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12-0369 (MECH)1 t P.O. BOX.1504 VOICE (760) 777-7012. 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT _ Date: 4/05/12 CAppljca_tjon_Number: -X12-000003'69----`"-,� Owner: Property Address: 47650 VIA MONTIGO NIERMAN RESIDENCE APN`. 643-120-060-248 -26152 - 47650 VIA'MONTIGO Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6598 Contractor: f D. Applicant: Architect or Engineer: GENERAL AIR CON) ONIN�"� ��^.. g�q ) i 31170 RESERVE DR j -R U 20 62 1 .. THOUSAND PALMS, CA 92276 6 (.76,0)343-7488 CIrYDFt.Air£ (NTA + LiC. No.. 68631 a r)•_P ' LICENSEDCONTRACTOR'S DECLARATION 1 - ' WORKER'S COMPENSATION DECLARATION ; I hereby affirm under penalty'of perjury that I am license under provisions of Chapter 9 (commencing with .I hereby affirm under penalty of perjury one of the following declarations: - Section 7000) of Division 3 of the Business and Profen als Code, and my License is in full force andeffect. - I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20 License No.: 686310 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1r Date: Jr Contractor: • • _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit. is issued. My workers' compensation - { -BUILDER DECLARATION - - - insurance carrier and policy number are: - - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - Carrier .ZENITH INS CO Policy Number Z071741501 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to - _ I certify that, in the performance ofthe wor or which this permit is issued, I shall not employ any - construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the _ person in any manner -so as to becomes ect to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I should become spbjllooe workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of theLabor Code, I shall fortlywihthose provisions. thathe 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).: D e: i4 5 _ y Applicant: (_) 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 _ WARNING: FAILURE TO SECURE WORKE '-COM NSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000)• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - 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.). - APPLICANT ACKNOWLEDGEMENT 1 - 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ^ 7044, Business and Professions' Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. - - property who builds or improves thereon, and who contracts for'the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State License Law.). whose benefit work. is performed under or pursuant to any permit issued as a result of this application, _ (_ 1 I am exempt under Sec. , BAP.C: for this reason 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. Date: Owner: 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 r cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above' f rmation is correct. -I agree to comply with all . work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building c uction, and hereby authorize representatives of this county to enter upon the above-mentioned property for i ctio urposes. Lender's Name: 4/ t .-Date: - -Signature (Applicant or Agent): Lender's Address: - - LQPERMIT Application Number . . . . . 12-00000369 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date Valuation 0 Expiration Date 10/02/12 Qty Unit Charge Per Extension BASE FEE 15.00. 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 Special Notes and Comments HVAC REPLACEMENT: 3.5 TON HORIZONTAL SPLIT•SYSTEM FURNACE IN -ATTIC. 2010 CODES Other Fees . : . . . . . . . BLDG STDS 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 31.00 LQPERMIT - Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -111 -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency:. Date: Permit #: 47650 VIA MONTIGO La Quinta, CA 92253 City of La Quinta Apr 4, 2012 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 - requirement Area Thermostat ❑ Package Unit ® Furnace ® AFUE 780% ❑ COP 3 R 6 (CZ 10-13) Served by system ® Setback ® Indoor Coil ® SEER 13.0 ❑ HSPF ❑ R 8 (CZ 14-15) 2628 sf If not already present, must be ® Condensing Unit ❑ EERResistance ❑� installed) . ❑Other - 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems.. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this . form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -111 and CF -611 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 ' • Condenser Coil and /or • Indoor Coil and /or CF -611 forms: MECH-04, MECH-2I-HERS and (for, split systems) MECH-25-HERS • Furnace CF=411 forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakagec15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement); TMAH. Pop Paskaged-uffli4r, Q. -C4 'Aakang ;e. is PeFeeRit Exempted from duct leakage testmg;,if: ❑ i' Duct -system was documented to have been previously sealed and confirmed through HERS,verification, or - ❑ 2. Duct systems with less th5n;40 linear feet in unconditioned space, or - 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑"4. The�systemk will not be Ducfed••(ie-Duct-less,Mini-Split System)-(Also,Exem t fcom�Refrigerrant-=Cha;rge) ❑ 2. New MVAC System Requi6ed Forms - li Y y . Cut in(or Ghangeout with - ducts;„(all CF 6R forms MECH-04, MECH 20 HERS,and (for split systems) MECH,22 HERS, and -- new new Budin all new WA �g �( MECH,25,HERS CF 4R forms MECH 20, and (for split systems),MECH-22, anted MECH 25 t equipment): h i.. . e Vo-: 1 ">, zr 4 For Split Systems:=Duct leakage percent, RC;350 CFM/ton, FWD, TMAH, $TMS, and either HSPP &'PSPP. fir” For Packaged Units: Duct leakage °< 6`percent + 113. New -Ducts with/or without; Required Forms: i Replacement • Includes replacing or installing all new Uc- ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnaz e.' No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed: ~r 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 j Required Forms: F . Includes adding or replacing more than 40 CF -611 forms: MECH-04, MECH-21-HERS r linear feet of duct in unconditioned space.. CF -4R forms: MECH-21 ; For split system or packaged units: Duct leakage < 15 percent ,� [3 EXCEPTION: Existing duct systerris constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) , • I certify that this Certificate of Compliance documentation is accurate and complete.. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Danielle Garcia Signature: Danielle Garcia - Company: HARRISON ENTERPRISES INC - Date: Apr 4, 2012 Address: 31-170 RESERVE DRIVE STE A. - License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276. - Phone: (760) 343-7488 Reg: 212-A0016666A-00000000-0000 Registration Date/Time: 2012/04/04 17:45:45 HERS Provider: CalCERTS, Inc. e 2008 Residential Compliance Forms r .1 K July 2010 Ca10ERTS CF 1R Registratiole.,Q " �: M j� Page 1 of 1 ***IMPORTANT NOTICE*** The server is being monitored forperformance. Please save-your work as you-go.-We may r _ �� � ij�%�iiJ�#'s��l�?y�tltx�r��'!0_y�:!�iter�y'�Ratt�i�:,l'4•ov:cic% T".� NH SCJ 1 t - { , r t 4 Danielle Garcia logged in [Logout]" i t t o Public Home [Home] t i CONGRATULATIONS .NSecureHome r 'You r,CF-1R ALT-HVAC Registration is complete! y •' I, , t -=You may want.to print this page'r for,yourecords. 'About lis +�,X47650 VIA MONTIG0� Tra,ningt: sr� -Site Address Qulnta, CA 92253 Yµ Registration 212 A0016666A 00000000 0000 i i Rater Director _ _ -._ ........ �. '' CF-IR ALT-HVAC: CLICK HERETO, DOWNLOAD `F, i -. 4Assgn ie'd Compan--: HARRISON, ENTERPRISES INC `+ s ' Do'you +; know our 'HERS Rater? + W + Membership Benefits + y ' If you do, you may want to send this CF 1R to theme + k.aents- CaICERTS;RaterID': ,. indust • Partners' e 1 a > " „F y Rater Quick Select —Select From Llst ♦ + :: , ` + , '.'Ever ,CaICERTS rater has a license number' • as i If you need-to Find the rater bE name• Click'HERE to search our directory NSEND« .,fR ;,p HERS RATER -. .To register for � �, .� �� � ' our monthly' x w , } ; newsletter,[CLICK HERE],to do another please click here.Ire IT Copy ight v 2010 CalCERTS, [nc. All rights reserved..Revised January 11, 2010 'i [Teams and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St suite 120, Folsom, CA 951530,' t ' , Office 916-985-3460,Toll Fre e:'877 HERS-R8R, (877-437-778,1 - ' f )` ,x rFax: 916-985-3402 Contact Us Si ♦ r/ ff ^ { 1 .r �„ °o /�'e �'� .,r �'i ! c1 ' W,,r yS♦1`q .k �:: w 4... 1 B, t . t ♦ _ M F + .+ Asn t 41.° M ' r✓Jw * i } r ..T ' 3 ♦ j , ~ Fi"d US ©Il �i l 3ks , i � , . t 1. t i} yy a i", ✓3 i �` t 1.,4 `� ♦T , -t n ,wp1 't a 45 v _3t k t Y, ,r Y. t t s Sr ,.r <' .iii iaY. x •r1 r ^'1w x`t y +„dti T• M c t - .�r .i . t 1 r1+ y ^ � �,, g 7, C F l �,Y x i � A;i} N 1• 1. %, • 1<' r. > . '- q 'x 1� �.# if '�� si♦ i =••3,t !'* ,is' ",ys. �..:1 -"` '�''•tr. r♦a"`c § v'r* b, t ' n �' r i i c - "��': t`„L ♦- +at ti • . aw ^ 9 `y. .'i " ' ;i '' ' "- � e ! L t r M ♦ . t�'� --A i �.. ��t ,! ♦jy.6 . ['� 1 `st `,� rli rly4 ' .a i `' 1. , w ♦1 i�� } .'�.s, / •+ 1 - •'^ a•#- r: i # P y 4'. L` .a i A .'( i ♦, 4`ra._ 4 F }' '�`-r' 4 ,n .4 °S ♦ t y ,t. >{ } .,` f ¢r. •' JR ti''' Y y� t . �i t; 'w'% 'L" n ,,. a • a ' 1'� t i 4 • _-2 .. .f' ,`' .. ' ' ; i 'a� � � � ) ^iL 'J' a y . , ;. 4 .'. S ' .. `` https.//www:cakicrts com/pubhc_cflR:�dhi?project_ WA 179118` s*` 4/4/2012,, Bin #� City of La Qurnta Building 8i SAW Division Permit P.O. Box 1504, 78-495 Calle Tampico La Quanta, CA 92253 - (760): 777-7012 Building Permit -Application and. Tracking Sheet w. ,,,,}_ Project Address: 7 O V (A O Owner's Name: Rib e t IV Qb"an . A. P. Number: 43) 1_0.01# 0— Address: , C Via- - Munh 'o Legal Description: City, ST, Zip: x�lJ Contractor: Telephone: . ' '' Address: 3 Project Description: *VAC C r$ `Q �n� •: City, ST, Zip: �} — ))_7 Telephoae: S�r''`',�•' vi ati State Lie. #: 3L City Lic. Arch., Eagn, Designer: Address: Cit'::. S r, Zip: .... _.. , Telephone:,, •. 4:.: • s Construction Type: Occupancy: State Lic. #:� "��{ „!'� Project type (circle one): New, Repair Name of Contact Person p (,� ester vyV ; . Sq. Ft.: (Q2 #• Stories: F#units: Telephone # of Contact Person: '7!o D 3 '1a ")'� �' g Estimated Value of Project: S Q Q APPLICANT- fin NAT VI'ID11rG 1201 A\A/ TLrmL 1 Ou1G 9 # Submittal Plan Sets Req'd Recd TRACKING Plan Check submitted PERMIT FEES Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person flan Check Balance • Lille 24 Cafes. Pians picked up C6nstrdddbn Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for coirectionsAssue Electrical Subcoatactor 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 correctionsAssue 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-4111-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 (System 1) City of La Quinta 12-369 Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: x Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in: the dwelling. istallation certificate is required for compliance for alterations and additions in existing dwellings to ' 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 oi,:' 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. r ❑ 1. Measured leakage less than 15% of fan flow yr conduct CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4111-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 (System 1) City of La Quinta 12-369 Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: x Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in: the dwelling. istallation certificate is required for compliance for alterations and additions in existing dwellings to ' 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 oi,:' 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. r ❑ 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside,less than 10% of Fan Flow conduct ❑ 3. Reduce leakage by 60% and 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--alculationsmethods ✓ ❑Cooling system method: Size of .condenser m Tons x 400 CFM ✓ ❑ Heating system method:: 21 7 x • a Output Capacity in Thousands of,Btu/hr _ CFM } yP ✓ ❑ Measured s stem rfl usi �-RA3 3,��'irfIow test procedures: CFM Y .9�, ti. .�, . ¢�. Option. 1•.used then ; q`'s , s Allowed.leakage° Fan Flow^ 0 15y CFMRa� 1 x ^. �.. x Actual Leakage = _ CFM M•- •. .: ,.. „ Pass if Leakage Actual:is less than Allowed c3 Pass n Fail Option 2 used:then: - i{`x 2 Allowed leakage `Fan Flow 0.10 = _CFM ;•' , Actual Leakage to outside = --'CFM " Pass if Leakage Actual is less than Allowed Pass 0 Fail Option 3 used then: Initial leakage prior to start of work = CFM' _ Final leakage after sealing all accessible leaks using smoke test'= CFM G 3 A Initial leakage_ - Final leakage _ = Leakage reduction _ CFM ` ((Leakage reduction _/ Initial leakages x'100% _ %-Reductions `:,' ' 'r - • Pass if %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 beenrepaired using smoke Pass Fail - '.r r S Reg: 212-A0016666A-M2100001A-M21A Registration Date/Time: 2012/07/12 21:47:45 -HERS Provider:. CalCERTS, Inc.A 2008 Residential Compliance Forms ' .+- March 2010 t +r - '.r r S Reg: 212-A0016666A-M2100001A-M21A Registration Date/Time: 2012/07/12 21:47:45 -HERS Provider:. CalCERTS, Inc.A 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: Enforcement Agen7712-369 Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 (System 1) City of La Quinta `. r ❑ Outside air (OA) ducts for. Central Fan Integrated (CFI) ventilation'systems, shall not be sealed/taped off during duct leakage testing.•CFIIO.A 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 'supply and-greturn register,b ots must b6�sealed,�toithe`drywallflf�smokeitest�is utilized�forvcompliance - applies �to duct leakage compliance�opton 3:`('leakage reductlonyby,60%) and'60tlon 4r(flx all accessible leaks) described above: ' r= 13 New duct°;installations'canhot utllizeibu_ilding cavities as plenums or.platformireturns'in.. of ducts f� ❑ Mastic and,draw bands.:must be used m�combmation with cloth baCkeCPrUbber adhesivexduct tape`tosea1 k. leaks: at all•'new duct. connections:01r . .., x - DECLARATION STATEMENT :,; r • 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 r4rformed 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 to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -6111) ' Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC r � CSLB License: •• ` e ' 686310 F' HERS Provider Data Registry Information _ Sample Group # (if applicable): 311602 ❑ tested/verified dwelling •, 0 not-tested/verified dwelling in CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: Enforcement Agen7712-369 Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 (System 1) City of La Quinta `. r ❑ Outside air (OA) ducts for. Central Fan Integrated (CFI) ventilation'systems, shall not be sealed/taped off during duct leakage testing.•CFIIO.A 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 'supply and-greturn register,b ots must b6�sealed,�toithe`drywallflf�smokeitest�is utilized�forvcompliance - applies �to duct leakage compliance�opton 3:`('leakage reductlonyby,60%) and'60tlon 4r(flx all accessible leaks) described above: ' r= 13 New duct°;installations'canhot utllizeibu_ilding cavities as plenums or.platformireturns'in.. of ducts f� ❑ Mastic and,draw bands.:must be used m�combmation with cloth baCkeCPrUbber adhesivexduct tape`tosea1 k. leaks: at all•'new duct. connections:01r . .., x - DECLARATION STATEMENT :,; r • 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 r4rformed 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 to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -6111) ' Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: R . . CSLB License: •• ` e Danielle Garcia ; ' 686310 F' HERS Provider Data Registry Information _ Sample Group # (if applicable): 311602 ❑ tested/verified dwelling •, 0 not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798644547 HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: Responsible Rater's Signature: Ezequiel Moreno r _ Ezequiel Moreno _ - Responsible Rater's Certification Number w/ this HERS Provider: - Date Signed: 7/12/2012 CC2005795 - Reg: 212-A0016666A-M2100001A-M21A -Registration Date/Time: 2012/07/12 21:47:45 HERS;Provider: CalCERTS, Inc. 2008 Residential Compliance Forms ,, �,. " ! .`. .. x March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-2S Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of, 5) Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 City of La Quinta 12-369 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. 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 r " System Location or Area Served ❑Yes 1 ❑ 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 ❑ Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2,2. Yes to •l.and 2 is a pass. ` - V; ' Enter Pass or Fail Y� ❑ Pass I V ❑ Fail STMS- Sensor onythe. EvaporatorCoil ; , _ .: System Narrielor.Ideiitification/Ta r " 3 ❑Yes o, ❑ No -r' The sensor is factory installed ,-ortfieldJnstalled'according to'rimanufacturers.^y `specifications, or is installed by methods/specificafions approved by the Executive ❑ Yes ❑ No • `" Director. ` ... Y3" _-...te t19+ +e� 4 Director.' t The sensor wire is terminated ,with a�I'llstandard.mini plug suitable for-connectionAq as ❑Yes f •,. �' ❑ No � � q. digital thermometer The sensor mmi'plug is accessible to the installingAechmcian and,the HERS,rater w"iEhout`:changing the'airflow.ah"rough the condenser.coil 5 ❑ Yes ..W^ ❑ No When attached to a digital thermometer, the sensor provides an indication of the and the HERS rater without changing the airflow through the condenser coil ' saturation temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter N/A"if STMS are not applicable. Otherwise enter Pass or Fail . ,i ' ❑ N/A ❑PassV❑Fail STMS - Sensor on the Condenser Coil �r - • System Name or Identification/Tag The sensor is factory installed, 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 13Y s ❑ No When attached to a digital thermometer, the sensor provides an indication of the. saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not Pass V [3 Fail' applicable. Otherwise enter Pass or Fail®N/A Reg:'212-A0016666A-M2500001A-M25A Registration'Date/Time: 2012/07/12 21:50:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms , March 2010 0 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 City of La Quinta 12-369 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 is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems ' System Name or Identification/Tag " • „(must be re -calibrated monthly) r y-1 System Location or Area Served Date of Thermocou le"CCalibrationr% p 1 Outdoor Unit Serial # CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 City of La Quinta 12-369 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 is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems ' System Name or Identification/Tag " • „(must be re -calibrated monthly) r y-1 System Location or Area Served Date of Thermocou le"CCalibrationr% p `''�`�" ,(must be re calibrated monthly) Outdoor Unit Serial # - Outdoor Unit Make Outdoor Unit Model temperature (T �. ) .. returh; db �. Nominal Cooling Capacity Btu/hr ;� �• .. {- temperature (Treturn, wb) 3 * Date of Verification - 1:aimration OT'viagnostic instruments Date of Refrigerant Gauge Calibration ,.. , " • „(must be re -calibrated monthly) < t, y-1 �. §'.. �`...� ia�!�'r 7fi-r'�+... r,. Date of Thermocou le"CCalibrationr% p `''�`�" ,(must be re calibrated monthly) Supply(evaporato�,,Ieavmg);air dry=bulb', Measured Temperaturess('F)'11,1,t i ri 4 System Name or Identification/Tag 0,,�� 1 ' 1 < t, System Name or Identification/Tag 0,,�� < t, y-1 �. §'.. �`...� ia�!�'r 7fi-r'�+... r,. -M� •& .. `� Supply(evaporato�,,Ieavmg);air dry=bulb', - temperature (TsuPPIY, db) Return (eva.porator'entering) air dryl-bulb temperature (T �. ) .. returh; db �. Return (evaporator entering) air wet=bulb ;� �• .. {- temperature (Treturn, wb) 3 * Evaporator saturation temperature - (Tevaporator, sat) k Condensor saturation temperature (Tcondensor, sat) Suction line temperature (T suction)' t Liquid Line Temperature (Tliquid) .' •, 3 `' Condenser (entering) air dry-bulb temperature (T ) condenser, db < • i. • v� ' Reg: 212-A0016666A-M2500001A7M25A Registration Date/Time: 2012/07/12:21:50:38 KERS Provider: CalCERTS, Inc. - 2008 Residential Compliance Forms '� t.� March 2010 STALLATION CERTIFICATE CF-4R-MECH- Frigerant Charge Verification - Standard Measurement Procedure (Page 3 of e Address: Enforcement Agency: Permit Number: 650 VIA MONTIGO, La Quinta CA 92253 City of La Quinta 12-369 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 Calculate: Actual Temperature Split = Treturn, db - f Tsu I db' - Target Temperature Split from Table RA3.2-3 using r ,. Treturn, wb and Treturn, db Calculate difference: Actual Temperature'Split -- Target Temperature Split Passes if difference is between -4°F and +4°F or, - ,- upon remeasurement, if between -4°F and -10011' .. j 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 Requirement (CFM)Nominal Cooling Capacity ty (ton) X 300 (cfm/ton) 'S r Ili. -�+' ' - L. •. System,. Name o-l"Identification/Tag """' �-. °'�„' y�S`y �` ' 1 .: p' q Calculated Minimum Airflow°Requir,em&it (CFM) ? f , • d 4,*# Measured Air�ffl„ow us nyg RA3.3 pgrgoycedy. ures (CFM) , ' �e 6 � }7�■/R��e« bT8 Vifr�/ K Passes if measured airflow:isgreater;_than or.equal, to the calculated minimum airflow requirement. ”' ` `� �'' * `", -'i •. I :"- _,�.. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification: This procedure is required to be used for fixed orifice metering device systems r System Name or Identification/Tag Calculate: Actual Superheat- Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using r ,. Treturn, wb and Tcondenser, db Calculate difference: - Actual Superheat - Target Superheat = System passes if difference is between -6°F and - +60F j Enter Pass or Fail • ••• , ( �• ./ � it •Y � ' �• , 1• • ,..` r Reg: 212-A0016666A-M2500001A-M25A Registration Date/Time: 2012/07/12 21_:50:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms' t March 2010 �i' . INSTALLATION CERTIFICATE - CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: 7 Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 City of La Quinta 12-369 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 Calculate: Actual Subcooling Tcondenser, sat - Tliquid - Target Subcooling specified by.manufacturer a Enter allowable superheat range from, manufacturer's specifications (or use `range Calculate difference: V Actual Subcooling - Target Subcooling = • . [ System passes if difference is between t , { -4°F and +4°F a °; _ Enter Pass or Fail', - Metering Device Calculations for Refrigerant Charge Verification. This procedure is required,to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag Calculate: Actual -Superheat Tsuction - Tevaporator, �. sat Enter allowable superheat range from, manufacturer's specifications (or use `range between 3°F and 26°F if manufacturer's V specification is not available) System pass6vif.actual':superheat is'withmlthe ` s allowable superheat range M "Enter , { Pass or Fail a °; d., ' S sv� . �_..•+•.""'a!�`'i"lt ��y4 ,'4,, -F y r ,r; ♦c ' ^ �, x - ` !A J±✓�_ r � � f , x. t •j •.i - , j'. 71 Y • �, , + thy. i�,� 'IS, a ,,[,' �+�, :f F • '• • -. •. � c •r l Reg: 212-A0016666A-M2500001A-M25A Registration Date_ /Time' 20.12/07/12 21:50:38 '•HERS'Provider: CalCERTS, Inc. 2008 Residential Compliance Forms', , "`' March 2010 , INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 1 City of La Quinta 12-369 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 Danielle Garcia `` 1CSLB 686310- HERS Provider Data Registry Information j Sample Group # (if applicable): 311602 T System meets all refrigerant charge and airflow, not-tested/verified dwelling in a HERS sample group requirements. HERS Rater Company Name: ' - Responsible Rater's Signature: Enter Pass or Fail Ezequiel Moreno A ' Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 7/12/2012 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 (CF71R) 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 -111) approved by the enforcement agency. 1.- Builder or Installer information as shown on the Installation Certificate (CF -611) Reg: 212-A0016666A-M2500001A-M25A Registration Date/Time:. 2012/07/12 21:50:38 HERS Provider: Ca10ERTS, Inc. ' 2008 Residential Compliance Forms, - ,'�• +, rt March 2010 ' Company Name:Installin Subcontractor n p y (Installing cto o General Contractor or Builder/Owner) HARRISON ENTERPRISES INC .a Responsible Person's Name: License: Danielle Garcia `` 1CSLB 686310- HERS Provider Data Registry Information j Sample Group # (if applicable): 311602 T ❑ tested/verified dwelling A ~ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate #.CCI -1798644547 A HERS Rater Company Name: The Energuy CA LLC z Responsible Rater's Name:; Responsible Rater's Signature: Ezequiel Moreno s Ezequiel Moreno A ' Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 7/12/2012 Reg: 212-A0016666A-M2500001A-M25A Registration Date/Time:. 2012/07/12 21:50:38 HERS Provider: Ca10ERTS, Inc. ' 2008 Residential Compliance Forms, - ,'�• +, rt March 2010 ' i INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 (System 1) City of La Quinta 12-369 Space Conditioning Systems r } 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 (kBtu/hr) Heating Capacity (kBtu/hr) Split Furnace Lennox ML180UH090XP48B 4673804 1 80 AFUE r Attic 88 71 kBtu ,;heat "'^CEC.Certified.Mfr. Named •: ;Reference Identical (>=CF -1R space, Duct Load Capacity 'p'ump) and Model Number- i*'. Number2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Split A/C Lennox rfl`3ACX-042-230 1 13 SEER ' 1 -1 -5 -EERY \ ,x42 3.5 Tons x•''�i� jI�F•`...a.A4. ' �4jj.,tp ^{ �•ceH itf�•$�,�N f:• TS'�' ,� coonng cquipmen[ n»'•.: Y Equip x.. rJ" i r. Efficiency (SEER Duct Location Type (packagea ,j ` { ° ARI ' # of and EER) 1,3 ,(attic, crawl- . Cooling Cooling ,;heat "'^CEC.Certified.Mfr. Named •: ;Reference Identical (>=CF -1R space, Duct Load Capacity 'p'ump) and Model Number- i*'. Number2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Split A/C Lennox rfl`3ACX-042-230 1 13 SEER ' 1 -1 -5 -EERY \ ,x42 3.5 Tons x•''�i� jI�F•`...a.A4. ' �4jj.,tp ^{ �•ceH itf�•$�,�N f:• TS'�' ,� c6 j`r r* - a R t r � ` Ar �n h+'.•�.`Y' * A 11 _744 % it vw.' A. ' y f :.�k±.•.. `� �', ekk' 'x '"R tom-" ✓c. rH nSy° '+r r'7: ,� �C.g, •k w'7 t 1. irprojece:as new consrrucrion, see roornores ro sranaaras iao/e 151-b ana iao/e 151-(- ror aucr ceiling alternative compliance. r� „ 2. ARI Reference Number can'be found -by entering the equipment model number at, http://www.aridirectory. orgjarilac.Ph" , 3. Listed efficiency on this page must.be greater than or equal (,?) to the value shown on the CF -1R form. 4. When CF -IR is reference it is also'applicable to the CF -1 R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM 0 §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. 0 §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). ti © §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: 212-A0016666A-M0400001A-0000 Registration Date/Time: 2012/04/12'16:21:45 'HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms `s - August 2009 r INSTALLATION CERTIFICATE jCF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: I Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 (System 1)1 City of La Quinta 12-369 • 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 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 2 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 d u cts. , 2 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. 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 dampersr,; 8 Protection of Insul,atlon 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 •,-paihted.with a -coating thatlis water retardant and provides shielding from solar radiation that can cause -degredabon'of the material u : 10. Flexible ducts cannot'3have porous inner cores. ftSS �y ski ;' r �'y���'+�r� .1',`'" ': " r`�S `� �"R�+. kz ;hpa.�,�"�re"'T � sr.:�'"`-`,�i_��,` •� .`.:.,� 't _.: . f DECLARATION STATEMENT • I;certifyunder penalty of?perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible, u9 er'Division 3 of the Busiriess and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible fog 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 andtregulations, 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) 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) HARRISON ENTERPRISES INC - Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: 686310 Date Signed: , ' • + 4/5/2012 ' Position With Company (Title): Reg: 212-A0016666A-M0400001A-0000 Registration Date/Time: 2012/04/12. 16:21:45 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms A ' August 2009 INSTALLATION CERTIFICATE CF-611-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: I Enforcement Agency: • Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 (System I)i City of La Quinta 12-369 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 ` space conditioning systems and duct systems. tions and additions in existing dwellings 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. 0 1. Measured leakage less than 15% of fan flow 2. Measured leakage to outsidetless than 10% of Fan Flow V ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks 4-. Fix alldaccessible leaks using smoke and HERS rater verify < Note:(One of Options 1, 2 or 3 must�beattempted before utilizing Option 4'.) ` Determine nominal F,an Flow using one of the following three. calculation,methods ✓ � Coolingp( s¢iem method: Size of conde ser in'Tonsg 3.S z 40�014(]00 � ,C3FM 1r�.:: `� `+Ry y k ! siIVA, .^. �_•iskt y., TF. �,�s� � �Y�$ t � f .�.�! \I ✓ Heating system method°1 7 x Output Capaaty in Thousands of Btu/hr = _CFMr ✓O Measured system airflow using W 3 air. low.,testiprocedures CFM. Options usedthen„a''` ,�"�w�t—^.,�a� Allowed„leakage Qirflow31400"_ x 0 15 ^- 210 CFMi Pr - 1 iFan Actual' '6 80"'CFM' r� "Pass if Actual Leakage is less than Allowed leakage IZ Pass Fail pusedthen: 2owed. leakage Fan Airflow .� x 0.10 = CFM R661 `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 startof;.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 p 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 Pass r-1 Fail Reg: 212-AOOi6666A-M2100001A-0000: Registration Date/Time: 2012/04/12 16:22:13 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: I Enforcement Agency: ' Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 (System 1)1 City of La Quinta 12-369 'n, 0 Outside air (OA) ductsfor Ce,'i during duct leakage testing. CF; ventilatlons;is required to meet be;configured to"tl `e closed posi © All supply'Aannd*return register - applies toaduct#leakage comp) leaks) d.�escribed°above. A r • i [raf Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off ;ducts that utilize controlled motorized dampers, that open only when OA 3HRAE Standard 62.2, and close when OA ventilation is not required, may ion:<during duct leakage testing. foots must bye sealed to, .the drywall f*sm oke test is utilized for compliance Ince�optlon. 3.;:(leakage reductlo.n by.'60 /o,).ra`h0o6Rbnn(ftik all accessible 0 New ductxlnstallations�cannotfutllizeibuilding cavities -a plenums or platform returns In lieu'o&ductys"""" # ,/jI{!,,j!j� res F`� d s,"'�''r Y,ni,,�+'• r.uy •rC� �-^ R, .+d"� f .�`�� �N k����,�r� 0 Mastic andidraw�bands must�be used in-,combmation{wlth cloth backed rubber adheslve�duct<tape�to'sebil . leaks at alNnew duct connections ig r. Y �^fes ^• 1 7 '' G�. r y - :7 c . _ - � DECLARATION STATEMENT , . I certify under penalty of penjury, unde�.tlie laws of the State of California, the information provided on this form is true and correct. e I am eligible under Division.3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the personresponsible 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 performquality 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. e I reviewed a copy of the Certificate of Compliance (CF -IR) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. . I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ` HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia ' CSLB License: 686310 Date Signed: 4/5/2012 position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP,(if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-A0016666A-M2100001A-0000 Registration Date/Time: 2012/04/12 16:22:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms. March 2010 , i INSTALLATION CERTIFICATE* CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 1 City of La Quinta 12-369 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. 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 I I- 1 p Yes ❑ No ./1 ,. 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 p Yes ❑1No Vold S/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum labeled according to Figure in Section RA3.2.2.2.2. - Yes­tokl and .2 Js s.pr " Enter Pass or Fail ✓ 0 Pass ✓ ❑ Fail STMS`-. Sensor on the Evaporator-Coilr SystemxName or Identification/Tag4 x �A;% Systein 1"s -.A ;�I ,�5;,A �� : 4 L�:'�',Ar'I fe 3 f '. ❑•Yes p<No xs The sensor is factory instaledorifield:installediaccording to manufacturers . specifications or ismstalled by methods/specifications approved by the:Executi"ve " ❑ Yes ❑ No /Director,: .. . ` f, t 4 ❑YeAd., � pNo '+'digital The sensor wire: is terminatedwith aistandard mmi plug suitable for con-ectiomto, 1 w x - thermometer The sensor,mini,plug is,accessibletoxthe.installing`Aechnician�r ^N z; and the`HERS rater without changmg•t6 airflow through the condenser coil'` 5 • ❑ Yes "❑ No` -The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes'_to 3, 4 and 5 is+a!,pass. Enter N/A if;STMS are not applicable ,.Otherwise enter Pass orn Faih.: . N/A V ❑ Pass ✓ ❑ Fail STMS Sensor on the Condenser Coil ' System Name or Identification/Tag;�`r` System 1 The sensor is factory installed, 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 ❑ Yes ❑ 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 N/A if STMS are not ✓ p N/A, ✓ ❑Pass �/ ❑Fail applicable. Otherwise enter'Pass or Fail 'Reg: 212-A0016666A-M2500001A-0000 Registration Date/Time: 2012_/06/12 14:06:09 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms ' ' August 2009 ' • . r 'A INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 City of La Quinta 12-369 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 is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioninq Svstems System Name or Identification/Tag ., System 1 , Date of,Therrnocouple Calibration �� 4/1/201'2 System Location or Area Served Whole House F✓ .t.a ` Outdoor Unit Serial # 1911F31320 ? n Outdoor Unit Make Lennox Outdoor Unit Model 13ACX-042-230 Nominal Cooling Capacity Btu/hr' ,` . 40500 Return (evaporator entering) air wettbulb 57 Date of Verification 4/5/2012 cauoration*ov:tjiagnostic instruments Date of Refrigerant Gauge CalibratioM 4/1/2012 (must be re -calibrated monthly) Date of,Therrnocouple Calibration �� 4/1/201'2 (must be recalibrated monthly) .P#3*�� .r�'>_.� F✓ .t.a Y C.-�Y���p�4 Measured Temperatures:'( F)�-1;p 1 ` Y f ..;; y " ' • � :fir System Name or Identiti�a itit+o �ag�rJ� �i System ]:��'� .-��Y. .aF. -•f 4...R � ri?+�� �., .P#3*�� .r�'>_.� F✓ .t.a Y C.-�Y���p�4 Supply,(evaPoratorl'eaving)reir dry tem eraturex T i �56 r ? n p. tk+ .M, p d b) nom, °'� p .t ry++n' -fjulbr..;M1I. s0 I. Measured Temperatures:'( F)�-1;p 1 ` Y f ..;; y " ' • � :fir System Name or Identiti�a itit+o �ag�rJ� �i System ]:��'� .-��Y. .aF. -•f 4...R � ri?+�� �., .P#3*�� .r�'>_.� F✓ .t.a Y C.-�Y���p�4 Supply,(evaPoratorl'eaving)reir dry tem eraturex T i �56 r ? n p. tk+ .M, p d b) nom, °'� p .t ry++n' Return (evaporator_enterifig) air dry-bulb' temperature (T' � ) s0 .»..return, Return (evaporator entering) air wettbulb 57 temperature (Treturn, wb)..zY , .. Evaporator saturation tem06tz ure a (Tevaporator, 48 j 7 sat) Condensor. saturation temperature°. 97 l (Tcondensori sat) Suction line temperature (Tsuction) 70 Liquid Line Temperature (Tliquid) 91 Condenser (entering) air dry-bulb 88 temperature (Tcondenser, db) Reg: 212-A0016666A-M2500001A-0000 Registration Date/Time: 2012/06/12 14:06:09 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) .Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 1 City of La Quint a 12-369 . 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 = Treturn, 24.00 db -Tsupply, db Target Temperature Split from Table RA3.2-3 24.6 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - -0.6 Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and PASS -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 ;Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (dm/ton) System.Name or Idepvtification/Tag ,� 1. jSystem Calculated Minimum Airflow Requr ement. (CFM) Measured.Airflow using RA3.3 procedures (CFM) , Passes if measured _airflow is`g'reater than or:. equal to the calculated minimum airflow regwrement . Enter;Pass or Fail Superheat Charge Method'talculat ons 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 = Tsuction - Tevaporator, 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 Fail Reg: 212-A0016666A-M2500001A-0000 .Registration Date/Time: 2012/06/12 14:06:09 HERS Provider: Ca10ERTS, Inc. 2008 Residential'Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 City of La Quinta 12-369 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 i Calculate: Actual Subcooling = 6.0 ' Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 9 Calculate difference: -3 Actual Subcooling - Target Subcooling= 3-26 m passes if difference is between nd +3°F Fa PASS • Enter Pass or Fail y '��#. "`.r�::r 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 I Calculate: Actual Superheat.22.0 Tsuction - Tevaporator, -U sat 1 1} Enter allowable superheat range from"',, manufacture's specifications (or use range between 4°F. and 25°F. if manufacturers , 3-26 specification is not available)` , System�passses.,if�actual'superheat is,within they allowable superheat range a PASS Enter Pass or Fail y '��#. "`.r�::r f Reg: 212-A0016666A-M2SOOOOIA-0000 Registration Date/Time: 2012/06/12 14:06:09. HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 HVAC Field Data Sheet Pg i oft Client Name B Q�W�ob # Date Address �_I G S ©1 � ink M aA ir, c2.nav� Ph TechAdan(s) A c9 l;O l � 0 g 0 P- Permit # Gauge/Thermocouple Calibration Date �Padcage I Some Ducts Only I All Ducts Only (Circle hype of work) MELW-04 ,uipmeiziData ZONE I ZONE2 ZOAW 3 ZONE4 System Location or Area Served Heating Equipment Make Heating Equipment Model o Lowl agg ARI Reference Number- s 96 Heating EquipmentAFUE 20,04 Duct Location (attic, crawlspace, err.) Duct R Value (if ducts were installed) Heating Load o Heating Equipment Output Capacity Condenser Make Condenser Model A Size in Tons SEER & EER o Cooling Load Cooling Capacity 21 Duct T"dng Duct leakage pretest result Dart Leakage Irwall Result QACF6�/toa to pass (6%) �sslFA pass�FaU �`� FM � Dud Leakage Final Rlt esu<w am/ionto Pass (1596) Q I� slt'� I� � Pass using 60% leakage reduction? Pass using smoke and visual inspection? l WW..22� orANCH25 Cfto Co9°Alrjlow & Am..iA;itDraw . Measured Air Volume from Flow Grid or Hood NEW DDCPS Target: 3S0 CFM/ton a Condenser Tons CaANtRUW Target: 300 CFM/ton s condenser Tons Measured air greater titan Target? (YIN) Measured Fan Watt Draw Target: O.S8 watts/measured CFM = Measured Watts less titan Target? (Y/N) Copyright 0 2011 EDS M=V Driven solations, lac HVAC Field Data Sheet Pg 2 of 2 Chent Name M i n yw o Jab # 1.3 o 3 4 Date MEW -25 Charge &Afiflow ZOAW 1 ZONB2 ZOAW 3 ZONE4 Condenser Serial Number Supply air dry bulb temperature 1F Return air dry bulb temperature Return air wet bulb temperature 20 5-4 Evaporator Saturation Temperature N CA Condenser Saturation Temperature Suction Line Temperature q Liquid Line Temperature '40 Suction Pressure Liquid Pressure C3 Actual Airflow Temperature Split Target Temperature Split from Table RA32.3 Passes if difference is t T of Target Temp (YIN) Actual Subcooling (t 4° of Target to pass) Target Subcooling from Mfr., Actual Superheat (3 to 26° to pass) Outside air dry bulb temperature MEGA96,-We hop Chmging below 550. Actual Line Set length (ft) Mfr's Standard Line Set Length (it) Length Difference = Correction Factor (ounces per foot) Target correction Factor x Length Difference System Charged to Target? (YIN) . OthorData Minimum amps Maximum amps Lko Breaker size Compressor amps b ' Return Static Pressure Supply Static Pressure Supply Air Wet Bulb Temperature •• ALLAPPMCMLEDo=ONTMSFORKMUST RECOMPLE=PORMCEJOR ATOBXC MOAM * � copyr% t 0 2011 IDS liner® Driven Sohdo w. lac { INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refri9erant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 47650 VIA MONTIGO, La Quinta CA 92253 City of La Quinta 12-369 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: Date Signed: position With Company (Title): System meets all refrigerant charge and airflow 4/5/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): requirements. PASS- ' Enter Pass or Fail a 5 J. �.' �'� �'4. � • ��u- �l'j'c7.9.C•IG�J ••3� �� w.. }"CM�4'.%�'2'. .'.?� rt J'""^-+. f.T- xA+ t� srt" M Gu'h°"`+�`"'nl )ECLARATION STATEMENT • I certify under penalty of perjury, underthe 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 -SR) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beqinninq October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)` HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: Date Signed: position With Company (Title): 686310 4/5/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No - Reg:.212-A0016666A-M2500001A-0000 Registration Date/Time: 2012/06/12 14:06:09 HERS Provider:,CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 I