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08-0477 (MECH)w}- P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-Q0_000477 -- Property Address: \ 47.660—VIA--MONTESSA APN: 643-120-004-232--26152 - Application description: MECHANICAL ;Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7800 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT ' BUILDING PERMIT Owner: RAY ANGUIN 47660 VIA MONTANA LA QUINTA, CA 92253 Contractor: PALM DESERT A VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/20/08 42081 BEACON H UL ` I PALM DESERT, 9 2111r'JAR. 0 ^ / (760)346-0677 oOp Lic. No.: 374 37 O C/op Ty FINAN�F FP/Ntq LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am,licensed 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 Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20 License No.:. 374937 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date:J ntractor: Y 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 OWNER -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 STATE FUND Policy Number 238-0004656-07 ..following reason (Sec. 70.31.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to itsissuance, also requires the applicant for the person in any manner so as to become subject 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 subject to the 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 the Labor Code, I shall forthwith comply with those provisions. 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).: e: scant: ( 1 1, 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 WOR RS' COMPENSATION 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, providedthatthe 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 puipuse of sale.).' - -- APPLICANT ACKNOWLEDGEMENT (_ 11, 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 thisapplication. 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 Seca , 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 ag ents and employees for any act or omission related to the work being Date: Owner: CONSTRUCTION LENDING AGENCY - .. .I hereby affirm under penalty of perjury that there is a.construction lending agency for the performance of the - work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERA11T . 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. 1 certify that I have read this application and state that the above information incorrect. I agree to•comply with all city and county ordinances and state laws relating to building construction, and. hereby authorize representatives of this^c�ounty.to enter upon the above-mentioned property for inspection purposes. /te:"`^'Signa (Applicant or Agent): Application Number 08-00000477 Permit MECHANICAL Additional desc . Permit Fee51.00 Plan Check Fee 12.75 Issue Date Valuation 0 Expiration Date 9/16/08. Qty Unit'Charge Per Extension BASE FEE 15.00 2"00 9.0000 EA MECH FURNACE <=100K 18.00. 2'.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 ------------------------------------------------------------------------------ Special Notes and Comments : REPLACE 2 COMPLETE SYSTEMS, 14 SEER CONDENSER Fee summary Charged Paid Credited Due -Permit Fee Total 51.00 .00 .00 51.00 Plan Check Total 12.75 .00 .00 12.75 Grand Total 63.75 .00 .00 63.75 ;LQPERMIT - . Bin # Qty of La Quinta Building 8L Safety Division P.O. Box 1504, 78.495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip - Contractor: Tele hone Gl><»'.»:?<:<:»:':>:" P «:s>:< ...:.:......... Project Description:6A a Address: PALM DES 42081 BEACON HILL qg241-51W City, ST, Zip: (760) 346.0677 Telephone: State Lie. # : City Lie. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: >i`•>` >[i€`€z€€''?<> >«<'• State Lie. #: :.;;<< :::::::::: •::.:..:: •: •:::.:.:::.:.::: Construction T Ype: Occupancy: Project type (circle one): New Add'n ]ter Repair Demo Sq. Ft.: # Stories: #Units: Name of Contact Person: Telephone # of Contact Person: r Estimated Value of Project. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'dRecd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd 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 Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Pro' ct itle: / ax/ G` Dates J O CaICERTS 2005 EnforcementAgencv Use Only r ect ress: Climat4ne: Building Permit # Doc tation Auth Telepho Plan Check Date Co m y me: _-.. Field Check Date IMPORTANT: This CF -1R -ALT form is only for use when anAC my alteption is made to an existing home Use one form for each system beingaltered. This is s stem # of Off_ systems altered in this house. Check all lines that apply. Check only lines that apply. Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 k9 A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 n outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. (2 4� coolingor heatingcoil is to be installed or replaced. Duct Sealingand/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to.be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Not If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2, 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AUD EER 12 condenser will be installed with TXV(RCA) AND added duct insulation R-4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 Aba EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AUa EER 12 condenser will be installed with TXV(RCA) AND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 W None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 LI This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 6, or 7. No TXV(RCA) is required. Go to Section 3. 19 O This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ IThis system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 g2lThis system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 22(6 If line 15 is checked, HERS verification is required for Duct Sealing. 23SZP If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 0 If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. ISection 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section S. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ Ilf less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 ;Section 6 - see next a e Version 03-10-06 Pagel of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -11R -ALT Project e: _ Date: ©CaICERTS 2005 PORTANT: is CF -1 R -ALT form is only for use when an HV only a ration is made to an existing home Use one for or each system being altered. This is system # of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match lypedocalion and meet or exceed efficiencies/R-values. 28 Configuraliom lit system ❑ Package Unit 20 ❑ Air Handler 4gPos furnace, AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 AT Heat Exchanger 31 cb' Outdoor CondensingUnit C ❑HeatpumpEfficien SEER/HSPF: JEER if re d : 32r4a,, cooling or heating coil AIC ❑Heatpump ❑Hydronic 33 ❑ Ducts Location: Length (ft): R -value: All mandatory measures apply to any altered component. See MF -IR -ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Titla 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certiffcat3 has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent DocumentationAuthor Nalne: Name: Address: Company Name: City/State/Zip: Address: PALM DESERT AIR CO 42081 BEACON HLL ALM DESERT, CA 92211-5107 _ }}Phone: I City/State/Zip: jPhone: Signature: Sig�ure e— '::Wotccment Agency (Building Department) Notes/ o ments: INamu: 1 Title: iucpartment: N: Fax #: t Signature or Stamp: forms: �I ;:"'..ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement- agency, HERS rater. CF -GR -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement :agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire group. Version U3 -1D -O6 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Comoliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Pro' ct itle: � /} �(� U Deter ©CaICERTS 2005 Enforcement Agency Use Only Vr�ect ress: G Climat;-zone: 1 Building Permit# Doc talion Auth Telepho 209 Plan Check Date compyly I me: _ Field Check Date IMPORTANT: This CF -1R -ALT form is only for use when an UVA -only Wteration is made to an existing home Use one form for each system being altered. This is system # systems altered in this house. Check all lines that apply. Check only lines that apply. Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 OP A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 � n outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4� coolingor heatingcoil is to be installed or replaced. Duct Sealingand/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2, 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AUD EER 12 condenser will be installed with TXV(RCA) AND added duct insulation R4 wrap on ebsting ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 Ab Q EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AMR EER 12 condenser will be installed with TXV(RCA) AND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 ,WNone of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 0 This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ This system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 WIThis system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 22 (9 e 15 is checked, HERS verification is required for Duct Sealing. 23�® �Ifl,ine12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 2 ❑ e 12, 13 or 14 are checked. HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ If less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project e:_ zt:2� �a - Mk� © CalCERTS 2005 I PORTANT: Is CF -1 R -ALT form is only for use when an HVAC- my al ration is ma Je to an existing home Use one for or each system being altered. This is system # of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed efriciencies/R-values. 28 Configuration;plit system 0 Package Unit 29 Air Handler as furnace, AFUE: OHeatpump FAU OHydronic. FAU DOther �O 30 SCJa Heat Exchanger 31 cb- Outdoor Condensing Unit C OHeatpump lEfficiency SEER/HSPF: JEER if re d : 32.4;L. Cooling or heating coil OHeatpump ❑Hydronic 33 O ILQEC Ducts location: Lenglh (H): R -value: All mandatory measures apply to any altered component. See MF -1 R - AFIT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Titb 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certiftcalle has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rate:-. Home Owner or Authorized Agent DocumentationAuthor Name: Name: Address: Company Name: City/State/Zip: Address: PALM DESERT AIR CO 42081 BEACON KILL ALM DESERT, CA 90211-5107 _ Phune: City/State/Zip: Phone: Signature: Sign lure: t'= 'orcement Agency (Building Department) .Name: I Notes/ o ments: Title: `Department: Fax #: F r .'Signature or Stamp: a F $Required forms: Cl-! 1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcemerx agency, HERS rater. SCF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. ICF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency installer. The CF -4R forms for a Isam le group shall not be released until all testing and verification is completed and passed for the e•-itire group. Version 03-10-06 Page 2 of 2 This form can only be used on projects being verified by CalCERTS certified raters. www.calcerts.com CaICERTS Page 3 of 14 CERTIFICATE OF FIELD VERIFICATION S DIAGNOSTIC TESTING (Page 1 of 8) CF -411 47-660 Via Montesa - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License Nc. 0800000477 Contractor Contact Telephone Permit Number PaUl Van VI men 760-777-1724 95203 HR Rater - Telephone Sample Group Number 06 \r c"'� April 28, 2008 CC14-1798435787 Certifying Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CaiCERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was Tested Y Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system Is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -611 has been received for the sample and tested buildings. The Installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). 1i� New systems where cloth backed, rubber adhesive duct tape is Installed, mastic and drawbands are used in combination with cloth backed rubber adhesive duct tape to seal leaks at duct connections. �� �.�■> ■.■ ■�-r ■ owvwcc nen■ f rrnN rnUDI TANCF CRFFWT! 1J1�111\ir1Vr1 AG Vs■��r■�■�. � -��-�________ __ NEW CONSTRUCTION Measured Duct Pressurization Test Results (CFM @ 25 Pa) Values 1 N/A 2 Fan Flow: Calculated (Nominal Cooling Heating) or Measured Not Tested Enter Total Fan Flow In CFM: 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow In CFM from CF -611: Pre -Test of Existing Duct System Prior to Not Tested 4 Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System Not Tested for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction In Leakage for Altered Duct System Not Tested [Line 4 - Line 5] - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Not Tested 8 Entire New Duct System - Pass If Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: Not Tested ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: Not Tested ❑ Pass ❑ Fall 10 Pass If Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Not Tested U Pass ❑ Fail it Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )j Not Tested ❑ Pass ❑ Fail and Verification by Smoke Test and Visual Inspection 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ❑ Pass ❑ Fall CACERTS ,. Page 4 of 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R 47-660 Via Montesa - La Ouinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 0800000477 Contractor Contact Telephone Permit Number Paul Van VI men 760-777-1724 95203 Rater Telephone Sample Group Number 13—k -\J 0,L/ April 28, 2008 CC14-1798435787 Certifying Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CaICERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quanta / CLL 92247 Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTSO registry In accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was Tested R Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. IVI The installer has provided a copy of the CF -6R (Installation Certificate). hTHERMOSTATIC EXPANSION VALVE (TAV): Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. HVAC System TXV1 ❑ Pass ❑ Fall Ca10ERTS Page 5 of 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411 47-660 Via Montesa #2 - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 08-00000477 Contractor Contact Telephone Permit Number Paul Van VI men 760-777-1724 95203 JEJ Rater i Telephone Sample Group Number CLL ��, �— April 28, 2008 CC14-1798435788 Certifying Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CaICERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Conies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was aested 0 Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified or this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verfy that the new distribution system Is fully ducted and correct tape Is used before a CF -411 may be released on every tested building The HERS rater must not release the CF -411 until a properly completed and signed CF -611 has been received for the sample and tested buildings. The Installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive dud tape Is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive dud tape to seal leaks at dud connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Dud Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested heakege Rew in eFM. N/A 2 Fan Flow: Calculated (Nominal '-...:Cooling'-...: Heating) or....' Measured Enter Total Fan Flow In CFM: Not Tested 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test of Existing Dud System Prior to 4 Dud System Alteration and/or Equipment Change -Out. tint Tested 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Dud System Alteration and/or Equipment Change -Out. Oot Tested 6 Enter Reduction in Leakage for Altered Dud System [Line 4 - Line 5] - (Only If Applicable) Hot Tested 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Not Tested 8 Entire New Dud System - Pass If Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: h of Tested ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass If Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: hot Tested Pass El Fail 10 Pass If Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Not Tested 11 Pass ! 1 Pass ❑ Fail it Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection Wt Tested C Pass Fall ❑ 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection I Ell� Pass n Fail Pass if One of Lines #9 through #12 pass 10pass ❑Fall CaICERTS Page 6 of 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -41K 47-660 Via Montesa #2 - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 08-00000477 Contractor Contact Telephone Permit Number PajuLlVan VI men 760-777-1724 95203 I'l ater I Telephone Sample Group Number RLC cn 1 April 28, 2008 CC14-1798435788 Certifying Signature Date Certit7cate Number Firm: Air Experts Air Conditioning HERS Provider:Ca10ERTS, Inc. Street Address: PO Box 94 City/State/Zip: La Quinta / CA / 92247 Copies to: Homeowner, HERS Provider and Buildinq Department This CF -411 has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. C_aICERTS@ is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was aested R Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the dl a nostic tested compliance requirements as checked on this form. The installer has provided a copy of the CF -611 (Installation Certificate). MfTHERMOSTATIC EXPANSION VALVE TXV : Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. I HVAC System TXV1 ❑ Pass ❑ Fail