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0211-209 (RER)LICENSED CONTRACTOR DECLARATION I hereby affirm under penaltity of perjury that I am licensed under provisions of Chapter 9 (commencing wits Secti ai-7M00) of Division 3 of the Business and Professionals Code, and my License Is in full force and effect. License # Lic. Class Exp. Date Date Signature of Contractor OWNER -BUILDER DECLARATION ,11=hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). n j. O .I am exempt under Section B&P.,Q:.tfor this reason ii Date f . ! Signature of Owner f 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 & policy no. are: Carrier 1. Policy No. (Thi s section need not be completed if the permit valuation is for $100.00 or less). I?� ) 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 3700 of the Labor Code; I shall fortwith comply with those provisions? df• ate) -� 7 Applicant- Warning: pplicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety= for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemni D & hold harmless the City of La Quinta, its officers, agents and employee 2. Any permit Issued as a result of this application becomes null and void i work Is not commenced within 180 days from date of issuance of su permit, or cessation of work for 180 days will subject permit to cancellatio . I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the builds g construction, and hereby authorize representatives of this City to enter upo .tKe above-mentioned property for inspection purposes. jam• w . �y "`<:� �� Date/ Signature (Own_erlAgent)f - BUILDING PERMIT PERMIT# DATE r VALUATION LOT l.�' �'TRACT if %i7? ;j v ► _ , JOB SITE' APN ADDRESS r3..3 c/ AT' iri�ai9lliJ:fi mm ry ri f•4-Ve7'tl Y3Vrd OWNER CONTRACTOR / DESIGNER / EN INEER JORS"M AM. ERSON OWN M. I BUILDER 53-380AVENMAIFUNKt::A, ISAq£Jwv" CA 9=3 COIN r USE OF PERMIT RIMEWIM REMODEL P,2ES7'1)=01911,' LAt:P, DOORS s@:'i'i►`tNLrf0V)3fPF.R rltafxRLWED isLA141 4%KIN VRGY VALUATRA11 flf .UO L-8 EgTe.51'ev.i.[•i1TAKT) C0}9.F OF CWNi:Y.C4RUCTJ•111y �•W ••"✓Ye� PEI MEr YM S1A11 RY PI 1� S:15G '}� FtP IM _000,439.3116 M.10 CONSTRUCTION M& 101-000.418-000 134.00 ELeE(:°'i RICAL FZE 101-000-420-0001 $11001 r .y supli" 1 O'TAIL CO. 1 " l"I MMON A �l�t�q�' p�PL ��Ci��T�.e/nCnn�`s�� FESS NOV 7 &,jZ I �. v CITY OF LA QUINTq f FINANCE DEPT. RECEIPT DATEBY - . DA FINA ED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans OdK. to Wrap •/ •p F.A.U. ff raming Compressor Insulation Vents ftreplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Y.•= p. Power Pole Underground Conduit Plough Wiring ' Law Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: ' OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as ''Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law' to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may. be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX (76 ) 77 -7011 d a� OWNE 'S SIGNATURE/DATE o� S3 3 FO 14FE-9_tt_X�t PROPERTY ADDRESS PERMIT NUMBER(s) Engineering Incorporated 1981 20th Anniversary 2001 Consulting Electrical Engineers 19031 Highway 18 Ste 200 72330 Canyon Lane Apple Valley, CA 92307 Palm Desert, CA 92260 Phone: (760) 242-3369 Phone: (760) 773-4478 Fax: (760)242-1092 Fax: (760)242-1092 dreanijoe@charter.net dreamjoe@aol.com TITLE 24, JANUARY 2001 ENERGY EFFICIENCY STANDARDS FOR LOW RISE RESIDENTIAL BUILDINGS HERRERA RESIDENCE 1,290 SQ FT November 13, 2002 Energy Budgets for this building were determined using the CALRES VERSION 1.4 certified by the California Energy Commission. The Calres analysis attached was conducted using tables from the Residential Manual for Compliance With the Energy Efficiency Standards (for Low Rise Residential Buildings) JANUARY 2001, certified by the California Energy Commission. *** HOUSE COMPLIES *** ***REFERENCE C -2R PAGE 1*** I hereby certify that the California Energy Commission Conservation Division regulations establishing Energy Efficiency Standards for Residential Buildings, Title -24, Part 6, have been reviewed and the -design submitted substantially complies with these regulations. Joseph M. Nolan PaAl� x 710&0 Electrical Engineer ATTACHMENTS: #1 - C -2R (4 PAGES) #2 - CF -1 R (3 PAGES) #3 - MF -1 R Mandatory Measures Checklist: Residential (2 PAGES) #4 - CF -6R Installation Certificate (13 PAGES) #5 - FHA FORM J Heating and Cooling Calculations (1 PAGE) r-kmsof8ce\Winword\Title 241TITLE 24.docTITLE 24 - RESIDENTIAL 53- 33o A vE CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE -Z \ PAGE -1 lc4ec" COMPUTER METHOD SUMMARY Page 1 C -2R Project Title: HERRERA RESIDENCE - 1290 SQ. FT. Run: 667 13 -Nov -02 Project Address: 53-380 AVENIDA HERRIERA HERRERA REDIDENCE - 129 LA QUINTA, CA 92253 Building Title: HERRERA RESIDENCE - 1290 SQ. FT. Building Permit # Document Author: DREAM ENGINEERING INC. Telephone: Plan Check / Date Compliance Method: CALRES2 1.4.02 Field Check / Date Climate Zone: 15 ENERGY USE SUMMARY (kBtu/ft2-yr) Energy Use Standard Design Space Heating 5.36 Space Cooling 47.99 Water Heating 17.54 Total Type ---------- 70.89 GENERAL INFORMATION Conditioned Floor Area: Average Ceiling Height: Building Type: Building Front Orientation: Glazing Area, % of Floor Area: Average Fenestration U -Value Average Fenestration SHGC: Number of Dwelling Units: Number of Stories: Floor Construction Type: Number of Conditioned Zones: Total Conditioned Volume: BUILDING ZONE INFORMATION Floor Zone Area Volume Name (ft2) (ft3) HOUSE 1290 10320 OPAQUE SURFACES Proposed Design --------------- 4.84 53.67 12.20 ----=--- Complies 70..71 Yes 1290 ft2 8'0" ft -in SFD Single Family Detached 270 deg (West) 13:50 0.65 0.42 1.00 1 Slab on grade 1 10320 ft3 Vent Thermostat Height Type Type (ft) Conditioned CEC_Standard 010" Surface Area U- Insl Total Tru Slr Construction Type ---------- (ft2) ------ factor ------ Rval ---- Rval ----- Azm --- Tlt --- Gns --- Type ------------ Location/Comments ------------------- Zone = HOUSE Door 17.8 0.330 0 3 270 90 Yes 30 -Wood Outside Wall 330.1 0.088 13 11 0 90 Yes W13.2x4.16 Outside Wall 318.8 0.088 13 11 90 90 Yes W13.2x4.16 Outside Wall 321.3 0.088 13 11 180 90 Yes W13.2x4.16 Outside Wall 217.6 0.088 13 11 270 90 Yes W13.2x4.16 Outside Ceiling 1290.0 0.031 30 32 -- 0 Yes R30.2x4.24 Outside Floor 1290.0 -- 0 -- -- 180 No Slabl40C Grade COMPUTER METHOD SUMMARY Page 2 . C -2R Project Title: HERRERA RESIDENCE - 1290 SQ: FT. Run: 667 13 -Nov -02 PERIMETER LOSSES Perimeter Length F2 Insul Type ----------- (ft) -------- Factor ------ R-val ----- Zone = HOUSE 9EAST 710" 6'0" Exposed 16010" 0.756 0 Exposed 100'0" .0.510 8 Insul Depth (in) Location/Comments ------ ---------------------------------- 16 Outside 16 Outside FENESTRATION SURFACES 4'10" 3WEST 5111" 3'11" 2NORTH 2111" 4'9" 9EAST 710" 6'0" BEAST Fenestration 315" 7EAST 7111" Exterior Shade Over - Fenestration 5SOUTH Area --------------- 6SOUTH Tru 10" ----------------- 1 ' hang Name -------------- Type ------ (ft2) ---- U -factor --------- SHGC ------ Azm --- Tilt ---- Type ---------- SHGC ------ /Fins ------ Zone = HOUSE 1WEST Window 37.5 0.65 0.42 270 90 BugScrn 0.76 Overha 3WEST Window 23.2 0.65 0.42 270 90 BugScrn 0.76 Overha 2NORTH Window 13.9 0.65 0.42 0 90 BugScrn 0.76 Overha 9EAST Window 42.0 0.65 0.42 90 90 BugScrn 0.76 Overha BEAST Window 13.4 0.65 0.42 90 90 BugScrn 0.76 Overha 7EAST Window 21.8 0.65 0.42 90 90 BugScrn 0.76 Overha 4SOUTH Window 16.8 0.65 0.42 180 90 BugScrn 0.76 Overha 5SOUTH Window 3.0 0.65 0.42 180 90 BugScrn 0.76 Overha 6SOUTH Window 3.0 0.65 0.42 180 90 BugScrn 0.76 Overha OVERHANGS Fenestration Name Width Height 1WEST 719" 4'10" 3WEST 5111" 3'11" 2NORTH 2111" 4'9" 9EAST 710" 6'0" BEAST 3111" 315" 7EAST 7111" 2'9" 4SOUTH 5'11" 2'10" 5SOUTH 3'7" 10" 6SOUTH 317" 10" Length Height 29'3" 'H' 'V' 31'1" ------ 21011 --------- •11411 J11419 40'1" 2101, 30'0" 2'0" 1'4" 33'1" 21010 19411 29'1" 21011 11419 37'1" 2'0" 1'4" 39'5" 21011 1'411 39'5" 21011 1 ' 4 If 2'0" 1'4" Left Right Extension Extension 0'0" 29'3" 0'0" 31'1" 0'0" 40'1" 0'0" 30'0" 0'0" 33'1" 0'0" 29'1" 0'0" 37'1" 0'0" 39'5" 0'0" 39'5" FINS Left Fin Right Fin Fenestration Dist Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth Height 'V'- fenes Depth Height 'V' fenes ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None COMPUTER METHOD SUMMARY Page 3 C -2R Project Title: HERRERA RESIDENCE - 1290 SQ. FT. Run: 667 13 -Nov -02 THERMAL MASS Vol Cbnd- Area Thck Heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments -------------- ----- ---- ---- ----------------- ---- ------------------------- Zone = HOUSE INTMASS 550.0 1.0 19 0.09 Tile. 0 Interior SOLAR GAIN DISTRIBUTION Fenestration Winter Summer Targetted Name Fraction Fraction Thermal Mass Comments ------------ -------- -------- ------------ -------- None HVAC SYSTEMS Refrigerant Minimum # of Energy Charge and Equipment Duct Location System Name System Type Airflow TXV ----------- Efficiency and R-value -------------------------------------- Zone = HOUSE ------------ StandardGas ---------- ------------- GasFurn.78 Furnace N/A 0.78 AFUE Attic R-4.2 ACsplit10 Air cond. - central split Yes 10.00 SEER Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM AIR 100%R4.2 348 No 54.2 / 6% 903 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume System Name Type Heater Name Heater Type Htrs Factor (gal) ------------ -------- Standard—Gas Standard ------------ StandardGas ----------------- Storage gas ---- 1 ------ 0.73 ------ 50 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------ ------------- ---------- ------------- Standard Gas -- No No COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: ------------------------------------------ HERRERA RESIDENCE - 1290 SQ. FT. - Run: 667 13 -Nov -02 SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- ------------------------- ------ StandardGas 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- ------ ------ ------ -------- --------- --------- ------- None SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Heating duct leakage must be tested and leakage must be less than 6%. 3. Cooling duct register location: Ceiling. 4. Cooling duct leakage must be tested and leakage must be less than 6%. r 1 1280 160 1290 8.0 WEST LA QUINTA 113 26 N/A Engineering Incorpora#ad 1981 20th Anniversary 2001 'Consulting Electrical Engineers 79032IlWhway 7M )lc 200 72330 Cw on latae Applr Valley. CA 92307 P,d,n Om-,%. CA 9226(1 PhAoc; (160).242-3369 Phoor: (760) 773-"78 Nor: -(760)242-1092 2a: (76))242-11M92 drramJor_ii�clwRer:nrt dm mjlm!4tnal.rnm FORM J EQUIPMENT LOADS PROJECT: 28 BTU/SQ FT DREAM ENGINEERING INC. 19031 HIGHWAY 18 - SUITE 200 QUARRY RANCH -VILLA 3 1290 SQ FT - APPLE VALLEY, CALIFORNIA (760)242-3369/F1092 LA QUINTA CA HTM HTM AREA/ BTU BTU - 'NUMBER OF FLOORS CLG HTG LENGTH CLG HTG EXPOSED WALL (SQ FT) GROSS EXPOSED WALLS FOOTPRINT - PERIMETER (FT) FIXED WINDOWS 38 0 0 0 BUILDING DIMENSIONS (SQ FT) SLIDING WINDOWS 39 175 0 6788 CEILING HEIGHT (FT) WINDOWS 8 ' NORTH 30 14 417.6 DIRECTION FACING GLASS DOORS: EAST 80 77 6190.4 LOCATION SOUTH 45 23 1043.55 SUMMER DESIGN OUTDOOR - 78 WEST 80 60 4836 WINTER DESIGN OUTDOOR - 68 SKY LIGHTS 0 48 0 0 0 UBC 50% OCCUPANCY OPAQUE DOORS 38 25 120 4560 3000 DISCLAIMER: NET EXPOSED WALL R13 1.9 2.0 1280 2432 2560 1.THE BUILDING HEAT LOSS & RESULTING MAXIMUM HEATING AVE CEILINGS R19 1.49 0.8 1290 1927 1084 EQUIPMENT OUTPUT CALCULATIONS IN THIS REPORT MEET THE CEILINGS (Rll2) 0 0 CRITERIA OF TITLE 24. THIS MAXIMUM MAY BE EXCEEDED FLOOR (SLAB - PERIMETER) 0 28.3 160 0 4528 WHEN THE FURNACE IN THE SELECTED PRODUCT LINE MUST BE FLOOR (RAISED FLOOR) 0 0 0 0 LARGER TO MEET COOLING LOAD AIR FLOW REQUIREMENTS. SUBTOTAL BTUH LOSS 17959 27HE BUILDING SENSIBLE HEAT GAIN CALCULATED IN THIS DUCT BTUH LOSS (15%) 2694 REPORT MEETS THE CRITERIA OF TITLE 24 AND MAY BE HEATING: TOTAL BUTH LOSS 20653 USED BY THE MECHANICAL CONTRACTOR IN EQUIPMENT PEOPLE & APPLIANCES 1200 SELECTION AND SYSTEM DESIGN. THE ARI STANDARD 210 SENSIBLE BTU GAIN 22607 RATED CAPACITY OF THE EQUIPMENT SELECTED MAY NEED DUCT BTU GAIN (15%) 3391 TO BE HIGHER THAN THAT STATED IN THE CALCULATIONS SUM OF SENSIBLE AND DUCT GAINS 25998 BECAUSE THE DESIGN CONDITIONS FOR THE LOCATION ARE COOLING: TOTAL BTUH GAIN (TOTAL X 1.3) 32237 DIFFERENT FROM THE TEST CONDITIONS USED IN THE RATINGS. HTG UNIT SIZING = BTUH LOSS X 1.3 + 10 X AREA = 39749 BTU HEATING OUTPUT, MINIMUM REQUIRED CLG UNIT SIZING = BTUH GAIN X 1.15 = 36106 BTU COOLING SENSIBLE, MINIMUM REQUIRED 42000 o. k. 1 1280 160 1290 8.0 WEST LA QUINTA 113 26 N/A CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R Project Title: HERRERA RESIDENCE - 1290 SQ. FT. Run: 667 13 -Nov -02 Project Address: 53-380 AVENIDA HERRIERA HERRERA REDIDENCE - 129 LA QUINTA, CA 92253 Building Title: HERRERA RESIDENCE - 1290 SQ. FT. Building Permit # Document Author: DREAM ENGINEERING INC. Telephone: Plan Check / Date Compliance Method: CALRES2 1.4.02 Field Check / Date Climate Zone: 15 GENERAL INFORMATION Conditioned Floor Area: 1290 ft2 Average Ceiling Height: 8'0" ft -in Building Type: SFD Single Family Detached Building Front Orientation: 270 deg (West) Glazing Area, % of Floor Area: 13.5% R -value -------- Average Fenestration U-Value:0.65 R -value -------- Average Fenestration SHGC: 0.42 Door Number of Stories: 1 3.03 Number of Dwelling Units: 1.00 Wall Floor Construction Type: Slab on grade BUILDING SHELL INSULATION FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti --------------------------------------------- -----------------------=- Slab 1290 Yes Grade FENESTRATION Type/Orientation Window West Window North Window East Window South Area Fenestration Fenestration (ft2) Cavity Sheathing ----- ------------ 60.6 ------------ 0.65 0.43 Component Insul Insul Total Assembly 0.43 Type --------------- R -value -------- R -value -------- R -value -------- U -value -------- Location/Comments ----------------------- Door 0 -- 3.03 0.330 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Ceiling 30 0 32.26 0.031 Outside Floor 0 0 3.38 0.295 Grade Slab Perimeter 0 0 0 0.756 Outside Slab Perimeter 0 0 0 0.510 Outside FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti --------------------------------------------- -----------------------=- Slab 1290 Yes Grade FENESTRATION Type/Orientation Window West Window North Window East Window South Area Fenestration Fenestration (ft2) U -factor 'SHGC ----- ------------ 60.6 ------------ 0.65 0.43 13.9 0.65 0.43 77.2 0.65 0.43 22.7 0.65 0.43 Exterior Overhang Shading and Fins ---------- BugScrn -------- Overhang BugScrn Overhang BugScrn Overhang BugScrn Overhang CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R Project Title: HERRERA RESIDENCE - 1290 SQ. FT. Run: 667 •13 -Nov -02 THERMAL MASS Area Thick Type Cover (ft2) (in) Location/Comments ----------------------- ----- ----- --------------------------------------- Intmassl 550.0 1.0 Interior HVAC SYSTEMS Refrigerant Distribution System Charge and Location Type Efficiency Airflow TXV and R -value -------------------------- ---------- ----------- ------------------- Furnace 0.78 AFUE N/A Attic R-4.2 Air cond. - central split 10.00 SEER Yes Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM -------------------------------------------------------------- AIR-100%R4.2 348 No 54.2 / 6% 903 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume System Name Type Heater Name Heater Type Htrs Factor (gal) -----=------ -------- ------------ ----------------- ---- ------ ------ Standard—Gas Standard StandardGas Storage gas 1 0.73 50 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? Standard Gas -- No No SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) StandardGas 76% -- 36.00 HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- ----- -------- ------ -------- --------- --------- ------- None CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: HERRERA RESIDENCE -. 1290 SQ. FT. ---------------------- Run: 667 13 -Nov -02 SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Heating duct leakage must be tested and leakage must be less than 6%. 3. Cooling duct register location: Ceiling. 4. Cooling duct leakage must be tested and leakage must be less than 6%. 5. A Thermostatic Expansion Valve must be installed in the cooling equipment. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in Title 24, Parts 1 and 6, of the California Code of Regulations, and the Administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features, Remarks, and Notes section. DESIGNER OR OWNER DOCUMENTATION AUTHOR DREAM ENGINEERING INC. Certification #: 64��Ce" 7C� Si n d Date Signed ENFORCEMENT AGENCY Name: Title: Agency: Telephone: Signed Date Date MANDATORY MEASURES CHECKLIST: RESIDENTIAL Ease i en) MF -1R Note: Luwrise residential buildings subject to the Standards most contain these measures regardless of the compliance approach used. Items marked with an astetisit (•) may be superseded by more stringent compliance requirements listed on the Certificate of C;ompl4ince. When ibis checklist is incorporated into the permit documents, The features noted shall be considered by all parties as minimum component performance specif catieuts far the mandatory measures whether they are shown elsewhere in the documents or on this checklist only, Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures: • §! 50(a): Minimntn R-19 carting insu)ation. 6150(6): Inose fill insulation manufacturer's labeled R Value * §150(c): Mmimum R-13 wall insulation in wood framed wails or equivalent U -factor in metal frame walls does not apply to exterior mass walla • §150(4): Mininuini R-13 raised floor ensulatian in trained floors. §150(1): Stab edge insulation - water absotptitm rate no grcater than 0.3"A water vapor ttanamission rate no greater than 2.0 pendiatch. § 119: Insulation specified or ittttailed meets insulation quality atandm*L Indicate type and fomn. §11647: Fenestration Products, Axtaiar tkom and Infilttation/Wiilmitioo Commis I..Omm and windows between canditiamed and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field-fahr;eated) have label with certified U -Factor. cartifted Solar Heat Gain Coefficient (SHGC), and infiltration eattficatioe. 3. Wmar dents and windows weatheastripped; all joints and pencivettons caulked and sealed. § 150(g). Vapor barricac mandatory in Clitnate Zones 14 and 16 only. § 1 so(l): special itffrltratioa barrier installed to eornply with § 1 s 1 meds Commission quality slenda *. § 150(c): Installatienh of Fitgtiawe Decorative Gas Appliances erred Gas logs. I . Masonry and factory -built fueplaees bum a. Closeable metal or glass door b. O nide air intake with damper and control c. Fhte damper and o mtrn) 2. No continuous burning gas pilot lights allowed. Space Conditioning, Water Heating, sad Ptumbing System Measures: § 1104113: HVAC cgmpmenm warn heatem, showerheads and faucets certified by the Commission. §1590): Heating attdlor cooling loads calculated in aeeodatce with ASHRAF, SMACNA or AMA. § 150(i): Sdback thentiostat on all applicable heating and/or cooling systems. 61500): Pipe and tarot insulation I . Statage gas water heaters rated with an Energy Factor lesa than 0S9 must be externally wrapped with insulatian having an ittatelled thermal resistance of R 12 or greater. 2. Fiat 5 fed of pipes closest to water heater tank, torn -recirculating sytucms,;osedated (R-4 or Beater) 3. Rack -up tanks foe solar system, unfired storage taub, or other bunted hot water tanks have R-12 cxtcrrwl innilatimh or R-16 combined mteroal/un mal insulation. 4. Ali buried or exposed piling insulated is recimuiating sections of hot seta systems. 5. Cemling system piping below 59° F insalstod. 6. Piping insulated between heating mance and indirect hot water tank. Compliance Forms August 2001 . A-5 MANDATORY MEASURES CHECKLIST: RESIDENTIAL jPage 2 of 21 MF -1R Notc: Lawrisc rcsidcntial buildings subject to the Standards must contain these measures reganfless of the compliance approach used. Ttcros marked with an asterisk (") may be superseded by move sttwgcnt compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the'features noted shall be considered by all parties as minimum component pterformance specifications for the mandatory measures whether they are shown elscarbere in the documents or on this chedtlist only. Instructions: Check or initial applicable boxes when completed or enter NIA if not applicable. DESC.-RIPTION DESIGNER ENFORCEMENT Space Conditioning, Water Renting and Plumbing System Measures: (continued) • §150(ml Ducts and Fans 1. All cArcts and planims iostellod, sealed end insotated to meet theiequiremeat afthe 1998 CMC sacbnas 601, 603.604, and Stahidard 6 3; dmxta iasutated to a a>initttunt itt9allM Lt vel of R 4 2 atcdosed atdrely is aroditioned space shall be hxalad wi8a taastic, rape amaosoi or other duox-dowe system OM meets tffi applic"..quirm is of UL 181, UL 181A er UL 1818. If u stic or tape h+ used m seal comings Weater that 114 incl, Ow combittatiml of mastic and either catch or rape shall be used. Building Cavities sbsA net be nsW fin conveying conditioned air. Joints and sedan of duct systems and their components shall act be sealed with doth heck rubber adhesive dud uqm unless such tape is used in combination WA mastic and dkawbands. 2. Building cavities, support platforms far air boadkmm, and plenums defined or eounaeted with materials other than scaled sheet metal. dud board at flodble duct shall not be used faramveying conditioned art. Ruilding eovitim and stggm platfoms may contain ducts. (fids installed in cavitis R aced support platform shall not be comp mssed to cacao reductions in the crow -sal area of the doom 3. Joints and scams ofdaet systems and their components shall not bre sealed with doth back rubber adhesive duct tapes unless such tape is used in cotubittsiieo with mastic and drawbastdr. 4. Exhaust fan systems brave (sack dam orautomatic dampers. S. Gravity ventilating systems serving conditioned space have edict autur antic or readily accessible, mammlly operated dangmm. 6. Protection oflusulation. Insulation shall be protected from datrtagq including that duo to sunlight, moisture, egwpment radmeoatice. and wind but not limited to the following: Imudatim exposed to weather shall he suitable Far outdoor service e.g., protected by alumnnum, shat metal, palated canvas, or plastic aovm Cellular foam insulation shall be protected as above orpainted with a ensuing that is water retardant and provides Weldhig from solar radiation that can cause dcgradation of the ttmterial. § 114: Pool and Spa Heating Systems and Egmptmund. I . System is certified with 78% thenual efficiency. on-off switch. weetimptoof operating mstrucuo s. no electric resistmtee hooting and no pilot light 2. System is installed with: a. Al kwt 36- of pipe between filter and heater for future solar hating. h. CAr4m for amodeur pools or outdoor spas. 3. Pool system has directional inlets and a circulation pinup bate switch. § 115: Gras fried ce ilial fhmaaes, pool heaters, spa heateos or household cooking appliances have no -continuously'let light, • Norelectriedappliances with pilot < 150 Btulhr §118(1): Coal Roof Cosh rial tweet specified criteria Lighting Messarm § (50(k)t.: Luminairss !br gauaral li�titig io [otebeas #il have � wig aur e$tcorey of 40 tuhoxria/watt or greater for general fighting to kitchens. This general lighting shall be controlled by a switch on a readily accessible aftM control panel at an entrance to the khehm §150(k)2.: Rooms with a shower or bathtub must have eitt� at least we tu®naito with hoops with an efficacy o1 40 lumeratwatt err goemer swhdW at the entrance to the morn or one of the alternatives m tU% requirement allowed in §150(k)2.; and facandeaced recessed ceiling fixtures arc IC (insulation cover) Compliance Forms August 2001 A-6 INSTALLATION CERTIFICATE (Page I of 13) CF -6R Site Address Permit Number An installation certificate is required to be posted at the building site of made axreilable for air appropriate inspections. (711e information provided on this form is required; however, use of this form to provide the information is optional.) After completion of final inspection, a copy must be provided to the building deparhnent (upon request) and the building owner at occupancy, per Seaton 10-103(b). "VAC SYS'T'EMS: l fmdng Equipment Equip. Hof Efficiency Dau Due or Heating licadug Type (pkg. CEC Certified Mfr Name Meadcat (AFM ex.)' t.ocatim Piping load Capacity hmi i mald MuddNmnbfx 5X= C&F.I R yal1L fattic_ etc.! R- hue (BUM0 Cooling Equipment Equip. CEC Certtfied Cemlaemor H Of IncWncy Duct Coating Coaling Type (rks. Unit MfrNn u end Identical (SEER, t.4c.)e Location Duct Load Capacity MudelNWft" systems r2M-tRNWuel fMlic.etc.1 R -v = tBtOMI IBhJhrl 1 _ > reads Brewer than or equal tv. -- --- _ ---' -- - - -- L the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF 1 R) submitted for compliance with the Erre►gy Elriciericy Standmlds for residential buildings. and 3) equipment drat meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Ef frciency Regularions or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTRMS: DislritaRim if Barer- Hof Rate& Tank EM- External Heater CRC catified M& Type (Std, -dation, ldeadcal Lqm (kW Volume cimcyl Swnck%,' insulation Type Name t Model NWdW Poiat-of-Use) CauhOi Type S96texru (FF. RF) L— CY6) R -value? 2 For stall P.m &!*rare (=ted iapat of less putt or equal to 75,00013tdhr)l electro negstaRce and heat pimp water he ztm, list F=U Facmr. For lam pas shwalie water teslas (trued impel of greater dean 75,000 Bratty?, fist Reonvety FEtciency, Sta+tdby L,[m end Rated bwaL For imtsntaneaus gds water beaters, Cut Recumy F$ieiency and Rated ttgwL I R-! 2 extemal insolation is tumubtary for storage water hwe s with an energy tbexor of leas than 058. Faucets & Shower Heads: All f rucets and showenccads installed are certified to the Commission. pursuant to Title 24, Part 6, Section 111. I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (perm CF -111) submitted for compliance with the Feer* EJjkaiency Sunday& for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Applkmce E,,�iciency Regulations or Part 6), where applicable_ Signature, Date COPY TO: Building Department ETERS Provider (if applicable) Building Owner at Occupancy Compiiance Forms Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner August 2001 A-23 INSTALLATION CERTIFICATE (Page 2 of 13) CF -6R Site Address Permit Number FENEMAT101V/GLAZING: Total Product Product afLike Exterior Shading U -Facto? (S S110c, (s 11 of Prodod Square Device or Cummer M ovation' MantA mred hod Acme CF IR "Joel' CF -i R value? Pmtea (OnrkrraA Fed Ovefiae¢ §29011 Femuaea (OROiiP.LIKE PRWXjX" B) 2. 1. 3, — 4.6. — -- -- — 5. — 7 10. — 1 12. _— 12. 14. 15. ' Mamrfactured fenestration products use the values from die product label. Field fabricated fenestration products use the default values Groat Section 116 of the Energy Efficiency Standards. r Installed U -Factor must be less than or equal to values from CF -1 R. Installed SHGC mast be less, than or equal to values from CF -1R, or a shading device (exterior or overhang) is installed as specified on dee CF -1R. Alternatively, installed weighted average U Factors for the total fenestration area are less than or equal to values from CF- I R. 1, the undersigned. verify that the fenestradon/glazirig listed above my signature: 1) is the actual fenestration product installed; 2) is equivalent to or has a lower U -Factor and lower SHGC than that specified in the certificate of compHance (Form CF -1R) submiftd for compliance with the Energy Efflejancy Sra»dmdc for residential building ; and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 4 where applicable. item #s Signature, Date Installing Subcoribactor (Co. Name) OR (if applicable) General Contractor (Co_ Name) OR Owner OR Window Distributor Item #s Signature, Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature, Date (if applicable) COPY TO: Building Department HERS Provider (if applicable) Building owner at occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Compliance Forms August 2001 A-24 INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS ❑ DUCT LEAKAGE REDUCTION Pressurization Test Resuhs (CFM ® 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 efin/ton x munber of tons, or as 21.7 x Heating Capacity in Ttrousands of Btu/hr, enter calculated value here if fan flow is measured, eater measured value here Leakage Fraction — Test Leakagel(Measured or Calculated Fan Flow) m Pass if leakage fraction 5 0.06 C1 Q Pass Fail ❑ Vor AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Dud Fan Pressurization at rough -in measured leakage (CFI) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual inspection of Duct Connections ❑ ❑ Pass Fail ❑ THERM03TATIC EXPANSION VALVE (m) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ❑ Yes is a pass Pass Fail ❑ DUCT DESIGN 1 ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches phns. 2• ❑ Yes ❑ No TXV is installed or Fan flow has been veritie& If no TXV, verified fan flow matches design from CF -IR. Measured Fan Flow Yes for both 1 and 2 is a Pass ❑ ❑ Pass Fail ❑ I, the undersigned: verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and instalWoo meet the requirements for compliance ardit) Tests Signature, Date installing Suboontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-25 INSTALLATION CERTIFICATE (Page 4 of 13) CF -6R Site Address permit Number REFRIGERANT CHARGE Alm AIRFLOW WASUREMENT Verification ion for Required Rehigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Scrial # Outdoor Unit Make Outdoor Unit Model Cooling Capacity Date of Verification Date of Refrigerant Gauge Calibration Date of Thermocouple Calibration (must be checked monthly) (must be checked monthly) Standard Charge and Airflow Measumment Lo—utdW airy ulb 55 °F and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure_ Measures! Temperatures Supply (evaporator leaving) air dry-bztlb temperature (Tsupply, db) _ OF Return (evaporator entering) air dry-bulb temperature Mvtum, db) IV Return (evaporator catering) air wet -bulb temperature (Treturn, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) OF Condenser (entering) air dry-bulb temperature (Toondcuser, db) "F Superheat Cbarge Method Calculations for Refigerant Charge Actual Superheat - Tsuction, db — Tevapotator, sat OF Target Superheat (fig Table 1) OF Actual Superheat — Target Superheat OF (System passes if between -5 and +5°F) Temperature Split Method Calculations for Adequate Airflow Actual Temperature Split — T return, db - Tsupply, db OF Target Temperature Split (fi om Table 2) OF Actual Temperature Split - Target Temperature Split OF (System passes if between -3°F and +rF or, upon rcmcasurement, if between +3°F and -25*n Standard Charge and Airflow Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria firom the some measurements. if corrective actions were taken, both criteria must be remeasured and recalculated System Passes yes or ! no Compliance Forms August 2001 A-26 INSTALLATION CERTIFICATE (Page 5 of 13) CF -6R Site Address Permit Number Alternate Charge and Airflow Measurement (outdoor air dry-bulb below 55 °F): Neigh -In Charging Method for Refrigerant Charge Actual liquid line length: R Manufacturers Standard liquid line length: R { Difference (Actual — Standard): fir Manufacturers correction (ounces per foot) x difference in length =-----ounces (+ — add) (- = remove) Mcasurcd Airflow Method for Adequate Airflow Airflow criterion: Cooling Capacity X 0.032 = CFM Measured Airflow is CFM and passes since it is greater than the criterion. Alternate Charge and Airflow Mcasurement Summary: System charge shall be corrected and it shall also pass measured adequate airflow criterion. System Passes yes or no Compliance Forms August 2001 A-27 INSTALLATION CERTIFICATE (Page 6 of 13) CF=+ Site Address Permit )Number Table K -t: Target Superheat (Suction Line Temperature - Evaporator Saturation Temperature) Compliance Forms August 2001 A-28 Return Alr Wet Wb Tempemtore (°F) cr 11) 30 51 1 52 1 53 54 SS 1 56 1 57 58 1 59 1 60 61 62 1 63 64 1 65 1 66 67 68 1 69 1 70 71 1 72 1 73 74 75 1 76 55 8.8 10.1 1 11.51 12.8 14.2. 15.61 17.11 18.5 20.0 121.5 123.1 24.6 26.2 27.8 29.4 31.0 32.4 33.8 35.1 36.4 • 37.7 39.0 40.2 41.3 42.7 43.9145.0 56 8.6 9.9 11.2 12.6 14.01 15.4 16.8 18» 19.7 21 » 22.7 14.2 25.7 27.3 28.9 30.5 31.8 33.2 34.6 359 37.2 38.5 39.7 41.0 42.2 43.4 44.6 57 8.3 9.6 11.0 123 13.7 15.1 16.5 17.9 WA 20.8 22.3 23.8 25.3 26.8 28.3 29.9 31.3 32.6 34,0 .353 36.7 38.0 39.2 40.5 41.7 43.0 44.2 38 79 9.3 10.6 12,0 13.4 14.8 16.2 115.4 17.6 19.0 20.4 21.9 233 24.8 26.3 27.8 29.3 30.7 31.1 33.5 34.8 36.1 37.5 38.7 40.0 41.3 42.5 43.7 59 7.5 &9 10.2 11,6 13.0 14.4 15.8 17.2 18.6 20.0 21A 22.9 24.3 25.7 27.2 28.7 30.1 31.5 32.9 343 35.6 36.9 36.3 39.5 40.8 42.1 43.3 60 7.0 8A 9.8 11.2 12.6 14.0 16.8 18.2 t9.6 21.0 22A 23.6 25.2 26.6 2&1 29.6 3IA 32.4 33.7 35.1 36.4 37.8 39.1 40.4 41.6 42.9 61 6.5 7.9 9.3 10.7 12.1 13.5 14.9 16.3 17.7 19.1 20,5 21,9 233 24.7 26.1 27.5 29.0 30.4 31.6 33.2 34.6 35.9 37.3 38.6 39.9 41.2 42.4 62 6.0 7.4 8.8 10.2 11.7 13.) 14.5 15.9 113 18.7 20.1 21 A 22.8 24.2 25.5 27.0 28.4 29.9 31.3 32.7 34.1 35.4 36.8 38,1 39.4 40.7 42.0 .63 53 6.8 8.3 9.7 11.1 12.6 14.0 15.4 16.8 18.2 19.6 20.9 223 23.6 24.0 26.4 27.8 29.3 30.7 32.2 33.6 34.9 36.3 37.7 39.0 40.3 41.6 64 '6.1 7.6 9.1 10.6 12.0 13.5 14,9 16,3 17.7 19.0 20.4 21.7 23.1 24.4 25.8 273 28.7 30.2 31.6 33.0 34.4 35.8 37.2 38.5 39.9 41.2 65 5.4 7.0 8.5 10.0 11.5 12.9 14.3 I5.8 17.1 18.5 19.4 21,2 22.5 23.8 25.2 26.7 28.2 29.7 31.1 32.5 33.9 35.3 36.7 38.1 39.4 40.8 66 - 6.3 7.8 9.3 10.8 12.3 13.8 15.2 16.6 1&0 19.3 20.7 22.0 23.2 24.6 26.1 27.6 29.1 30.6 32.0 33.4 34.9 36.3 37.6 39,0 40.4 67 - 5.5 7.1 8.7 10.2 11.7 I3.2 14,6 16.0 17,4 16.8 20,1 21,4 22,7 24.1 23.6 27,1 26.6 '30.1 31.5 33.0 34.4 35.8 37.2 38.6 39.9 68 - - 6.3 8.0 9.5 11.1 12.6 14.0 1.55 16.8 18.2 19,5 20.8 22.1 23.5 125.0 26.5 28.0. 29.5 31.0 32.5 33.9 35.3 36,8 38.1 39.5 69 5.5 7.2 8.8 10.4 11.9 13.4 14.8 16.3 17.6 19.0 20.3 21.5 22.9 24.4 26.0 27.5 29.0 305 32.0 33.4 34.9 36.3 37.7 39.1 .. 70 6.4 8.1 9.7 11.2 12.7 14.2 15.7 17.0 18.4 19.7 20.9 22.3 23.9 25.4 27.0 28.5 30.0 31.5 33.0 34.4 35.9 37.3 38.7 E' ® 71 - . 5.6 7.3 8.9 103 12.1 13.6 15.0 16.4 17.B 19.1 20.3 21.7 23.3 24.9 26.4 28.0 29.5 31.0 32.5 34.0 35A 36.9 38.3 72 6,4 8.1 9.8 11.4 12.9 14.4 15.8 17.2 18.3 19.7 21.2 22.8 24.3 25.9 27.4 -29.0 30.5 32.0 33.5 35.0 36,5 37.9 73 - - - 5.6 7.3 9.0 10,7 12» 13.7 15.2 16.6 17,9 19.2 20,6 22.2 23.8 25.4 26.9 285 30.0 31.5 33.1 34.6 36.0 37.5 A 74 - - - 6,5 8.2 9.9 11.5 13.1 14.5 15,9 17.3 M6 20.0 21.6 23.2 24.8 26.4 28.0 29.5 31.1 32.6 34,1 35.6 37.1 y 75 5.6 7.4 9.2 10.8 12.4 13.9 15.3 16.7 1&0, 19.4 21.1 22.7 24.3 25.9 275 29.1 30.6 32.2 33.7 35.2 36.7 d 76 • - 6.6 8.4 10.1 11.7 13.2 14,7 16.1 17.418.9 20.5 22.1 23.8 25.4 27.0 28.6 30.1 31.7 33.3 34.8 36.3 77 - - - 5.7 7.5 93 11.0 12.$ 14.0 15.4 16.8 183 20.0 21.6 23.2 24.9 265 28.1 29.7 31.3 32.8 34,4 36.0 78 - - - - - 6.7 85 10.2 11.8 13.4 14.8 16.2 17.7 19.4 1 21.1 22.7 24.4 26.0 27.6 29.2 30.8 32A 34.0 35.6 79 - - - 5.9 7.7 9.5 11.1 12.7 14.2 15.6 17.1 18.8 20.5 22.2 23.8 25.5 27.1 28.8 30.4 32.0 33.6 35.2 80 69 6.7 10.4 12.0 13 11 15.0 16.6 18.3 20.0 21.7 233 25.0 26.7 28.3 29.9 31.6 33.2 34.8 81 - - - - - 6.0 7.9 9.7 11.3 12.9 14.3 16.0 17.7 19.4 21.1 22.8 245 26.2 27.9 29.5 31.2 32.8 34.4 82 - - - - - 5.2 7.1 ' 8.9 10,6 12.2 13.7 15.4 17.2 18.9 20.6 22.3 24.0 25.7 27.4 29.1 30.7 32.4 34.0 83 - - 6.3 8.2 9.9 1 t.6, 13.1 14.9 16.6 18.4 20,1 21:8 2315 29.2 26.9 28.6 30.3 32.0 33,7 84 - - - - - 5.5 7.4 9.2 10.9 12.5 14.3 16.1 17.8 19.6 213 23.0 24.8 26.5 28.2 29.9 31.6 33.3 85 6.6 8.5 103 11.9 13.7 15.5 173 19,0 20.8 22.6 24.3 26.0 1 27,8 295 31.2 32.9 86 - - - - - . 5.8 7.8 9.6 11.3 13.2 15.0 16.7 16.5 20.3 22.1 23.8 25.627.3 29.1 30,8 32.6 67 - - - . 3.0 7.0 8.9 10.6 12.6 14.4 16.2 18,0 19.8 21.6 23.4 25.1 26.9 28.7 30,4 32.2 98 _ _ 6.3 6.2 10.0 12.0 13.9 15.7 17.5 19.3 213 22.9 Z4.7 26.5 28.3 30.1 31.8 69 - - - - - - 5.3 7.5 9.4 11.5 13.3 15.1 1741 18.8 20.6 22A 243 26.1 27.9 29.7 31.5 90 6.8 8.8 10.9 12.8 14.6 16.5 1 183 20.1 22.0 23.8 25.6 27.5 293 31,1 Compliance Forms August 2001 A-28 INSTALLATION! CERTIFICATE (Page 7 of 13) Site Address Permit Number Table K-1: Target Superheat (Suction Line Temperature - Evaporator Saturation Temperature) (continued) Compliance Forms August 2001 A-29 Return Air Wet -Bulb Temperature (°F) 50 51 52 53 54 55 1 56 57 SS 1 59 60 1 61 62 1 63 64 65 66 67 68 1, 69 1 70 71 1 72 1 73 74 75 76 91 - - _ _ 6.1 8.1 10.3 12.2 14.1 15.9 17.8. 19.7 21.5 23A 25.2 27.1 28.9 , 30,8 42 - - - 3.4 7.5 9.8 11.7 13.5 15.4' 17,3 1 19.2 21.1 22.9 24.8 26.7 28.5 30.4 93 - - - - - 6.8 9.2 11.1 13.0 14,9 16.8 18,7 20.6 22.5 24.4 263 281 30.1 94 - - - - - - - 6.2 8.7 10.6 12.5 14.4 16.3 18,2 20.2 22.1 24.0 25.9 27.8 29.7 95 5.6 8.1 10.0 12.0 13.9 15.8 17.8 19.7 21.6 23.6 25.5 27.4 29.4 % - - - - - - - - - - - - - - 73 7,0 9.5 8.9 11.4 109 13.4 12.9 153 14.9 17.3 16.8 19.2 18.8 21.2 20.8 23.2 22.7 25.1 24.7 27.1 267 29.0 28.1 97 98 - - - - - - - - - 6.4 8.4 10.4 12.4 14.41 16.4 18.3 20.3 22,3 24.3 26.3 28.3 - - - - - - - - 5.8 7.9 9.9 11.9 13.91 159 179 19.9 21.9 24.0 20 28.0 99 5.3 7.3 9.3 11.4 13.41 15.4 17.5 19.5 21,5 23,6 25.6 27.7 100 F a JOl - - - - - - - - - - - - - - - - - - 6.8 6.2 5.7 8.8 8.3 7.8 10.9 10,4 9.9 12.9 12.4 11.9 15.0 14.5 14.0 17.0 16,6 16.1 19.1 18.6 182 21,1 20.7 203 23.2 22.8 22.4 253 24.9 24.5 27,3 27.0 26.7 102 103 toil - - 5.2 72 93 11.5 13.6 15,7 17,8 19.9 22.1 24.2 26.3 A 105 6.7 8.8 11.0 13.1 15.2 17.4 19.5 21.7 23.8 26.0 -TO-6 - - - - - - - - 6.2 8.3 10.5 12.6 14.8 17.0 19,1 21.3 233 25.7 J07 - - - - - - - - - - 5.7 7.9 10.0 12.2 14.4 16.6 18.7 21.0 23.2 25.4 108 - . 5.2 7.4 9.5 11,7 13.9 16.1 16.4 20.6 22.8 25.1 109 - - - - - - - 6.9 9.1 113 13.5 15.7 18.0 10.2 22.5 24.7 V 6.4 8.6 10.8 13.1 15.3 17.6 19.9 22.1 24.4 110 II] - • - - - - - • - 5.9 8.1 10.4 12.6 14.9 172 19.5 21.8 24.1 - - - - - - - - S.4 7.6 9.9 12.2 14.5 16.8 19.1 21.5 23.8 112 113 - - - - - - - - 72 9.5 I1.8 14.1 16.4 18.8 21.1 Z3.5 114 - - - - - - 6 7 9.0 1 IA 13,7 16,1 18.4 20.8 23.2 6,2 8.6 10.9 13.3 15.7 18.1 20.5 22.9 IIS Compliance Forms August 2001 A-29 INSTALLATION CERTIFICATE (Page 8 of 13) CF -6R Site Address Permit Number Table K -Z: Target Temperature Split (Return Dry -Bulb - Supply Dry -Bulb) Return Air Wet -Bulb ('F) (T rmrs, „b) 50 51 152 53 S4 55 56 1 57 58 59 60 1 61 1 62 63 164 1 6S. 66 67 1 68 69 170 1 71 72 73 1 74 1 75 76 70 20.9 20.7 20.6 20.4 20.1 19.9 19.5 19.1 18,7 18.2 11.711721 16.5 15.9 15.2 14.4 13.7 12.8 11.9 11.0 10.0 9.0 7.9 6.8 5.7 4.5 T2- 4 71 72 73 74 75 21.4 21.9 223 23.0 23.6 21.3 21.8 22.4 22.9 23.5 21.1 21.7 22.2 22.8 23.3 20.9 21.5 22.0 22.6 23.1 20.7 21.2 2I.8 22.3 22.9 20.4 20.9 21.5 22.0 22.6 20.1. 20.6 21.2 21.7 22.2 19.7 20.2 20.8 21.3 21.9 193 19.8 20.3 20.9 21.4 18.8 19.3 199 20.4 21.0 18.3 18.8 19.4 19.9 20.4 17.7 18.2 18.8 19.3 19.9 17.1 17.6 18.2 18,7 19.3 16.4 17.0 17.5 18.1 18.6 15.7 16.3 16.8 17.4 17.9 15.0 15.514.7 16.1 16.6 17.2 14.2 153 15.8 16.4 13.4 13.9 14.4 15.0 15.5 12.5 13.0 13.6 14.1 14.7 H-5:10.46 12.1 12.6 13.2 13.7 11.1 11.7 12.2 12.7 9.5 10.1 10.6 11.2 11.7 8.5 9.0 9.6 10.1 10.7 7.4 7.9 8.S 9.0 .9.5 6.2 6.8 7.3 7.8 8.4 5.0 5.6 6.1 6.6 7.2 3.8 4.3 4.9' 5.4 5.9 Q 76 24.1 - - - 24.0 14.6 23.9 Z4.4 - - 23.7 24.2 24.1 - - 23.4 24.0 24.5 - - 23.1 23.7 24.2 24.8 - 22.8 23.3 23.9 24A 25.0 22.4 22.9 23.5 24.0 24.6 22.0 22.5 23.1 23.6 24.2 21.5:21.0 22.0 22.6 23.1 23.7 21.5 22.1 22.6 23.2 20.4 21.0 21.5 22.1 22.6 19.8 20.4 20.9 21.4 22.0 19.2 19.7 20.2 20.8 21.3 18.5 19.0 19.5 20.1 20.6 17.7 18.3 18.8 19.3 19.9 16.9 17,5 18.0 18.5 19.1 16.1 16.6 17.2 17.7 I8.3 15.2 15.7 16.3115.4 16.8 17.4 114.3 + 14.8. 15.9 16.4 13.3 13.8 14.4 14.9 {S S 123 12.8 13.4 13.9 t4.4 11.2 11.7 12.3 12.8 13.4 10.1 10.6 ' 11.2 11.7 12.3 8.9 9.5 10.0 10.6 11.1 7.7 83 8.8 9.4 9.9 6.5 7.0 7.6 8.1 8.7 77 78 79 80 % 04 81 - - - - - - - - - - - - - - - - 25.1 - - - 24.7 25.2 - - 24.2 24.8 25.3 25.9 23.7 24.2. 24.8 25.3 23.1 23.7 24.2 24.8 22.5 23.1 23.6 24.2 21.9 22.4 23.0 23.5 21.2 21.7 22.3 22.8 20,4 21.0 21.5 22.1 19.6 20.2 20.7 21.3 18.8 19.3 19.9 20.4 17.9 18.5 19.0 19.5 17.0 17.5 18.1 18.6 16.0 16.6 17.1 17.6 15.0 15.5 16.1 16.6 13.9 14.5 15.0 15.6 12.8 13.4 .13.9 14.4 11.7 12.2 12.7 13.3 10.4 11.0 f 11.5110.3 12.11' 9.2 9.7 10.8 82 83 84 Complianoe Forms August 2001 A-30 INSTALLATION CERTIFICATE (Page 9 of 13) CF -6R Site Address Permit Number DUCT LOCATION AND AREA REDUCTION DIAGNOSTICS ❑ DUCT IN CONDITIONED SPACE ❑ Yes ❑ No Duct in conditioned space criteria matches CF -1 R ❑ ❑ Yes is a Pass Pass Fail ❑ REDUCED DUCT SURFACE AREA Measured duct exterior surface area in the following unconditioned duct locations (square feet): Attics Crawlspaces Basements Other (e.g., garages, etc.) ❑ Yes ❑ No Duct surface area matches CF -1 R? ❑ ❑ Yes is a Pass Pass Fall ❑ I, the undersigned, verify that the duct surface area and duct locations claimed for duct surface area reductions and duct location improvements beyond those covered by default assumptions match those on the plans. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and 'installation meet the requirements for compliance credit.] Tests Signature, Date Performed COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) Compliance Forms . August 2001 A-31 INS'T'ALLATION CERTIFICATE (Page 10 of 13) CF -6R Site Address Permit Number BUILDING ENVELOPE LEAKAGE DIAGNOSTICS ❑ ENVELOPF SEALING INFILTRATION REDUCTION Diagnostic Testing .Results Building Envelope Leakage (CFM @ 50 Pa) as measured by Rater 1. [a Is measured envelope leakage less than or equal. to the required level from Yes No CF -IR? 2. ❑ [] )s Mechanical Ventilation shown as required on the CF -LR? Yes No 2a. 0 0 If Mechanical Ventilation is required on the CF- I R (Yes in line 2), has it Yes No been installed? 21). ❑ ❑ Check this box yes if mechanical ventilation is required (Yea in line 2) Yes No and ventilation fan watts are no greater than shown on CF -IR. Measured Watts = 3. ' j] ❑ Check this box yes if measured building inf ltralion (CFM a 50 Pa) is Yes No greater than the CFM @ 50 values shown. for an SLA of 1.5 on CF -1R (If this box is checked no, mechanical ventilation is required.) 4. ❑ ❑ Check this box yes if measured building infiltration (CFM 2.50 Pa) is less Yes No than. the CFIvi @ 50 values shown for an SLA of 1.5 on Cf -1 R. mechanical ventilation is installed and house pressure is greater than minus 5 Pascal with all exhaust fans operating. Pass if. d. Yes in line I and line 3, or c. Yes in line I and linc2, 2a, and 2b, or f. Yes in line I and Yes in line 4. Otherwise fail. ❑ ❑ Pass Fail ❑ 1, the undcrsianed, verify that the building envelope leakage meets the requirements claimed for building leakage reduction below default assumptions as used for compliance on the CF -1 R. This is to certify that the above diagnostic test result, and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. ['llic builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors ccrtifi•ing that diagnostic testing and installation meet the requirements for compliance credit.) Tc,t Perfonned Signature Date Testing Subcontractor (Co. Name) OR General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forrns - August 2001 --A-32 INSTALLATION CERTIFICATE (Page Ill of .13) CF -6R Site Address Permit Number The following is an explanation of many of the input values required on this form: IIVAC SYSTEMS lieatine Fauioment Tvne must be one of the following: Furnace: Gas (including Liquefied Petroleum Gases) or oil -tired central furnace & space heater Boiler: Gas or oil -fired boiler PckgHeatPump: Packaged central heat pump SplitHeatPump: Split central heat pump RoomHeathump: Room heat pump l.gPkgHeatPump: Large packaged heat pump (>_ 65,000 Btu/hr output) Electric: Electric resistance heating (fixed HSPF = 3.413); radiant electric resistance (fixed .HSPF = 3.55) CombinedIlydm: Reference water heater under water heating systems below CEC Certified Manufacturer Name & Model Number from applicable Commission approved appliance directory. # of Identical Systems is for those systema with the same efficiency, duct location, duct R-vahic and capacity. Efficiency from applicable Commission certified appliance directory. Duct (or Piping) Location is attic, crawl space. CVC crawl space, conditioned space, unconditioned space ort►onc. Duct (or Piping,) WValue from Directory of Certified Insulation Materials and/or manufacturer's data. Heating/Cooling Load refer to Commission approved load calculation procedure. Heating/Cooling Capacity from the applicable Commission certified appliance directory. Note: location elevations over 2.000 ft above sea level require a derating of output capacity (refer to manufacturer's literature). Cooling Fauiomcnt Tvne must be one of the followine: SplitAirCond: Split system air conditioner PckgAirCond: Packaged air conditioner Split Heat Pump: Split system heat pump PckgNeatPamp: Packaged heat pump RoomHeatPump: Room heat pump LgPkgHentPump: Large packaged heat pump (>_ 65.000 Btu/hr output). Substitute EER for SEER when SEER isnot available RoomAirCond: Room air conditioner. Minimum SEER vancs* LgP.kgAirCond: Large packaged air conditioner (= 65,000 Btu/hr output). Substitute EER for SEER when SEER is not available EvapDirect: Direct evaporative cooling system- For compliance calculation purposes, fixed values: SEER = 11.0; duct location = attic; duct insulation R -value = 4.2 Evapindirect: Indirect evaporative cooling system. For compliance calculation purposes- fixed values: SEER = 13.0; duct location — attic; duct insulation R -value = 4.2 .meTer ro tnergy 1:ommission puoncalion Appliance Efficiency Regulations, P400-92-029 Compliance Forms August 2001 A-33 INSTALLATION CERTIFICATE (Page 12 of 13) CF -6R Site Address Permit Number 'The following is an explanation of many of the input values required on this form: -A'ATER HEATING SYSTEMS Distribution Systems Refer to Residential Manual for more details: Standard: Standard — Supply pressure based system, no pumps Pipe Insulation: Pipe Insulation on all 3/4 -inch pipes POU41WR: Point of Use/Hot Water Recovery System Recirc/NoControl: Recirculation loop with no controls Rceirr.ITimer: Recirculation loop with a timer Recirc/Temp: Recitculation loop with temperature control Pccirc/Time+Temp: Recirculation loop with a timer and temperature control Recirc/Demand: Recirculation loop with demand control V1�atcr Heater Tv�e Windows, sliding glass doors, French door;. skylights, garden windows, and Infomtation Needed any door with more than one square foot of glass Operator Type: Energy Factor Recovery Efficiency Standby_Loss Rated Input Storae Gas. Oil or Electric Yes No No No Hent Pump Yes No No No - Instantancous Gas No Yes No No Instantaneous Electric Yes No No No large Storuge Gas No Yes Yes Yes Jndircct Gas (Boiler) No Yes (AFUE) No Yes FEN E STRATTQN/GLAZING Fenestration: Windows, sliding glass doors, French door;. skylights, garden windows, and any door with more than one square foot of glass Operator Type: Slider, hinged, fixed IJ -Factor: Installed U -Factor must he less than or equal to value from CF -IR OR Installed -,veightcd average G -Factor for the total fenestration area is less than orequal to value from CF -1R SHGC: Installed SHGC must be less than or equal to value from CF -1 R OR Installed weighted SHGC for the total fenestration area is less than or equal to value front CF -IR OR An interior shading device. overhang, or exterior shading device is installed consistent with the CF -IR Shading Device: Tnciude when the building compiied using an aclerior shading device: w-o%,en sunscreen, louvered sunscreen, low sun angle sunscreen, roll -down awning. roll -down blinds or slats (do not list bug screen), or an overhang (include depth in feet Compliance Forms August 2001 A-34 INSTALLATION CERTIFICATE I (Page 13 of 1.3) CF -6R Site Address Permit Number The foll(ming is an explanation of many of the input values required on the Diagnostic portion of this form (page ? of (): TYPE OF CREDU Refer to Rexideirrial Manual Chapters 4 and 5 for more details: Reduced Duct Surface .Arca: Calculated as the outside area of the duct. Areas must be measured and verifted by a HERS rater. Improved Duet Location: Supply duct located in other than attic, as verified by location of registers (does not require HFRS rater verification). Catastrophic Leakage: Pressure pan test readings must be less than 1.5 Pascal at a hrntse pressure of 25 Pascal. TXV: Access cover requited to facilitate verification. Infiltration .Reduction: Infiltration is measured without mechanical ventilation` operating. Mechanical ventilation is requited for very tight house construction when credits for infiltration 'reduction using diagnostic testing are being used for achieving compliance. These very tight houses are defined as those with SLA of less than 1.5. The compliance documentation (CF -IR) will contain the measured CFM target value from a blower door test at 50 Pascal presstirc difference that represents this SLA of 1.5. Mechanical ventilation is also required if the builder chooses to design the building to use mechanical ventilation and claims a credit for infiltration below an SLA of 3.0. The compliance documentation (CF -1R) will contain the measurers CFM target value that represents this 3.0 SLA. if the builder claims credit in a design for infiltration reduction that is at an SLA of. 3.0 or higher, and the astral measured SLA is 1.5 or gmater,.thcn mechanical ventilation is not required. If the SLA in this case were below 1.5, then mitigation (such as mechanical ventilation) would be required. Compliance C=orms August 2001 A-35 r P.O. Box 55329 Riverside, CA 92517 (909)624-1665 ASBESTOS SURVEY REPORT Completed On November 4, 2002 PLM1030#0701 Client: Dean Veith 53380 Avenida Herrera La Quinta, CA Project: 53380 Avenida Herrera La Quinta, CA (Remodel: Kitchen & Exterior stucco) 31855 Date Palm Drive, Ste. #3-507 Cathedral City, CA 92234 (800)824-3353 On October 30, 2002 an asbestos inspection and bulk sampling was conducted at the above project address. Bulk samples were taken of all suspect asbestos containing building materials (ACBM) at the request of the client named above. A total of (7) bulk samples .were submitted to Carolina Environmental, Inc. in Cary, NC (NVLAP Code 101768-0 and Cal. Environ. Lab. Cert. #2483) to estimate the percentage of asbestos by volume and determine the type(s) present. Carolina Environmental, Inc. determines percentages and type of asbestos by using EPA approved method 600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Samples. Asbestos is quantified by using the visual arena estimation technique and can only determine the approximate percentage of asbestos present. After a thorough search is conducted and no asbestos is detected "none detected" will be noted in the report. The essence of polarized light microscopy is not to emphatically determine that no asbestos is present, merely that none was detected or, if it was, it was likely to be less than 1.0% of the sample. When findings reveal less than or close to 1.0% asbestos contained in a sample, further analysis may be called for on additional samples to confirm or denounce the initial findings. The California Code of Regulations (CCR 1529) requires bulk sampling be conducted according to the A.H.E.R.A. protocol provisions of 40 CFR Part 763.86. The A.H.E.R.A. protocol recommends three (3) or more friable surfacing samples from a homogeneous area be collected and analyzed before any building material is determined to be non -asbestos containing. ASBESTOS INSPECTION BY: Scoff Morrison, DOSH #92-0248 BULK SAMPLES ANALYZED BY: Carolina Environmental, Inc., NVLAP #101768-0 The results on the following page(s) indicate that asbestos (greater than 1.0%) was detected in 00 of the 07 samples analyzed. (1) WYa I SCOTT MORRISON & ASSOCIATES P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507 Riverside, CA 92517 Cathedral City, CA 92234 (909)624-1665 (800)824-3353 PLM1030#0701 Sample #DV -01 Type of material: rolled vinyl floor- white Location: floor of kitchen Area: approx. 110 sq. ft. Friable:no Results: none detected Sample #DV -02 Type of material: acoustical ceiling- white Location: interior ceiling of northwest entrance Area: approx. 350 total sq. ft. Friable:yes Results: none detected Sample #DV -03 Type of material: acoustical ceiling- white Location: interior northwest livingroom Area: approx. 350 total sq. ft. Friable:yes Results: none detected Sample #DV -04 Type of material: exterior stucco- tan (1 rst layer) Location: northwest corner of exterior west wall Area: throughout exterior walls of home & garage Friable:no Results: less than 1% Chrysotile asbestos Sarrlole #DV -05 Type of material: plaster- grey (2nd layer) Location: behind sample #DV -04 Area: throughout exterior walls of home & garage Friable:no Results: less than 1% Chrysotile asbestos Sample #DV -06 Type of material: drywall Location: interior east wall- by dog door Area: throughout interior of east supporting wall Friable:no Results: none detected Sample #DV -07 Type of material: exterior stucco- tan Location: exterior north wall of garage Area: throughout exterior walls of home & garage Friable:no Results: none detected Note: Samples were taken from the area to be remodeled only. (2) P.O. Box 55329 . Riverside, CA 92517 (909)624-1665. 31855 Date Palm Drive, Ste. 93-507 Cathedral City, CA 92234 (800)824-3353 Note: All asbestos containing building material(s) containing greater than 1.0% asbestos by volume or weight, must be removed by a state certified asbestos abatement contractor prior to any demolition or renovation of the property. . Inspector Scott C. Morrison Certified Asbestos Consultant DOSH#92-0248 (3) ° flov-04-02 02:52pm From -CAROLINA ENVIRONMENTAL CA90LINA -ENVIRONh7ENTAL, INC. 107.' NeW' EdI1Idn Court, Cary, NC 27511 Phgra: (919 11,1413 Fax (919) 481-1442 •,. 1;�•,:!;..I�jj�rl:(.:4j �S!{'4.r{�jl :'a �:7 �uB,. v S to M I D_ A f t +4811442 T-854 P.02/05 F-536 LABORATORY REPORT ASBESTOS BULK ANALYSIS Client: CO Orr son SSOC a eS CEI Lab Code: A02-7227 1130 Fuerte Circle Palm Springs CA 92262 Received: 11-04-02 Analyzed: 11-04-02 Reported: 11-04-02 Project: David Veith PLM1030 #0701 Analyst: Gregory J. Hanes CLIENT It7 C:E.I LAB ID . 4410 " E DESCIiIPTIbN. ASBESTOS.. DV -01 A90579 9HEETFLOORING NO Heterogeneous, White, Grey, Fibrous, BDund BIND 60% CELL 30% TBOL 10% DV -02 A90580 TEXIURE NO Heterogeneous, White, Fibrous, Bound BIND 75% CELL 10% FOAM 15% DV -03 A90581 TEXTURE N D Heterogeneous, White, Fibrous, Bound BIND 75% CELL 10% FOAM 15% DV -04 �A90582 STUCCO CHRY <l % Heterogeneous, White, Fibrous, Bound CHRY <1 % BIND 98% CELL 2 °o DV -05 A90583 TER CHRY < I % Heterogeneous, Grey, Non-fibrous,Bound 'Sample in bag does not match CHRY <1 % BIND 98% CELL 2 '/o COC description DV -06 A90584 DRYWALL N D Heterogeneous, White, Fibrous, Bound Sample in bag does not match BIND 93% CELL 2% COC description FBGL 5% Page 1 Nrov-04-02 02:53pm From -CAROLINA ENVIRONMENTAL +4811442 T-854 P.03/05 F-536 f CAROLINA ENVIRONMENTAL, INC. Project: David Veith PLM1030 #0701 107 New Edition Court, Cary, INC 27511 Pham 918481.1413 Fax' 919.481.1442 Lab Code: A02-7227 I CLIENT AD SAMPLE DESCRIPTION ASBESTOSLAB ID. DV -07 A90585 BTuccO CHRY < 1 % Heterogeneous, White, Fibrous.8ound Sample in bag does not match CHRY <1 Bio BIND 98% CELL 2% COC description 0 Page 2 SVov-04-02 02:55pm From -CAROLINA ENVIRONMENTAL +4811442 7-854 P.04/05 F-536 The following definitions apply to the abbreviations used In the ASBESTOS BULK ANALYSIS REPORT: CHRY = Chrysotile AMOS = Amosite CROC = Crocidolite TREM = Tremolite ANTI = Anthophyllite ACTN = Actinolite CELL = Cellulose FBGL = Fibrous Glass ORGN = Organics SYNT = Synthetics WOLL = Wollastonite CERWL = Ceramic Wool DEER = Debris BIND = Binder SILI = Silicates GRAV = Gravel MAST = Mastic PLAS = Plaster N D = None Detected NTREM = Non-Asbestiform PERL = Perlite NANTH = Non-Asbestiform Tremolite RUBR =Rubber Anthophyllite CLIENT: Scott Morrison & Associates PROJECT: David Veith PLM1030 #0701 CEI LAS CODE: A02-7227 Stereoscopic microscopy and polarized light microscopy coupled with dispersion staining is the analytical technique used for sample identification. The percentage of each component is visually estimated by volume. These results pertain only to the samples analyzed. The samples were analyzed as submitted by the client and may not be representative of the larger material in question. Unless notified in writing to return samples, Carolina Environmental, Inc. will discard all bulk samples after 30 days. Many vinyl floor tiles have been manufactured using greater than 1 % asbestos. Often the asbestos was milled to a fiber size below the detection limit of polarized light microscopy. Therefore, a "None Detected" (ND) reading on vinyl floor tile does not necessarily exclude the presence of asbestos. Transmission electron microscopy provides a more conclusive form of analysis for vinyl floor tiles. It is certified by the signature below that Carolina Environmental, Inc. is accredited by the National Voluntary Accreditation Program (NVLAP) for the analysis of asbestos in bulk materials. The accredited test method is EPA / 600 / M4-82 / 020 for the analysis of asbestos in building materials. Procedures described in EPA / 600 / R-93 / 116 have been incorporated where applicable. The detection limit for the method Is 0.1% (trace amount), Carolina Environmental, Inc.'s NVLAP accreditation number is #101768.0. This report is not to be used to claim product endorsement by NVLAP or any agency of the U. S. Government. This report and its contents are only valid when reproduced in full. Dust and soil analyses for asbestos using PLM are not covered under NVLAP accreditation. ANALYST- - � - TT, REVIEWED BY ��^►o, o Tianbao Bai, Ph.D. Laboratory Director FEErld of Report J- n. ,L Q 0105-7q- O -q o45�85 0 Chain of Custody From: Scott A+Iorrison tic Associates 1130 Fuerte Circle Palm Springs, CA 92262 (760)323-7743 To: Carolina Environmental, Inc. 102-H Commonwealth Court Cary, NC 27511 (919) 481-1413 NVLAP Code 101768-0 GI ELAP 12483 Client: � 4n1 �li 3'ti Person Taking Samples: Scott Morrison, CAC#t92-0248 Job Ke. 'PLOt i o -z>o 44 ado i Site Address:.—.5,3N ,kEtilbA #Er=g"A. LA Oy i wrA Sample # Sample Date Material doDescri tp ion . -- _— LM. AA -Pb Other Information A N -Di io-3o-200 0 -tom-- WS—Dr—AL Cg%-xt�� — s1E SAME �'D _ 1ZU5 Vft by VG _- # tw ` --QiAF�-------- -- — -- -- -- --- — ------ r Fax in results ? V S No Relinq�uisheti Sy: S a�--- Date/ "fume: 0-/-oi Received By: Date/ Time: Mail / Fax To: Scott Morris & A sociates, 1130 Fuerte CircV. Pam Springs, CA 92262, (760) 323-7743 k