12-0895 (MECH)2,%�
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF -1R -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit
50545.2 Grand Traverse La Qufnta, CA 92253
City of La Quinta
Aug 4, 2012
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
[I Package Unit
* Furnace
* Indoor Coil
0 AFUE
0 SEER
COP
0 HSPF
0 R 6 (CZ lo -13)
Served by system
E5 Setback
If not already present, must be
I
[I tondensing Unit
[3 EER
0 Resistance
0 R 8 (CZ 14-15)
1200 sf
installed)
[3 Other
I
I
I -
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R -ALT -HVAC for each system.
2, Minimum Equipment Efficiencies. 13 SEEP, 78% AFUE, 7.7HSPF for typical residential systems. *
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall
be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this
form was in fact the work completed by the instatler- The inspector also verifies that each appropriate CF -6R. and registered CF -411
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1R
and CF -6111 shall also be on site for final inspection.
0 1. HVAC Changeout
Required Forms:
.All HVAC Equipment
CF -6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS
replaced
CF -411 forms: MECH-21 and (for split systems) MECH-25
• Condenser Coil and /or
• Indoor Coil and /or
CF 6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS
. Furnace
CF 4R forms: MECH-21 and (for split systems) MECH-25
For Sprit Systems: Duct leakage < 15 percent; RC, CCA 5 300 CFMjton (Kinimum Air Row Requirement), TMAH
FeF Par.'eaged Unit—A- Pi 'eakagie 16
-ii -A -� per-eept
Exempted from duct leakage testing if:
[3 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
0 2. Duct systems with less than 40 linear feet in unconditioned space, or
[3 3. Existing duct systems are constructed, insulated or sealed with asbestos
[3 4. The.system,will not be Ducted (ie.,,Ducdess 'Mini -Split System) (Also,Exempt from -Refrigerant Charge)
[12. Nevii HVAC System
Requi.red Forms:
.Cut in or Cilangeout wft.
new ducts: (all nE!w/,,',f'
CF -6R forms: MECH-04, MECH-20-sHERS11 and (ior split syaems) ME6-22-HERS1 and
ducting &nd all new,
MECH-25-wHERS oll
CF -4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25
equipment)
For split systems: Duct leakage < 6 percent; RC, CCA 350 CFMIton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
[13. New Ducts with/or without
Required Forms:
Replacement
Includes replacing or installing all new
ducting and/or outdoor condensing unit
CF -611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace. No or some
CF -4R forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage < 6 per -cent; RC, CCA k 300 CF14/ton, TNAH
For Packaged Units: Duct leakage < 6 percent
El 4. New Ducting over 40 feet lRequired Forms:
Includes adding or replacing more than 40 CF -611 forms: MECH-04, MECH-21-HERS
linear feet of duct in unconditioned space. 1CF-4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
0 EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of
Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
• The design features Identified on this Cen5ficate of CompYiance are consistent With t1rielintormallon documented on other applicable compliance
forms, worksheets, calculations, plans and specificp-tions submitted to the enforcement agency for approval with the permit application.
Name: Richard C Weaver Sr ISignature: Richard C Weaver Sr
Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: Aug 4, 2012
Address: 255 N ELCIELO ROAD #140-125 License: 967982
,City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002
Reg: 212-AO042126A-00000000-0000 Registration Date/Time: 2012/08/04 13:46:57 HERS Provider- CalCERTS, Inc.
2008 Residential Compliance Forms July 2010