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13-0967 (MECH)4 P.O. BOX 1504 ^' VOICE (760) 777-7012 787495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/01/13 Application Number: 13-00000967 Owner: Property Address: 53940 EISENHOWER DR. LA QUINTA REDEVELOPMENT AGENCY APN: 774-171-010-15 - - P O BOX 1504 Application description: MECHANICAL LA QUINTA, CA 92247 Property Zoning: COVE RESIDENTIAL Application valuation: 4200 Contractor: Applicant: Architect or Engineer: SPANN HVAC "FINOAAN�C�FnPprr 67300 VISTA CHINO \ CATHEDRAL CITY, CA 922 (760)288-95502013 Lic. No.: 976632 QUINTA ------------------------------------------------------------------------------------------------- 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. LicenseClClass: C20 LicenseNo.: 976632 Date: v Contractor: S_A 4_.o 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 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.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _ 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.1. Lender's Name: Lender's Address: LQPERAIIT 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. 1 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 FZEMPT Policy Number EXEMPT 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 pnt� 3700 of the Labor Code al orthwith tom�hoseons. Date: V Applicarit: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO 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 constru tion, and heAy authorize representatives of this((pp(,��jjjo,�.0 ty to enter upon the above-mentioned property for ' s e ion purpose Date: V Signature (Applicant or Agent): • 't Application Number . . . . . 13-00000967 Permit . . . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/28/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35..75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 13SEER/80AFUE/10EER 4TON STSTEM (2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010'CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------------------------------------- 71.50 .00 .00 71.50 Plan Check Total .00 .00 .00 .00 v Other Fee Total 91.57 .00 .00 91.57 Grand Total 163.07 .00 .00 163.07 LQPERMIT Sim `.i.ified.Rrescriptiye Ceraificafe;"ofeompliance; 2008 Residential HVAC i�lterations CF -1R -ALT -HVAC .: CTl a aur Zone.s 10 to 15 Site Address M Enforcement Agency: • Date: Permit �t�5pn�ow : Conditioned Floor Equipment T r List Minimum Efficiency' Duct insulation requirement j Area Thermostat O Packaged Unit Furnace O O AFUE M/S O COP Over 40 ft of ducts added or 8 Setback f5'indoor Coil OSE£R O HSPF _ replaced in unconditioned space Served by system (If not already Condensin Unit g O EER Resistance O R 6 (CZ 10-13) sf present. must be / O R 8 (CZ !t-ISJ installed) O Other I Equipment Type: Choose the equipment being installed. ijmore than one system, use another CF -I R-ALT-HVACfor each system. 2. Minimum EfOpmuu EJfrdendes: 13 SEEP, 7801.AFUE. 7.711SPF jortypical residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what worjc 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 futal inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fad the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF4R forms (ho hand filled CFARs allowed) are filled out and signed; Beginning October 1, 2010 a reiistered copy of the CF -111 and CF -6R shall also be on site for 6"1 Ins n. �Erl. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R -forms: MECH-04, MECH-2I-HERS and ffor split systems) MECH- 25 -HERS CF4R forms: MECH-.21 and fix split stems MECH-25 • Condenser Coil and /or ' CF -6R forms:. MECH-2I-HERS and (for split systems) MECH- 25 -HERS rm • Indoor. Coil and/or CF4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Aempted from duct leakage testing if: O 1 Vuc4 system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems %pith less than 40 linear feet in unconditioned space, or O 3. Existing ducts stems are constructed, insulated or sealed with asbestos O 2. New HVAC System Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting end all CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new a uicnt For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. - ror Packaged Units: Duct leakage <6 percent O 3. New Ducts with Replacement. Required Forms: • includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF41R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage <6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Include; adding or replacing more than 40 CF -6R forms: MECH-04, MECH-21-HERS CF -4R forms: MECH-21 linear feet of duct in unconditioned space. For split system or packaged units: Duct leakage < 15 percent O EXCEPTION: Existing ducts stems constructed,insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) _ • 1 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. 1 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. • i fir cie.i-on features r�enu�od on this Cercificate of Compliance are consistent with the information documented on other applicable compliance fomu, worksheets, calculations tans arkl s cificatiotu submitted W the enforcerttent a for oval with the it kation. Name: �" Signature: Company: Date: ZD._ ( — / Q 's l V l cv7 . - �J Address: 100 City/StatclLip: (� ( e C 2008 Residential Compliance Forms t✓�r � e 12oY C License: c(_7 Phone: '7& v' — a PO — March 2010 Bin # Qty of La Quinta Building 81 Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Run Project Address: oWel( Owner's Name: c4' Lcs— Ou �7 4 CL A. P. Number: Address: 70 COJ _141 Legal Description: 'Acr C CWdL`cW,61 C-JE2,,i;42 . c -.)F City, ST, Zip: Contractor: 'S telephone: 7CO 0 xzo� -X -Xxx Address: /0 00 Project Description: City, ST, Zip: of -Lk. -F(9-�� Telephone: .......... se State Lic.#: City Lic. Arch,, Engr., Designer: Address: City., ST, Zip: Telephone: .... ......... Construction Type: Occupancy: St Lic. #: Sate Project type (circle one): New Add'n Alter Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req1d Rec7d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural CaIcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 CaIcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub, Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 City of La Quinta 1 13-967 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 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, unless the TMAH Compliance Option is chosen. 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 System 1 System Location or Area Served Whole House 5/16,inch (8 mm) access hole l upstream of -evaporative coil in the N Yes ❑ Yes ❑ Yes ❑ Yes return plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure;in'Section RA3.2,2.2:2,.--;: w,- Return. side ofsthe duct system is/ �. la located entirely within conditioned ❑Yes / ❑ Yes :' ' ❑`Yes` ❑-Yes _.. space and return airflow temperature~No I❑ No11Noy 1.1 No to'be measuredat,the retu"rn:grille. 5/16.inch ("8,'mm),access hole downstream of evapbrative coil in'the 19 Yes ❑ Yes . ❑ Yes ❑ Yes 2 supply plenum and labeledaccording ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. The TMAH Compliance,Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for,the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information see htto://www.energy.ca.gov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is ® Pass ❑ Pass ❑ Pass ❑ Pass a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail i Reg: 213-A0060506A-M2500001A-M25A Registration Date/Time: 2013/08/07 13:29:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 City of La Quinta 1 13-967 STMS - Sensor on the Evaporator Coil System Name or System 1 "� j " �` 7 tr Identification/Tag 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not ® N/A ❑ N/A ❑ N/A ❑ N/A applicable. ' ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or,/ ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail' y STMS - Sensor on the Condenser Coil System Name -or Identification/Tag iSystem -'` `�"' 1 �( "� j " �` 7 tr 6 he sensor is factory installed or field installed'according to' manufacturer's specifications, or is installed - Tbly method s/specifieati ons a'ppro'ved by the Executive+Director:', ❑ Yes ❑ Nof ' ❑ Yes ❑ No ❑ Yes" q No_f( ❑ Yes' ❑ No is'terminated with'a standard mini - plug suitable for connection to'a'digital th'ermom`eter:-; 7 IThe;sensor^wire The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail i CI, 3 Reg: 213-A0060506A-M2500001A-M25A Registration Date/Time: 2013/08/07 13:29:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: I Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 City of La Quinta 13-967 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 form(s) 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioninq Svstems System Name or Identification/Tag System 1 System Location or Area Served Whole House 8/01/2013 (must be re -calibrated Outdoor Unit Serial # 13241L1Y4F Outdoor Unit Make f Tranes Outdoor -Unit Modelf 4TWB304BB1000BA S Nominal Cooling Capacity 4 Tons Date of Verification ,�� 8/s06/r2013 . Evaporator saturation temperature 53.0 Calibration`of Diagnosti/ //uments , Date of Refrigerant Gauge Calibration -8/01/2013 monthly) Date of Thermocouple Calibration 8/01/2013 (must be re -calibrated dry-bulb temperature (Tsu I db) monthly) Measured Temperatures (°F) System Name or Identification/Tag System 1 Supply (evaporator leaving) air 55.8 dry-bulb temperature (Tsu I db) Return (evaporator entering) air 76.4 dry-bulb temperature (Treturn db) Return (evaporator entering) air 62.2 wet -bulb temperature (Treturn wb) Evaporator saturation temperature 53.0 (Teva orator sat) Condensor saturation temperature 112.0 (Tcondensor, sat) Suction line temperature (Tsuction) 77.1 Liquid Line Temperature (Tliquid) 101.6 Condenser (entering) air dry-bulb 100.8 temperature (Tcondenser, db) Reg: 213-A0060506A-M2500001A-M25A Registration Date/Time: 2013/08/07 13:29:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 1 City of La Quinta r13-967 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 System 1 Calculate: Actual Temperature Split = 20.60 Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 19.9 using Treturn wb and Treturn db Calculate difference: Actual Temperature 0.7 Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between PASS -4°F and -100°F Enter Pass or Fail 1� Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil 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 to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) _ Nominal Cooling Capacity (4n).Xh300_ (cfm/ton),' System Name or Identif cation�fag\,. I Calculated Minimum Airflow Requirement (CFM) Measured Airflow using RA3.3 procedures (CFM) Measurement Method Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Reg: 213-A0060506A-M2500001A-M25A Registration Date/Time: 2013/08/07 13:29:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page S of 6) Site Address: Enforcement Agency: Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 City of La Quinta 1 13-967 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 System 1 Calculate: Actual Superheat = 24.1 Tsuction - Teva orator sat 10.4 Target Superheat from Table RA3.2-2 using Treturn wb and Tcondenser, db 3-26 Calculate difference: -0 Actual Superheat - Target Superheat = System passes if difference is between -6°F PASS ; �`�` /Yf t y and +6°F � ,,�r� � t`i , Enter Pass or Fail 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. ,-t System Name or Identification/Tag System 1 Calculate: Actual Superheat 24.1 Calculate: Actual Subcooling = : Tcondenser .sat - T.li uid 10.4 Target Subcooling specified by manufacturer 3-26 Calculate difference". _ Actual Su6cooling -(target SubcoolingF= -0 specification is not available) SyStemjpa'sses if difference`is betwreen -4°F and +,4°F 4 1 PASS ; �`�` /Yf t y 4 j' Entec Pass`_or Fail, � ,,�r� � t`i , 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 Identification/Tag System 1 Calculate: Actual Superheat 24.1 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail Reg: 213-A0060506A-M2500001A-M25A Registration Date/Time: 2013/08/07 13:29:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 City of La Quinta 1 13-967 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 1,CSLB'.License: 976632 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and ot-tested/verified dwelling Fina HERS sample group airflow requirements. PASS Sunland Home Services, Inc. Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail Charles Crabb Responsible Rater's Certification Number w/ this HERS Date Signed: 8/6/2013 Provider: ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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 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 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 -611), signed and submitted by the person(s) responsible for the installation conforms toxthe-requirements:specified on;theiCertificate(s)jofrCompliance (CF-1R),app{roved`'by the enforce`mentagency. W 1[ ' Builder/or'Installer infor-mation as`shown on�the Installation Certificate,.(CF-6R) - Company Name: (Ins(/ttdllinjgj Sulbcoy{ntractor orfGejr eral`Cdntracto{�r:;or Builder/Owner) ��y[`y 'y#J.y//~OP SPANN HVAC+: If Responsible'Tersoris.N'ame:t,..- .. Shaun Spann 1,CSLB'.License: 976632 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ®tested/verified dwelling ot-tested/verified dwelling Fina HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798784169 HERS Rater Company Name: Sunland Home Services, Inc. Responsible Rater's Name: Responsible Rater's Signature: Charles Crabb Charles Crabb Responsible Rater's Certification Number w/ this HERS Date Signed: 8/6/2013 Provider: CC2005637 Reg: 213-A0060506A-M2500001A-M25A Registration Date/Time: 2013/08/07 13:29:26 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms February 2013 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 53940 Eisenhower Drive, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 13-967 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 Diagnostic Test - existing duct system Select one compliance method from the following four choices. Cl 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow ❑ 3. Reduce leakage by,60% and conduct smoke and fix all leaks ❑ 4., Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options_,1, 2, or 3 must be attempted,before.,utilizing Option 4.)-„ Determine_ nominal Fan Flow using one of•the following three calculation methods. r� ( ® Cooling system methodd,-:�+Size of condenser in Tons)f 4 x.400 t 1600 C71CFM ✓ 13Heating system method: 2"lJx jOutput Capacity in Thousandsof,Btu/hr `� g ✓ ❑ Mea�sured, system aAow?'usi g`RA3.3 airflow ese procedure :, � CFM—,%-.,., Option 1 used then:. 1 Allowed leakage = Fan Flow 1600 x 0.15 = 240 CFM Actual Leakage = 140 CFM Pass if Leakage Actual is less than Allowed I@ Pass Fail Option 2 used then: , 2 Allowed leakage = Fan Flow_ x 0.10 = _ CFM Actual Leakage to outside= _ CFM I Pass if Leakage Actual is less than Allowed Pass C1 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% aPassoFail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). Pass if all accessible leaks have been repaired using smoke U Pass a Fail •.r Reg: 213-A0060506A-M2100001A-M21A Registration Date/Time: 2013/08/07 13:26:18 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 53940 Eisenhower Drive, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 13-967 ® 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 A.SHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. r ® All supplyland return register boots must be sealed to the drywall if smoke test is utilized for'compliance - applies`to duct leakage, compliance option 3 (leakage reduction,by 60%) and option 4�_(fix all accessible leaks) described above. ® New duct installations -cannot utilize building cavities asfplenums'or:,platform°returns. in lieu of ducts: ® Mastic and draw bands must be used in combination with cloth backed rubber adhesive duct tape to seal leaks at all new duct connections. 1 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 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 requirements in Reference Residential Appendices RAZ and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) 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) SPANN HVAC Responsible Person's Name: CSLB License: Shaun Spann 1976632 HERS Provider Data Registry Information Sample Group # (if applicable): N/A tested/verified dwelling❑ not-tested/verified dwelling in la HERS sample group HERS Rater Information CalCERTS Certificate # CCL -1798784169 HERS Rater Company Name: Sunland Home Services, Inc. Responsible Rater's Name: Responsible Rater's Signature: Charles Crabb Charles Crabb Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 8/6/2013 CC2005637 Reg: 213-A0060506A-M2100001A-M21A Registration Date/Time: 2013/08/07 13:26:18 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 1 City of La Quint a 13-967 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-2S 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 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, unless the TMAH Compliance Option is chosen. 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 System 1 System Location or Area Served Whole House 5/16 -inch (8 mm) access hole 1 upstrearri'of evaporative coil in the ® Yes ❑ Yes ❑ Yes ❑ Yes return plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure,in,Section RA3.2.2.2.2.__. -�,,,J, ,* , Returri.side of the duct systemis',f / f ) tr i' la located entirely within conditioned l7 Yes ❑,Yes I 113 Yes ❑ Yes space and return�aihlow temperature J❑'No `ri❑ No ❑ No��. ❑ No-- to be measured,at the retutn grille. 5/16 inch (8:rhm),"access,holek c� �, of 7,��f " ® Yeses ' 1� ;'r 2 downstream evaporative coihin th' ❑ Yes 13Yes""-�`� ❑ Y supply plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if it is physically impossible to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3 For more information see http://www.eneray.ca.ciov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is ® Pass ❑ Pass ❑ Pass ❑ Pass a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail a Reg: 213-A0060506A-M2500001A-0000 Registration Date/Time: 2013/08/07 13:24:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-611-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 1 City of La Quint a 13-967 STMS - Sensor on the Evaporator Coil System Name or System 1 T I I I Identification/Tag ' �-�, ''•k . +"'^+"} , 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes E3 No ❑ Yes ❑ No ❑ Yes ❑ No ❑Yes ❑ No 5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F ., ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not ❑ N/A pass. Enter N/A if STMS are not IN N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or Fail ❑ Fail ❑ Fail ❑ Fail ❑ Fail . STMS - Sensor on the Condenser Coil System Name or Systemj Identification/Tag".,,,:^° ' �-�, ''•k . +"'^+"} , 6 The sensor is factory instalied, foVfield installed'according:to¢manufacturer's"specifications, or is installed by methods/specifications approved:by the Executive,Director ill iYes ❑ No + (❑ Yes:. ❑;No i1 . 0 Yes,❑ No ❑ Yes;Q;No '"....� The sensor wire is,termirnated,with-,,a standard mini plug .suitableIfor connection to 6i digital,thermometer l 7 The sensorrminiplu`g.is. accessible totthe`,installing-technician and #lie HERS, rater without changing'tle airflow through the condenser coil F G❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 The sensor measures the saturation temperature of the coil within 1.3 degrees F ., ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail 01 Reg: 213-A0060506A-M2500001A-0000 Registration Date/Time: 2013/08/07 13:24:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 1 City of La Quinta 13-967 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) 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 form(s) 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioninq Systems System Name or Identification/Tag System 1 (must.be'`re-cali6rbte'd�'` r System Location or Area Served Whole House 8/01/2013 (must be re -calibrated Outdoor Unit Serial # y 13241L1Y4F Outdoor Unit Make ��'` Tranes Outdoor Unit Model , 4TWB304SB1000BA Nominal Cooling Capacity 4 Tons, s r f Date of Verification y i . 8/06/2013 I" jo Liquid Line Temperature (Tliquid) 101.6 Calibration of Diagnostic Instruments �' Date of Refrigerant Gauge Calibration< -:," 8-/01/2013 (must.be'`re-cali6rbte'd�'` r monthly) Date of Thermocouple Calibration 8/01/2013 (must be re -calibrated temperature (Tsu I db) monthly) Measured Temperatures (°F) System Name or Identification/Tag System 1 Supply (evaporator leaving) air dry-bulb 55.8 temperature (Tsu I db) 53.0 Return (evaporator entering) air 76.4 dry-bulb temperature (Treturn db) 112.0 Return (evaporator entering) air 62.2 wet -bulb temperature (Treturn wb) Evaporator saturation temperature 53.0 (Teva orator sat) Condensor saturation temperature 112.0 (Tcondensor, sat) Suction line temperature (Tsuction) 77.1 Liquid Line Temperature (Tliquid) 101.6 Condenser (entering) air dry-bulb 100.8 temperature (Tcondenser, db) A Reg: 213-A0060506A-M2500001A-0000 Registration Date/Time: 2013/08/07 13:24:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HER7S Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 1 City of La Quinta 13-967 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 System 1 Calculate: Actual Temperature Split = 20.60 Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 19.9 using Treturn wb and Treturn db Calculate difference: Actual Temperature 0.7 Split - Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between PASS -3°F and -100°F Enter Pass or Fail / Note: Temperature Split'Method Calculation is not necessary if actual Cooling Coil 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 to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirements(CFM)•= Nominal Cooling Capacity:.(ton,) X300 cfm ton System Name orldentification/Tag System 1eX Calculated Minimum Airflow Requirement (CFM) Measured Airflow using RA3.3 procedures (CFM) Measurement Method Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Reg: 213-A0060506A-M2500001A-0000 Registration Date/Time: 2013/08/07 13:24:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-611-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 1 City of La Quinta 13-967 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 System 1 Calculate: Actual Superheat = 24.1 Tsuction - Teva orator sat 10.4 Target Superheat from Table RA3.2-2 using Treturn wb and Tcondenser, db 11 Calculate difference: Actual Superheat - Target Superheat = _ 06 System passes if difference is between ';< PJ.. {„_j -5°F and +5°F PASS `+ Enter Pass or Fail 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 � F, . 24.1 Calculate: Actual Subcooling = 10.4 Tcondenser, sat - Tli uid Target Subcooling specified by 11 manufacturer Calculate difference: Actual Subcooling ;,Target Subcooling;;'="" _ 06 System passes if difference. is between` -3°F and +3°F ';< PJ.. {„_j Fail PASS `+ -; jEpterjPass or viii fL .�7fy► 1dlm!'ll �iAKrWiWIM Metering,oevice Calculations for'Refriger..ant Ch fege,Verificatiori*This-procedure-isrr.dgdi'red'to be" "—v used,.for thermostatic expansion valve (TXV) arid :electronic expansion valve (EXV) systems. f System Name or Identification/Tag System 1 Calculate: Actual Superheat = ' 24.1 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range 4-25 between 4°F and 25°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail Reg: 213-A0060506A-M2500001A-0000 Registration Date/Time: 2013/08/07 13:24:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-2S-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 53940 Eisenhower Drive, La Quinta CA 92253 1 City of La Quinta 13-967 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 License: 976632 Date Signed: 18/6/2013 Position With Company (Title): System meets all refrigerant charge and Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No airflow requirements. PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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 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 samptleygr p but not checked.by a HERS�rater� and'if-those in§ta-lia i6hs,failto meet -the requirements of such quality assurance c' ecking, the requiredc" rrective action and additional checking/testing of other installations in that HERS sam le rou will be erforrried atm ex ease. - P 9 p p , ti Y p k . I reviewed a.copy of the4Certfficate of Compliance (CF-1R)form approved by the enforcement agencytithat identifies the"� specific requirements for the installation. I certify that the requirements detailed on, h,6 CF-iR thai apply to-the� . ,gyp installation .have been{roet.rt ?i � 11 .I will `ensure1that a completed, signed copy of -this Installation Certificate-shall;be posted, or made;available1 with'the building permits) issued forthe"building, and made available to the enforcement agency`fortrell'" 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) SPANN HVAC Responsible Person's Name: " Responsible Person's Signature: Shaun Spann Shaun Spann CSLB License: 976632 Date Signed: 18/6/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 213-A0060506A-M2500001A-0000 Registration Date/Time: 2013/08/07 13:24:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 53940 Eisenhower Drive, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 13-967 Enter the Duct System Name or Identification/Tag: System i 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 Diagnostic Test - existing duct system Select one compliance method from the following four choices. ® 1. Measured leakage less than 15% of fan flow .j, ❑ 2. Measured leakage to outside less than 10% of Fan Flow ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4: Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2 or 3 must -be attempted,bef_ore_utilizing, Option.A.) Determine �nominal .Fan' Flow using one of the following three` calculation methods. jY 14 ` ✓ ® Cooling; system method: Size in Tons z 400 _ 1600 CFM tof.co]ndenser ❑ Heating system method: 21 .7 x Output Capacity in Thousands' oflBtu/hr = _ CFM t FIs/ t . ✓ ❑ Measured_ system airflow usingRA3.3 airflow test procedures: CFM Option I used then:. 1 Allowed leakage = Fan Airflow 1600 x 0.15 _ 240 • CFM Actual Leakage = 140 CFM Pass if Actual Leakage is less than Allowed leakage 0 Pass Fail Option 2 used then: ' 2 Allowed leakage = Fan Airflow _ x 0.10 = _ CFM 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: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). Pass if all accessible leaks have been repaired using smoke 13 Pass a Fail Reg: 213-A0060506A-M2100001A-0000 Registration Date/Time: 2013/08/07 13:19:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 53940 Eisenhower Drive, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Qui nta 13-967 ® 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. ® All sdpply�an�d rettu n register'boots-mtist�b'sealed=e drywall if smoke testis utll¢ed ford compliance - applies, to duct leakage compliance option 3 "(leakage reduction,by•60%) and option 4(fix all:.accessible leaks) described above. ,! � r� � / �� IN New duct installations cannot utilize building cavities asiplenums or. platform returns in lieu of ducts.- ® Mastic and draw bands must be used in combination with cloth backed rubber adhesive duct tape to seal leaks'at all new duct connections DECLARATION STATEMENT c . 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 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 -111) farm 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) SPANN HVAC Responsible Person's Name: Responsible Person's Signature: Shaun Spann Shaun Spann CSLB License: Date Signed: Position With Company (Title): 976632 8/6/2013 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? 0 Yes ❑ No Reg: 213-A0060506A-M2100001A-0000 Registration Date/Time: 2013/08/07 13:19:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: 53940 Eisenhower Drive, La Quinta CA 92253 (System EnforcementA en 9 �' Permit Number: 1) City of La Quinta 13-967 Space Conditioning Systems Heating Eguiament 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 (kBtu/hr) Heating Capacity (kBtu/hr) Split Furnace Tranes TEM3AOC48S41SA N/A 1 7.7 HSPF Attic R-6 48 4 Tons Split A/C.. ' TranesEE 4TwB304BB1000BA C �. p- N/A ks. 1 �` : -- 13`SEER— W 11 R. Attic R-6 ` 48 F 4 Tons 1 f� �� , � ;�,.� [ � �� _ to ��: - • . t Coollno EaUlDment 1. It project is new construction, see t-ootnotes to Stanaaras laDie 151-ts ano IaDle 151-c. ror oucr cemng airernarive compliance. 2. ARI Reference Number can be found by entering the equipment model number at http://www.aridirectory. org/ari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -IR form. 4. When CF -1R is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ® §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). ® §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. D Reg: 213-A0060506A-M0400001A-0000 Registration Date/Time: 2013/08/07 13:18:06 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 Efficiency Duct Equip Type- (package heat pump) f CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical Systems (SEER and EER) 1, 3 (>=CF -1R value)4 Location (attic, crawl- space, etc.) Duct R -value Cooling Load (kBtu/hr) Cooling Capacity (kBtu/hr) Split A/C.. ' TranesEE 4TwB304BB1000BA C �. p- N/A ks. 1 �` : -- 13`SEER— W 11 R. Attic R-6 ` 48 F 4 Tons 1 f� �� , � ;�,.� [ � �� _ to ��: - • . t 1. It project is new construction, see t-ootnotes to Stanaaras laDie 151-ts ano IaDle 151-c. ror oucr cemng airernarive compliance. 2. ARI Reference Number can be found by entering the equipment model number at http://www.aridirectory. org/ari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -IR form. 4. When CF -1R is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ® §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). ® §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. D Reg: 213-A0060506A-M0400001A-0000 Registration Date/Time: 2013/08/07 13:18:06 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: 53940 Eisenhower Drive, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 13-967 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. ® 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 operated dampers. ® Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, 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. ® 10. Flexible.ducts cannot have porous; inner.cores. C .'* o r 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 -111) 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) 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) SPANN HVAC Responsible Person's Name: Responsible Person's Signature: Shaun Spann Shaun Spann CSLB License: Date Signed: Position With Company (Title): 976632 8/6/2013 Reg: 213-A0060506A-M0400001A-0000 Registration Date/Time: 2013/08/07 13:18:06 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009