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12-1425 (MECH)r, � C*___ - P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: -12-00001425 Property Address: 77495 CALLE HIDALGO APN: 773-124-025-2 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 9010 T-vy " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GREG BOSHARD 77495 CALLE HIDALGO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: Applicant: Architect or Engineer: DIAL ONE'S ONE HOUR AIT, & {HTG` 2712 E. LA CADENA DRIVE »iL ��QS� RIVERSIDE, CA 9250'7 Qryc) / (951)276-9744 F/NgFQU�I� LiC. No.: 878533 Ep�pTr4 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C20 License No.: 878533 . /ate: N21 a—� , /..tractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Date: 12/12/12 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. FSI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EVEREST NATL Policy Number CA -10001300121 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 forthwith comply with those provisions. Date:-' pplicant: 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. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives ofj /is county to enter /upon the above-mentioned property for inspection purposes. Date: 't�T1�gngnature (Applicant or Agent): Application Number . . . . . 12-00001425 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/10/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT: INSTALL FURNACE, CONDENSER, INDOOR COIL. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ------------------------------------- Paid Credited -------------------- Due Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 .00 .00 1.00 Grand Total 51.63 .00 .00 51.63 LQPERMIT 92 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - IS Site Address: Enforcement Agency: Date: Permit #: 77495 CALLE HIDALGO La Quinta, CA 92253 City of La Quinta Dec 6, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat 0 Package Unit e Furnace 8 Indoor Coil 8 AFUE 78% 8 SEER 13.0 [1 COP [3HSPF 0 R 6 (CZ 10 13) Served by system 8 Setback 1f not already present must be 8 Condensing Unit ❑ EER p Resistance E3 R 8 (CZ 14-15) 1600 sf installed) p Other I. Equipment Type: Choose the equipment being Installed; if more than one system, use another CF -1R -ALT -HVAC for each system. 2. Minimum Equipment Efficlendes: 13 SEER, 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 installer. The inspector also verifies that each appropriate CF -611 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 -IR and CF -61R shall also be on site for final inspection. 8 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -611 forms: MECH-04, MECH-2I-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 -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS • Furnace CF -411 forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from dud leakage testing if: [11. Dud system was documented to have been previously sealed and confirmed through HERS verification, or 0 2. Dud systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing dud systems are constructed, insulated or sealed with asbestos p 4. The system will not be Ducted (ie. Ductless Mini -Spot System) (Also Exempt from Refrigerant Charge) O 2. New HVAC System Required Forms: . Cut in or Changeout with new ducts: (all new CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and ducting And all new equipment) MECH-25-HERS CF -411 forms: MECH-20, and ( fors plit systems) MKH-22, and MECH-25 For Split Systems: Duct leakage < 6 percent; RC, CCA t 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor toll and/or furnace. No or some CF -411 forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA 2 300 CFM/ton, TMAH For Packaged Units: Dud leakage < 6 percent 17 4. New Ducting over 40 feet lRequired Forms: . Incudes adding or replacing more than 40 CF -611 forms: MECH-04, MKH-2I-HERS linear feet of duct in unconditioned space. I CF -411 forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent 13 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 Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Jim McEligot Signature: Jim McEligot Company: VENVEST BALLARD INC dba DIAL ONE"S ONE HOUR AIR CONDITIONING AND Date: Dec 6, 2012 HEATING Address: 2712 EAST LA CADENA DRIVE License: 878533 City/State/Zip: RIVERSIDE / CA / 92507 Phone: (951) 276-9744 Reg: 212-A0068669A-000000000-0000 Registration Date/Time: 2012/12/06 11:13:50 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms July 2010 , Bin .# Qty. Of Quthta Builcrirlg 8L SafetyDivision Permit # P.O. Box 1504,•78-49S Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: J !aQ` Owner's Name:. C SI'►OlY A P. Number -7 -1 Q d-5 Address: -I-114G e Legal Description: City, ST, Zip: Q 1a�3 (� i Contractor. '/ �(A.. Q Telephone: Address: ���a 0Y. Project Description: � �Q ��Le City, ST, Zip: 4t q A \i-r�% � � W 1 j Telephone: ��� �( r^V n\ State Lie. #: $ -173,272 City Lie. #: Arch., Engr., Designer. N i Address: City., ST, Zip: P Telephone: v >. Construction Type: Occupancy: State Lia #: `~ �F;...ljy%u"�*�sr,". Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Pelson:Estimated Value of Project q U APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd ' Rec'd TRACKING PERM[T FEFS Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Platt Check Balance _ Title 24 Cates. Plans picked up Construction ' _- Flood plain plan— --- -Plans-resubmitted.. — -Mechanical — Giading plan 2'' Review, ready for correctionsGssve - - Electrical — -- - -- Subeoatactor List _ _.. Called Contact Person -- Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN IiOIISE:- 7id Review; ready for correctionsAssue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr ' Date of permit issue School Fees Total Permit Fees Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Pau 1 of 5 Project Name: Climate Zone # # of Stories Greg Boshard 115 1 General Information Site Address: 77495 Calle Hidalgo La Quinta CA 92253 Enforcement Agency: La Quinta, City of Date: 12/31/2012 Building Type ❑� Single Family ❑ Multi Family Circle the Front Orientation:®, E, S, W, or degrees Conditioned Floor Area (CFA): 2000 Project Type: Alterations ❑Envelope ❑Fenestration []Roof ❑HVAC Values From JA4 Table Replacement or Chane Out ❑ Duct Replacement ❑ Water Heater NO This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration ❑ Opening of framed cavity alone– Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A –C and enter mandatory insulation value in Column H. ❑ Replacement of entire assembly– Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component Package- D insulation values in Table 151-C. Fill in Columns A – J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B I C D E F G I H I I J Proposed see Note Standard Values From JA4 Table Tag/ y Framing Thickness, Assembly Maine �Materidh aW Spacing, �' ��''``� ��U- Framed 'JA4 Tables ; Cavity Continuous JA4 Insulation Assembly Proposed Assembly IDt or T e� and�Siie or 0th r3 '"`fNIU4 Numbers R valueb R- Value' Cell Values U -facto? _ y ttl C U � _ �. �, j � '"+�' �`�M Vii' t� >«• � `MM'S' i0 '�' ' �"� al �� � .� " k Bt o o •3 E- r o m-0 >> Final Mass Name or JA4 TableE o = Assembly Thickness' Note: For furred assemblies, accounting for Continuous Instildtion R -value, see Page JA4-3 and Equatioh 4-1. For"calculating furred walls use the Mass and FurringConstruction table belot+ -' /I I 1}1 t 1. For Tag/ID indicate'the identification name thatlmatches the building plans". �'� 2. Indicate the Assembly Name or type: Roof/Ceili g Wd`lls, Floors, S1ubs,:Crawl Space, Doors and elcc!..'Indicutu Frame'type and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4�2x6, or etc.:: see JA4 for other possible f ame type.assetii'blies� X, —t 4$ _-'o e— s" 1%, . � 0 3. Enter the thickness for mass in inches or Spacing between fra ming members -enter; 16-�or- 24 -"OC; o> therfor alllother assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone; enter the Standard U factor from.Table1151-B, C or D for each different assembly -Name -or --type. 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0". 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. Furring Strips Construction Table for Mass Walls Onl A B C D E F I G I H I J I K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5 4.3.6 4.3.7 Joint Appendix Table 4.3.13 _ N N _ y ttl C U Assembly j o o •3 E- r o m-0 >> Final Mass Name or JA4 TableE o = Assembly Thickness' Type' Number' ¢ > x �' ¢ > U-factor6•' Comment Registration Number: 312-A0013937A-000000000-0000 Registration Date/Time: 12/31/201209:27:27 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 2 of 5 Project Name: Climate Zone # # of Stories Greg Boshard 115 1 Mass and Furring Strips Construction(footnotes) 1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can be found Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. 4. The Calculated R- Value is the R -value of the furred out section of the assembly. -6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column added to Column L Column K is the inverse from column J. 7. Insert the calculated U- actor value on to the Opaque Sur ace Details in Column J FENESTRATION PROPOSED AREAS ❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. ❑ Adding 50ft2 or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. ❑ Adding more than 50ft2 of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT y� Orientation � my�. Fenestration^TypeianclF,.rame (North,East'. PropsedArea �y,�y�, Max�murn Maximum NFRC or Default (Window, Glass.DoororS li ht South, West) `T"I ,(61 aU-facto? 3 SHGci- Ra Values G Allowed rse Fenestration Total Area CFA of Entire 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception'"Whenla door is less thaW50% glass', the fenestration area may be the glass area plus a "2 inch frame Aaround the'glass. �' 2. Enter value from Component Package D Requirements rn Table 151 -C. - - 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or, have oflower U -factor and/or a lower SHGC value than that specified on the CF-IRALTForm. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.Ifapplicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default" values ound in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50f12 offenestration is added) A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire % of Fenestration Area Fenestration Allowed Proposed Areae Dwelling CFA Area Removed Area Added A x B) (E -D) + C Total Fenestration Area > 20 West Fenestration Area (Required In 05 > CZ's 2,4&7-15 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be "counted" twice. " In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row, column D. 3. Include the Proposed Area of the West facingfenestration in both Area columns below. 4. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. Registration Number: 312-A0013937A-000000000-0000 Registration Date/Time: 12/31/2012 09:27:27 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 3 of 5 Project Name: Climate Zone # # of Stories Greg Boshard 15 1 ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of exterior roofsurface to be replaced exceeds more than 50% of the existing roof area, or "tore than 1,000f?, whichever is less, the new roofing area must meet the roofing product "Cool Roof" requirements of§152(b)1Hi, 152(b)1Hii, or 152(b)1Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill table below. ❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 5lb/ft2. Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr—ft—°F/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or ❑ In climate zones 10, 12 and 13, with 1 ft of free ventilation area of attic ventilation for every 150 fe of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of § 151(02; or ❑ Building has no cls" i► the atfrc or ! ? > ? t o t, : ❑ In climate zones 10,,1 l,-l3-andJ4, R-3 or -greater roof deck insulation above vented 'As,oclati"e-,#& Exception to §152(b)1Hiii, Low -slop roof (pitch <2 2)rs ❑ Building has no"ducts inth attic._' Other Exceptions; I- tooll� ❑ Roofing area covered by building=integrated; photovoltaic panels and solar thermal panels_are exempt from the below Cool Roof criteria. ❑ Roof constructions that have -thermal mass over the roof membrane with aiileast 25 lb/fie is exem t°from,the,below-Cool Roof criteria. Note: If no CRRC-1 libel is available„tt is'compliance method cannot be used, use the Performance Approach to show compliance, otherwise, Check thea licablebox below if Exempt froAthe Roofing Products "Cool Roof' I4 uirement:--4—__,r__1 4 Roof S10pe Product Weight* Product yAged-Solar Thermal CRRC Product ID Number Sgt 12 >_2:-1>21 < 51b/ft,2 51064 �_T .. eZ. 1Reflectance3'41- Emittance SRI ❑ ❑ ( ❑ ❑ EA e 11 13 0 04 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1. The CRRC Product ID Number can be ob[ained from the Cool Roof Rating Council's Rated Product Directory at ivivw.coolroofs.orgproducts/search.p p 2. Indicate the type ofproduct is being usedfor the rooftop, i.e. single ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(lltnir+"t — 0.2) to obtain a calculated aged value. Where pis the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at http:llivwiv.energv.ca.gov/tiile24/and enter the resulting value in the SRI Column above and attach atopy of the SRI- Worksheet to the CF- IR. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating 113 Other Registration Number: 312-A0013937A-000000000-0000 Registration Date/Time: 12/31/201209:27:27 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 4 of 5 Project Name: Climate Zone # # of Stories Greg Boshard 115 1 HVAC SYSTEMS - HEATING List water heaters an'd boilers for both d6tnestic hdt water`; (DHW) heaters and hydronic space heating. Individual dwellirig,DHW heaters must be gas or propane fired, and may_not exceed 5�0 gallons. Hot water pipe i sulation from the�DHW heater to the kitchen(s) and `on all underground Minimum Duct or Piping on Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central, Split, Type and Capacity 1•2,' AFUE or HSPF Type and Location" R -Value Type Space, Package or H dronic Furnace, 60000 80 AFUE Ducted, Capacity (gal) SetBack Split 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) HVAC SYSTEMS - COOLING 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do Minimum 3. The external water healing lank and i es shall be insulated to meet the re uirements o 150 ' . Efficiency Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central, Split, Type and Capacity 1,2 COP) Type and Location; R -Value Type Space, Package or H dronic AirConditioner, 48000 14 SEER ,, Ducted,,, 01"K 4W SetBack Split I. Indicate Cooling Type (A/C; Heat pump,gEvap'CoolinW 00g, etc) 2. Refer to the HERS) Verifcation section,on Page 4 of the,CFT#gA `T Fgrm for. addtttonal reyuirements-and eheek upphcable boxes. 3. Indicate Type or Location'(Ducts,. H dronic in Floor, -Radiators, etc. I I f W•" V NI -1— -%k WATER HEATING,,, J`71. /-- rl, _ ,rte --A List water heaters an'd boilers for both d6tnestic hdt water`; (DHW) heaters and hydronic space heating. Individual dwellirig,DHW heaters must be gas or propane fired, and may_not exceed 5�0 gallons. Hot water pipe i sulation from the�DHW heater to the kitchen(s) and `on all underground hot water pipes is required in all com onent acka es in all climate zones. Water Heater Type/Fuel on '- �Energy'Factor External Tank Disstrib Type Number Iiia Tank" or Insulation Type' (Standard, Recirculatin Z S stem Capacity (gal) t r ,Thermal Efficiene R -Value ' 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water healing lank and i es shall be insulated to meet the re uirements o 150 ' . SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written 'usti tcation and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 151(f)2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation 13 YES ONO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation El YES ONO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation Q YES 0 NO YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15 R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass use the Performance Approach. Registration Number: 312-AO013937A-000000000-0000 Registration Date/Time: 12/31/2012 09:27:27 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 5 of 5 Project Name: Climate Zone # # of Stories Greg Boshard 15 1 HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection Duct Sealing & Testing HERS verification is required for this measure. © YES O NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §I52(b)]Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ❑ YES 0 NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)IDi. ❑ YES 13 NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §152(b)IE. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION: Existing ducts stems constructed insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. El YES EINO YES: In�Climate Zones,2 and 8-15, when, the -existing HVAC equipment is replaced (including the replacement of the air ai wd„3,+�4, rar°w.A•.r irr;x�:�: .�: M. 7"R-r-'le�,-ye:�+, an,. lan�d�leo�tdoosr,kcondensngumtof�ias�plt sy�stem� A/C orheyt pump,co�ol�mgorl�ea�tig,cl, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per ,152(b)1 F. z :� hf - ta; eta"r.a A. ,,�,...... r. �z�rr. Central Fan Integratedt(CFI) VpfitilationL�Systemland Fan W,Att�Draw � 1 i The ventilation re uirements"'of 150 0 .d0;n0t apply to existingresidential homes. Ducted Split Systems Air Conditioners and"Neat Pumps: Airflow HERS veriification•is required for this measure. 0 YES 13 NO YES: In Climate -Zones ]0 through 15, when the existing space conditioning system (HVAC equipment and ducting) is re laced, the airflow and {fan watt draw shall"Ite verified per §1`52(b)1Ci to meet,the re uirements of 151(f)7B. Documentation Author's Declaration Statemeni �'"` ''` ►f s_...a-""` • I certify that this Certificate of Compliance documen6alion is iccurate.and corn fete. .rte ,?4, Name: Ruth Debrick Signature: Ruth Debrick wa Company: Date: Venvest Ballard/One Hour Air 12/31/2012 Address: If Applicable CUCEA or 13CEPE 3030 Myers St,Street (Certification #): City/State/Zip: Phone: Riverside California 92503 951-217-2753 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building 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 building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: 12/31/2012 Address: License: 878533 City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: 312-AO013937A-000000000-0000 Registration Date/Time: 12/31/2012 09:27:27 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System Pa e 1 of 2 Site Address: Enforcement Agency: Permit Number: 77495 Calle Hidalgo La Quinta CA 92253 La Quinta, City of 12-1425 Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: Home Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test — Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test — Existing Duct Svstem Select one compliance method from the following four choices. El Option 1. Measured leakage less than 15% of Fan Airflow. 0 O'ofyEANVAirfldw� y���ry�p�� ❑ Option 2•�MeasuredG eaka et"o fou side less tl an+1a 'VJ LLd W 4 'L✓' 4g N1 6C .L.�.Y.i+u !.! SiCN fit :de: w. U M aB �r.+� `..d'0t 'E �: Ca ❑ Option 3 Reduce" 1 g by 60°0 Aft ,�'andtconduct�s/mo'ke•t`est toseal all a"ccesstble*aks,may' ,tt pih4ttr h ate+liI� A' ❑ Option 4. Fix leaks t HERS all accessible using smoke stT and rater must -verify.. on must Note: (Opt 1 be attempt before -utilizing Option 4) —11) Determine no Fan Airflow`using one ofqthe following three calctilat+ion methods. �" t 1 t• ❑ Cooling system method: Size of condenser in Tons 4 x 400 = 1600 r�"`� (JPM ❑ Heating system method: 21.7x1 --j%%,.. .Heating Output Capacity (kl3tuh),,=� a •CFM ❑ Measured system airflow using RA3.3 airflow test procedures: CFM 4V M t Kk Option 1 used then: " Allowed leakage = Fan Airflow 1600 x 0.15 = 240 CFM 1 Actual leakage= 170 CFM Pass if Actual leakage is less than Allowed leakage E]Pass ❑ Fail Option 2 used then: Allowed leakage = Fan Airflow x 0.10 = CFM 2 Actual leakage to outside = CFM Pass if Actual leakage to outside is less than Allowed leakage ❑Pass ❑Fail Option 3 used then: Initial leakage prior to start of work= CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage - Final leakage = Leakage reduction CFM (Leakage reduction / Initial leakage ) x 100% = % Reduction Pass if % Reduction > 60% ❑Pass ❑Fail Option 4 used then: All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). 4 Pass if all accessible leaks have been sealed using Smoke Test ❑Pass ❑Fail Registration Number: 312-A0013937A-M2113834A-0000 Registration DatelTime: 12/31/2012 10:37:50 2008 Residential Compliance Forms HERSProvider: CSPCA August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 77495 Calle Hidalgo La Quinta CA 92253 La Quinta, City of 12-1425 0 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. 0 All duct le 0 New ducttinstallations cannc 0 Mastic Ad drawbands us X duct connections. ;t,li",�-atilizedrfor compliance — applies to 1 ra c wst~ � T a' I'1 accessible leaks) described above. returns m 4ieu'�gf ducts' . DEC LARATION-STATEMENT • I certify under penalty of perjury; under the.laws of the'Statofclifornia,"the e • I am eligible under Division 3 ofthe BBuuMness and representative of the person responsible for constn • I certify that the installed features, materials, con conforms to all applicable codes and regulations, enforcement agency. to -cured devices identil is consistent with the duct tape to seal leaks at all new form is"true and correct. i, or anli authorized this certificate (the installation) and-specific�°anons-approved by the • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Venvest Ballard/One Hour Air Responsible Person's Name: Responsible Person's Signature: Ruth Debrick Ruth Debrick CSLB License: Date Signed: Position With Company (Title): 878533 112/31/2012 Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑Yes MNo Registration Number: 312-A0013937A-M2113834A-0000 Registration Date/Time: 12/311201210:37:50 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF -4R MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5 Site Address: Enforcement Agency: Permit Number: 77495 Calle Hidalgo La Quinta CA 92253 La Quinta, City of 12-1425 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documentedfor compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag Amana Amana System Location or Area Served Home 6 ❑Yes ONO 1 DYes ONO 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and ONO � RA3 2_.,F199'r The sensor wire is terminated with a standard mini plug suitable for connection to a f t -Director.,--- D recto .,� ❑Yes % pww`2w 5/1-6 inch (8 mm)- acey hi v`e wcoail� T shwe d*ntreeaim'6*f'ev"apA6ria m the supply plenum digital thermometer. The sensor mini plug is accessible to the installing technician and ,r •q, and labeled accordingltotFig , rp E ,§S ction 1tA3g *22:2. Yes to 1 and2 is a ass. Enter Pass or Fail ✓ O Pass ✓ 11 Fail STMS - Sensor on the Evaporator Coil System Name..00ryIdentification/Tag Amana The sensor is factory installed, or field installed according to manufacturer's 6 ❑Yes ONO specifications, or is installed by methods/specifications approved by the Executive The sensor is factory installed, or field,,installed according'to manufacturer's 3 Oyes ONO specifications;,or is installed by methods/specifications-app ed by the Executive The sensor wire is terminated with a standard mini plug suitable for connection to a f t -Director.,--- D recto .,� ❑Yes ONO digital thermometer. The sensor mini plug is accessible to the installing technician and The sensor wire is terminated with a standard mini'tplug suitable for connection to a 4 Oyes ONO digital thermometer­.�-The sensor mini plug is accessible,to_theinstalling technician and ❑Yes ONO The sensor measures the saturation temperature of the coil within 1.3 degrees F the HERS rater without changing the airflow through the condenser coil V El N/A Yes ❑No The sensor measures the saturation temperature of the coil within 1.3 degrees F and 5 is a pass. Enter nA�4S El N/A ✓ ❑ Pass ✓ ❑Fail are not applicable. Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag Amana The sensor is factory installed, or field installed according to manufacturer's 6 ❑Yes ONO specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑Yes ONO digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑Yes ONO The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter V El N/A ✓ ❑ Pass ✓ ❑ Fail N/A if STMS are not applicable. Otherwise enter Pass or Fail Registration Number: 312-Ao013937A-M2513835A-M25A 2008 Residential Compliance Forms RegistrationDate/Time: 12/31/201210:42:52 HERS Provider: CBPCA August ZUUY CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5 Site Address: Enforcement Agency: Permit Number: 77495 Calle Hidalgo La Quinta CA 92253 La Quinta, City of 12-1425 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55 °F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional forms) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55 °F or below, the installer must use the Alternate Charge Measurement Procedure. Snace Conditioning Svstems System Name or Identification/Tag Amana (must be re -calibrated monthly) System Location or Area Served Home IL.-- - I ZI1/2012 .•�' Outdoor Unit Serial # 1208592385 47.00 Outdoor Unit Make Amana Outdoor Unit Model ASX140481 71'00 Nominal Cooling Capacity Btu/hr;, Jrt �:XOROA�a'**,0.�04, 48000.00, A4�M,��n,•r,1W Mft,: *,IWA0i^ Alk �Ask 104.1 . A It W 1 % It 9 #"ii�l Date of Verificatiion i " � rt � t# 12/28/2012 a >sA I .s, A: CAlihratinri of Dinonnstic-Tnstruments .�,� . Date of Refrigerant Gatiq,,Calib7$rtation /112012 (must be re -calibrated monthly) Date of Thermocouple Calibraton IL.-- - I ZI1/2012 .•�' (mb�e rye -calibrated monthly) temperature (Tsu I , db) 47.00 Measured Temnerntures (°Fl System Name or Identification/Tag Amana Supply (evaporator leaving) air dry-bulb IL.-- - .•�' _.] temperature (Tsu I , db) 47.00 Return (evaporator entering) air dry-bulb tem temperature T P (Tet,,,,, db) 71'00 Return (evaporator entering) air wet -bulb temperature (Tet P ( rum, wb) 56.00 Evaporator saturation temperature (Teva orator, sat) 31.00 Condensor saturation temperature (Tcondensor, sat) 71.00 Suction line temperature (Tsuction) 47.00 Liquid Line Temperature (Tliquid) 61.00 Condenser (entering) air dry-bulb tem temperature T P ( condenser db) 62.00 Registration Number: 312-AO013937A-M2513835A-M25A 2008 Residential Compliance Forms RegistrationDate/Time: 12/31/201210:42:52 HERS Provider: caPCA August LUUY CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5 Site Address: Enforcement Agency: Permit Number: 77495 Calle Hidalgo La Quinta CA 92253 La Quinta, City of 12-1425 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag Amana Calculate: Actual Temperature Split = 24.00 Tretum, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Tretum, wb and Tretum, db 20.10 Calculate difference: Actual Temperature 3.90 Split — Target Temperature Split = Passes if difference is between -4°F and +4°F or uponremeasurement,ement, if between - -4�F and -10�F l . Y4#1 i �s�f+IhFail ` Passim 1 i na '. pq� !' a rm g, '*'n Note: Tempe ature Split Method Ca[cu auto i�sxno�t netces ryl f adcrttu �C6oli g Coil�Ai>jow isweerrif husinmg one of the airflow Reference Residential Appendix RA33..3*If hctual is measurement proceduresspecified In cooling coil airflow measured, the value must be q al to orlgr-eater,than'the-Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Ai w Requirement (CFM) =Nominal Cooling'CapX.3.00 (cfm/ton) �city--(ton) System Name or Idennt f ca on/TaA ana Calculated Minimum Airflow Requirement (CFM) Measured Airflow using RA3.3 procedures (CFM) Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag Amana Calculate: Actual Superheat = Tsuction — Teva orator sat Target Superheat from Table RA3.2-2 using Tretum.wb and Tcondenser, db Calculate difference: Actual Superheat — Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Fail Registration !Number: .312-AO013937A-M2513835A-M25A 2008 Residential Compliance Forms RegistrationDate/Time: 12/31/201210:42:52 HERS provider: caPCA August 2UU9 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5 Site Address: Enforcement Agency:Permit Number: 77495 Calle Hidalgo La Quinta CA 92253 La Quinta, City of 12-1425 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag Amana Pwfortriannip- Calculate: Actual Subcooling = Tcondenser, sat — Tli uid 10.00 Tsuction -Teva orator -sat Target Subcooling specified by 10.00 Enter allowable superheat -range from manufacturer manufacturer's specifications (or use rang i � 8 between 3°F and 26F if manufacturer's Calculate difference: specification -is not available), R Actual Subcooling — Target Subcooling = 0.00 System passes if-actual,superheaeis within1 � System passes if difference is between i the allowable superheat range 11 -4*F and +4°F Enter Pass or Fail pass Enter Pass or Fail, Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or lderitification//tTag.d�. . i l l " �ltdt`�' Amana" . #� `"1 1101 'in Pwfortriannip- Calculate: Acttural.Superheat Tsuction -Teva orator -sat Enter allowable superheat -range from manufacturer's specifications (or use rang i � 8 between 3°F and 26F if manufacturer's 3.00 - 26.00 c specification -is not available), R System passes if-actual,superheaeis within1 � { .r ^ i the allowable superheat range 11 Pass , i Enter Pass or Fail, A rte+. .p►'�t Registration Number: 312-Ao013937A-M2513835A-M25A 2008 Residential Compliance Forms Registration Date/Time: 12/31/2012 10:42:52 HERS Provider: ceacA August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5 Site Address: Enforcement Agency: Permit Number: 77495 Calle Hidalgo La Quinta CA 92253 La Quinta, City of 112-1425 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag Amana 878533 HERS Provider Data Registry Information Sample Group # (if applicable): System meets all refrigerant charge and Pass in a HERS sample group airflow requirements. Enter Pass or Fail HERS Rater Company Name: Athens Air Inc. Responsible Rater's Name Responsible Rater's Signature - ,a TVIS 'i a 0 DECLARATION STATEMENT • I certify under penalty of perjury, under,jthe laws of the State of Califomia,,the informatiomprovided onth is form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable re uirements in Reference Residential APPendicesRA2 and RAd the requirements specified on the Certificate(s) of Compliance (CF -1 R) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate CF -6R Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Venvest Ballard/One Hour Air Responsible Person's Name: CSLB License: Ruth Debrick 878533 HERS Provider Data Registry Information Sample Group # (if applicable): m tested/verified dwelling 0 not-tested/verified dwelling in a HERS sample group HERS Rater Information HERS Rater Company Name: Athens Air Inc. Responsible Rater's Name Responsible Rater's Signature Andrew Pulos Andrew Pulos Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1095886 12/31/2012 Registration Number: 312-A0013937A-M2513835A-M25A 2008 Residential Compliance Forms RegistrationDate/Time: 12/31/201210:42:52 HERS Provider: CBPCA August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Permit Number: 77495 Calle Hidalgo La Quinta CA 92253 La Quinta, City of 12-1425 Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: Home Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test — Completely New or Replacement Duct System. " Mict Leaknop ninanngtir TPSt — Pvktinu dart svctPm Select one compliance method from the following four choices. 0 Option 1. Measured leakage less than 15% of Fan Airflow. ❑ Option 2. Measured aka" to of *aside les"s tha mi1�0%of F"a�n� Aufl�ow�' �I —�" �wa.sss 0'as L en t� +at+,,ke � L,wsn biiew 3T.r �u g-.-0 - , Ca ❑ Option 3 Reduce leakage `by 60-/o more e,.1 ndYconduct ssl'CAmfokey,t,e�s.t t'� �—+s,tealiail accessible, leaks. *4 40 ❑ Option Fix leaks all accessibI using -smoke hest; anHERS-rater ust verify,.Nee. Note: (Option 1 must be attempted befog Option .utilizing �. Determine nominal F� ow using'ne otthe following three calculation methods. D Cooling system method: Size of condenser in Tons 4-D0"m ix 400 = 1600.00 „ `"��--,CFM ❑ Heatingsystem method: 21.7x; Out Ca acit kBtuh = �Heatin ut ❑ Measured system airflow using RA3.3 airflow test proledures: CFM Option 1 used then: Allowed leakage = Fan Airflow 1600.00 x 0.15 = 240.00 CFM 1 Actual leakage= 171.00 CFM Pass if Actual leakage is less than Allowed leakage O Pass ❑ Fail Option 2 used then: Allowed leakage = Fan Airflow x 0.10 = CFM 2 Actual leakage to outside = CFM Pass if Actual leakage to outside is less than Allowed leakage ❑ Pass ❑ Fail Option 3 used then: Initial leakage prior to start of work= CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage - Final leakage = Leakage reduction CFM (Leakage reduction / Initial leakage ) x 100% = % Reduction Pass if % Reduction > 60% ❑ Pass ❑ Fail Option 4 used then: All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). 4 Pass if all accessible leaks have been sealed using Smoke Test ❑ Pass ❑ Fail Registration Number: 312-A0013937A-M2113834A-M21A Registration Date/Time: 12/31/2012 10:40:45 HERSProvider: csFCA 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 77495 Calle Hidalgo La Quinta CA 92253 iLaQuinta,Cityof 12-1425 0 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing CFI.OA ducts that utilize. -controlled motorized damppers, that open only when OA ventilation is required to "'h 11 P Mew; 11 H,'"^.1� meet ASHRAE Standard 62.2, d close when OA ventilatlon.is not required, may :be'corif gured to the closed position during duct leakage testing: Fl 0 All supply`"and return reg terlbo� a be ea edit§ % rywa�fi i s oke t,;,R s itiliz d (# 4%,6 liati applies to duct leakage comp�li opttori 3 (leakage by 60%) and option 4_(fix all accessible leaks) described above. 0 New du6t installations cannot utilize building cavities as plenums or for s in lieu of ducts. 0 Mastic and draw�liaiidsmube used in combination with oth backed rubfbe�r a-dhve duct ape to seal leaks at all new duct connections..„,,,. DECLARATION STATEMENT • I certify under penalty of perjury;_under'the llaaws.o6ie State-of_California; the information provided on -this form is true and correct. • I am the certified HERS rater who performed the venficati n services identified and reported on th s certificate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that is identified_on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1 R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate CF-61R Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Venvest Ballard/One Hour Air Responsible Person's Name: CSLB License: Ruth Debrick 1878533 HERS Provider Data Registry Information Sample Group # (if applicable): 0 tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information HERS Rater Company Name: Athens Air Inc. Responsible Rater's Name Responsible Rater's Signature Andrew Pulos Andrew Pulos Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1095886 12/31/2012 Registration Number: 312-A0013937A-M2113834A-M21A Registration Date/Time: 12/31/201210:40:45 HERSprovider: CBPCA 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans Pae 1 of 2 Site Address: Enforcement Agency: Permit Number: 77495 Calle Hidalgo La Quinta CA 92253 La Quinta, City of 12-1425 Space Conditioning Systems Heating Equipment Equip Type (package- heat um CEC Certified Mfr. Name and Model Number ARI Reference Number 2 # of Identical Systems Efficiency (AFUE, etc.)" (>_CF -1R value)4 Duct Location (attic, crawl- space, etc. Duct R -value Heating Load Btu/hr Heating Capacity Btu/hr Fumace AmanaAMH60604BX �� 1 80 Home Home( 48000 60000 48000 ill �,/Iii.:R RGW A!}.:�f 6a9P6. R. WSt4 Af-..� ,[i- ^w 1�N AI .�i'i �. M�IW, :•$iQ% 7 'I�..iY: 'K�@P�1� f '. �i1 F1�'NP�:. ..0 :d. ?R4 .NF: � ',h AJ it E Cooling Equipment,—,., t 1, o + 't vt l V. IG w, &IV, 0 t_ Equip Type (package heat um CEC Certified Mfr. Name and Model Number ARI Reference N Numberyk #of Identical S. stems Efficiency (SEER' and EER) (t'3• (>_CF -1'R;_ value 4 Duc 'Location (attic, crawl space, etc.' ,Af e,.. Duch R values Cooling Load Btu/hr Cooling Capacity Btu/hr AirConditioner Amana ASM 40481 �� e 1 14 ` Home( 32000 48000 1. If project is nely construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative compliance. 2. ARI Reference Number can be found by entering the equipment model number at http: //iviviv. aridirectory. org/ari/ac.php# 3. Listed efficiency on this page must be greater than or equal (>_) to the value shown on the CF -1 R form. 4. When CF -11? is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM 2✓ § 110-§ 113: HVAC equipment is certified by the California Energy Commission. ❑✓ §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. ❑✓ §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). ❑✓ § 1500)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 77495 Calle Hidalgo La Quinta CA 92253 La Quinta, City of 12-1425 Ducts and Fans § 150(m): Duct and Fans ,/❑ 1. All air -distribution system ducts and plenums installed, sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used; and ✓❑ 1. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. 0✓ 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. ❑/ 7. Exhaust fan systems have back draft or automatic dampers. ❑✓ 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually o erated dam ers ,. ` Build p ,.1I1, ❑✓ 9. Prot ctton of Ins attotn:>Insula�rion shall bO-S 0& ec`t 4A o-, damag , including that use posunlight, moisture, equipment maintenance andwind. Cellulafoam4ulwatton shafe,pkr'otecte*dasabove or_pa nte�djpw�tt�hcoating that is water retardant and provides shielding froms olar radiation that can cause degradation of the matenal. w. ❑✓ 101 Flexible ducts cannot have porous inner cores. DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Venvest Ballard/One Hour Air Responsible Person's Name: Responsible Person's Signature: Ruth Debrick Ruth Debrick CSLB License: Date Signed: Position With Company (Title): 878533 12/31/2012 owner 2008 Residential Compliance Forms August 2009