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11-1245 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 XP Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE,(760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11t17/11 Application Number: 11-00001245 Owner: Property Address: 78840 W HAtzr AND DR LYNN YI APN: 604-131-011-21 -23268 - 78840 WEST HARLAND DRIVE 4 Application description: MECHANICAL LA QUINTA-r CA 92253 Property Zoning: LOW DESNSITY RESIDENTIAL 1 NOV Application valuation:: 3400 I NO Applicant: Architect or Engineer: a�A ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of,perjury that I am licensed,underrprovisions of Chapter -9 (commencing;wtth Section 7000). of Division 3 of the Business and Pr slonals Code, and my License is in'full 'force:and effect. LicenseCiass: C20 cans No.: W8533' ate: //' / % !/ ntrectori OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt fromthe Contractor's State. License Law for the following reason,(Secr7031:5, Businress and'Professlons'Code: Anycity or county that requires a,permit,to; construct, alter,,Improve, demolish, or repair any structure, prior to its; Issuance;: also requiris the applicant for the permit to file a signed statement that he or she IsTcensed 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 tie or sheds exempt therefrom and the basis for the alleged exemption. Any violation of. Section 7031.5 by any applicant fora permit subjects•the applicant to a civil penalty of not'mors than Ave hundred dollars.($500) (_) I, as owner of the property, or, my employees with wages as theirsole compensation, will do the work; and the structure is not Intended oroffered.for sale (See. 7044, Businese.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 hisorher own employees, provided that. the improvements are not'intended oroffered.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 contractora'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,orImproves thereon, and who contracts for the projects with a cortractor(s) licensed pursuant to the Contractors'State License Law.). (_ 1 I am exempt,underSec.; , a.&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: LQPERMLT Contractor: DIAL ONE'S ONE HOUR A/C & 2712 E. LA CADENA DRIVE RIVERSIDE, CA 92507- (951)276-9744 Lic. No.: 878533 WORKER'S'COMPENSATION DECLARATION. I hereby affirm under; penalty of perjury one of the following declarations: _ I have and will maintain a certificate of•consern to, self_Insure for workers' compensation,.as,provided for by Section3700_of:the Labor Code; for the performance of;the work for which this permit is issued. _V_I have and will maintain workers'" compensation insurance, as required, by Sectiom 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 INS CO OF WEST Policy'Number WSD500334901 _I certify that, in.the performance of the work;for which this permit is issued, I shall not employany person in any manner so as.to: become, subject to the�workers'.compensation laws of Califomia: and.agree,that, If 1 should bec/r subjeq to the workers' compensation provisions of Section 3700 of the LebonCade, I Tall rthwif co ly Ith those provisions: Dpte;11-17-1 /Je��'licant: - -- -- /WARNING: FAILURE TO'SECUREWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND""SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100;000). IN ADDITION TO THE•COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT, ACKNOWLEDGEMENT IMPORTANT Application Whereby made to'the Director of Building and Safety for a permit subject to the conditions and restrictions set.forth on this application., 1. Each personuponwhose behalf this applleationis made; each person at whose request and for whose benefit work Is performed under or pursuant To any permitissued!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 Quints, its officers,,agents.and employees for any actor omission related to the work being performed under or following issuance of this permit. 2. Any permk.issued'as a result of'this application becomes null and void if work isnot commenced within 180 days from date of issuance of such permit, or caseation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above ipfwnation is correct. I "agree to comply, with all city and county ordinances and state laws relating to building, . ction, and he by a uthorize,represeMatives th of this county to enter upon Me above-mentioned property for s coon_' • ,,016- All -7— S' stuns (Applicant or Agent" Application. Number . . . . . 11-0000.1245 Permit.MECHANICAL Additional desc . Permit Fee 24.0.0 Plan Check Fee 6.00 Issue Date . . . Valuation . . . . 0 Expiration Date . . 5/15/12 Qty Unit Charge Per Extension - BASE FEE 15.00 1.OQ 9.0000 EA- MECH FURNACE <=100K 9,00 ------- ------------------------------------- Special.Notes and Comments - --------------------- REPLACE 60.000 BTU FURNACE. '2010 CODES:. --------------------------------------------------- Other Fees . . . . . . . . . BLDG SIDS ADMIN ------------------------ (SB1473) 1.00 Fee summary Charged_ Paid. Credited Due Permit Fee Total 24.00 .00 .00 24..00 Plan Check Total -6.00 .00 .00 6.00 Other:Fee Total 1.00 .00 .00 1..00 Grand Total 31.00 .00 .00 .31..0.0 LQPERMff Bin # 'Cityof La Q[11>? Bu1�ding 8[ Safety Divrsion P.O. Box 1504, 78-495 Calle Tampico La Qidnta, CA 92233 - (760) 77.7-70.12 Building Permit Application and Trackng Sheet Permit # �a� Project Address: 8 r Owner's Name: A. P. Number: 0 _ Address: . Legal Description: City, ST, Zip. L.-�t�7z✓ Contractor.ici els r- Telephone: Address: �Z'7.Z.fr .P�/C� �✓ Projeet,Description• �-- City, ST, Zip: S 1����lZ- jQ tom! Telephone: -F,51— State Lic. #: -s S City Lie. #:. DS Arch., Engr., Designer. Address: City, ST, Zip - Telephone: Construction Type: Occupancy: State Lc #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. FL: # StorieS: # Units: Telephone # of Contact Person: Estimated Value of Proj APPLICANT: DO NOT WRITE BELOW THIS-UNE # Submithl Req'd Reed TRACKING PERMIT FEES Plan Seta Pian Check submitted Item Amount Structural Cala. Reviewed, ready for eorreedoos Plan Check Deposit Traus.Cales. Called Contact Person Plan Check Balance. Tette U Caics. Plane plow-wConstruction Flood phin plan Plans resubmitted Mecbankal Grading plan 2"! Revlew, ready for correctionaliasue Electrical Subcontactor List Called.Conttet Person Plumbing Grant Deed Plans picked up &M:I. H-OAL Approval Plans rtsabmitted Grading. INHOUSE:7 Reylevp,-ready for co—cli,,Muue Developer Impute Fee Planning Approval Called ContactTerson AXP.P: Pub. Wkg.:Appr Date of permit Issue School Fees Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-1R-AST-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 78840 W HARLAND DR La Quinta, CA 92253 City of La Quinta Nov 8, 2011 Dud insulation Conditioned Floor Equipment Typel Ust Minimum Effidency2 requirement Area Thermostat ❑ Package Unit P1 Furnace M l Indoor Coil R AFUE .sa% rl SEER rl COP n HSPF ❑ R 6 fc 10 -13) Served by tem system 17 Setback If not already present, must be E] Condensing Unit El EER Resistance [Ir R g 14-15 i ) 1500 sf Installed) rl Other 1. Equipment Type: Choose the equipment being Installed; If morel han one system, use another CF-IR-ALT-HVAC for each system. 2. Minimum Equipment • Efrldeneiem 13 SEER, 78% AA/E, 7.7HSPF for typical residential systems: HERS VERIFICATION SUMMARY Usted 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 thatmust.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-40 forms (no hand filled CF-4Rs allowed) are filled out:and signed.Beginning October 1, 2010, a registered copy of the CF-1R and CF-6R shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF-611 forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS replaced CF411 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-4R forms: MECH-21 and (for split.systems) MECH-25 For Split Systems: Dutleakage < 15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from dud leakage testing if:� ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linearfeet in unconditioned space, or ❑ 3. Existing dud systems are constructed, insulated or sealed with asbestos ❑ 4. The system will not be Ducted (ie., uctless.}Mini-Split System)-(AIso:Exempt from-Refrigerant-Charge) ❑ 2. New,HVAC system Required Forms: k ' r` . Cut in, or Changeout with', new ducts: (all new = CF-611, forms.' MECH-04, MECN.-20HER5, and (for split.systems) ME 22-HERS and ducting-hl all newt ' �' CF-41I forms;RMECH 20, andt(for split.systems): MECH-2Z,. and MECH-25 4" ' - equipment) -rk. p. For Split Systems: Duct. leakage < 6 percent,, RC;'CCA 2 350'.CFM/t6n'; FWD,-TMAH; SIMS, an&ither 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-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-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 ❑ 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF-6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R forms: MECH-21. For split system or packaged units: Dud leakage < 15 percent I" EXCEPTION: Existing ductsystems constructed,_ insulated or'seaied with asbestos. Contractor (Documentation Author's /Responsible'Designees Declaration. Statement) • I certify that this.Certlflcate of Compliance documentation Is accurate and complete. • I ameligible under Division 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 CertificateofCompliance 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: J31Y1 WeELa6OT Company: VENVEST BALLARD INC Date: Nov 8, 2011 Address: 2712 EAST LA CADENA DRIVE License: 878533 City/State/Zip: RIVERSIDE / CA /92507 Phone: (951) 276-9744 Reg: 211-A0057937A-00000000-0000 Registration Date/Time: 2011/11/08 11:54:04 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms July 2010 CERTIFICATE OF FIELD VERIFICATION 81 DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 78,840 W HARLAND OR, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 11-1245 Enter the Duct System Name or Identification/Tag: 'System 1 Enter the Duct System Location or Area Served: Whole House 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 DlagnosticTest:- existing.duct system Select one compliance method from the,following Four choices. &-1. Measured leakage less than. l5% of fan flow 2. Measured leakageto outside less than 10.%of Fan Flow p-3.-Reduce*leakage '-by ;600/Vand-conductsmoke-and`fix all leaks F1 4 -Fix all.accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2, or 3; must;be attempted before utilizing Optton.4.);, Determine;. nominal Fan Flow using one of;the following, three calculation methods. .:' ^. ✓ 0 Cooling system method: Size of'condenser.in Tons ; 3.5 x 400 14QQ_.CFM; ✓ 0 Heating system method 21.7 ,x _Output Capacity -in Thousands of Btu/hr ✓❑ MeaSured.systeni airFlow using RA33 a�rfiow,`'test:procedures:.=CFM Option 1 used then 1 Allowed leakage = Fan Flow 1400 :x 0.15 = 210 CFM Actual Leakage = 87 CFM Pass'lf Leakage Actual Is less than Allowed pi Pass Fail Optlon 2 used then_ 2 Allowed leakage = Fan Flow _,x 0.10 = _ CFM Actual Leakage to outside = _ CFM Paas if Leakage Actual is.less than Allowed Pass Fall Option .3 used then: Initial leakage priorto 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 leakages x 100% = o Reduction Pass if'9/o Reduction > 60% Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke. HERS rater must verify (No sampling). No smoke allowed to leak from system. Including ducts, plenums,, air handler and door panel, Pass if all accessible leaks have.been repaired using smoke Pass. Fail Reg: 211-A0057937A-M2100001A-M21A Registration Date/Time: 2011/11/18' 13::11:19 HERS Provider: CalCERTS, .Inc. 2008 Residential, Compliance Forms March 201'0 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page_2 of 2) Site Address: 7884-0 W HARTAND DR, La .QuMm ta CA 92253 (Syste Enforcement Agency: Permit Number: 1) City of La Qulnta 11=1245, fl tOutside�a)rr(QA) ducts torCentral,'Fan Integrated (C 1) 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 CIA ventilation is not required, may be configured to the dosed position during duet leakage testing. © All supply, and. return register boots -must be sealed to the drywall if smoke testis utiiied, forcompliance = applies'to. duct leakage.compliance. option 3 (leakage reduction,,6,y, 600% and option 4, (fix elf accessible:, leaks) described above: 0 New dict instailations; cannot utilize :building cavities aspplenums; or platform returns in Ileu of ducts.. O.Masticand draw` bands must be used in combination with dothbacked rubber adhesive duct tape to seal l leaks at all new duct::connections DECLARATION STATEMENT • I certify'under penalty,df'perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the certified HERS rater who performed the verification services Identified and reported on this certificate:(responsible rater): The Installed feature, material, component, or'manufactured.device.requidng 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 Certificates) 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 forthe installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -IR) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing'Subcontractor or General Contractor or Builder/Owner) VENVEST BALLARD INC Responsible,Person's Name: CSLB License:, 3I4 MCELIGOT 1878533 HERS Provider Data Registry Information_ Sample Group, # (ifapplicable): N/A 0 tested/verified dwelling ❑ not-tested%verified dwelling in la HERS sample,group HERS Rater Information CaICERTS Certificate * CCI -1798605957 HERS Rater Company Name: Athens Air Responsible Rater's Name: Responsible Rater's Signature: Andrew Pulos Andrew Pulos Responsible Ratees%Certification Number w/ this HERS Provider: Date Signed: 11/12/2011 CC2004503 Reg: 211-A0057.937A-M2100001A-M21A Registrat 2008 Residential'Compliance Forme Date/Time: 2011/11/18 13:11:19 HERS Provider,:'Ca10ERTS, Inc. March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-41k-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site. Address: Enforcement Agency: Permit Number: 78840 W HARLAND DR, La Quinta CA 92253 City of La Quinta 11-1245 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to -refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this'MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when 'a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional forms) for any'addit%nal systems In the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (SIMS) 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 thahutilize prescriptive°compliance.method. TMAH - Access Holes in Supply and. Return Plenums of Air Handier System Name or Ideritiflcation/Tag System 1 System Location or Area Served Whole House 1 0 Yes ❑ No 5/16 inch (8 mm) access.hole upstream of evaporative coil in the return plenum and labeled. according to. Figure in Section RA3.2.2.2.2. 2 0 Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and iabeled,acc riling.to,Rgiureoin:Section:i2A3.2.2.Z.2. Yes to i and 2 is a pass. Enter Pass or Faill V 0 Pass ✓ ❑ Fail STNS - Sensor on,the; Evaporator Coil` z System Name orlderitincation/Tag',-:System" ' - "_ t � factory ; or field installed- according to manufacturer's - The sensor is facto installed 3 Yes p Nd. specifications, or is,instalied by methods/specifications approved by -:the Executive Director. 21, The sensor wire is terminated with a standard;mmi plug suitable for'connection fo a 4 p,Yes " .' ❑ No digital. thermometer. The sensor.mini plug is accessible to the Installing te6hician and the HERS_ :rater without changing theairflow, through the'condenser coif 5 0 Yes, ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature_ of the coil. Yes to 3, A., and.5 is a pass. Enter N/A, if STMS are not 0 N/A V ❑ Pass ✓ ❑ Fail applicable. otherwise enter Pass or'Fail. STMS - Sensor on the Condenser Coil System Name or Identificationfrag System 1 The sensor is factory installed, or"Aeld installed according to manufacturer's 6 ❑ Yes ❑ No specifications, or is.installed by methods/specifications approved by the Executive Director. The sensor'wire is terminated with &standard mini plug suitable for connection to a 7 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater .without changing the airflow through the condenser coil 8 D ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperaturie ofthe coil. Yes to 6, 7, and'8 is a pass. Enter N/A if 'STMS are, not V 0 N/A. V ❑ Pass V ❑ Fail applicable. Otherwise enter Pass or Fail Reg:,211-A0057937A-M2500001A-M25A Registration Date/Time: 2011/13/18 13:13:24 HERS Providers Ca10ERTS, Inc: 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELDVERIFICATION & DIAGNOSTIC'TESTING CF-4R-MECH-25 Refrigerant'Charge Verification,- Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number, 78840 W HARLAND DR, La Quinta CA 92253 City of La Quints 11-1245 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb.iwabove WF) 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 eompliance.using this form. Attach an additfonal4orm(s) for any additional systems in the dwelling as applicable: •'The systemshould be installed and charged in,accordance with the manufacturer's specifications before siartingxiiis procedure. • The system must.meet minimum alrfiow requirements as prerequisite fora valid refrigerant.charge test. •.If outdoor air dry-bulb is 55°For below, the, installer must use the.Alternate Charge Measurement. Procedure. Space Condltioninta Svstems System Name or Identification/Tag System 1 (must be re -calibrated monthly) Date of Thermocouple, Calibration •11/1%2011 System Location or Area Served Whole House Outdoor Unit Serial #' 1106199126 Outdoor Unit Make Goodman Outdoor Unit Model GSC130421 Nominal Cooling Capacity Btu/hr 42000 .Dateaof°..Verifieatton 1A/3 2011 T_ canoranon or waunosnc ansvumenrs Date.of Refrigerant Gauge Calibration . 11/1/2011 (must be re -calibrated monthly) Date of Thermocouple, Calibration •11/1%2011 (must be re -calibrated monthly) Measured:Temperatures (°F-)` = = _=- System Name or:Identiflcatton/Tag p : System - Supply (evaporatorleaving)' air dry -bulli 50.T temperature (Tsupply, db) Return (evaporator`entering) air -dry-bulb 70.3 temperature (Treturn, db) , Return (eiiaporator'entering) air Wet -bulb 55.1 temperature (Treturn, wb) Evaporator saturation temperature 38 (Tevaporator,. sat) Condensor saturation temperature 90 (Tcondensor, sat) Suction line temperature (Tsuction) 48 Liquid Une:Temperature (Thquid) 79 Condenser, (entering) air dry-bulb 69 temperature (TeDndenser, db) Reg: 211-A0057937A-142500601-A425A Registration Date/Time;: 2011/11/18 13:13:24 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance.Forms March 2010 INSTALLATION CERTIFICATE CF-41t-MECW25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site. Address: Enforcement Agency, Permit Number: 78840 W HARLAND DR,. La Quinta CA 92253' City of La Qu I 11-1245 Minimum Airflow Requirement Temperature Split Method Calculations.for determining _Minimum Airflow Requirementfor Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix_ RA3.2. System Name or Identification/Tag System 1 Calculate: Actual Temperature Split. = Treturn, 19.60 db - Tsupplyj db Target Temperature Split from Table RA3,2-3 19.9 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - -0.3 Target Temperature Split = Passes"if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -300°F PASS Enter Pass or Fail Note: Temperature Spllt'Method Calculation is notnecessary if actual Cooling Cod Airflow is verified using one of the airflow.measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, ;the::value.: must.be,equal..bo;or gfeater.then .the Calculated: Minimum: Airflow: Requirement.ln,thetable: below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X300 (cfin/ton) System. Narne or Ideritification/Tag Calculated Minimum Airflow Requirement°(CFM) Measured' Airflow using RA3 3 procedures (CFM) ' s Passes lf'measured airflow is greater than qr equal to the calculated minimum airflow requirement., Enter Pass or Fal Superheat Charge Method.Calculations for Refrigerant Charge Verification: This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag Calculate:. Actual'Superheat = Tsuction - Tevaporator,,sat Target Superheat -from Table RA3.2-2' using Treturn, wb and Tcondenser, db Calculate difference: Actuai Superheat - Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Fail Reg: 21`1-A6057937A-M2500001A-M25A Registration.Date/Time::, 2011/11/19 13:13p24 HERS Provider': CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification -,Standard Measurement Procedure (Page 4 of 7) Site°Address: Enforcement Agency: Permit Number: 78840 W HARLAND DR, La Quinta CA 92253 City of La quints 11-1245 Subcooling Charge Method Calculations for Refrigerant. Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual Subcooling 10.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 12 Calculate difference: _1 Actual Subcooling - TargetSubcooling = System passes Wdifference is between -4°F and +49F PASS r Enter Pass or Faill PA SS ' Metering Device Calculations,for Refrigerant, Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXU) systems. System Name or Identification/Tag System 1 Calculate: Actual Superheat = 10.0 Tsuction - °Tevaporator, sat Enter -allowable superheat range from manufacturer's specifications (or use range 12 between 4 and 26°F if manufacturer's specification is not.available) System passes'if actual superheat is within the r allowable superheat range PA SS ' ,— •.Enter Pass or Fal :n Reg: 211--A005791�A-M2500001P;-M25_A Registration;Date/Time: 2011/11/,18'13:13:24 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) INEEMENE Site Address: Enforcement Agency: PermWNumber:, 78840 VII HAR LAND DR, La Quinta CA 92253 City. of La Quinta 11-1245 Standard. Charge .Measurement: Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based. on measurements taken concurrently during system operation, If corrective actions were taken; all applicable verification criteria must be re -measured and/or, recalculated. System Name or Identification/Tag system 1 1878533 HERS Provider Data Registry Information Sample,Group * (Itapplicable): N/A Quested/verified dwelling System meets -all refrigerant charge and airflow HERS sample group HERS Rater Information CaICERTS Certificate # CCI -17986.05957 HERS Rater Company Name: requirements. PASS Responsible Rater's,Signature: Andrew Pulos Andrew Pulos Enter Pass .or Fall Date Signed:11/12/2011 CC2004503 DECLARATION STATEMENT I certify under penalty of perjury, under the iaws of the State of California, tht information provided on this form Is true and correct: . I am the certified HERS rater who performed the verification services identified and reported on! this certificate (responsible rater). The installed feature, material, component,, or manufactured device. requiring HERS verification thatis;identified on this certificate (the installation) complies with the applicable requirements in Reference. Residential Appendices W and.RA3-and the requirements specified on the Certificate(s) of Compliance (CF-iR),approved by the local enforcement agency. The information reported on applicable sections of the Installation Certificate(s) (CF -6R); signed and submitted by'the person(s) responsible for the Installation conforms to the requirements specified on the>Certificate(s) of Compliance (CF=1R) approved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractoror General .Contractorror Builder/Owner) VENVEST SALLARDTNC Responsible Person's Name: CSLB License: JIM MCELIGOT 1878533 HERS Provider Data Registry Information Sample,Group * (Itapplicable): N/A Quested/verified dwelling ❑ notAested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CCI -17986.05957 HERS Rater Company Name: Athens Air Responsible Rater's Name: I Responsible Rater's,Signature: Andrew Pulos Andrew Pulos Responsible Rater's'Certification'Number w/this HERS Provider: Date Signed:11/12/2011 CC2004503 Reg: 211-A0057,937A-142500001A-M25A Registration Date/Time: 2011/11/.18 13:13:24 HERS Provider:. CalCERTS; Inc. 2008 Residential Compliance Forme March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-0 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: 78840 VII HARLAND DR, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) Cityof La Quinta 11-5245 Space Conditioning Systems Heating Equipment Equip Type (package- heat pump) CEC Certified Mfr. Name and Model.Number ARI' Reference Number2 # of Identical Systems Efficiency (AFUE; etc.)1, 3 (>=CF -1R Value)4 Duct Location (attic; crawl- space, etc.) Duct R -value Heating Load (kBwffie) Heating Capacity (kbtu/hr) Split Furnace Goodman GMS80604BX 1 80 AFUE Attic 48 60 kBtu f Cooling Equipment Equip Type ._ (package heat pump) CEGCertlfled Mfr: Name and Model'Number ARI Reference Number2 # of Identical Systems Efficiency 'SEER and EER) 1,, 3 (>=CF-iR value)4 Duct Location (attic, crawl- space, etc.) Duct R -value Cooling Load (kBtu/hr) Cooling. Capacity (kBtu/hr) f 1 If project is new construction see. -Footnotes to Standards Table 151-8 and'Table 151=C for duct cellin compliance. g 2. AN. Reference Number can, be found by,entering the equipment model number at http:%/www.aridirectoy. org/ari%ac, ph"p# 3. Listed efficiency on this page must be greater thanor equal ( ? ) to the value,shown on the CF. -1R form. 4., When CF IR is reference it is also applicable to the CF -IP, CF -IR -AA or'CF-1R-ALT ALL BOXES MUST BE CHECKED TO ,BE A VALID FORM 0. §110-§113: HVAC' equipment is certified by the California. Energy Commission. 0 §150(h): Heating and/or cooling loads calculated' in accordance. with ASHRAE, SMACNA, or RCCA. 0 §150(i): Setback Thermostat on all applicable heating, and/or cooling systems meet the requirements of §112(c). 0 §150,(j)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. Reg: 211-A0057937A-M0400001A=0000 Registration Date/Time: 2011/11/18.13:67.:31 HERS'Provider:. Ca1C1KRTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-GR-NECH-O Space Conditioning Systems, Ducts and Fans (Page >2 of 2) Site Addresmi 78840 W HARLAND DR, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quints 11-1245 Ducts•and Fans §150(m): Duct.and Fans. 0.1. 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 andplenums 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 1814 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 0 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 installedin 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 the! rrcomponents shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 0 7. Exhaust fan systems have back draft or automatic dampers. 0 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers:, . O;Protection:of Insulation.;Insulation shall 1rom:.damA9e, including .that.-due10 _sunitghtj. moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a, coating that is: water retardant and provides shielding from solar radiation that can cause degradation of the material: 0.10. Flexible,ducts cannot:have porousinner, cones.._ _ DECLARATION STATEMENT • I Certify under`penalty of perjury, under the laws of the state of Califomia, the Information, provided, on thisform 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, ofthe person responsiblelbr:construction (responsible person). • I certify thatthe Installed features, materials, components, oe manufactured devices`identified on this certificate (the installation) conforms to all applicable codes and sregufations, 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 -111` that apply to the installation have been met. • I will ensure that a completed, signed copy of'this Installation Certificate shall be posted, or made available with the building,permit(s) Issued4or the building, and made available to the, enforcement agency'for all applicable inspections. I understand that a signed copy of th.W.Installation Certificate is'required to be Included with'the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor orGeneral Contractor or Builder/pwner) VENV,EST 13ALLARD INC Responsible Person's Name: Responsible Person's Sig RUTH DEBRICK RUTH DEBRICK CSLB License: Datp Signed. Position With Company (.Title): 878533 1012412011 Reg: 211-A0057937A-M0400001A-0000' Registration•Date/Time: 2011/11/18 13:.07:31 ETERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance FormaAugust 2009 INSTALLATION CERTIFICATE CF-611-NECH-21-HERS Duct Leakage Test — Existing. Duct System (Page i of 2) Site Address: 78840 W HARLAND DR, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quanta 11=1245 Enter the Duct System Name or Identification/Tagv System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit. one Installation Certificate for each duct system that must'demonstrate compliance in the. dwelling. This installation certificate is: required for compliancefor' 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. Fora completely new or replacement' duct system installed in an existing .dwelling, use the Installation Certificate titled''Duct Leakage Test - Complete/y'New or Replacement Duct System. Duct'Leakaoe Dlaanostic Test - existing duct system Select one compliance method from the following four choices. 0 1. Measured leakage less than .15% of fan flow ❑ 2. Measured leakage.to outside less than 10%, of Fan Flow 0'3. R�eiduee #ea�kag*e by 6©% arrrd;•eonduct,smoke an+d fix :all=#cake ❑ 4. Fix all accessible leaks using: smoke.and,HERS rater verify Note: (One of Options 1, 2 or 3 must bdattempted before utilizing;, Option 4.) r_ Determine nominal Fan. Flow using one;ofthe following'th"ree caitulat_ion''methods.,",, 0 Cooling system method: Size of con'denser'in Tons ': "4 x; 400' _ 1600 .CFM ❑ Headn system met9 21.7 x Out Lit Ca -aci_ in Thousands 5 - 9 Y P P ty of Btu/hr -_ cpm -�' ❑ Measured system airflow using RA33 airflow test -procedures:,_ CFM , 00tloh�1 used then: 1 Allowed leakage = Fan Airflow .. 1600. X0.15:= 240 CFM Actual Leakage = 90 CFM Pass if Actual Leakage is less -than Allowed leakage p Pass rl,Fail Option Z.used then:; 2 Allowed leakage = Fan Airflow _:x 0:10 = _ CFM Actual Leakageto 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_/ Initialleakagex 100% _ O Reduction Pass R 9/o Reductiom> 60% .Pass Fail Option 4 used. then: 4 All -accessiblet leaks repaired using smoke. test. HERS rater must verify (No Sampling). P.,ass if all accessible leaks have been repaired using smoke Pass El Fail Reg: 211-A0057937A-M2100601A-0000 Registration Date/Time: 2011/11/18 13:07:57 HERS Provider: CaICERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-611-MECH-2I-HERS Duct Leakage Test— Existing Duct System (Page 2 of 2) Site Address: 78840 W H'ARLAND DR, La Quinta CA 92253 (System Enforcement. Agency: Permit Number: 1) City of La Quints 11-1245 0`.O.utside:ait (OA)�.ducts?for_:Ceftteai'Fan:Integrated'(CFI)-.ventilation:systems,:Shall:not-..tie:sealed%taped=.tiff during duct leakage testing. CFL OA; ducts that. utilize controlled imotorized 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. B All supply and return register'liootsmust bi leafed to the`drywall If rR test is utili zed for'compliance - appliesito'.ductleakage compliance option 3'(leakage reduction by 60% )'°and option 4,,, )(all accessible, leaks) described above.,, O New duct Installations cannot utilize -building -cavities asplenums or platformreturns in lieu of ducts.-_ ® Mastic and draw bands must be used in combination. with, cloth backed"rubbee-adhesive duct tape to seal leaks at all new -duct connections: DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided .on this form is true and. -correct. • Lam eligible under Division 3 of the Business and Professions Code to -accept responsibility: for construction, or an authorized representative ofthe person responsible for construction (responsible person).. . I'certifythat the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the. nstallation Wconsistent with the plans and specifications approved by the enforcement agency: • I understand that,a HERS rater will check theinstallation 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 HERS rater, and!If those Installations fall to meet the requirements of such quality. assurancechecking, the required corrective action and additional checking/testing of other installations In that HERS samplergroup will beperformed at.my expense: • I reviewed a copy of the Certificate:of Compliance (CF -1,R) form approved bythe enforcement agency that Identifies the specific requirements for the installation. I:certify that the requiements4etailed onthe CF-Sk that apply to the Installation have been. met. • I will ensure.that_&,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 agbncy forall applicable Inspections. I understand that aligned copy of this Installation Certificate is required to be Included with thedocumentation the builder provides to the building owner at occupancy. I will: ensure that. alUInstallation, Certificates.will.corne 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'INC Responsible Person's Name: Responsible Person's Signature: RUTH DEBRICK RUTH bEBRIC_ K CSLB License: 876533 Date. Signed: 10%24/2011 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes []No Reg: 211-A0057937A-M2100001A-0000 Registration Date/Time,; _2011/11/18 13:07:51 HERS Providers. CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE* CF-611-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 78840 W HARLAND DR, La Quinta CA 92253 City of'La Qulnta 11-1245 Note: If installation of a Charge Indicator Display (CID) is utWzed'as an alternative: to refrigerant charge verification for compliance, .a MECH=24 Certificate:(instead of 'this MECH-25 Cerfificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is� utilized for compliance. As many as 4 systems in the dwelling.can.be documented ,for compliance using this.form. Attach an additional form(s) for any, additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation_ Temperature Measurement Sensors ($TMS) Procedures for installing TMAH'are specified in Reference ResidentialAppendix RA3:2. If refrigerant charge verification is required for compliance, TMAH are, also required for compliance: STMS are only required for completely new or replacementspace-conditioning.systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply. and Return Plenums of Air Handler System Name or'Identification/Tag System 1 System Location or Area Served Whole House 1 ® Yes ❑ No 15/.16 inch (8 mm) accessthole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ® Yes ❑,No 5116 inch (8 mm) access We downstream of evaporative coil in the supply plenum and: labeled.according:to Figure in Section.R,A3.2.2.2.2. Yes o .1 and 2 is a. pass. Enter Pass or Faill ✓ 0 Pass V ❑Fail STNS - Sensor on.the Evaporator�Coll -- System Name or'Identifeation/Tag` ,r , ". ", :. _ System i - TheAsensor.isfactory installed,.orfield installed according to manufacturer's 3 :❑ Yes ❑ No specifications, or is installe'b by me"t—hods/specifications approved by•the Executive ❑ No specifications,. or is installed by methods/specifications•approved by the Executive Director. ;,: The:sensor wireis terminated with a standard mini plug suitable for eonnec4q to a 4 Q Yes "` ❑ No ' dig�fal thermometer `T,he sensor mini .plug is accessibie to the' installing �technidan .• The sensor wire is terminated with a standard mini plug, suitable,for connection to a- 7 and.,the HERS.,rater.without changing the a'ir#lo"w through the: condenser coil 5 ❑ Yes ❑;No The:sensormeasures the -saturation temperature,of the coil within 1.3 degrees F Yes'to.33 4, and 5 is a. pass. Enter N/A if STMS are not %0'0'N/A ✓ ❑'•Pass ✓ ❑ Fail applicable.,Otherwise;enter-Pass.or Fail. I ❑ No IThe sensor measures the saturation temperature.of the coil within •1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter WA if STMS are not STMS - Sensor on the Condenser Coil System Name or Identifcation/TagSystem 1 The sensor is factory installedi or field installed according to manufacturer's 6 ❑ Yes ❑ No specifications,. or is installed by methods/specifications•approved by the Executive Director. The sensor wire is terminated with a standard mini plug, suitable,for connection to a- 7 ❑ Yes ❑ No digital thermometer: The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 1 s I ❑ No IThe sensor measures the saturation temperature.of the coil within •1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter WA if STMS are not ✓ 0 N/A ✓ ❑Pass ✓ ❑Fail applicable. Otherwise enter Pass or Fail Reg: 211-A0057937A-M2500001A-0000 Registration Date/Time: 2611/11/18.13:09:55 HERS Provider: CalC$RTS, Inc. 2008 Residential Compliance Forma August 2009 INSTALLATION CERTIFICATE' CF-GR-MECH-25-HERS Refrigerant Charge Verification, - Standard Measurement Procedure (Page 2' of 5) Site Address: Enforcement Agency: Permit Number: 78840 W HARLAND DR, La Quinta CA 92253 City of La Quinta 11-12.45 Standard Charge, Measurement Procedure (for use if;outdoor air dry-bulb is above S5°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are. available in Referencie 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 addltional.systems In the dwelling as applicable. • The system should be installed and changed in accordance. with the manufacturer's specifications befurestarting this procedure. • The system must meet minimum airflow requirements as prerequisite fora valid refrigerant charge test._ • If outdoorair dry-bulb Is, 55OF`or below, the Installer must use. Me Alternate Charge Measurement Procedure. Space'Conditioning Systems System. Name or Identification/Tag System 1' (must be re -calibrated monthly). Date of'7rierm66u Ie :Calibration ; p 10 1 :2011, / - / - System Location or Area Served Whole House Outdoor Unit Serial # 1106199126 Outdoor Unit Make Goodman Outdoor Unit Model GSC130421. Nominal Cooling Capacity Btu/hr 42000 Date of -.Verification ,10/24/2011 Calibration .of Diagnostic -Instruments Date of Refrigerant Gauge Calibration 10/3/2011 (must be re -calibrated monthly). Date of'7rierm66u Ie :Calibration ; p 10 1 :2011, / - / - (must beige -calibrated„ monthly) measurea_i:emperazurew F]. , SystemNAMeorldentifieation/Tag ,Systimi Supply•(eveporatorleaving),air-dry: bulb temperature (rsupply, db)` Return (evaporator=entering) air dry-bulb 73.3 temperature (Treturn, db) Return (evaporator'enteeing) airwet-bulb $4.2 temperature (Treturn, wb). . Evaporator saturation temperature 40 (Tevaporator, sat) Condenser saturation temperature. 90 ('Tcondensor, sat) Suction line temperature (Tsuction) 49 Liquid Line Temperature (Tliquid) 80 Condenser'(entering) air dry-bulb 70 temperature (Tcondenser, db) Reg:: 211-A0057937A-M2500001A-0000 Registration Date/Time: 2011/11/18:13:0.9:55 HERS Provider: CaiCERTS, Inc. 2008 Residential Compliance Forms August 20.09 INSTALLATION CERTIFICATE CF-GR-MECH'-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of S) Site Address: Enforcement; Agency: Permit Number: 78840 W HARLAND DR, La Quinta CA 92253 City of La Quinta 11-1245 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum AI_rfiow Requirement for Refrigerant Charge: Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag System 1 Calculate: Actual Temperature Split = Treturn, 20.30. db - Tsupply, db . Target -Temperature Split from Table RA3.2-3 21.8 using Treturn, wb and'Treturn, db Calculate diffetence: Actual Temperature. Split - .1.5 Target TemperatureSplit = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between-30Fand PASS 400°F Enter Pass or Faill Note: Temperature Split.Method Calculation is not necessary if actual Cooling Coil.Airflowis verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If cooling coil airflow is measured,.the Value. rnust;be equal`to:.orgreater-than; the.CaiculatedMlnimum..Airflow. Requirement. in. the. table -below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X:300 (cfm/ton) System Name or.Identificatlon/Tag Calculated Minimum Airflow Requirement (CFM) _ Measured41rflow-using RA3 3 procedures (;CFM)' Passes if measured ;airflow is greater. than or' equal.to<the calculated.minimum a'i'rflow require .meet: ' Enter Pass or Fail Superheat Charge Method Calculationsfor Refrigerant Charge Verification. This procedure is required to be used for fixed orifice_ metering device systems System Name orldentification/Tag 'System 1 Calculate: Actual' Superheat = Tsuction - Teva orator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat- Target Superheat = System passes if difference is between -5°F and +5°F Enter Pass or Fall Reg,: 211-A0057937A-M2500001A-0000 Registration. Date/Time: 2011/11/18 13-:.09:55 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-611-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement,Agency: Permit Number. 78840, W HARLAND DR, La Quinta CA 92253 City of La Quinta 1 1.1-1245 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used forthermostatic expansion valve; (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual'Subcooling = 10.0 Tcondenser, sat - Tliquid Target Subcooling;specified by manufacturer 10 Calculate difference: 0 Actual Subcooling - Target Subcooling =. System passes if difference is between 3°F and +30F PASS - ,+- Enter Pass or Fal r Metering, Device Calculations for Refrigerant Charge Verification. This'procedure is required to be used for thermostatic expansion valve (T)(V) and electronic expansion valve (EXV), systems. System Name or Identification/Tag System 1 Calculate: Actual Superheat = 9.0 T.suction - Tevaporator, sat Enter :allowable superheat range from manufacturer's specifications (oruse-range 10 betweem4°F and-25°Fjf manufacturer's specification is notavailable) System passes-lf'actual superheat,is within -the "" PASS - ,+- allowable;superheat.-range r - Entee,Paiss or Fall Reg: 211-A0057937_A7M2500001A-0000 Registration Date/Time: 2011/11/18 13:09:55 HERS Provider: CalCERTS, Inc. 2068 Residential Compliance Forms August 2009 INSTALLATION .CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Change Verification - Standard Measurement Procedure (Page 5 of 5)0 Site Address: Enforcement Agency: Permit Number: 78840 W HARLAND DR, La Quinta CA 42253 City of La Quinta 11-1245 Standard Charge Measurement Summary: System shall pass' both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow'criteria- based .on measurements taken, concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or, recalculated. System Name or Identification/Tag System 1 CSLB Licenser 876533 Date Signed: 10/24/2011. Position 'With Company (Title): System meets, all refrigerant charge and airflow Name of TPQCP (if appiicable)c Control Program; (TPQCP)? ❑ Yes ❑ No requirements. PASS Enter Pass or Fall r DECLARATION STATEMENT • _I certify under penalty of perjury„undertheaaws 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_'fo all applicable codes and regulations, and the installation is consistent with the plans!and specifications approved by the enforcement, agency. • I understand that a HERS rater -will check the Installation to verify compliance, and that. that If.such checking identifies defects, I am required 1:6- take corrective action at my expense., I understand that Energy Commission and";HERS pro viderrepresentatives will also perform quality assurance, checking of installations, including those approved,as part of a sample group but-not0ecked by a HERS rater, and if those installations fail to meetthe requirements of such quality assurance checking, the required corrective action and additional. checking/testing of other installations in that HERS sample group will be performed at, my expense. •.I reviewed a copy of the.Certificate of Compliance (CF -111) form approvedby the enforceinent.agency that identifiestthe specific requirements fior the installation. I certify.that the requirements detailed on the CF-111#iat 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 enforcementagency for all applicable inspections. I understand that,a signed copy of this Installation CertMcate Is required`to, be included with the,documentation,the builder Provides to,the building.ownerat occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for muitiole orientation. alternatives, and beainnino October 1. 2010. for all low-rise residential buildings. Company Name: (Installing' Subcontractor' or General Contractor or Builder/Owner) VENVEST'sALLARD INC Responsible Person's Name:, Responsible,' Person's Signature: RUTH. DERRICK RVTH OEBRICK CSLB Licenser 876533 Date Signed: 10/24/2011. Position 'With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if appiicable)c Control Program; (TPQCP)? ❑ Yes ❑ No P r DECLARATION STATEMENT • _I certify under penalty of perjury„undertheaaws 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_'fo all applicable codes and regulations, and the installation is consistent with the plans!and specifications approved by the enforcement, agency. • I understand that a HERS rater -will check the Installation to verify compliance, and that. that If.such checking identifies defects, I am required 1:6- take corrective action at my expense., I understand that Energy Commission and";HERS pro viderrepresentatives will also perform quality assurance, checking of installations, including those approved,as part of a sample group but-not0ecked by a HERS rater, and if those installations fail to meetthe requirements of such quality assurance checking, the required corrective action and additional. checking/testing of other installations in that HERS sample group will be performed at, my expense. •.I reviewed a copy of the.Certificate of Compliance (CF -111) form approvedby the enforceinent.agency that identifiestthe specific requirements fior the installation. I certify.that the requirements detailed on the CF-111#iat 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 enforcementagency for all applicable inspections. I understand that,a signed copy of this Installation CertMcate Is required`to, be included with the,documentation,the builder Provides to,the building.ownerat occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for muitiole orientation. alternatives, and beainnino October 1. 2010. for all low-rise residential buildings. Company Name: (Installing' Subcontractor' or General Contractor or Builder/Owner) VENVEST'sALLARD INC Responsible Person's Name:, Responsible,' Person's Signature: RUTH. DERRICK RVTH OEBRICK CSLB Licenser 876533 Date Signed: 10/24/2011. Position 'With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if appiicable)c Control Program; (TPQCP)? ❑ Yes ❑ No Reg; 211=A0057937A-M2500001A-0000 Registration Date/Time: 2011/11/18 13::09:55 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009