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04-7125 (SFD)I 41 I rm 1 8 ZQQ5ISI P. O-4"U4� 95 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . . 04-00007125 Date 11/29/04 Property Address . . . . . . 78341 DEACON DR W APN: 770-210-027- - - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 401334 Owner Contractor --------------------- --- MALETIS THOMAS M HUDSON CONSTRUCTION, INC., K.P PALM DESERT CA 92211 (760) 345-5154 WCC: EXEMPT WC: EXEMPT 07/31/05 CSLB: 818121 03/31/05 CCC: B ------ Structure Information 4628 SQ. FT. SFD ----- Construction Type . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood ZoneNON-AO FLOOD ZONE Other struct info . . . . CODE EDITION 2001 CBC # BEDROOMS 5.00 FIRE.SPRINKLERS NO GARAGE SQ FTG 985.00 PATIO SQ FTG 608.00- 08.00NUMBER NUMBEROF UNITS 1.010 1ST FLOOR SQUARE FOOTAGE 4628.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . '' • r ' Permit Fee . . . . 1696.50' Plan Check Fee 1102.73 Issue Date . . . . Valuation 401334 Qty Unit Charge Per •,. Extension BASE FEE 639.50 3.02.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 1057.00 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 211.68 Plan Check Fee 52.92 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 4628.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 16.1.98 985.00 .0200 ELEC GARAGE OR'�NON-RESIDENTIAL 19.70 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 P.O. Box 1504• t4#Q�� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 TINSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 7Z as- Date:`/�Iv?— Appl'Z4� ��Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: BUILDING PERMIT DECLARATIONS 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 LicensQ in full force and effect. i� b /Q (License Class l i✓License No: Oj /v/Z/ Gate 1/ d� Contractor JI OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 ($500).): U 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner. WORKERS' 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 Policy Number P 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, a5d agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis' /n1� F Date Applicant / w WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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 inform ' n 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 county to r u n the above-mentioned property for inspection purposes. bate / v v /Signature (Applicant or Agent). Page 2 Application Number . . . . . 04-00007125 Date 11/29/04 ---------------------------------------------------------------------------- Permit . . . . . . GRADING PERMIT Additional desc . . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------------=----------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee 158.50 Plan Check Fee 39.63 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 9.0000 EA MECH FURNACE <=100K 36.00 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 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 . . . . 245.25 Plan Check Fee 61.31 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 23.00 6.0000 EA PLB FIXTURE 138.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 3.00 6.0000 EA PLB ROOF DRAIN 18.00 3.00 7.5000 EA PLB WATER HEATER/VENT 22.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 13.00 .7500 EA PLB GAS PIPE >=5 9.75 1.00 15.0000 EA PLB GAS METER 15.00 --------------- Special Notes -------------------------------_------------------- and Comments ----------- 4628 SQ. FT. SFD THIS PERMIT DOES NOT IN CLUDE POOL & SPA BLOCK WALLS OR DRIVEWAY APPROACH. 11/29/04 8:22:45 AM JJOHNSON ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN .PUBLIC PLACES -RES 503.33 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY+, REVIEW FEE 110.27 Page 3 Application Number . . . . . 04-00007125 Date 11/29/04 ---------------------------------------------------------------------------- Other Fees . . . . . . DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 40.13 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited Due Permit Fee Total 2326.93 ---------- ------ - --- ---------- .00 .00 2326:93 Plan Check Total 1256.59 750.00 .00 506.59 Other Fee Total 3058.73 .00 .00 3058.73 Grand Total 6642.25 750.00 .00 5892.25 2.- CITY OF(LA QUINTA SUB-CONTRAC OR 1ST JOB ADDRESS �8—��/� c ��'aT PERMIT NUMBER Qq -%12J OWNER �� S�� .��/��1� Q)ILDER �U�gOUi 1,OY11�1V This form shall be posted on the job with the Eiuilding Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. �... Trade..l.. Class�fic3tion.....................................Co.n.tractor......................... ............................................................. i ._......,:.:::::,.:;;::5: ate:.. o r or: .... t C nt act s License 1 .... .....:::::::.: or Com ensat on nsurance................... p i i �........... ,::: Cit :..Business:.: Y. cense. . Company Classification License umber Exp. Date Carrier Name Policy ExP.Date Licenseense Num be r Exp. Date A B C-8 1xxxxxx) xx/xx�'xx)e. .StateF d CalComP1 (Format xx!xx xx1 ( x xx ) xxxx x xIe.9. '' `. >>> El>RTHVN{?RK.;EG.:;1;21;...;>;:.;;:<.; . K - 2 C t 5 �{ t3vl� d . 02 D 1 D S i� 51 5 1 �6 CERTIFICATE OF COMPLIANCE �t n Desert Sands Unified School District o�� o 47950 Dune Palms Road < BERMUDA DUNES O U RANCHO MIRAGE Date 2/18/05 La Quinta, CA 92253 %-1 INDIAN WELLS PALM DESERT No. 26910 (760) 771-8515 �T. �INDIOTA �� v y� Owner Tom Susan Maletis APN-# 770-210-027 Address Jurisdiction La Quinta City Zip Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Unit 1 78341 Deacon Dr West 4628 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 M=117' ill. Lot # No. Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under S 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooldng, eating or sanitation) or replacement mobile ho mes. 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 $2.24 X 4,628 S.F. or $10,366.72 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/Wells Fargo Bank - Ken Hudson Check No. 0664303457 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sharon MCGily ey, Payment Recd 0.00 $10,366.72 over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting mill 0 Certificate of Occupancy 4 OF Building & Safety Department 44 This Certificate is issued pursuant to th e requirements of Section 109 of the California Building L 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: 78-341 Deacon Drive West Use classification: Single Family Dwelling Building Permit No.: 04-7125 Occupancy Group: R3/U1 Type of Construction: VN Land Use Zone: RL Owner of Building: Thomas M. Maletis Address: 2876 N.W. Linmere Drive City, ST, ZIP: Portland, OR 97229 By: Daniel P. Crawford Jr. Date: 5/12/06 Building Official POST IN A CONSPICUOUS PLACE O PUBLIC WORKS/ENGINEERING DEPARTMENT CLEARANCE SHEET FOR BUILDING PERMITS REcF,I�kl) FEB 142005 PUBLIC WORKS Date: 2 -10- 0<' Developer: akADS10o4 Tract No: Lot No. (s): IS Address(s): % 9' �N. I LJr'Q� The. following are the requirements for Green Sheet clearance to issue a building permit for the subject building lot(s): 4(CUSTOM HOMES: PROVIDE ITEMS #2, AND #3 BELOW. TRACT HOMES: PROVIDE ITEMS #1, #2, AND #3 BELOW. COMMERCIAL BUILDINGS: PROVIDE ALL ITEMS BELOW (#144) 1. Attach or previously submitted (current within 6 months) Pad Elevation Certificates in compliance with the approved design elevation for building pad (deviations of ± 0.1 foot). Proposed building locations are legal lots, final map recorded. W/atk 3 Attach a complete Fugitive Dust Control (PM -10) . Plan and packet. 4. Precise grading plan approved. I have reviewed and confirmed the requirements listed above and find the improvements to be sufficiently complete, except as specially provided below, for construction of the proposed structure(s) on the subject lot(s). Pursuant to my findings, I find that the above may be released for building ermit is ua ce. Recommended by: Dated: SPECIAL PROVISIONS: Building & Safety has been advised that it is appropriate to issue the Building Permit; however, the Certificate of Occupancy should not be authorized until the following issues have been addressed: 4 5 Kristi Hanson 72-185 Painters Path #A Palm Desert, CA 92260 PLAN CHECK NO ADDRESS SCOPE OF WORK CITY OF LA QMTA PLAN CHECK CORRECTION LIST 04-7125 (Structural only) 78-2341 Deacon Dr West New SFD 4630(R)/ 852(U) APPROVED OCCUPANCY TYPE -OF -CONST February 10, 2005 R3/Ul V -N The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our professional opinion the plans are in substantial conformance with the building codes and regulations adopted by the CITY OF LA QUINTA and the State of California Amendment. APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND ASSOCIATIONS. Plans checked by; Hue C. Luu, PE VCA CODE GROUP 2200 W Orangewood Ave, Ste 155 Orange, CA 92868 (714) 363-4700 ext.#752 VCA File No. LQ -17000 1 Mc GEE SUR VEYING, INC. 79-301 Country Club Dr., Ste. 102 — Bermuda Dunes, CA 92201 Phone (760) 345-3828 — Fax (760) 772-5705 March 18, 2005 City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 Re: Pad Certification — Lot 39, Tr. 28867 Pursuant to your request a field survey was conducted on the above referenced project to determine the vertical location of the building pad. The above mentioned was found as follows: LOT ADDRESS PAD (DES) PAD (FIELD) 13 78-341 Deacon Dr. West 49.0' Sincerely, �/' . t Wayne A. McGee L.S. 54794 I.- 49.0' 10/1J/2005 14:32• 7603605719 YOUNG ENGINEERING SE PAGE Fit —0-Qr ,5rn vl.C:r,,ti www.v�lueop/ com•,. - 77 804 WUd-I Dr, iAl be9en 0 92211 P.(760) 380- 0 p.(r60) 380.5719 October 19, 2005 Tom Hartung Building Official City of La Quinta Re: Maletis Residence, 78-341 Deacon Drive West, La Ouinta, Ca Dear Tom, The following change has occurred for the above referenced project. A section of truss E16 over fireplace in great room. bas been trimmed to allow flue access to roof. Continuous 2x4 ladder framing was provided at 24" o.c. on each side of. truss E16 for roof support. Truss calculation bas been provided for review due to truss B16 field alteration and actual spacing of 36" o.c. If you have any questions please call. 10/19/2005 14:32 7603605719 t YOUNG ENGINEERING SE Rus 31 2005 10:21AM HP LASERJET FAX �` 08/31/2005 ED 9:50 FAX 951.891 3281 J1W Truss Teneculi TRUSS I Ew COMWN V1 ,.as 1•v4 ♦+r4 1 >Va .0.e 4,U fir 4d - 12 .ehw ar OMA � O ear�cM )LI u► ro Ar rA � PAGE 03 p.2 X002/002 LOADING (pro SPACING 2,0-0 C91 OEFL in (be) Well Lid PLATES DRIP TCL! 15.0 Plem Inciesse 126 TC O.56 YtA(LL) .0.14 9-10 ►6418 450 1011110 1051141! TCOL 17,0 Lunhberinbroasa 1,26 Be 0.70 VeA(%) I •0,34 1012 1945 360 9CLL 0.4 Rep 6e+a hie? YEA , Wo 0.41 HoR(TL) 0.03 6 Ah ote BOOL lob code u1110VANSIBe (Mfl+11n) wslpM:NifD LUMBER BRACING TCP CHORD 2 X 4 HP No.2 TOP CHORD 6hMerd or,04.16 ee pwilal. BOT CHORD 2k 4 MF N0.2 except oldvoreaele, WEBS 2 X 4144 914031d O'prtW BOT CHORD Rlpld C4111VdM y wWled or W12X4MFN&2, W107X4Hf ft2 10.0-0oobfe0V. "Extoot 1 • MY 8.0.0 do b/atinp 13.14, VX82 1 Aewaentiepl 4.11].0.0 REAt"ON8 (lame) IS -1165210.&D. 111-1120210." 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A�°o� F ' 09/02/2005 11:02 7603605719 YOUNG ENGINEERING SE PAGE 02 —Y..4S�G_I•N..fil.N1i,FR/Nf.; .S'h:R1!L(;I;'S._•---.wwwvalu. r..com—.. ..__............ .......-•__—• �• 77-804 WiWcet Dr. Palm Desert. Ca. 92211 P.(760) 360-5770 E.(7S0) 39D-5719 September 2, 2005 Tom Hartung Building Official City of La Quinta Re: Maletis Residence, 78-341 Deacon Drive West, TLa Quinta, Ca Dear Tom, The following is a list of Structural concerns .from the city inspector with our responses: 1. The top plate above the electrical panel in the hallway next to shear wall 3 receives most of the bearing loads. Therefore, (3)-2x6 plates. above the electrical panel is adequate. In addition, we've provided 2x6 stud -supports on 'each side of the panel's 2x6 bottom plate and added CS1.6 coil -strap top and bottom. 2. Shear wall 33 in the dining room only provides lateral resistance for the den. Therefore, a drag connection to the dining room diaphragm is not required. 3. We've provided 2x6 studs on each side of the bottom 3x6 blocking for additional support. If you have any questions please call. ��Frsa� S (♦O.4NA .l h 08/23/2005 16:29 7603605719 YOUNG ENGINEERING SE r 8-23-05 y 03 BAR VFRMAL AT 04 BAR HORI?4WA6 b• C+V wup 6ROtlr L•.bd+dy A3 SMM ANSW SM AR-MM7URA S POOR mix DAM MM 9Foom smup Am ANY omm wwfa�4wm NOT smom FUfm9GAlPE PSR i�1�GFHTEG7URAL9 PAGE 02 0 c mcftoom $0 EMAM C+v SMID eoMy BAR VERMAL AT 16'0/r. BAR NMWWAI. AT 2.4• o/a !x•3idy A% SIM& ANNA IZ' MWH HMARM 9M APfARTWMAL9 NAPCOCA1•e FM AlmGMI'1ECiTURAL3 T�, �� ill k- willim; PAPO t I �k 617T xxx PLP D (j) m OT m LL) 617T xxx PLP Q REVISED ON 4-14-05 2X TRUSSES at 24" o% B.N. S.N. 2x BLOCK EN. 2x6 END VERT PART OF TRU56 SHEAR TRANSFER SLOGK VOL PLATE PER DETAIL 2!55.1 SIMPSON DTG AT 24" O . PLATE 2X6 57UD5 AT 16" OG FRAMING DETAIL NMI 5}iEARWALL PER PLAN SHEATH PER SHEARWALL TYPE 'A' U.N.O. E.N. 5EE ARCH SHEARWAL R PLAN E.�_ SHEATH PER SHEARWALL TYPE 'A' U.N.O. TRUSS TOP CHORD EXTE ION FASCIA PER ARCM DW65 PROVIDE 2X4 FLAT FRAMING AS REGUIRED FOR FOAMLo FASCIA HT PER PLAN 1- - 1'-0- 1 3 5EE ARGFf SEE NON-BEARING HEADER SCHEDULE � A Lo N Co CS) CJl m A W m m w m CS) cn 0 c z m z H z m m H z m m m 4A Y4/19/2005 09:43 7603605719 YOUNG ENGINEERING SE PAGE 05 L 2 f. in mi ot a z 2 a ox u 4 A CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 2) CF4R Project Address 1 Maletis Residence 1 Builder / Installer Name 78-341 Deacon Dr. West / La Quinta / CA / 92253 K P Hudson Construction Builder / Installer Contact Telephone Plan Number Ken Hudson 7603455154 Maletis Residence HERS Rater Telephone Sample Group Number Dennis Hebert - CIHIEIEIRIS® ID #CCNDH263395 7607795161 0 Compliance Method (Prescriptive) Climate Zone 15 ying Signature Date Sample House Number r �A5 6 1 . Firm HERS Provider Air Management Services CjHjEjEjRjS® Address City/State/Zip 73408 Buckboard Trail Palm Desert /CA /92260 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT This house was:./ Tested As the HERS rater providing diagnostic testing and field verification; I cemfy. that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form.` v/ The installer has provided a copy of CF -6R (Installation Certificate). { Distribution system is fully ducted (i.e., does not use building -cavities as plenums gatform returns in lieu of ducts). s.— 11.1.x'1 ' �...� l� LJs ./ Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connecti v/ MINIMUM REQUIREMENTS FOR DUCT•LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) r System # 1 Duct Pressurization Test Results (CFM @ 25 Pa) / ` '"( Measured Values ,-,Test Leakage Flow in CFM If fan flow is calculated as 400cfin/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100"x Tested Leakage / Fan Flow) _ 47 3.9 Check Box for Pass or Fail (Pass=6% or less) /Pass ❑ Fail System # 2 Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values . }1rffTest Leakage Flow in CFM V 104 If fan flow is calculated as 400cfrn/ on x number of tons enter calciilated value hlere i ``— - If fan flow is mead enter measured value here Leakage Percentage (100 x Tested Leakage / Fan Flow) _ 5.2 Check Box for Pass or Fail (Pass=6% or less) / Pass ❑ Fail Residential Compliance Forms Generated by CIHIEIEIRISO http://www.CHEERS.org August 2001 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 2 of 2) CF4R Project Address [ Maleds Residence 1 78-341 Deacon Dr. West Ma Quinta / CA / 92253 Builder / Installer Name K P Hudson Construction System # 3 Duct Pressurization Test Results (CFM @ 25 Pa) Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Tested Leakage / Fan Flow) _ Check Box for Pass or Fail (Pass=6% or less) System # 4 Duct Pressurization Test Results (CFM @ 25 Pa) Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (1001x�Te ted Leakage / Fan Flow) _ Check Box for Pass or Fail (Pass=6% or less) THERMOSTATIC EXPANSION VALVE,R Measured Values 107 5.4 Measured Values 92 4.6 System # 1 - � [,�•�� `'�, Yes ❑ No <� ennostatxc Expansion Valve is installed and Access is provided for inspection: System # 2 Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for tt inspection. System # 3 e-1/ /) Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection. € f System # 4 Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection. ,/ Pass ❑ Fail ,/ Pass' El Fail V Pass ❑ Fail v/ Pass ❑ Fail V Pass ❑ Fail Pass Q Fail Vy Residential Compliance Forms Generated by CjHjEjEjRjS® http://www.CHEERS.org August 2001