thedeclatatioo statement below certifies that the installed system conforms to the prescriptive ventilation system design criteria from Table 7.1 of Standard 62.2 and manufacturer's installation specifications. O Engineered Designs: For ventilation systems that utilize engineered design criteria, the signature ofthe Responsible Person in the declaration state rnent below certifies that the installed system conforms to the engineered ventilation system design documentation approved by the enforcement agency. ❑ 4tanufascturer's design criteria: For ventilation systems that utilize manufacturer's design criteria, the signature of the Responsible Person in the declaration statement below certifies that the installed system conforms to the manufacturex s published duct system design criteria and installation specifications. DECLARATION STATEMENT • I certify under penalty of perjury. under the laws of the State of California, dic information provided on this form is true and carrsct. • tam eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized wpn=atative of the person responsible for construction (responsible person). • I oertify that the installed features, materials, components, Drmanufactured devices identified on this certificate (d..v installation) eonfomts to all applicable codes and regulations. and the installation is consistent with the plants and specifications apprnved by the enforcement agency. • I reviewed atopy of the Certificate of Compliance (CF -I R) form approved by the enforceocntagency that identifies the specific requirements for the installation. 1 certify that the requirements derailed on the CF. LR that apply to the installation pare been otet. • 1 will ensure that a comp ted, signed copy of this Installation Certificate shalt be posted. or made available with the building permit(s) issued for the 4ildiag. and made avail,bie to the enforcement agency for all applicable inspections. I understand that a signed cap:- ofthb Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company ane: (Iastallingsu eery General Contractoror Builder,'Qwner) QA Co" Cl - Responsible Person' Name: Respoasible Perm ' Si G // CSLB License: Date goed: Positi ith Co-peny (Title): ca I /L � s r 2008 Residential Compliance Fours Augusi 2009 Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 2/27/2012 Electronically Signed at CalCERTS.com by Anton Marinkovich (Stracts inc.) 2/27/2012 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Helm Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration 1212712012 Date Project Address Traditions, Lot 20 La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 5,243 Addition n/a #'of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity Features see Part 2 of Status Roof Wood Framed Attic R-38 5,243 Radiant Barrier New Wall Wood Framed R-21 4,723 New Slab Unheated Slab -on -Grade None 5,243 Pe 'QU 1 New Door Opaque Door None New NG 6L An FENESTRATION U - Orientation Area 'iFactor SHGC Overhan Shades Status Rear (NE) 96.0 0.390 0.39 none none Bug Screen New Right (SE) 208.5 0.390.,0.39 -none none- $ug:Screen New Left (NW)'ey" 172.5 0 390 0.39 none Y "none Bug Screen V New Front (SIM ° '069.0. J)"! 0.390 0.39 ' none = _none j Bug Screen New Rear (NE) ( ,1'70'0 e 0.550 0!39 22.0, 1 `, none I -Bug Screen's 3 '4N' yNeim 0 _ 0'00creRear(NE),� en -11 tot jr )New Right (SE) 26.8 0.550 0.40 12.0 none Bug Screen New Front (SIM-- -- 37.2 1.190 0.68 none none Bug Screen New y , HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 15.0 SEER Setback New 1 Central Furnace 80% AFUE Split Air Conditioner 15.0 SEER Setback New 1 Central Furnace 80% AFUE Split Air Conditioner 15.5 SEER Setback New HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status HVAC 1 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New HVAC 2 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New HVAC 3 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New WATER HEATING Ot . Type Gallons Min. Eff Distribution Status 1 Large Gas 75 0.82 All Pipes Ins New EneigyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-09-27713:50:33 ID: Pae 1 of 10 Reg: 212-N0010118A-000000000-0000 Registration Date/Time: 2012/02/27 13:04:59 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 2/27/2012 Electronically Signed at Ca10ERTS.com by Anton Marinkovich (Stracts Inc.) 2/27/2012 V1 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Helm Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration 1212712012 Date Project Address Traditions, Lot 20 La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 5,243 Addition n/a # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST IZI Yes ❑ No HERS Measures -- If Yes, A CF -413 must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity Features see Part 2 of 5 Status FENESTRATION U- Exterior Orientation Area I Factor SHGC Overhang Sidefins Shades Status �t r. ?.Kq-0-w 3 tib• " Y fj` -' trt ':. k ?' h't �y� � n�', �. � � �e� ?'nsit+r' • ib.'.. '� j f, y� �1 ti HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 2 Central Furnace 80% AFUE Split Air Conditioner 15.0 SEER Setback New HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status HVAC 4 & 5 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New WATER HEATING Ot . Type Gallons Min. Eff Distribution Status EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-09-27713:50:33 ID: Page 2 of 10 Reg: 212-N0010118A-000000000-0000 Registration Date/Time: 2012/02/27 13:04:59 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 2/27/2012 Electronically Signed at CalCERTS.com by Anton Marinkovich (Stracts Inc.) 2/27/2012 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Building Type ® Single Family ❑ Addition Alone Date Helm Residence 1 ❑ Multi Family ❑ Existing+ Addition/Alteration 2127/2012 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The DHW System Bradford White M-1-75S6BN is a non-NAECA large storage gas water heater. Verify DHW details. The HVAC System HVAC 1 must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each lone must have a separate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix RA3.3 must be met. HIGH MASS Design - Verify Thermal Mass: 728.0 112 Covered Slab Floor, 3.500" thick at Master Bedroom HIGH MASS Design - Verify Thermal Mass: 189.0 ft2 Exposed Slab Floor, 3.500" thick at Master Bedroom The HVAC System HVAC 2 must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a separate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix RA3.3 must be met. HIGH MASS Design - Verify Thermal Mass: 708.0 ft2 Covered Slab Floor, 3.500" thick at Bedroom 2/3 HIGH MASS Design - Verify Thermal Mass: 90.0 ft2 Exposed Slab Floor, 3.500" thick at Bedroom 2/3 The HVAC System HVAC 3 must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a separate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix RA3.3 must be met. HIGH MASS Design - Verity Thermal Mass: 482.0 112 Covered Slab Floor, 3.500" thick at Casita HIGH MASS Design - Verify Thermal Mass: 96.0 R2 Exposed Slab Floor, 3.500" thick at Casita The HVAC System HVAC 4 & 5 must serve only Living Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a se crate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix RA3.3 must be met. HIGH MASS Desig'"n :Verify Thermal Myyass: 269.0 ft2 Covered Slab Floor, 3.500"thicket. Grea. t Ro1om/Kitchen/Family or HIGH MASS Design - Verify Ther`malQ.Mass: 2,460.0 ft2 Exposed Slab Floor, 3'500" thick at GreattRoom/Kitchen/Family { 1 F I HERS REQUIRED VERIFICATION �� ` "�` Items in this section,require field testing and/or verjfication by a certified HERS.Rater: The inspector=must receive a completed CF -4R form for each of the measures listed below for final to be given. The Cooling, System Carrier 24HCB636 / 58CVX070 includes credit for all. 9 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System HVAC 1 incorporates HERS Verified Refrigerant Charge ora Charge Indicator Display. The HVAC System HVAC 1 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. The Cooling System Carrier 24HCB636158CVX070 includes credit for a 11.9 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System HVAC 2 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System HVAC 2 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. The Cooling System 24HCB624 / 58CVX070 includes credit for a 12.2 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System HVAC 3 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System HVAC 3 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. The Cooling System Carrier 24HCB660 / 58CVX110 includes credit for a 11.9 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System HVAC 4 & 5 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System HVAC 4 & 5 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. EnergyPro 5.1 by Ener Soft User Number.' 6712 RunCode: 2011-09-27T13:50:33 ID: Page 3 of 10 Reg: 212-N0010118A-000000000-0000 Registration Date/Time: 2012/02/27 13:04:59 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 2/27/2012 Electronically Signed at Ca10ERTS.com by Anton Marinkovich (Stracts Inc.) 2/27/2012 PERFORMANCE CERTIFICATE: Residential Part 2 of 5) CF -1 R Project Name Helm Residence Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 2127/2012 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HIGH MASS Design - Verify Thermal Mass: 153.0 ft2 Covered Slab Floor, 3.500" thick at Bedroom 4 HIGH MASS Design - Verify Thermal Mass: 68.0 ft2 Exposed Slab Floor, 3.500" thick at Bedroom 4 The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. , } A r �:' .. � �v Y a+v ,:� � HERS,REQUIREDVERIFICATION , �-�} ILS.., Items in this ection,require field testinng.and/or verification by a certified'HERS Rater:'The-inspector must receive a completed CF74R>form for each of the measures listed below for final to be given. FnergyPro 5.1 bV EnerqySoft User Number: 6712 RunCode: 2011-09-27713:50:33 ID: Page 4 of 10 Reg: 212-NOO10118A-000000000-0000 Registration Date/Time: 2012/02/27 13:04:59 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 2/27/2012 Electronically Signed at Ca10ERTS.com by Anton Marinkovich (Stracts Inc.) 2/27/2012 PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF -1 R Project Name Building Type m Single Family ❑ Addition Alone Date Helm Residence 1 ❑ Multi Family ❑ Existing+ Addition/Alteration 1212712012 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kgtu/ft2- r Space Heating 5.04 4.60 0.24 Space Cooling 50.52 46.40 4.12 Fans 10.68 13.82 -3.14 Domestic Hot Water 6.96 4.57 2.39 Pumps 0.00 0.00 0.00 Totals 13.20 69.58 3.61 Percent Better Than Standard: 4.9% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (SM 206 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (SM 1,144 126 Fuel Available at Site: Natural Gas (NM 1,700 173 Raised Floor Area: 0 (NE) 1,052 306 Slab on Grade Area: 5,243 (SE) 1,688 235 Average Ceiling Height::. 11.9 Roof 5,243 0 Fenestration Average U -Factor: 0.47 TOTAL: 840 Average SHGC: 0.40 Fenestration/CFA Ratio: 16.0% REMARKS— tl . 4 41 +4� STATEMENT'OF COMPLIANCE This certificate of compliance' lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Scott Design and Title 24, Inc, 227/2012 Address 77-085 Michigan Drive Name Tim Scott City/State/ZipCity/State/Zip Palm Desert, Ca 92211 Phone (760) 200-4780 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Company Stracts Architects Address 51-555 Desert Club Drive, Suite 300 Name Anton Marinkovich City/State/Zip La Quinta, CA 92253 Phone (760) 771-1800 Signed License It Date EnemvPro 5.1 by Enem ySoft User Number: 6712 RunCode: 2011-09-27713:50:33 ID: Page 5 of 10 Reg: 212-N0010118A-000000000=0000 Registration Date/Time: 2012/02/27 13:04:59 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 2/27/2012 Electronically Signed at Ca10ERTS.com by Anton Marinkovich (Stracts inc.) 2/27/2012 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5) CF -1 R Project Name Helm Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1212712012 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor _g2vL Exterior Frame Interiorl Frame Azm Tilt Status 4 Location/Comments Roof 917 0.025 R-38 0 0 New 4.2.1-A21 Master Bedroom Wall 208 0.069 R-21 26 90 New 4.3.1-A6 Master Bedroom Wall 708 0.069 R-21 116 90 New 4.3.1-A6 Master Bedroom Slab 728 0.730 None 0 180 New 4.4.7-A 1 Master Bedroom Slab 189 0.730 None 0 180 New 4.4.7-A 1 Master Bedroom Roof 798 0.025 R-38 0 0 New 4.2.1-A21 Bedroom 2/3 Wall 60 0.069 R-21 26 90 New 4.3.1-A6 Bedroom 2/3 Wall 337 0.069 R-21 116 90 New 4.3.1-A6 Bedroom 2/3 Wall 125 0.069 R-21 296 90 New 4.3.1-A6 Bedroom 2/3 Slab 708 0.730 None 0 180 New 4.4.7-A1 Bedroom 2/3 Slab 90 0.730 None 0 180 New 4.4.7-A1 Bedroom 2/3 Roof 578 0.025 0-38 0 0 New 4.2.1-A21 Casita Wall 6 0.069 R-21 26 90 New 4.3.1-A6 Casita Wall 180 0.069 R-21 116 90 New 4.3.1-A6 Casita Wall 297 0.069 R-21 206 90 New 4.3.1-A6 Casita Wall 180 0.069 R-21 296 90 New 4.3.1-A6 Casita FENESTRATION SURFACE DETAILS ID Type Area LI -Factor' SHGC Azm Status Glazing Type Location/Comments 1 Window 16.0 0.390 NFRC 0.39 NFRC 26 New Architectural Traditions Window Master Bedroom 2- Window 40.0 0.390 NFRC 0.39 NFRC 26 New Architectural Traditions Window Master Bedroom `3 Window - 1716.0 0.390 NFRC 0.39 NFRC 26 New Architectural Traditions Window Master Bedroom 4 Window 12.5 0.390 NFRC 0.39 NFRC 116 New Architectural Traditions Window Master Bedroom 5 •. Windows ,...,.. 12.5 0.390 NFRC -0:39 NFRC_,.- _.._.1,16 New__.._.. Architectural_ Traditions Window Master Bedroom 6 Window' X,15.0 0.390 -NFRC ,,+" 0.39 NFRC 116 New r.Y Architectural Traditions'Window Master Bedroom 7 Window ` 6.0 0.390 NFRC 0.39 'NFRC 1161 New, , Architectural Traditions Window Master Bedroom 8 Window 20.0 -',:0.390 NFRC ' 0.39 NFRC `l? ■.++t 116 New.. �� Architectural Traditions Window Master Bedroom 9 Window 150X10.390 NFRC f 0.39 NFRC Y 116 New .A " Architectural Traditions Window Master Bedroom � ; 10 Lthndow y 6.0, t .0.390 NFRC . i 0.39 NFRC ., s�16 New �, Architectural Traditions Window Master Bedroom 11 , WindowA f k.;,6.0 -0. 390 NFRC. --oO.39 NFRC"; z;2J116 New, I Architectural,Traditions.Window Bedroom'2/3%. '- o 12 Window 25.0 0.390 NFRC 0.39 NFRC '116 New Architectural Traditions Window Bedroom 2/3 13 Window6.0 0.390 NFRC - 6.39 NFRC 116 New Architectural Traditions Window Bedroom 2/3 '14.- Window L,6.0 0.390 NFRC 0.39 NFRC 116 New Architectural Traditions Window Bedroom 2/3 15 Window 10.0 0.390 NFRC 0.39 NFRC 296 New Architectural Traditions Window Bedroom 2/3 16 Window 20.0 . 0.390 NFRC 0.39 NFRC 296 Al.- Architectural Traditions Window Bedroom 2/3 (1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window Ove hang Left Fin Right Fin H t Wd Len H t LExt RExt Dist Len Hot Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Buq Screen 0.76 9 Bug Screen 0.76 10 Bac Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 0.76 15 JBug Screen 0.76 16 ]Bug Screen 0.76 EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-09-27713:50:33 ID: Page 6 of 10 Reg: 212-N0010118A-000000000-0000 Registration Date/Time: 2012/02/27 13:04:59 HERS Provider: Ca10ERTS, Inc Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 2/27/2012 Electronically Signed at Ca10ERTS.com by Anton Marinkovich (Stracts Inc.) 2/27/2012 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name Helm Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 2/27/2012 OPAQUE SURFACE DETAILS Surface V- Insulation Joint Appendix Type Area Factor Cavityl Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Slab 482 0.730 None 0 180 New 4.4.7-A1 Casita Slab 96 0.730 None 0 180 New 4.4.7-A1 Casita Roof 2,729 0.025 R-38 0 0 New 4.2.1-A21 Great Room/Kitchen/Fami Wall 412 0.669.R-21 26 90 New 4.3.1-A6 Great Room/Kitchen/Fami Wall 228 0.069 R-21 116 90 1 New 14.3.1-A6 Great Room*itchen/Fami Wall 570 0.069 R-21 206 90 1 New 4.3.1-A6 Great Room/Kitchen/Fami Door 21 1.450 None 206 90 1 New 4.5.1-A1 Great Room/Kitchen/Fami Wall 1,037 0.669 R-21 296 90 New 4.3.1-A6 Great Room/Kitchen/Fami Slab 269 0.730 None 0 180 New 4.4.7-A1 Great Room/Kitchen/Fami Slab 2,460 0.730 None 0 180 New 4.4.7-A1 Great Room/Kitchen/Fami Roof 221 0.025 R-38 0 0 New 4.2.1-A21 Bedroom 4 Wall 60 0.069 R-21 26 90 New 4.3.1=A6 Bedroom 4 Wall 130 0.069 R-21 206 90 New 4.3.1-A6 Bedroom 4 Wall 186 0.069 R-21 296 90 New 4.3.1-A6 Bedroom 4 Slab 153 0.730 None 0 180 New 4.4.7-A1 Bedroom 4 Slab 68 0.730 None 01 180 New 4.4.7-A1 lBedroorn 4 FENESTRATION SURFACE DETAILS ID Type Area . U -Factor SHGC Azm Status Glazing Type Location/Comments 17 Window 10.0 0.390 NFRC 0.39 NFRC 296 New Architectural Traditions Window Bedroom 213 18- Window 24.0 0.390 NFRC 0.39 NFRC 26 New Architectural Traditions Window Casita 19 Window" 6.0 0.390 NFRC 0.39 NFRC 206 New Architectural Traditions Window Casita 20 Window 6.0 0.390 NFRC 0.39 NFRC 206 New Architectural Traditions Window Casita 21 Window , ..., 35.0 0.390 NFRC 0.39 NFRC..._.. __..____206 New__.:. .Architectural Traditions Wndow .Casita 22 Window `.. '1/"6.0 0.390 �NFRC,,.F ;- 0.39 NFRC 206 New r, N Architectural Traditions Window "Casita 23 Window, 170.01 0.550 NFRC, 1 _;- 0.39 'NFRC . 26 New- .; Fleetwood Patio Door t, ' Great Room/Kitchen/Family 24 Window 40.0,°.'=,;0.550, NFRC ' '' 0.40 NFRC ° r•4 26 New Fleetwood Sliding Window'k _ Great Room/Kitchen/Family 25 Window 26!8 f 0.550 NFRC 0.40 NFRC -77-116 New i Fleetwood Sliding Window. `1- Great. Room/Kitchen/Family 26 Window X10:0;1 0.390 NFRC ,; 0.39 NFRC : 3116 'New,;. 11 Architectural;Traditions Window Great. Room/Kitchen/Family 27 . MndowA- r U0A' .-0:390 NFRC 2,, 0.39 NFRC " X116 New, ' ArchitecturahTraditions Window Great Room/Kitchen/Family 28 Window 10.0 0.390 NFRC 0.39 NFRC 116 New Architectural Traditions Window Great Room/Kitchen/Family 29 Window .__ 25.0 0.390 NFRC 0.39 NFRC 116 New Architectural Traditions Window Great Room/Kitchen/Family 30- Window `-,1.5 0.390 NFRC 0.39 NFRC 116 New Architectural Traditions Window Great Room/Kitchen/Family 31 Window 1:5 0.390 NFRC 0.39 NFRC 116 New Architectural Traditions Window Great Room/Kitchen/Family 32 Window 1.5 .. 0.390 NFRC 0.39 NFRC 116 New Architectural Traditions Window Great Room/Kitchen/Family (1) Ll -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Window Exterior Shade Type SHGC H t Wd Ove hanq Left Fin Right Fin Len H t LExt RExt Dist Len H t Dist Len H t 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20 Bug Screen 0.76 21 Bug Screen 0.76 22 Bug Screen 0.76 23 Bug Screen 0.76 10.0 17.0 22.0 0.1 22.0 22.0 24 Bug Screen 0.76 4.0 10.0 11.0 0.1 11.0 11.0 25 Bug Screen 0.76 4.0 6.7 12.0 0.1 12.0 12.0 26 Buq Screen 0.76 27 Bug Screen 0.76 28 Bug Screen 0.76 29 Bug Screen 0.76 30 Bug Screen 0.76 31 JBug Screen 0.76 32 JBug Screen 1 0.761 1 EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-09-27713:50:33 ID: Page 7 of 10 Reg: 212-N0010118A-000000000-0000 Registration Date/Time: 2012/02/27 13:04:59 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 2/27/2012 Electronically Signed at Ca10ERTS.com by Anton Marinkovich (Stracts Inc.) 2/27/2012 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5) CF -1 R Project Name Helm Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 2127/2012 OPAQUE SURFACE DETAILS Surface Ll- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area LI -Factor SHGC2 Azm Status Glazing Type Location/Comments 33 Window 1.5 0.390 NFRC 0.39 NFRC 116 New Architectural Traditions Window Great Room/Kitchen/Family 34- Window 1.5 6.390 NFRC 0.39 NFRC 116 New Architectural Traditions Window Great Room/Kitchen/Family 35 Window 1.5 0.390 NFRC 0.39 NFRC 116 New Architectural Traditions Window Great Room/Kitchen/Famil 36 Window 1.5 0.390 NFRC 0.39 NFRC 116 New Architectural Traditions Window Great Room/Kitchen/Family 37',1 Window.,, ,,,,.„.._1.5 0.390 NFRC.0:39 .NFRC.,. w116 New" Architectural Traditions Window Great Room/Kitchen/Family 38 Window' 1.5 0.390 'NFRC ,0i g 0.39 NFRC-1. - 116 New ` ; Architectural TraditionsWindow Great Room/Kitchen/Family 39 V,I7indow ` 6.0 0,390 NFRC. f _ 0.39 NFRC,', >' , 206 New, t' : Architectural,Traditions Window Great Room/Kitchen/Family 40 Window 37.2_ X;.1..190 Default ' 0.68 Default a -4206 New, � Single Metal "Tinted 1;_> � Great Room/Kitchen/Family 41 Window 20:0 J'0:390 NFRC t 0.39 NFRC # 206 New, `.; Architectural Traditions Window Great Room/Kitchen/Family 42 Window�` ; 12.5; 7"0.390 NFRC f:1 0.39 NF, RC . r296 'New4 -... A/Chitectural,,Traditions Window Great Room/Kitchen/Family 43 . Wndow U2.5 .r 0:390 NFRC, ` -0.39 NFRC': X296 New,' ArchitecturabTraditions Window Great Room/Kitchen/Family 44' Window 20.0 0.390 NFRC ° ' 0.39 NFRC -296 New Architectural Traditions.Window Great Room/Kitchen/Family 45 Window 25.0 0.390 NFRC 0.39 NFRC 296 New Architectural Traditions Window Great Room/Kitchen/Family `46. Window `10.0 0.390 NFRC 0.39 NFRC 296 New Architectural Traditions Window Great Room/Kitchen/Family 47 Window 20.0 0.390 1 NFRC 0.39 NFRC 296 New Architectural Traditions Window Great Room/Kitchen/Family 48 Window 10.0 = 0. 3901 NFRC 1 0.39 NFRC 296 New Architectural Traditions Window] Great Room/Kitchen/Family (1) U -Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type Window Ove hang Left Fin Right Fin SHGC H t Wd Len H t LExt RExt Dist Len H t Dist Len H t 33 Bug Screen 0.76 34 Bug Screen 0.76 35 Bug Screen 0.76 36 Bug Screen 0.76 37 Bug Screen 0.76 38 Bug Screen 0.76 39 Bug Screen 0.76 40 Bug Screen 0.76 41 Bug Screen 0.76 42 Bug Screen 0.76 43 Bug Screen 0.76 44 Bug Screen 0.76 45 Bug Screen 0.76 46 Bug Screen 0.76 47 ]Bug Screen 0.76 48 JBug Screen 0.76 EnergyPro 5.1 by EnergySoft User Number.' 6712. RunCode: 2011-09-27713:50:33 ID: Page 8 of 10 Reg: 212-N0010118A-000000000-0000 Registration Date/Time: 2012/02/27 13:04:59 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 2/27/2012 Electronically Siqned at Ca10ERTS.COm by Anton Marinkovich (Stracts Inc.) 2/27/2012 I CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5) CF -1 R Project Name Helm Residence Building Type m Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1212712012 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavit Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID T e I Area LI -Factor' SHGCz Azm Status Glazing Type Location/Comments 49 Window 1.5 0.390 NFRC 0.39 NFRC 296 New Architectural Traditions Window Great Room/Kitchen/Family 50_ Window 1.5 0.390 NFRC 0.39 NFRC 296 New Architectural Traditions Window Great Room/Kitchen/Family 51 Window ' - 1.5 0.390 NFRC 0.39 NFRC 296 New Architectural Traditions Window Great RoornXitchen/Famil 52 Window 1.5 0.390 NFRC 0.39 NFRC 296 New Architectural Traditions Window Great Room/Kitchen/Family 53% Window,._, ,1.5 0.390 NFRC _0.39 NFRC 296 New--- Architectural_Traditions Window Great RoomMitchen/Family 54 Window" NT 1.5 0.390 NFRC i d 0.39 NFRC 296 New ' Architectural Traditions Window Great Room/Kitchen/Family 55 Window * 1.5 0,390 NFRC / 0.39 'NFRC 296 New i . Architectural Traditions Window Great Room/Kitchen/Family 56 Window 1.5 ::0.390 NFRC 0.39 NFRC -4296 296 New- -o+ , Architectural Traditions Window Great Room/Kitchen/Family 57 Window ,,jV5 10.390 NFRC i` 0.39 NFRC it 296 New-, Architectural Traditions Window Great Room/Kitchen/Family 58 Wndow „1,1.5, � 0.390 NFRC i . 0.39 NFRC ;296 New -.-I Architectural; Traditions Window Great. Room/Kitchen/Family 59 .: Window,g + k -.1:5 ..-0.390 NFRC -0.39 NFRC p =:-,12961 New t. Architectural Traditions: Great RoornXitchen/Family 60 Window 1.5 - 6.390 NFRC 0.39 NFRC 296 New Architectural Traditions Window Great RoornXitchen/Family 61 Window - 10.0 0.390 NFRC 0.39 NFRC 206 New Architectural Traditions Window Bedroom 4 62, Window 1.5 0.390 NFRC 6.39 NFRC 296 New Architectural Traditions Window Bedroom 4 63 Window 1:5 0.390 NFRC 0.39 NFRC 296 New Architectural Traditions Window Bedroom 4 64 Window 1.5 -• 0.390 NFRC 0.39 NFRC 296 New Architectural Traditions Mndow4 Bedroom 4 (1) U -Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type Window SHGC H t Wd Ove hang Left Fin Right Fin Len H t LExt RExt Dist Len Hat Dist Len H t 49 Bug Screen 0.76 50 Bug Screen 0.76 51 Bug Screen 0.76 52 Bug Screen 0.76 53 Bug Screen 0.76 54 Bug Screen 0.76 55 Bug Screen 0.76 56 Bug Screen 0.76 57 Bug Screen 0.76 58 Bug Screen 0.76 59 Bug Screen 6.76 60 Bug Screen 0.76 61 Bug Screen 0.76 62 Bug Screen 0.76 63 JBug Screen 0.76 64 18ug Screen 0.76 EnergyPro 5.1 by Ener Soft User Number: 6712. RunCode: 2011-09-27713:50:33 ID: Page 9 of 10 Reg: 212-NOOIO118A-000000000-0000 Registration Date/Time: 2012/02/27 13:04:59 HERS Provider: Ca10ERTS, Inc • Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 2/27/2012 Electronically Signed at CalCERTS.com by Anton Marinkovich (Stracts Inc.) 2/27/2012 CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5 CF -1 R Project Name Helm Residence Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 2127/2012 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existina Altered I Removed Volume Year Built HVAC 1 Master Bedroom 917 9,445 HVAC 2 Bedroom 213 796 7,960 HVAC 3 Casita 578 5,780 HVAC 4 & 5 Great Room/Kitchen/Family 2,729 37,114 Bedroom 4 221 2,210 Totals 5,243 0 0 01 1 HVAC SYSTEMS System Name Qty.- Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC 1 1 Central Furnace 80% AFUE Split Air Conditioner 15.0 SEER Setback New HVAC 2 1 Central Furnace 80% AFUE Split Air Conditioner 15.0 SEER Setback New HVAC 3 oJ0"4t1-* 1 ..:. Central.Furriace 80%,AFUE Split -Air Condihoner 15'5'SEER Sefback New HVAC4_&`5r 2 Cent l,FurnaceV 8b%AFUE S lit'AirConditioner } 15.0 SEER Setback New HVAC DISTRIBUTION t -11 ,; k � / �1__. I I _ I i 1.r P fi System Name i Heaiinq Duct)t-- V Ducts'Tc Cooling Duct Location R -Value Tested? Status HVAC 1 Ducted Ducted Attic, Ceiling Ins, vented 8.0 m New HVAC 2 Ducted Ducted Attic, Ceiling Ins, vented 8.0 m New HVAC 3 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New HVAC 4 & 5 Ducted Ducted Attic, Ceiling Ins, vented INew WATER HEATING SYSTEMS S stem Name Q Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Bradford White M-1-75S6B 1 Large Gas All Pipes Ins 76,000 75 0.82 0.00% 0.0 New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ff o N a c Q— System Name Pipe Length Pipe Diameter Insul. Thick. Q FHP Plenum Outside Buried EnergyPro 5.1 by Ener Soft User Number: 6712 RunCode: 2011-09-27713:50:33 ID: Pae 10 of 10 Reg: 212-N0010118A-000000000-0000 Registration Date/Time: 2012/02/27 13:04:59 HERS Provider: Ca10ERTS, Inc i Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847 6782 Stanton Avenue, Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863 800 E. Florida Avenue, Hemet, CA. 92543 (951) 766-8777 Fax (951) 766-8778 February 20, 2012 Project No. 544-12026 12-02-044 Stracts, Inc. CITY OF LA Q U I NTA 51350 Desert Club Drive, Suite 1 BUILDING & SAFETY DEPT. La Quinta, California 92253 P Project: Proposed Custom Residence FOR CONSTRUCTION 78-271 Deacon Drive West The Tradition Golf ClubDATE %I %" BY�— La Quinta, California Subject: Geotechnical Update Ref: Report of Testing and Observation During Rough.Grading prepared by Sladden Engineering dated July 30,1997; Project No. 522-6138G1 Geotechnical Update report prepared by Sladden Engineering dated December 12, 1996; Project No. 444-6130 As requested, we have reviewed the referenced geotechnical reports as they relate to the design and construction of the proposed custom residence. The project site is located at 78-271 Deacon Drive West within The Tradition Golf Club development in the City of La Quinta, California. It is our understanding that the proposed residential structure will be of relatively lightweight wood - frame construction and will be supported by conventional shallow spread footings and concrete slabs on grade. The lot was previously graded during the initial rough grading of The Tradition project site. The rough grading included overexcavation and/or recompaction of the native surface soil along with the placement of engineered fill material to construct the building pads. The site grading is summarized in the referenced grading report along with the compaction test results. The referenced reports include recommendations pertaining to the design and construction of residential structure foundations. Based upon our review of the referenced reports, it is our opinion that the structural values included in these reports remain applicable for the design and construction of the proposed residential structure foundations. X 9 0 0 FL MAK 0 6 2012 i February 20, 2012 -2- Project No. 544-12026 12-02-044 Conventional shallow spread footings should be bottomed into properly compacted fill material a minimum of 12 inches below lowest adjacent grade. Continuous footings should be at least 12 inches wide and isolated pad footings should be at least 2 feet wide. Continuous footings and isolated pad footings should be designed utilizing allowable bearing pressures of 1800 psf and 2000 psf, respectively. Allowable increase of 200 psf for each additional. l foot of width and 250 psf for each additional 6 inches of depth may be utilized, if desired. The maximum allowable bearing pressure should be 3000 psf. The recommended allowable bearing pressures may be increased by one-third for wind and seismic loading. Increases in allowable bearing pressures may be realized with increased footing size. Resistance to lateral loads can be provided by a combination of friction acting at the base of the slabs or foundations and passive earth pressure along the sides of the foundations. A coefficient of friction of 0.48 between soil and concrete may be used with dead load forces only. A passive earth pressure of 300 pounds per square foot, per foot of depth, may be used for the sides of footings, which are placed against properly compacted native soils. The bearing soil is non -expansive and falls within the "very low" expansion category in accordance with 2010 California Building Code (CBC) classification criteria. Slab thickness and reinforcement should be determined by the structural engineer, we recommend a minimum floor slab thickness of 4.0 inches. All slab reinforcement should be supported on concrete chairs to ensure that reinforcement- is placed at slab mid -height. Because the lot has been previously graded, the remedial grading required at this time for the proposed residence should be minimal. The building areas should be cleared of surface vegetation, scarified and moisture conditioned prior to precise grading. The exposed surface should be compacted so that a minimum of 90 percent relative compaction is attained prior to fill placement. Any fill material should be placed in thin lifts at near optimum moisture content and compacted to at least 90 percent relative compaction. Based on our field observations and understanding of local geologic conditions, the soil profile type judged applicable to this site is So, generally described as stiff soil. The following presents additional coefficients and factors relevant to seismic mitigation for new construction based upon the 2010 California Building Code (CBC). The seismic design category for a structure may be determined in accordance with Section 1613 of the 2010 CBC or ASCE7. According to the 2010 CBC, Site Class D may be used to estimate design seismic loading for the proposed structures. The period of the structures should be less than 1/2 second. This assumption should be verified by the project structural engineer. The 2010 CBC Seismic Design Parameters are summarized below. Sladden Engineering February' 20, 2012 -3- Project No. 544-12026 12-02-044 Occupancy Category (Table 1604.5): II Site Class (Table 1613.5.5): D Ss (Figure 1613.5.1):1.50g S1 (Figure 1613.5.1): 0.608 Fa (Table 1613.5.3(1)): 1.0 Fv (Table 1613.5.3(2)):1.5 Sms (Equation 16-36 (Fa X Ss)):1.50g Sm1 (Equation 16-37 (Fv X Si)): 0.90g. SDS (Equation 16-38 (2/3 X Sms)): 1.00g SDI (Equation 16-39 (2/3 X Sm1)): 0.608 Seismic Design Category D If you have questions regarding this report, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING Brett L. Anderson— u No- C45389 Principal Engineer �r Exp. 930.2012 4 Letter/gl �TFCF CAQf^ Copies: 4/Stracts, Inc. Sladden Engineering •I ' PAGE 01 .. Fire Protetdon by ConWutw Design MTN& It • v 2a CITY OCL QUINTA BUILDING & SAFETY DEPT. APP FOR CONSTRUCTION DATE 1441 BY DESERT FIRE EXTINGUISHER Job Name : HELMS RESIDENCE Building : 13D RESIDENTIAL Location : GREAT ROGIM System : I Contract : 0191i Data File : HELMS.WX1 Computer Programs by Hydratec Inc. Route ill Windham N.H. USA 03087 t rrr■■■�rr�■■�■■r►�■r�rrrrr ���■■�■r��rr�r�■■r ���i��ill�i�■r■■rri ■■■0ii� Ul IN■■Err■■r■ ■■■NUUMMMO■M■■■■■N .■■■■■vim■■■■■■■■■■ mommommomms mosommommom MINNINNININ �11�11�111� ry r, ACT 28611 DESERT CLUB UNITS No. 1,2, & 4 TRACTS 28470-1, 28611. 30850 r t vy )qqb .� TRACT 28470-1 ® rm Kai-wa =arms in a4 ara tQ K m 10 A Zino. Tw MMMM O ma•a �f on emu R a= mv no fammwr amM"tet. anaaauu[ au Nat ewa m vu K W ne aeon'. Account N 1010 l 6-7- ±..� 6 - 7 - 7 - 2 SCALE 8AR IN FEET: 0 100 200 40 ------------------------------------------------ £0 39Vd PAGE 04 )ESERT FIRE EXTINGUISHER [ELMS RESIDENCE HYDRAULIC DESIGN INFORMATION SHEET - Page 2 Date dame - HELMS RESIDENCE Date - 12-22-11 vocation - GREAT ROOM 3uilding - 13D RESIDENTIAL System No. - 1 :ontractor - DESERT FIRE EXTINGUISHER Contract No. - 01911 ;aiCulated By - ANGI VILLAMENA Drawing NO. - 1 :onstruction: (X) Combustible ( ) Non -Combustible Ceiling Height 19-4 ]CCUPANCY - LIGHT HAZARD 3 Type of Calculation: (X)NFPA 13 Residential ( )NFPA 13R W NFPA 13D f Number of Sprinklers Flowing: ( )1 ( )2 ( )4 ( ) 3 ( ) Other r ( )Specific Ruling Made by Date 5 .13 Listed Flow at Start Point - 13 Gpm System Type Listed Pres. at Start Point - 7 Pai (X) Wet ( ) Dry 0 MAXIMUM LISTED SPACING 16'-0 x 16'-0 ( ) Deluge ( ► PreAction E Domestic Flow Added - 5 Gpm Sprinkler or Nozzle S Additional Flow Added - 0 Gpm Make TYCO Model LFII FLAT I Elevation at Highest Outlet - 201-10Feet Size 7/16 K -Factor 4.9 G Note: Temperature hating 160 N Calculation Gpm Required 31.44 Psi Required 67.79 At Test Summary C -Factor Used: Overhead 150 Underground 150 W water Flow Test: A Date of Test - 12-9-11 T Time of Test - E Static (Psi) - 146 R Residual (Psi) - 20 Flow (Gpm) - 9969 S Elevation - 0 Pump Data: Tank or Reservoir: Rated Cap. Cap. @ Psi Elev. Elev. Other Well Proof Flow Gpm P Location: DEACON DRIVE / 78271 TRADITION CIRCLE CLUB P L Source of Information: COACHELLA VALLEY WATER DISTRICT Y Computer Programs by Hydratec Inc. Route 111 Windham N.H..USA. 03087 DESERT FIRE EXTINGUISHER Page 3 HELMS RESIDENCE Date City Water Supply: Pump Data: C1 -Static Pressure: 131.4 PSI C2 -Residual Pressure: 1B PSI C2 -Residual Flow: 9869 GPM 150 140 130 P 120 R � Hose � Demand ):5 GPM D3 -System Demand:31.44 GPM Safety Margin: 63.60? PSI I D1 -Elevation: 8.372 PSI D2 -System Flow:26.99 GPM D2 -System Pressure: 67.791 PSI Hose F.dj City ):0 GPT! 110 E 100 S 90 S 80 U 70 R 60 E 50 C 40 30 20 10 10002000 3000 4000 5000 6000 7000 8000 9000 FLOW ( N —1.65 ) CanDuter Programs bv-Hvdratec Inc. Route 111 Windham H.H. USA 03087 � Hose � Demand ):5 GPM D3 -System Demand:31.44 GPM Safety Margin: 63.60? PSI I 2 C PAGE 06 ,ESERT FIRE EXTINGUISHER Page 4 ELMS RESIDENCE Date •itting Legend Abbrev. Name A Generic Alarm Va B Generic Butterfly Valve C Roll Groove coupling D Dry Pipe Valve E 90' Standard Elbow F 45.' Elbow G Gate Valve H 45' Grvd-Vic Elbow I 90' Grvd-Vic Elbow J 90' Grvd-Vic Tee K Detector Check Valve L Long Turn Elbow M Medium .Turn Elbow PVC Standard Elbow 0 PVC Tee Branch P PVC 45' Elbow 0 Flow Control Valve R PVC Coupling/Run Tee S Swing Check Valve T 90' Flow thru Tee U 45' Firelock Elbow V 90' Firelock Elbow W Wafer Check Valve X 90' Firelock Tee X Mechanical Tee 2 Flow Switch outputer Programs by Hydratec Inc. Route III Windbam N.H. USA 03087 Zomputer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 PAGE 07 ESERT FIRE EXTINGUISHER Page 5 ELMS RESIDENCE Date readjusted Fittings Table 1/2 3/4 1 1 1/4 1 1/2 2 2 1/2 3 3 1/2 4 7.1 21.5 17.0 7 10 12 1 1 1 1 1 1 1 1 ] 1 9.5 17 28 2 2 2 3 4 5 6 7 e 10 1 1 1 1 2 2 3 3 3 4 1 1 1 1 2 1 1.5 2 2 3 3 3.5 3,5 2 3 4 3.5 6 5.0 8 7 4.5 6 8 8.5 1018 13 17 16 14 14 1 1 2 2 2 3 4 5 5 6 2 2 3 3 4 5 6 1 6 8 7 1 7 8 9 11 12 13 3 3 5 6 8 10 12 15 1 1 1 2 2 2 3 4 18 29 35 1 1 1 1 1 1 2 2 4 5 5 7 9 11 14 16 19 22 3 4 5 6 8 10 12 15 17 20 1.6 2.2 2.6 3.4 3.5 4.3 5 6.8 10.3 8.5 10.8 13 16 2.0 4.0 5-0 6.0 8.0 10.5 12.5 15.5 22 2 2 2 3 4 5 6 7 6 10 5 6 8 10 12 14 16 18 20 24 17 27 29 9 10 12 19 21 • 1 1 2 1 1 1 1 1 1 1 47 12 14 18 22 27 35 40 45 50 61 5 7 9 11 13 17 19 21 24 28 2 3 4 5 6 7 8 10 11 13 l 4.5 5 6.5 8.5 10 18 20 23 25 30 8.5 10 13 17 20 23 25 33 36 40 r 21 2S 33 41 50 65 78 88 98 120 36 55 45 8 9 13 16 18 24 27 30 34 40 1 10 12 16 19 22 33 t 27 32 45 55 65 16 87 98 109 130 25 30 35 50 60 71 81 91 101 121 4.2 5.0 5.0 8.5 10 13 f 13.1 31.8 35.8 27,4 c 21 25 33 r S 12 14 10 22 27 35 40 45 30 61 Zomputer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 PAGE 08 -ESERT FIRE EXTINGUISHER Page 6 ELMS RESIDENCE Date Node No, Elevation K -Fact Pt Actual PD Actual Flow Denaity Area Press Added Req. Req. 1 19.33 4.9 7.1 no 13.06 .05 13 7.1 2 19.33 4.9 7.46 no 13.38 .05 13 7.1 3 20.83 6.71 no 4 20.83 7.02 no 5 20.83 9.6S na 6 10.5 16.1 no 7 10.5 16.92 no 8 20.5 22.05 na 9 10.5 30.04 na 10 10.5 34.66 no TR 10.5 38.25 na Aft 2 44 ' na X 2 46.46 na 5 EL 0 48.82 na WN 0 59.75 na CK 0 67 .7 9 no he maximum velocity 18 12.22 and it occurs in the pipe between nodes X and EL :omputer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 PAGE 09 ESERT FIRE EXTINGUISHER Page 7 ELMS RESIDENCE Date yd. Qa Dia. Fitting Pipe Pt Pt .ef. 1.101 C. or Ftng's Pe Pv '+'+*+w Notes-****** oint Qt Pf/UL Egv. Ln. Total Pf Pn 1 13.06 1.101 1N 7.000 1.500 7.100 K Factor - 4.9 to 1.101 150 7.000 -0.650 3 13.06 0.0309 23..000 0.263 Vel - 4.401 13.06 6.713 K Factor = 5.04 2 13.38 1.101 10 5.000 1.500 1.462 K Factor - 4.9 to 150 5.000 -0.650 4 13.38 0.0323 *-500'® 0.210 Vel 4.509 13.38 7.022 K Factor = 5.05 3 13.06 1.101 10.000 6.713 to 1.101 150 1.000 33.000 16.923 4 13.06 0:0309 407m0l 0.309 Vel a 4.401 4 13.38 1.101 2N 7.000 9.000 7.022 to 1.101 150 14.000 37.000 22.055 5 26.44 0.1140 23..000 2.623 Vol - 8.910 5 1.101 1N 7.000 10.330 9.645 to 150 7.000 4.474 6 26.44 0.1140 1.976 Vel 8.910 6 to 7' 1.101 150 26.44 0.1141 10 5.000 2.250 16.096 5.000 17..2502 0.827 Vol = 8.910 7 1.101 7R 1.000 33.000 16.923 to 150 10 5.000 12.000 8 26.44 0.1140 10 /45.000 5.132 Vel - 8.910 8 1.101 4N 7.000 37.000 22.055 to 150 10 5.000 33.000 9 26.44 0.1140 21,500 34.657 (70:000 7.983 Vel - 8.910 9 1.101 SR 1.000 30.500 30.038 to 150 10 5.000 10.000 10 26.44 0.1140 40_500 4.619 Vel = 8.910 10 1.101 3R 1.000 21,500 34.657 to 150 1N 7.000 10.000 TR 26.44 0.1140 31x50-0 3.592 Vel = 8.910 TR 1.055 2E 3.107 8.500 38.249 to 150 6.214 3.681 BR 26.44 0.1404 �IA_714, 2.066 Vel - 9.704 SR 1.055. is 7.76.8 2,.000 43.996 to 150 1T 7.768 15.536 X 26.44 0.1404 17_:536 2.462 Vol = 9.704 X 5.00 1.025 is 4.000 46.458 Qa o 5 to 150 1E 2.700 2.700 0.866 EL 31.44 0.2225 6:700{-5 1.491 Vol 12.224 EL 1.101 IS 9.563 60.000 48.816 to 150 9.562 WH 31.44 0.1571 69.562 10.929 Vel - 10.595 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03057 PAGE 10 ESERT FIRE EXTINGUISHER Page 8 ELMS RESIDENCE Date yd. Qa. Dia. Fitting Pipe Pt Pt ef. a.C." or Ftnq's Pe Pv Notes ****** oint 4t Pf/UL Egv. Ln. Total Pf Pn KH 1.101 1G 20.000 59.746 to 150 IT 9.563 9.562 3.400 Fixed loss n 3.4 CM 31.44 0.1571 29.562 4.645 Vel = 10.595 31.44 67.791 K Factor - 3.82 !omputer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03083 Badger Meter w DESCRIPTION Rec®rdallO cold Water Bronze Disc Meter Size 11' (DIN 25mm) NSFIANS1 Standard 61 Certified, Annex G . Badger Meter offers the Recordall' Disc meter in Cast Bronze and a Lead-free Alloy. The Lead -Free Alloy (Trade designation: M70 -LL) version has been certified to comply with NSF/ANSI Standard 61, Annex G and carries the NSF -61 Mark on the housing. All components of the Lead -Free Alloy meter, i.e., disc, chamber, housing, seals, etc. comprise the certified system. APPLICATIONS: For use in measurement of potablecold waterin residential, commercial and industrial services where flow is In one direction only. OPERATION: Water flows through themeter's strainerand into the measuring chamber where it causes the disc to nutate. The disc, which moves freely, nutates on its own ball, guided by a thrust roller. A drive magnet transmits the motion of the disc to a follower magnet located within the permanently sealed register. The follower magnet is connected to the register gear train. The gear train reduces the disc nutations into volume totalization units displayed on the register dial face. OPERATING PERFORMANCE:The Badger MeterRecordall Disc meters meet orexceed registration accuracyforthelow flow rates (9546), normal operating Flow rates (100 t 1 S%), and maximum continuous operation flow rates as specifically stated by AW WA Standard C700. CONSTRUCTION: Badger Meter Recordall Disc meter construction, which complieswithANSUAW WAstandardC700,consistsofthreebasiccomponents: meter housing, measuring chamber, and permanently sealed register. The water meter is available in bronze and Lead -Free Alloy with externally - threaded spuds. A corrosion -resistant engineered polymer material is used for the measuring chamber. To simplify maintenance, the register, measuring chamber, and strainer can be replaced without removing the meter housing from the installation. No change gears are required foraccuracycalibration.Interchangeabilityofparts among like -sized meters also minimizes spare parts inventory investment. MAGNETIC DRIVE: Direct magnetic drive, through the use of high-strength magnets, provides positive, reliable and dependable register coupling for straight -reading, remote or automatic meter reading options. SEALED REGISTER: The standard register consists of a straight -reading odometer -type totalization display, 360'test circlemith center sweep hand and flow finder to detect leaks. Register gearing consists of self-lubricating engineered polymer gears to minimize friction and provides long life. Permanentlysealed; dirt, moisture, tampering and lens fogging problems are eliminated. Multi -position register simplifies meter installation and reading. Automatic meter reading systems are available for all Recordall Disc meters. All reading options are removable from the meter without disrupting water service. TAMPER-PROOF"FEATURES: Customer removal of the register to obtain free water can be prevented when the optional tamper detection seal wire screw or TORX' tamper resistant seal screw is added to the meter. Both can be installed at the meter site or at the factory. MAINTENANCE: Badger Meter Recordall Disc meters are designed and manufactured to provide long-term service with minimal maintenance. When maintenance is required, it can be performed easily either at the meter installation or at any other convenient location. As an alternative to repair by the utility, Badger Meter offers various maintenance and meter component exchange programs to fit the needs of the utility. CONNECTIONS: Talpieces/Unions for installations of meters on various pipe types and sizes, including misaligned pipes, are available as an option. cr'-IVED RD -T-11 (4-11) DEC 23 2011 "Y'1 M Model 70 SPECIFICATIONS Typical Operating 11/4-70 GPM (18 to 16 m3/hr) Range (100%11 S%) Deslgn.u. x Laying Low flow 3/4 GPM i.17 m'/hr) (Min.9S%) Dla. Maximum 50GPM (11.3m'/hr) Continuous Operation •11/4-(1') 1" Pressure Loss- 6.5 PSI at 50 GPM - at Maximum (.45 bar at 11.3 ml/hr) Continuous Operation Maximum Operating 80'F(26'C) Temperature Maximum Operating 150PSI(10bar) Pressure Measuring Element Nutating disc. positive displacement RegisterType Straight reading, sealed magnetic drive standard Remote reading or Automatic Meter Reading units optional. Register Capacity 10,000,000 Gallons, 1,000,000 Cubic Feet, 100,000 m'. 6 odometer wheels. Meter Connections Available in bronze and engineered polymer tofu 1' (DN 25mm) spud thread bore diameter sizes. See table below. METER SPUD AND CONNECTION SIZES size "L" "B' Cottpttng Nut Talipiece Deslgn.u. x Laying Bore and PtpeThread Length Dla. Spud Thread (NPT) 1- x 10 3/4" 1- •11/4-(1') 1" MATERIALS Meter Housing - Cast Bronze, Lead -Free Alloy Housing Bottom Plates Bronze, Cast Iron, Lead -Free Alloy Measuring Chamber Disc Trim Strainer Disc Spindle Magnet Magnet Spindle Register Lldand Shroud Generator Housing Engineered Polymer Engineered Polymer Stainless Steel, Bronze Engineered Polymer Stainless Steel Ceramic Stainless5teel Engineered Polymer, Bronze Engineered Polymer Technicum0 Brhef PRESSURE LOSS CHART itate of Flow. In Gallons pm MLwte 10 100 low ACCURACY CHART date of FIM in Gallons pa MWOa Sweep Hand Registration MODEL GALLON A B C D APPROX. METER METER LAYING HEIGHT HEIGHT CENTERLINE SHIPPING SIZE MODEL LENGTH REG./RTR GEN. TO BASE WIDTH WEIGHT 1' 70 10 3/4" 6 VY 7 7/8' 2 5/16' 7 3/4' 11 1/21b. (25mm) (273mm) (16Smm) (200mm) (59mm) (197mm) (5.2kg) Sweep Hand Registration MODEL GALLON CUT. CU,METER M70 10 1 .1 ON IfM aml Rerordall are Icalscered irodem<v'ks of Badger Me-;er. Inc OptFr tlatiema� acs appearing to thls docwnent ala. the pn>(les6• ni their rEnpcuiv2 enfitif•s C.opyriglu )011, R;eAgcr Met^r, Ina,. All iyhts ,eserved. Due to continuous research, product improvements and i enhancements, Radgef Meter reseries the right to change rpt a�JYY�I product or system specifications r:ithout notice, sfxcept to the eaten an outstanding contractual obligation exists. Badger Meter I P.O. Box 245036, Milwaukee, Wisconsin 53224-9536 SM76-38371 Irlfacentral@badgermetercom I www.badgermetercom rA ON IfM aml Rerordall are Icalscered irodem<v'ks of Badger Me-;er. Inc OptFr tlatiema� acs appearing to thls docwnent ala. the pn>(les6• ni their rEnpcuiv2 enfitif•s C.opyriglu )011, R;eAgcr Met^r, Ina,. All iyhts ,eserved. Due to continuous research, product improvements and i enhancements, Radgef Meter reseries the right to change rpt a�JYY�I product or system specifications r:ithout notice, sfxcept to the eaten an outstanding contractual obligation exists. Badger Meter I P.O. Box 245036, Milwaukee, Wisconsin 53224-9536 SM76-38371 Irlfacentral@badgermetercom I www.badgermetercom tqctp& Fire Suppression Building Products rapid response• Technical Services 800-381-9312 1+1-401-781-8220 HOME FIRE SPRINKLER SYSTEM www.tyco-fire.com Series LF11 Residential Sprinklers Flat -Plate Concealed Pendent 4.9 K -Factor General Description The TYCO RAPID RESPONSE Series LFII Residential Flat -Plate Concealed Pendent Sprinklers (TY2524) are decora- tive, fast response, fusible solder sprin- klers designed for use in residential oc- cupancies such as homes, apartments, dormitories, and hotels. The Cover Plate/Retainer Assembly con- ceals the sprinkler operating compo- nents above the ceiling. The flat profile of the Cover Plate provides the optimum aesthetically appealing sprinkler design. Additionally, the concealed design of the Series LFII Residential Flat -Plate Con- cealed Pendent Sprinklers provides 1/2 inch (12,8 mm) vertical adjustment. This adjustment provides a measure of flex- ibility when cutting fixed sprinkler drops. The Series LFII Residential Flat -Plate Concealed Pendent Sprinklers are in- tended for use in the following systems: • wet and dry pipe residential sprin- kler systems for one- and two-fam- ily dwellings and mobile homes per NFPA 13D • wet and dry pipe residential sprin- kler systems for residential occu- pancies up to and including four sto- ries in height per NFPA 13R • wet and dry pipe sprinkler systems for the residential portions of any occupancy per NFPA 13. IMPORTANT Always refer to Technical Data Sheet TFP700 for the "INSTALLER WARNING" that provides cautions with respect to handling and instal- lation of sprinkler systems and com- ponents. improper handling and in- stallation can permanently damage a sprinkler system or its components and cause the sprinkler to fail to operate in a fire situation or cause it to operate prematurely. Page 1 of 6 Historically, residential sprinklers, based on their Listing, have been limited to wet pipe sprinkler systems to assure speed of water delivery for a given pre- scribed design area (number of design sprinklers). The Listing for the Series LFII Residen- tial Flat -Plate Concealed Pendent Sprin- kler now offers the laboratory approved option of designing dry pipe residential sprinkler systems. For dry systems, as described In U.S. Patent 7,712,543, through extensive testing it has been determined that the number of design sprinklers (hydrau- lic design area) for the Series LFII Resi- dential Flat -Plate Concealed Sprinklers (TY2524) need not be increased over the number of design sprinklers (hydrau- lic design area) specked for wet pipe sprinkler systems, as is customary for density/area sprinkler systems designed per NFPA 13,13D, or 13R. - Consequently, the Series LFII Residen- tial Rat -Plate Concealed Sprinklers (TY2524) offer the features of non -wa- ter filled pipe in addition to not having to increase the number of design sprinklers (hydraulic design area) for systems de- signed to NFPA 13,13D, or 13R. Non - water filled pipe will permit options for areas sensitive to freezing. The Series LFII Residential Flat -Plate Concealed Pendent Sprinkler has a 4.9 (70,6) K -tactor that provides the required residential flow rates at reduced pres- sures, enabling smaller. pipesizes and.. water supply requirements. This sprinkler has been designed with heat sensitivity and water distribution characteristics proven to help in the con- trol of residential fires and to improve the chance for occupants to escape or be evacuated. The Series LFII Residential Flat -Plate Concealed Pendent Sprinklers are shipped with a Disposable Protective Cap. The Protective Cap protects the sprinkler during ceiling installation or finish. After ceiling installation is com- plete, the Protective Cap is removed AUGUST -2011 and the Cover Plate/Retainer Assem- bly is installed. Removing the Protec- tive Cap is required for proper sprinkler performance. The Series LFii Residential Flat -Plate Concealed Pendent Sprinklers "524) described herein must be installed and maintained in compliance with this doc- ument and with the applicable standards of the National Fire Protection Associa- tion, in addition to the standards of any authorities having jurisdiction.Failure to do so may impair the performance of these devices. Owners are responsible for maintaining their fire protection system and devices in proper operating condition. The in- stalling contractor or sprinkler manu- facturer should be contacted with any questions. Model/Sprinkler Identification Number (SIN)- TY2524 TFP443` TFP"3 Page 2 of 6 (a) For coverage area dimensions less than or between those indicated, use the minimum required flow for the next highest coverage area for which Hydraulic Design section under the Design Criteria are stated. (b) The Minimum Flow requirement is based on minimum flow in GPM (LPM) from each sprinkler. The associated residual pressures are calculated using the nominal K -factor. Refer to "Hydraulic Design" in the Design Criteria section for details. (c) For NFPA 13D 2010 applications, Horizontal Ceiling criteria shall be used for certain sloped ceiling configurations up to 8:12 pitch. Refer to TIA 10288 for allowed sloped ceiling limitations when using horizontal ceiling criteria. (d) For NFPA 13R applications, Horizontal Ceiling criteria may be used for sloped ceiling configurations up to 8:12 pitch when acceptable to the Local Authority Having Jurisdiction. (e) For NFPA 13 residential applications, the greater of 0.1 GPM/FV over the design area or the flow in accordance with the criteria in . Table A must be used. TABLE A SERIES LFII RESIDENTIAL FLAT -PLATE CONCEALED PENDENT SPRINKLER (TY2524) NFPA 13,13D AND 13R HYDRAULIC DESIGN CRITERIA - WET PIPE SYSTEMS - WET PIPE SYSTEM te) Maximum Minimum Flow and Residual Pressure Horizontal Coiling(ae) `' Sloped Ceiling k.a.N Sloped Ceiling taa.1 Maximum Coverage Maximum Area Spacing (Maximum 2 -inch rise (Greater than 2 -inch rise (Greater than 4 -inch rise Ft.:x Ft. Ft. for 12 -inch run) up to maximum 4 -Inch up to maximum 8 -inch (m x m) (m) 9.4 psi (0,65 bar) rise for 12 -Inch run) rise for 12 -inch run) 15 GPM (56,8 LPM) (4,3 x 4,3) 160°F (71°C) 160°F (71°C) 160°F (71°C) 16 16 GPM (80,6 LPM) Sprinkler Sprinkler Sprinkler 12 x 12 12 13 GPM (49,2 LPM) 17 GPM (64,3 LPM) 17 GPM (64,3 LPM) (3,7 x 3,7) (3,7) 7.0 psi (0,48 bar) 12.0 psi (0,83 bar) 12.0 psi (0,83 bar) 14 x 14 14 13 GPM (49,2 LPM) 17 GPM (64,3 LPM) 17 GPM (64,3 LPM). (4,3 x 4,3) (4,3) 7.0 psi (0,48 bar) 12-0 psi (0,83 bar) 12.0 psi (0,83 bar) 16 x 16 16 13 GPM (49,2 LPM) 17 GPM (64,3 LPM) 17 GPM (64,3 LPM) (4,9 x 4,9) (4,9) 7.0 psi (0,48 bar) 12.0 psi (0,83 bar) 12.0 psi (0,83 bar) 18 x 18 18 17 GPM (64,3 LPM) 22 GPM (83,3 LPM) 22 GPM (83,3 LPM) (5,5 x 5,5) (5,5) 12.0 psi (0,83 bar) 20.2 psi (1,39 bar) 20.2 psi (1,39 bar) 20 x 20 20 20 GPM (75,7 LPM) 24 GPM (90,8 LPM) 24 GPM (90,8 LPM) (6,1 x 6,1) (611) 16.7 psi (1,15 bar) 24.0 psi (1,65 bar) 24.0 psi (1,65 bar) (a) For coverage area dimensions less than or between those indicated, use the minimum required flow for the next highest coverage area for which Hydraulic Design section under the Design Criteria are stated. (b) The Minimum Flow requirement is based on minimum flow in GPM (LPM) from each sprinkler. The associated residual pressures are calculated using the nominal K -factor. Refer to "Hydraulic Design" in the Design Criteria section for details. (c) For NFPA 13D 2010 applications, Horizontal Ceiling criteria shall be used for certain sloped ceiling configurations up to 8:12 pitch. Refer to TIA 10288 for allowed sloped ceiling limitations when using horizontal ceiling criteria. (d) For NFPA 13R applications, Horizontal Ceiling criteria may be used for sloped ceiling configurations up to 8:12 pitch when acceptable to the Local Authority Having Jurisdiction. (e) For NFPA 13 residential applications, the greater of 0.1 GPM/FV over the design area or the flow in accordance with the criteria in . Table A must be used. TABLE A SERIES LFII RESIDENTIAL FLAT -PLATE CONCEALED PENDENT SPRINKLER (TY2524) NFPA 13,13D AND 13R HYDRAULIC DESIGN CRITERIA - WET PIPE SYSTEMS - (a) For coverage area dimensions less than or between those indicated, use the minimum required flow for the next highest coverage area for which Hydraulic Design section under the Design Criteria are stated. (b) The Minimum Flow requirement Is based on minimum flow In GPM (LPM) from each sprinkler. The associated residual pressures are calculated using the nominal K -factor. Refer to "Hydraulic Design' In the Design Criteria section for details. (c) For NFPA 130 2010 applications. Horizontal Ceiling criteria shag be used for certain sloped ceiling configurations up to 8:12 pitch. Refer to TiA 1028R for allowed sloped ceiling limitations when using horizontal ceiling criteria. TABLE B SERIES LFII RESIDENTIAL FLAT -PLATE CONCEALED PENDENT SPRINKLER (TY2524) NFPA 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA - DRY PIPE SYSTEMS - DRY PIPE SYSTEM IN Maximum Minimum Flowand Residual Pressure Coverage Area al Maximum Spacing Horizontal Ceiling Minimum Flow and Residual Pressure (.) Ft. z Ft. Ft' (m) (Maximum 2 -Inch Rise for 12 -Inch Run) (m x m) 160°F (71°C) Sprinkler 12 x 12 12 15 GPM (56,8 LPM) (3,7 x 3,7) (3,7) 9.4 psi (0,65 bar) 14 x 14 14 15 GPM (56,8 LPM) (4,3 x 4,3) (4,3) 9.4 psi (0,65 bar) 16 x 16 16 16 GPM (80,6 LPM) (4,9 x 4,9) (4,9) 10,7 psi (0,74 bar) 18 x 18 18 17 GPM (64,3 LPM) (5,5 x 5,5) (515) 12.0 psi (0,83 bar) 20 x 20 20 21 GPM (79,5 LPM) (6,1 x 6,1) (6,1) 18,4 psi (1,27 bar) (a) For coverage area dimensions less than or between those indicated, use the minimum required flow for the next highest coverage area for which Hydraulic Design section under the Design Criteria are stated. (b) The Minimum Flow requirement Is based on minimum flow In GPM (LPM) from each sprinkler. The associated residual pressures are calculated using the nominal K -factor. Refer to "Hydraulic Design' In the Design Criteria section for details. (c) For NFPA 130 2010 applications. Horizontal Ceiling criteria shag be used for certain sloped ceiling configurations up to 8:12 pitch. Refer to TiA 1028R for allowed sloped ceiling limitations when using horizontal ceiling criteria. TABLE B SERIES LFII RESIDENTIAL FLAT -PLATE CONCEALED PENDENT SPRINKLER (TY2524) NFPA 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA - DRY PIPE SYSTEMS - BODY SEALING (1/2- NPT) ASSEMBLY CAP SPRINKLER WRENCHING AREA SADDLE SUPPORT COMPRESSION CUP WITH SCREW ROLL P MED i THREADS LEVER GUIDE PIN i SOLDER LINK ELEMENT GUIDE PIN HOUSING I DEFLECTOR ' L'----------` � (OPERATED DEFLECTOR -----�---- r----� POSmON) SPRINKLER/SUPPORT CUP ASSEMBLY THREAD INTO RETAINER SUPPORT CUP WITH THREAD UNTIL MOUNTING DIMPLES SURFACE IS FLUSH WITH EJECTION CEILING SPRING SOLDER J COVER PLATE/RETAINER—` COVER TAB ASSEMBLY PLATE FIGURE 1 FLAT -PLATE CONCEALED PENDENT SPRINKLER (TY2524) — ASSEMBLY — TFP443 Page 3 of 6 WRENCH RECESS i PUSH WRENCH IN TO ENSURE ENGAGEMENT WITH SPRINKLER WRENCHING AREA FIGURE 2 W -TYPE 18 — SPRINKLER WRENCH — 2-1/2"DLA- SPRINKLER - (63,5 mm) 1/2• (12,7 mm) FACE OF SUPPORT CUP 1/2' THREADED SPRINKLER ASSEMBLY NPT ADJUSTMENT FITTING OPERATED SPRINKLER 1-7/8°s1/8' COVER (47,6 mm PLATE 1/8° GAP s3,2 mm) RETAINER (3,2 mm) _ COVER- SPRINKLER- 7/8' (22,2 mm) RETAINER SUPPORT CUP MOUNTING 1-1/8° (28.6 mm) SURFACE (4,8 ASSEMBLY ASSEMBLY , m 8 mm) 3-3/16" DIA. DISPOSABLE DEFLECTOR IN (81,0 mm) TIP PROTECTIVE CAP OPERATED POSITION FIGURE 3 PROTECTIVE CAP AND ACTIVATED DEFLECTOR — INSTALLATION DIMENSIONS — TFP443 Page 4 of 6 Technical Data Approvals UL and C -UL Listed NSF -61 Certified 4 The Series LFII Residential Flat -Plate Concealed Pendent Sprinklers are only listed with the Series LFII Concealed Cover Plates having a factory -applied finish. Maximum Working Pressure 175 psi (12,1 bar) Discharge Coefficient K=4.9 GPM/psi'"2 (70,6 LPM/bar19 Temperature Rating Sprinkler: 160°F (71"C Cover Plate: 139'F (59°C) Vertical Adjustment 1/2 inch (12,7 mm) Finishes Refer to the Ordering Procedure section. Physical Characteristics • Cover Plats/Retainer Assembly: Cover Plate .............. Copper Ejection Spring .... Stainless Steel Retainer ................ Brass • Sprinkler/Support Cup Assembly: Body ................... Brass Cap ................... Bronze Saddle . .. ...... Brass Sealing Assembly .......Beryllium Nickel w/ Teflon' Soldered Link Halves ...... Nickel Lever.. ......... Bronze Compression Screw ....... Brass Deflector ............... Bronze Guide Pin Housing........ Bronze ..Guide Pins ............. Bronze Support Cup .............. Steel Operation When exposed to heat from a fire, the Cover Plate, which Is normally soldered to the Retainer at three points, falls away to expose the Sprinkler/Support Cup As- sembly. At this. point, the Deflector, sup- ported by the Guide Pins, drops down to its operated position. The Solder Link Element of the Sprinkler/ Support Cup Assembly is comprised of two link halves that are soldered togeth- er with a thin layer of solder. When the rated temperature is reached, the sol- der melts and the two link halves sepa- rate, allowing the sprinkler to activate and flow water. 1 Registered trademark of DuPont Design Criteria The TYCO RAPID RESPONSE Series LFII Residential Flat -Plate Concealed Pendent Sprinklers (TY2524) are UL and C -UL Listed for installation in ac- cordance with the following criteria. NOTICE When conditions exist that are outside the scope of the provided criteria, re- fer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's recommendations that may be accept- able to the Authority Having Jurisdiction. The Series LFii Residential Flat -Plate Concealed Pendent Sprinklers must not be used in applications where the air pressure above the ceiling is greater than that below. Down drafts through the Support Cup can delay sprinkler op- eration in a fire situation. System Type Per the UL Listing, wet pipe and dry pipe systems may be utilized. Per the C -UL Listing, only wet pipe systems may be utilized. • For dry systems not using CPVC, corrosion -resistant or internally gal- vanized pipe shall be utilized with the sprinklers described in this data sheet • For dry systems, pendent sprinklers shall be installed on return bends, where the sprinklers, return bends, and branch line piping (that is, po- tential areas for trapped water) are in areas at or above 40•F(4°C) Refer to technical data sheet TFP485 about the use of Residential Sprinklers In residential dry pipe systems. When corrosion -resistant or internally galvanized pipe and fittings with a po- table water supply are utilized, return bends need not be installed. However, any portion of the piping that has the potential to trap water must be main- tained at or above 40"F (40C) unless pro- vision to drain such areas is provided and maintained dry. Water Delivery When using the Series LFII Residential Flat -Plate Concealed Pendent Sprinklers (TY2524) in dry pipe sprinkler systems, the requirements for "Dry System Water Delivery" per Section 8.3.4.3 of the 2010 edition of NFPA 13D apply. For a resl- dential hazard, in no case shall the time of water delivery exceed 15 seconds for the most remote operating sprinkler. Hydraulic Design (NFPA 13D and 13R) The minimum required sprinkler flow rate for systems designed to NFPA 13D or NFPA 13R are given in Tables A and B as a function of temperature rating and the maximum allowable coverage areas. The sprinkler flow rate is the minimum required discharge from each of the total number of "design sprinklers" as speci- fied in NFPA 13D or NFPA 13R. NOTICE The number of design sprinklers" spec- ified in NFPA 13D and 13P for wet pipe systems Is to be applied when design- ing dry pipe systems. There is no need to increase the design area, as is the case for density/area systems, in ac- cordance with U.S. Patent 7,712,543. Refer to technical data sheet TFP485 for details. Hydraulic Design (NFPA 13) For systems designed to NFPA 13, the number of design sprinklers is to be the four most hydraulically demanding sprinklers. The minimum required dis- charge from each of the four sprinklers is to be the greater of the following: • The flow rates given in Tables A and B for NFPA 13D and 13R as a function of temperature rating and the maximum allowable coverage area. • A minimum discharge of 0.1 GPM/ sq. ft. over the "design area" com- prised of the four most hydraulically demanding sprinklers for the actual coverage areas being protected by the four sprinklers, IF -NOTICE iE The number of "design sprinklers" specified in NFPA 13 for wet pipe sys- tems is to be applied when designing dry pipe systems. There is no need to increase the design area, as is the case for densitylarea systems, in accordance with U.S. Patent 7,712,543. Refer to technical data sheet TFP485 for details. Obstruction to Water Distribution. Sprinklers are to be located in accor- dance with the obstruction rules of NFPA 13D, 13R, and 13 as applicable for residential sprinklers as well as with the obstruction criteria described within the TYCO technical data sheet TFP490. Operational Sensitivity Install sprinklers relative to the ceiling mounting surface as shown in Figure 3. Sprinkler Spacing The minimum spacing between sprin- klers is 8 feet (2,4 m). The maximum spacing between sprin- klers cannot exceed the length of the coverage area (Table A) being hydrau- lically calculated; for example, a maxi- mum of 12 feet fora 12 ft: x 12 ft. cov- erage area or 20 feet for a 20 ft. x 20 ft. coverage area. Installation The TYCO RAPID RESPONSE Series LFII Residential Flat -Plate Concealed Pendent Sprinklers must be installed in accordance with the following instructions. Damage to the Solder Link Element dur- ing installation can be avoided by han- dling the sprinkler by the Support Cup only, that is, do not apply pressure to the Solder Link Element (Figure 1). Obtain a leak -tight 1/2 inch NPT sprinkler joint by applying a minimum -to -maxi- mum torque of 7 to 14 ft. lbs. (9,5 to 19,0 Nm). Higher levels of torque can distort the sprinkler Inlet with consequent leak- age or impairment of the sprinkler. Do not attempt to compensate for in- sufficient adjustment in the Cover Plate/ Retainer Assembly by under- or over - tightening the sprinkler. Re -adjust the position of the sprinkler fitting to suit. 1. Install pendent sprinklers in the pendent position, with the center- line of the sprinkler perpendicular to the mounting surface. 2. Remove the Protective Cap. 3. With pipe -thread sealant applied to the pipe threads, and using the W Type 18 Wrench shown in Figure 2, install and tighten the Sprinkler/ Support Cup Assembly into the fit- ting. The W Type 18 Wrench ac- cepts a 1/2 inch ratchet drive. 4. Replace the Protective Cap by pushing it upwards until it bottoms out against the Support Cup. The Protective Cap helps prevent dam- age to the Deflector and Guide Pins during ceiling installation and/ or during application of the finish coating of the ceiling. NOTICE As long as the protective Cap re- mains in place, the system is con- sidered "Out Of Service" 5. After the ceiling has been complet- ed with the 2-1/2 inch (63 mm) di- ameter hole and in preparation for installing the Cover Plate/Retain- er Assembly, remove and discard the Protective Cap, and verify that the Deflector moves up and down freely. If the Sprinkler has been damaged and the Deflector does not move up and down freely, replace the entire Sprinkler assembly. Do not attempt to modify or repair a damaged sprinkler. 6. Screw on the Cover Plate/Retainer Assembly until its flange contacts the ceiling. Do not continue to screw on the Cover Plate/Retainer Assembly such that it lifts a ceiling panel out of its normal position. If the Cover Plate/Retainer Assembly cannot be engaged with the Mounting Cup or the Cover Plate/Retainer As- sembty cannot be engaged sufficiently to contact the ceiling, the Sprinkler Fitting must be repositioned. Care and Maintenance The TYCO RAPID RESPONSE Series LFII Residential Flat -Plate Concealed Pendent Sprinkler (TY2524) must be maintained and.serviced in accordance with the following instructions. Before closing a fire protection system main control valve for maintenance work on the fire protection system that it con- trols, obtain permission to shut down the affected fire protection system from the proper authorities and notify all person- nel who may be affected by this action. When properly Installed, there is a nomi- nal 1/8 inch (3,2 mm) air gap between the lip of the Cover Plate and the ceil- ing, as shown in Figure 3. This air gap is necessary for proper operation of the sprinkler by allowing heat flow from a fire to pass below and above the Cover Plate to help assure appropriate release of the Cover Plate in a fire situation. If the ceiling needs repainting after sprinkler installation, exercise care to ensure that the new paint does NOT seal off any of the air gap. Failure to do so may impair sprinkler operation. U TFP443 Page 5 of 6 Absence of a Cover Plate can delay the sprinkler operation in a fire situation. Do not pull the Cover Plate relative to the Retainer. Separation may result. Exercise care to avoid damage to sprin- klers before, during, and after installa- tion. Never paint, plate, coat, or other- wise alter automatic sprinklers after they leave the factory. Never repaint factory -painted Cover Plates. When necessary, replace cover plates with factory -painted units. Non - factory applied paint can adversely de- lay or prevent sprinkler operation in the event of a fire and is not permitted by NFPA. Replace sprinklers that: • were damaged by dropping, striking, wrench twisting, wrench slippage, or the like. • were modified or over -heated. • are leaking or exhibiting visible signs of corrosion. Responsibility lies with owners for the inspection, testing, and maintenance of their fire protection system and devices in compliance with this document, as well as with the applicable standards of the National Fire Protection Association (for example, NFPA 25), in addition to the standards of any other authorities having jurisdiction. Contact the install- ing contractor or sprinkler manufacturer regarding any questions. Automatic sprinkler systems are rec- ommended to be inspected, tested, and maintained by a qualified Inspec- tion Service in accordance with local requirements and/or national codes. TFP443 Page 6 of 6 Limited Warranty Products manufactured by Tyco Fire Suppression & Building Products (TFSBP) are warranted solely to the orig- inal Buyer for ten (10) years against de- fects in material and workmanship when paid for and properly installed and main- tained under normal use and service. This warranty will expire ten (10) years from date of shipment by TFSBP. No warranty is given for products or com- ponents manufactured by companies not affiliated by ownership with TFSBP or for products and components which have been subject to misuse, improper installation, corrosion, or which have not been installed, maintained, modified or repaired in accordance with applicable Standards of the National Fire Protection Association, and/or the standards of any other Authorities Having Jurisdiction. Materials found by TFSBP to be defec- tive shall be either repaired or replaced, at TFSBP's sole option. TFSBP neither assumes, nor authorizes any person to assume for It, any other obligation in connection with the sale of products or parts of products. TFSBP shall not be responsible for sprinkler system design errors or inaccurate or incomplete in- formation supplied by Buyer or Buyer's representatives. In no event shall TFSBP be liable, in con- tract, tort, strict liability or under any oth- er legal theory, for incidental, indirect, special or consequential damages, in- cluding but not limited to labor charg- es, regardless of whether TFSBP was informed about the possibility of such damages, and in no event shall TFSBP's liability exceed an amount equal to the sales price. The foregoing warranty is made in lieu of any and all other warranties express or Implied. including warranties of mer- chantab1lfty and fitness for a particular Purpose. This limited warranty sets forth the ex- clusive remedy for claims based on fail- ure of or defect in products, materials or components, whether the claim is made In contract, tort, strict liability or any oth- er legal theory. This warranty will apply to the full extent permitted by law. The invalidity, in whole or part, of any portion of this warranty will not affect the remainder. Ordering Procedure Contact your local distributor for avail- ability. When placing an order, indicate the full product description and Part Number (P/N). Sprinkler/Support Cup Assembly Specify Series LFII Residential Flat -Plate Concealed Pendent Sprinkler (TY2524), K=4.9 (70,6L without Cover Plate/Retain- er Assembly, P/N 51-114-1-160. Cover Plate/Retainer Assembly Specify Cover Plate/Retainer Assem- bly with finish (below) for the Series LFII Residential Flat -Plate Concealed Pen- dent Sprinkler (TY2524), K=4.9 (70,6), P/N (below): Off White ................ PM56-201-0-135 Pure White' (RAL9010).............. P/N 56-201-3-135 Signal White" (RAL90M) ------__ _ PIN 55-2014-135 Standard White (Grey White) (RAL9002).............. PIN 56-201-5-135 Custom ...................PM 56-201-X-135 ' Eastern Hemisphere sales only Previously known as Bright White Note: All Custom Cover Plates are painted us- ing Sherwin Williams interior Latex Paint. Contact TYCO Customer Service with any questions related to custom orders. Optional Cover Plate/Retainer Assembly for Horizontal (Flat)! Ceiling Applications Only Specify Cover Plate/Retainer Assem- bly with finish (below) for the Series LFII Residential Flat -Plate Concealed Pen- dent Sprinkler (TY2524), K=4.9 (70,6), P/N (below): Off Whfte .................PM 56-122-0-135 Pure White' (RAL9010)................PIN 56-122-3-135 Signal White" (RAL0003)................PIN 56-122-4-135 Custom ................... PIN 56-122-X-135 ' Eastem Hemisphere sales only Previously known as Bright White Note: Ali Custom Cover Plates are painted us- ing Sherwin Williams Interior Latex Paint. Contact TYCO Customer Service with any questions related to custom orders. Sprinkler Wrench Specify W Type 18 Sprinkler Wrench, P/N 56-000-1-265. Copyright C 2010, 2011 Tyco Fire Suppression 8 Building Products. All rights reserved. Bulletin 154 Rev.F CD ® Model G4A liabi Quick Response Concealer!Ln Automatic Sprinkler T1 The Concealer' UL Quick Response FM Standard Response Concealed Sprinkler With a %" (13mm) or 1%11 (38mm) Adjustment Features 1. Cover plate attachment with /" (13mm) assembly adjustment. 2. Smooth aesthetic ceiling profile. 3. Factory installed protective cap. 4. Available in brass, chrome or black plated 'and white painted finishes. 5. Ordinary temperature rating. 6. Multiple orifices for design flexibility. Approvals & Listings 1. Underwriters Labortories, Inc. (UL} Quick Response 2. Underwriters Laboratories of Canada (ULC} Quick Response 3. Factory Mutual Research Corp. (FM} Standard Response • Light Hazard Occupanicies- No Limitations • Ordinary Hazard Occupancies Groups 1 & 2 Wet Systems Only 4. NYC MEA 258-93-E - Quick Response U.S. Patent number 4,880,063. Application The Reliable Model G4A Concealer is the most versatile quick response concealed sprin- kler available. It provides the best form of fire protection while offering an attractive appearance and'h" (13mm) of cover adjust- ment for ease of installation. The small diameter cover plate as- sembly is easily attached and blends into the ceiling, concealing the most dependable fire protec- tion available, an automatic sprinkler system. The Model G4A Concealer® is designed for use where aesthetic appearance is important. Offices, hospitals, motels and restaurants are but a few of the applications where it can be used. It is available in different orifice sizes allowing the designer to optimize system performance, thereby achieving a very efficient installation_ The Model G4A Concealer• is a UL Listed Quick Response Concealed sprinkler intended for use in accordance with NFPA 13. FM Approves this sprinkler as a standard response concealed sprinkler intended for use in accordance with FM Loss Prevention Data Sheet 2-8N. Product Description The Reliable Model G4A Concealer®uses a proven quick re- sponse fusible element in a standard style sprinkler framewith a drop-down deflector. This assembly is recessed into the ceiling and concealed by a flat cover plate assembly. The threaded engagement provides 1/2" (13mm) of cover adjustment. The flat cover plate is attached to the skirt using either 135°F (57°C) or 165°F (74°C) ordinary temperature classification solder. When the ceiling temperature rises, the solder holding the flat cover plate melts, the flat cover plate released thus exposing the sprinkler inside to the rising ambient temperature. The subsequent fusing of the element opens the waterway and causes the deflector to distribute the water. Any secure engagement between the cover plate and cup will assure that the drop-down deflector is properly located below the ceiling. The Reliable Automatic Sprinkler Co., Inc., 103 Fairview Park Drive, Elmsford, New York 10523 . . . . . . . . . . . . . The Model G4A Concealer® is designed for use where aesthetic appearance is important. Offices, hospitals, motels and restaurants are but a few of the applications where it can be used. It is available in different orifice sizes allowing the designer to optimize system performance, thereby achieving a very efficient installation_ The Model G4A Concealer• is a UL Listed Quick Response Concealed sprinkler intended for use in accordance with NFPA 13. FM Approves this sprinkler as a standard response concealed sprinkler intended for use in accordance with FM Loss Prevention Data Sheet 2-8N. Product Description The Reliable Model G4A Concealer®uses a proven quick re- sponse fusible element in a standard style sprinkler framewith a drop-down deflector. This assembly is recessed into the ceiling and concealed by a flat cover plate assembly. The threaded engagement provides 1/2" (13mm) of cover adjustment. The flat cover plate is attached to the skirt using either 135°F (57°C) or 165°F (74°C) ordinary temperature classification solder. When the ceiling temperature rises, the solder holding the flat cover plate melts, the flat cover plate released thus exposing the sprinkler inside to the rising ambient temperature. The subsequent fusing of the element opens the waterway and causes the deflector to distribute the water. Any secure engagement between the cover plate and cup will assure that the drop-down deflector is properly located below the ceiling. The Reliable Automatic Sprinkler Co., Inc., 103 Fairview Park Drive, Elmsford, New York 10523 Installation Do not install the 134A Concealer" in ceilings which have positive pressure in the space above. • Cut a 258 inch (67mm) diameter hole is cut in the ceiling, the sprinkler is easily installed with the Model G4 Wrench. The wrench has drive tangs which insert into the cup slots. When installing a sprinkler the wrench is first positioned into the sprinkler/cup assembly until the wrench tangs engage the drive slots in the top of the cup (there are two sets of drive slots in the cup). The sprinkler is then tightened into the pipe fitting. When inserting or removing the wrench from the sprinkler/cup assembly, care should be taken toprevent damage to the sprinkler. DO NOT WRENCH ON ANY OTHER PART OF THE SPRINKLER/CUP ASSEMBLY. Install the cover plate by hand turning the cover in the clockwise direction until It Is tight against the ceiling. A protective cap is provided to protect the drop-down sprinkler deflector from damage which could occur during construction before the cover plate is installed. The cap is factory installed inside the sprinkler cup. Remove cap to install sprinkler, then re -install cap until the cover plate is installed. Maintenance The Model G4A Concealer' should be inspected quarterly and the sprinkler system maintained in accordance with NFPA 25. Do not clean sprinklers with soap and water, ammonia or any other cleaning fluids. Remove any sprinkler that has been painted (other than factory applied) or damaged in any way. A stock of spare sprinklers should be maintained to allow quick replacement of damaged or operated sprinklers. Prior to installation, sprinklers should be maintained in the original cartons and packaging to minimize the potential for damage to sprinklers thatwould cause improper operation or non-operabon. Technical Data Ordering Information 1. Sprinkler Model 2. Nominal Orifice 3. Flat Cover Plate Assembly Finish 4. Inlet Type Cover Plate Finishes(" Standard Finlshes Bronze Chrome White Paint Special Application Finishes Bright Brass Black Plating Black Paint Off White Satin Chrome t'1 Other finishes and colors are available on special order. Consult factory for details. Temperature Ratin Model G4 Sprinkler Wrench UL Listing Category Sprinklers, Automatic and Open Quick Response Sprinkler UL Guide Number VNIV Classification Sprinkler Cover Max. Ambient �Nomlnal Plate Temp. Approvals Ordinary 1650F/741C 135°F/57°C 100°F/38°C Y2" 13mm Ordinary 212°171100°C 165°F/74°C 150°F/66°C Y2" NPT R'/z Sprinkler Inlet Total Adjustment �Nomlnal Nominal K Factor uS Mebec Thread Approvals SpPrinkler Identifeatlon (SIN) Non Adjustable Y2" 13mm m--- I Lru__ J �^i.i �ais•n. _ Cr¢nN nQf 5.6 80 Y2" NPT R'/z 1.2.3,4 R5415 Non Ad uslable Y2 13mm r 11mm 4.2 60 h "NPT R'/2 1,2,4 R5413 Non Adjustable %" 13mm " t0mm 2.8 40 112 "NPTR''/z 1,2,3.4 R5411 I _ Adjustable 1 h" 38mm)� Yz 15mm 5.6 80 1" NPT Male or Female 1,2,4 — R5418 Adiustable t Y2" 38mm YWI (111 mar) 4.2 60 1 1" NPT Male or Female 1.2.4 R5413 Adjustable 1'/z" (38mm) %" 10mm 2.8 40 1 1" NPT Male or Female 1 2,4 R5412 Fig.1 -'/a" NPT Non -Adjustable Inlet Fig. 2 - 1" NPT Male -Adjustable Inlet Fig. 3 - 1" NPT Female -Adjustable Inlet The equipment presented in this bulletin is to be installed in accordance with the latest published Standards of the National Fre Protection Association, Factory Mutual Research Corporation, or other similar organizations and also with the provisions of governmental codes or ordinances whenever applicable. Products manufactured and distributed by Reliable have been protecting life and property for over 80 years, and are installed and serviced by the most highly qualified and reputable sprinkler contractors located throughout the United States, Canada and foreign countries. Manufactured b The Reliable Automatic Sprinkler Co., Inc. (800)431-1588 Sales Offices labi LM (800) 848-6052 Sates Fax (914) 829-2042 Corporate Offices www.rdiableVrk*ler•com Internet Address Recycled Paper Revision lines indicate updated or new Bala. EG. Printed in USA 4107 PM 9999970150 --Tin � ALL_ I�rr � - ttr— m--- I Lru__ J �^i.i �ais•n. _ Cr¢nN nQf -•►i i---•I,�-4- t ova_ i.=JMr SrKK33C _ �'N:'�q'Au A[M[rN irmfm x1 a ass, (l anuvav wa. ',�14a'Ci J-- �?,r. r��3c�'.n�a. ,--. .I .I I 7--_\."' V16a—� �.:R -::3 1 %3 Fig.1 -'/a" NPT Non -Adjustable Inlet Fig. 2 - 1" NPT Male -Adjustable Inlet Fig. 3 - 1" NPT Female -Adjustable Inlet The equipment presented in this bulletin is to be installed in accordance with the latest published Standards of the National Fre Protection Association, Factory Mutual Research Corporation, or other similar organizations and also with the provisions of governmental codes or ordinances whenever applicable. Products manufactured and distributed by Reliable have been protecting life and property for over 80 years, and are installed and serviced by the most highly qualified and reputable sprinkler contractors located throughout the United States, Canada and foreign countries. Manufactured b The Reliable Automatic Sprinkler Co., Inc. (800)431-1588 Sales Offices labi LM (800) 848-6052 Sates Fax (914) 829-2042 Corporate Offices www.rdiableVrk*ler•com Internet Address Recycled Paper Revision lines indicate updated or new Bala. EG. Printed in USA 4107 PM 9999970150 R CADDY H- 0 • --a, �"c*��y� >r t , , s .»� ...�r• _ash,-.,�7N �'h 7� 1 f .�.. '}��u�. 4,.✓""`'t . �I t� f'1tll�i'i�iiiA' t n1.1�•� ti • �` ii3NSi t P, s rim � �� �t�W .- ,� �� ..} �Ii��11 DRDDY Solid: Wood Joist Stand-Off 2 -Hole Strap Hanger For CPVC Fire Protection Piping SO SERIES STAND-OFF HANGERS FEATURES • For mounting CPVC pipe to structural wood or composite wood joists with a minimum 3/8' web thickness. • Eliminates wood "blocking" materials and labor (No spacer or backup blocks required). • Fastest offset support for CPVC. • Positions CPVC pipe 1-12' off the surface. • Available for 3/4" - 2" CPVC pipe. • #10 hex head cap screws included. • Complieswith static load requirements of NFPA13. We Also Have: 107 Series 108 Series 109 Series Code 39810 Catalog Number S012A DescriptionUPC Stand -Off 2 Hole Strap for 3/4' CPVC pipe 100 39811 S016A Stand -Off 2 Hole Strap for 1' CPVC pipe 100 39812 S020A Stand -Off 2 Hole Strap for 1-1/4' CPVC pipe 100 39813 S024A Stand -Off 2 Hole Strap for 1-1/2' CPVC pipe 100 39814 S032A Stand -Off 2 Hole Strap for 2" CPVC pipe 100 36122 1 1070075EG #107 Wrap Around Strap CPVC 3/4 100 36123 1070100EG #107 Wrap Around Strap CPVC 1 100 36124 107012SEG 6107 Wrap Around Strap CPVC 1-1/4 100 36125 10701SOEG #107 Wrap Around Strap CPVC 1-12 100 36126 1070200EG #107 Wrap Around Strap CPVC 2 100 36127 1080075EG #108 Two Hole Strap CPVC 3/4 100 36128 1080100EG #108 Two Hole Strap CPVC 1 100 36129 108012SEG #108 Two Hole Strap CPVC 1-114 100 36130 1080150EG #108 Two Hole Strap CPVC 1-12 100 36131 1080200EG #108 Two Hole Strap CPVC 2 100 36132 1090075EG #109 Side Mount Strap CPVC 3/4 100 36133 1090100EG #109 Side Mount Strap CPVC 1 100 36134 1090125EG #109 Side Mount Strap CPVC 1-1/4 100 36135 1090150EG #109 Side Mount Strap CPVC 1-12 100 36136 1090200EG #109 Side Mount Strap CPVC 2 100 #10 x 1 hex head cap screws included INSTALLATION TOOL OPTIONS �,'t� � is?r:i'7'• rliyjti". C YL IIS .u, tl?its Nut Driver Wrench WARNING - ERICO products shall be used only as Illustrated and recommended in the product instruction sheets (additional instruction sheets are available at v .eriro.com). Misuse or misapplication may cause failure resulting in possible property damage or bodily Injury. Copyright 02004 ERICO International Corporation. All rights reserved. CADDY. CADWELO. CRITEC. ERICO. ERIFLEX. ERIIECH, and LEMON are registered trademarks of ERICO International Corporation. Phone: 800-333-0852 Fax: 800-677-5403 ER�CO� www.erico.com FM4315 1,157ri I"EN 00815M4 Fig. 24 - Hanger for CPVC Plastic Pipe Double Fastener Strap Type -'Side Mount Size Range — 3/4" thru 2" CPVC pipe Material — Pre -Galvanized Steel Function — Intended to perform as a hanger/restrainer to support CPVC piping used in automatic fire sprinkler systems. Can be installed on the top or on the bottom of a beam. The Fig. 24 can also function as a restrainer to prevent the upward movement of the sprinkler head during activation. Approvals — Underwriters' Laboratories Listed in the USA (UL) and Canada (cUL) to support fire sprinkler piping. May be installed in wood'using fasteners supplied with product, or into minimum 20 gauge steel using (2) 1/4" x 1 ° tek type screws. Meets and exceeds the requirements of NFPA 13, 13R and 13D. Features — Fig. 24 incorporates features which protect the pipe and ease installation. The flared edge design protects the CPVC pipe from any rough surface. Easily attaches to the building structure using the two UL Listed hex head self threading screws* furnished with the product. It is recommended that rechargeable electric drills fitted with a hex socket attachment be used as installation tools. No impact tools (such as a ham- mer) are allowed. Damage has been known to result from installations using impact type tools. No pre -drilling of a pilot hole in wood is required. Finish — Pre -Galvanized Order By — Figure number and pipe size • Hardened hex head self threading screw is furnished with the product and is the minimum fastener size acceptable. C& US uam OMWAANUFAC FUG FACILITY -1375 SAMPSON AVE - CORONA CA 92879 - PH: 951.737.5599 - FAX: 951.737.0330 CUSTOMER SERVICE - 800.786.5265 www. ate"am E Dimensions -Weights CPVC Max. Hanger Fastener Hex Approx. Pipe Size A e C Spacing (Ft.) Head Size wtiloo 3/4 25Ae 1%2 13/115 51h 5/16 9 1 25A 15/16 WIG 6 5/16 9 11/4 3 11h 1*6 61/2 5/16 11 11h 31/4 15/6 1$716 7 5/16 12 2 311/1a 127A2 ly/16 8 5/16 15 OMWAANUFAC FUG FACILITY -1375 SAMPSON AVE - CORONA CA 92879 - PH: 951.737.5599 - FAX: 951.737.0330 CUSTOMER SERVICE - 800.786.5265 www. ate"am E V. �. PI`a$ttcs BlazelMaster CPVC Pi e 9.-'.. p Features DN50 • Sizes Available (Nominal): 3/4" (DN20) through 3" (DN80) pipe diameters, 60,325 with a Standard Dimension Ratio (SDR) of 13.5 as specified in ASTM F442. Can. • Environmental Specifications: Indoor use only. tmm Maximum Ambient Temperature: 150"F (65°C) Fttn • Hazen -Williams C Value: 150 ...� 21/2" DN65 2.875 73,000 2.423 61,500 18.86 8,55 15 4.6 212PIPE • Pressure Data: Working Pressure: 175 PSI (12.1 bar) at 150`F (65"C) �J • Specifications: • Meets NFPA 13R and 13D standards for residential occupancies as well as : °Actual Outside lama or :: NFPA 13 standards for light hazard occupancies. LFI*, • Pipe meets or exceeds ASTM F442. Approvals .Part • Certified by NSF International for potable water services. Inch DN Inch mm Inch mm, Lb. Kg. Feet M • CPVC pipe from Viking Plastics use compound cell class 23547 DN20 (demonstrated highest structural properties). 26,670 • cULus Listed, FM Approved, New York City (MEA) Approved, LPCB Approved. 22,199 CPVC PIPE PHYSICAL DATA 0,76 Nominal Pipe. Actual Outside Average Inside "Weight per 15` 3,05 cU NSF M Size Diameter Diameter (4,6 m) length Length Approvals Part Number Inch DN Inch mm Inch mm Lb. Kg. Feet M 3/4" DN20 1.050 26,670 0.874 22,199 2.52 1,14 15 4.6 ULus, FM, cNSF 34PIPE 1" DN25 1.315 33,401 1.101 27,965 3.93 1,78 15 4.6 1PIPE 1 1/4" DN32 1.660 42,164 1.394 35,408 6.27 2,84 15 4.6 114PIPE 1112" ON40 1.900 48,260 1.598 40,589 8.22 3,73 15 4.6 112PIPE 2" DN50 2.375 60,325 2.003 50,876 12.89 5,85 15 4.6 2PIPE 21/2" DN65 2.875 73,000 2.423 61,500 18.86 8,55 15 4.6 212PIPE 3" DN80 3.500 88,900 2.950 74,900 28.01 12,71 15 4.6 3PIPE Norninal:Ptpe`' Size : °Actual Outside lama or :: : ! Ave'rage:lnside .: Diameter :"Weight:per:,10 ._ (305m)::length. :. Long Approvals .Part Number Inch DN Inch mm Inch mm, Lb. Kg. Feet M 3/4" DN20 1.050 26,670 0.874 22,199 1.68 0,76 10 3,05 cU NSF M 34PIPE10 1" DN25 1.315 33,401 1.101 27,965 2.62 1,19 10 3,05 1PIPE10 1 1/4" DN32 1.660 42,164 1.394 35,408 4.18 1,90 10 3,05 114PIPE10 1 1/2" DN40 1.900 48,260 1.598 40,589 5.48 2,49 10 3,05 112PIPE10 2" DN50 2.375 60,325 2.003 50,876 8.59 3,90 10 3,05 2PIPE10 21/2" DN65 2.875 73,000 2.423 61,500 12.57 5,70 10 3,05 F 212PIPE10 3" DN80 3.500 88,900 2.950 74,900 18.67 8,47 10 3,05 1 3PIPE10 NOTE: CPVC Pipe is produced in SDR 13.5 Dimensions in accordance with ASTM F44Z Standard Dimension Ratio is the ratio of the outside pipe diameter to the wall thickness of the pipe. 81azemasteP Is a registered trademark of Lubrizol. Specifications subject to change without notice 'Empty Pipe weights IMPORTANT: Installers should receive thorough hands-on training in the proper methods of assembly and Installation of CPVC products. Trusted above all— VIKING -jib I...,. 9 Vik ,. : CPVC Pipe Product Specifications Corrosion resistant CPVC fire sprinkler pipe, when installed in strict accordance with the manufacturer's design and instal- lation instructions, is UL and c -UL Listed by Underwriters Laboratories for use in the following: • Meets NFPA 13R and 13D standards for residential occupancies as well as NFPA 13 standards for light hazard occupancies. • Residential occupancies up to and including four stories in height as defined by NFPA 13R. • Residential occupancies as defined in the Standard for Sprinkler Systems in One and Two Family Dwellings, NFPA 13D. • Installation of private fire service mains and their appurtenances, NFPA 24. CPVC fire sprinkler pipe from Viking Plastics shall be employed in wet pipe systems only and are not listed for outdoor use. CPVC pipe must never be used in a system using compressed air or other gases. CPVC pipe from Viking Plastics also carries the follow- ing enhanced listings and approvals: • According to UL Listing • Can be flush at return air plenums • Exposed system risers NFPA 13D, 13R • Exposed basement NFPA 13D (solid wood joist) • Extended coverage (exposed) • 20' spacing on pendent in lieu of 15' • 18' spacing on sidewall in lieu of 14' • Use with combustible concealed sprinklers • Tyco attic sprinkler head (to protect the floor below) • Tyco attic sprinkler head with wet system piping (feed main and ridge installation) New and enhanced listings and approvals are being pursued. Always check with the appropriate Listing and Approval agency for details on current listing parameters. CPVC pipe meets all applicable standards for pressure rated applica- tion as required in ANSI -NSF Standard 14 and complies with ANSI -NSF Standard 61 for health effects and are marked with the NSF-pw end use marking. All CPVC fire sprinkler pipe shall be Listed by Underwriters Laboratories for wet pipe systems, and shall carry a rated working pressure of 175 psi 150•F (12 bar @ 65.5•C). *The FM Approval is limited to use in wet pipe fire protection sprinkler systems for light hazard occupancies in both concealed and exposed applications with certain restrictions. Piping must atways be Installed in strict accordance to the manufacturer's DESIGN AND INSTALLATION GUIDE, including product storage and handling, joining methods, supporting and bracing, expansion and con- traction allowance and testing, etc. National Fire Protection Association (NFPA) Standards 13,13D, and 13R must be referenced for design and installation requirements in conjunction with the installation instructions. • Exposed sidewall sprinkler listing for exposed pipe & fittings • 24' extended coverage sidewall sprinkler, 12" drop, 155•F sprinkler head • 18' extended coverage sidewall sprinkler, 12" drop, 165•F sprinkler head • 16' extended coverage sidewall sprinkler, 12• drop, 175•F sprinkler head • 14' standard coverage sidewall sprinkler, 12" drop, 200•F sprinkler head Factory Mutual Approved* • Factory Mutual Approval exposed • Factory Mutual Approval above drop-in ceilings • Factory Mutual Approval exposed w/Soffa-Steel soffRing covering system All CPVC fire sprinkler pipe from Viking Plastics is manufactured in the USA. All CPVC pipe shall be packaged immediately after its manufacture to prevent damage and shall be stored Indoors after production, at the manufacturing site, until shipped from the factory. The pipe shall bear the logo of the listing agencies, and shall carry the National Sanitation Foun- dation (NSF) seal of approval for potable water applications. CPVC products are intended for use in areas where the maximum ambi- ent temperature does not exceed 150•F (65.5•C). If the ambient tempera- ture is expected to exceed this limitation, refer to the manufacturer's DE- SIGN AND INSTALLATION GUIDE for additional information on methods to reduce the pipe exposure temperatures. CPVC pipe is not intended to be installed in outdoor applications. CPVC pipe is intended to be used in wet pipe systems only and have not been investigated for use in dry pipe systems. Special installation and design criteria relative to pipe hanger spacings, piping and sprinkler restraint, sprinkler temperature rating, piping locations, testing procedures and friction loss characteristics are specified in the manufacturer's Installation Instructions provided with the pipe. The manufacturer's installation instructions should be reviewed and the Authority Having Jurisdiction consulted before installation. Trusted above all- N IKiIVG01: 4 3.. Inc.ge: 1 of i E S I / . F` 31 E Date: 02/23/12 5/ RVCTVR4L ENGINEERS EERS Job #: C 2 3 3 Client: John & Mary Helm Project Name: " Heim Residence @ The Traditions - Lot 20 " Plan #: PROJECT: " Helm Residence @ The Traditions - Lot 20 " DATE Feb. 23, 2012 John & Mary Helm PROJECT NO. C 2 3 3 La Quinta, California File No. PlanCk01.xls Architect : STRACTS, INC. PLAN CHECK BY: John W. Thompson Plan Check No.: 11-360 Tel: (760)834-8860 Plan Check Dated: 01/13/2012 Fax (760) 834-8861 list. PLAN CHECK STRUCTURAL CORRECTIONS. ITEM REPLY 1 SGN Sheet has been revised to reflect the latest geotechnical report. 2 Mult-studs were added as well as hanger to beam #10. See revised framing plan. 3 Shear wall #2 have been revised to reflect shear panel #11 per calcs, 4 Shear Wall #19: anchor bolts and holdowns are shown on revised foundation. 5 Hardy Moment Frame are being used in lieu of the Hardy Panels, therefore grade beams are not required. Grade beam analysis has been voided in calcs. See revised calcs. 6 Roof Truss calcs are being provided by JMW Truss 7 ESI/FME, INC. will review the roof trusses for loads and stamp truss calcs with shop drawing stamp. 8 Foundation has been included in the Field Observation note. See revised SGN sheet, 9 See Detail Z/SD1 and AA/SD1 for outlooker connection. See revised framing plans for call outs. 10 Refer to redline set for ESI/FME, Inc. response in green. 11 E7AA Y OF LA QUANTA ING & SAFETY DEPT.PPROVED MAR 0 6 2012 FOR CONSTRUCTION DATE 41P 1700, BY ESI/F ESSipN By By ���yZ LU 0307 T luanny Ivwaes�s FEB 2 8 2 By Copies to: Anton Marinkovich STRACTS, INC. 51555 Desert..Club Drive, Suite 300 La Quinta, CA. 92253 P (760) 771-1800 F (760) 771-1880 Anton(a. stra cts. com