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11-1115 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application -Number: ,--11=00001115- Property Address: 78375 VIA SEVILLA APN: 604-202-002-66 -23971 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 17900 Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: BEVERLY HARTIGAN 78315 VIA SEVILLA LA QUINTA, CA 92253 Contractor: Architect or Engineer: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE VOICE (760) 777-7012 FAX (760) 777=7011 INSPECTIONS (760) 777-7153 Date:- 10/11/11 n _a _ �I �r%T 112011 CITY O1' LA WiNTA FIFIAWE DFPy THOUSAND' PALMS, CA 92276 (760)343=7488 !� Lic. No.:' 686310 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am Ii c sed 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 Pr ssionals 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 Licens lass: C20 License No.: 686310 for by Section 3700 of the Labor Code, for the performance of. the work.for which this permit is issued. ate: i t t ntractor. have and will maintain workers' compensation insurance, as required by Section 3700 of theLabor- 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. EVEREST NATL Policy Number 7600006147101 following reason (Sec. 703.1.5, 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 its issuance, also requires the applicant for the person in any manner so as to be o e 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 beco bject 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 Co e, shall with 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).: ate: t n (icon: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 10 - the structure is notintended or offered for sale (Sec. 7044;.Business and Professions Code: The WARNING: FAILURE TO SECURE W MPENSATION 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. (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to theDirectorof 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 . Eachpersonupon whose behalfthisapplication 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, ( ) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnity 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, orcessation 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 info tion 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 constr Y n, and hereby authorise representatives - - of th's county to enter upon the above-mentioned property for insp i n -purposes. Lender's Name: � ate: lO 1 nature (Applicant or. Agent): /Jll ,Lender's Address: LQPERMIT, .. - Application Number . . . . . 11-00001115 Permit MECHANICAL Additional desc . Permit Fee . . . . 48.00 Plan Check Fee 16.50 Issue Date Valuation. 0" Expiration Date 4/08/12 Qty Unit Charge Per Extension BASE FEE 15.00 - 2.00" 16.5000 EA - MECH B/C >3-1.5HP/>100K-50.OKBTU 33.00 ------- - Special Notes and.Comments. 4 TON HVAC.CONDESNSER AND COIL & 5 TON HVAC CONDENSER AND COIL AT GROUND LEVEL. 2010 CODES. -- - - - - - - - - - - - - - - - - -_ -- -- ---------- - - - - -- - - - -- -- 'Other Fees . . . . ._ .. BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited. Due Permit. Fee Total 48.00_ .00. .00 48.•00 Plan Check Total 16.50 00 00 16:50 Other Fee Total 1.00 .00- .00 1.00 Grand Total 6 5.5 0 .00 .00 65.50 - LQPERMIT Bin # City of La QUinta Building 8L Safety Division P.O. Box 15.04, 78-495 Calle Tampico La Quinla, CA 92253 - (760) 777-7012 Building Permit -Application and. Tracking Sheet Permit # o\\ Project Address: �� 1) t..c4 Seu'I Owner's Name: , A. P. Number: Address: 7� 1� S � Legal Description: City, ST, Zip: OA Contractor: - Telephone:�� €<' s`w:•ys' < <� , :a<y" : s Address: Project Description: 41 t(AC City, ST, Zip: �7 a4k_t 7 07\_ Telephone: 3 O .'��•j4 .S`.fi'%a�: :':i+iti�%. .` City Lie. #t �2 State Lie. # : 3 Arch., Engr., Designer: Address: City., ST, Zip: Telephoner . State Lie. ' �.<{, `�, •<,�o a: Construction Type: Occupancy: ; Project type (circle one): New Add'n Alter Repair Demo Name of Contact•Person: C p li( �s't 4t56%(-5 0YU Sq. Ft.: #Stories : #Units: Telephone # of Contact Person: 7!o O 3 �3 -7, Estimated Value of Project: —(5E) APPLICANT: DO. NOT WRITE. BELOW THIS LINE # Submittal Plan Sets Req'd' Recd TRACMG Plan Check submitted PERMIT FEES ' Item Amount* Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd Review,.ready for corrections/issue Developer Impact Fee Planning'Approval Called Contact Person Pub. Wks. Appr Date of permit issue School. Fees. Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAIterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Adds� � o� oa JJ Enf rceme gency: Date: 1 Permit #: Equipment T e' List Minimum Efficiency z Duct insulation requirement Conditioned Floor Area Thermostat ckaged Unit nAFUE n COP Over 40 ft of ducts added orrnace [] Setback door Coil I EER I_._ HSPF re laced in unconditioned space 6 (CZ 10-13) Served by system sf (1 not already f y must be ondensing Unit EER Resist cc present, Other R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed- if more than one system, use another CF -1 R -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor 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 sig ed. eginning October 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final inspection. 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and (fors lits stems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Furnace CF -4R forms: MECH- 21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exemd om duct leakage testing if: AN1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or H2. Duct systems with less than 40 linear feet in unconditioned space, or 3. Existing ducts stems are constructed, insulated or sealed with asbestos E]2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent 3. New Ducts with/or without Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor coil CF -4R forms: MECH-20 and (for split systems) MECH-25 and/or furnace. No or some equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned space. CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 For split s stem or packaged units: Duct leakage < 15 percent EXCEPTION: Existing ducts stems 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 a inf ation documented on other applicable compliance forms, worksheets, calculations, plans ands specifications submitted to the enforcement agency fora r val w' the permit applicatiQ4 Name: Si ature: Company: n n Date: 6 --1 &—' l G / Address:Lk I� License: n MD/0 (, (� City/State/Zi Phone: 7laa 7&053_7 2008 Residential Compliance Forms March 2010 Simplified Prescriptive Certificate of Compliance:' 2008 Residential HVA C Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: f En oreernen A enc Date: Permit �: g Y " Conditioned Floor Equipment T et List Minimum Efficiency Z Duct insulation requirement Area Thennostat 11 Packaged Unit 11 Fumace O AFUE 8o% O COP Over 40 ft of ducts added or Setback door Coil ❑SEER 13 11 HSPF replaced in unconditioned space Served by system (Ifrnoralready ondensing Unit O.EER / / ❑ Resistance O R 6 (CZ l0 -l3) sf present, must be ❑ Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVACfor each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor.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 Sieved. Repinnino nrtnhpr I. 20111 a raMet—,11 .,f fh91c io -3 �Ic cn 1. HVAC Changeout uwu. Required Forms: • Afl`HVAC Egtiipme`nt replaced -CF -6R. forms: MECH.04,.MECH-2l- HERS- and (for split systems)-MECH-23-HERS-- - - - CF -4R forms: MECH- 21 and fors lits stems MECH-25 • Condenser Coil and /or • Indoor Coil and/or CF-611forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Furnace CF -4R forms: MECH- 21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempt dduct leakage testing if: 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA _> 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA _> 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned space. CF -6R forms: MEC14-04, MECH-2I-HERS CF -411 forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing ducts stems 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. • 1 certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts I and 6 of the Califomia Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the ' ortn tion documented on other Pylic ompliance forms, worksheets, calculations, plans and specifications submitted to the enforcement a ncy for appro al with t e e"it application. Name: Co Clem Wa_i's 6 Si ture: Company: e`O1` 41 r Codd.; fH 6eneraj n Date: /0 —1O l Address: ,31 /7o Peseroe �tt ✓� License: 686o3/v City/State/Zip:-7-k0t-16C"1,14 t��LMS" G1q 9,9jL7(I J' Phone: 7/O-343- 74tfk Ca10ERTS - CF -1R Registration Page 1 of 1 Danielle Garcia loggea to 1Logouri Public Home [Home] Secure Home About Us Training Rater Directory Forms Membership Benefits Events Industry Partners News To register for our monthly newsletter, please click here. CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address- 78375 VIA SEVILLA La Quinta, CA 92253 CEC Registration: 211-A0052518A-00000000-0000 CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD _ _Assigned Company: HARRISON ENTERPRISES INC Do you know your HERS Rater? If you do, you may want t6 -send this CF -IR to them. Ca10ERTS Rater ID: OR __ ___ My Rater Quick Select:' Energy Driven Solutions, Inc EveryCaICERTS rater has a license number. If you need to f nd the rater by name [Click HERE] to search our directory. j ,,,_.,_•;_SEND CF 1,R TO:HERS,f3PTER;, _; _ ; I [CLICK HERE] to do another Copyright 0( 2010 CalCERfS, fnc. All rights reserved. Revised:.lanuary 11.:010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877-HERS-R8R, (877-437-7787) Fax: 916-985-3402 Contact Us BBB rnd:u9on.Facebookel l wnvnm ruv •. httn-,-//www.calcerts.com/public cf1R.cfm?proj'ect_id=142660 10/10/2011 CaICERTS - CF -1 R Registration Page I'd 1 Public Home Secure Home About us Training Rater Directory Forms Membership Benefits . -- —Events Industry Partners News To register for our monthly newsletter, please click here. Danielle Garcia logged in [Logout) [Home] CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address- VIA SEVILLA La Quinta, CA 92253 CEC Registration: 211-A0052519A-00000000-0000 CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD Assigned Company_IHARRISON ENTERPRISES INC Do you know your HERS Rater? If you do, you may want to send this CF -1 R fo them. CaICERTS Rater ID: _O_R___ My Rater Quick Select:'. Energy Driven Solutions, Inc. Every CalCERTS rater has. a license number. If you need to find the rater by name [Click HERE] to search our directory. b t- SENq CF 1 RTO HER$;RATER ,;. ; �;.;,I [CLICK HERE] to do another Copyright 052010 CalCEiRTS. Inc. All rights reserved. Revised: January 11. 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877-HERS-R8R, (877-437-7787) Fax: 916-985-3402 Contact Us AMC BBB :tirtttU�.afi.F.-8ge15ook®�i httns://www.calcerts.com/public cf1R.cfm?project id=142661 10/10/2011 $7 T r 2.'. Me to o tside less than 10% of Pan Flow ..pL.5k,,tELd.leakaqe u .4 Ir, T ke Oble. leaks'. using s�*Pn 4. Fix: a -.accessverify 4, and HERS rater ve W 7.r, d� Deterrhine nominalsEaWFlow using dfi-&'df-the following three calculation methods system.--metnod: bize-op,-condenseryn%W 4 26-10b U _W00OXXI UF VEHt%luysystem U. J, V0me4�sysg 4�R airflow p 0� 11i .j-1. J I '- 0Ptionuded Allowed ah'floWMOMWM11000,71191 1 bl: L Actual Leakage 265 CFM -gryp v CERTIFICATEDF FIELD VERIFICATION &-DIAGNOSTIC TESTING CF-4111-MECH721 -P! 00 -.-2-'-'U§6'dJthdn:,- I C Allo"W"'ed lea'ka-g-e -Ax0.l0-= CFM Duct Leakage Test.— Existing Duct System 12. (Page 1 of 2) e— 7, 1 j p;s s W Leakage Actual is less than AlloWed q.9. , -, .,r-1 Pass Fail. Option 3*used then: r Initial leakage priiorto start of work CFM 4 Site Address: Enforcement Agency: Permit Number: 3 783 75, VWSEViLLA, -La'Quinta,CA 92253 (System,l) 1, .1 , 0 L City. f.' a.,Quinta 11-1115 n,Pass M Fail A, Option 4 used then: , accessible leaks repaire d using smoke HERS frater must v6rify"(W(o siamp ing). No smoke -'4%� allowed fo leak from system' Including ducts,'plenums, air handler and d6or.,pan el: $7 AL e 7r UUCt LeaKage viagnostic #eStr,- existing,cluct system k., Select one compliance method from. the following four choices. Measured leakage less than 15%'of fan flow' r 2.'. Me to o tside less than 10% of Pan Flow ..pL.5k,,tELd.leakaqe u "ej�, r n 11'educe eakage-,by 600% and - conduct smoke and fix all leaks7. Ir, T ke Oble. leaks'. using s�*Pn 4. Fix: a -.accessverify 4, and HERS rater ve W 7.r, d� Deterrhine nominalsEaWFlow using dfi-&'df-the following three calculation methods system.--metnod: bize-op,-condenseryn%W 4 26-10b U _W00OXXI UF VEHt%luysystem U. J, V0me4�sysg 4�R airflow p 0� 11i .j-1. J I '- 0Ptionuded Allowed ah'floWMOMWM11000,71191 1 bl: t Actual Leakage 265 CFM -gryp AL e 7r UUCt LeaKage viagnostic #eStr,- existing,cluct system k., Select one compliance method from. the following four choices. Measured leakage less than 15%'of fan flow' r 2.'. Me to o tside less than 10% of Pan Flow ..pL.5k,,tELd.leakaqe u "ej�, r n 11'educe eakage-,by 600% and - conduct smoke and fix all leaks7. Ir, T ke Oble. leaks'. using s�*Pn 4. Fix: a -.accessverify 4, and HERS rater ve W 7.r, • 0 1, f-* 1, A ne tf' ,(0 ptibns,1, 21' or 3 rnUW�e, attempted before utilizing Option 4.) Deterrhine nominalsEaWFlow using dfi-&'df-the following three calculation methods system.--metnod: bize-op,-condenseryn%W 4 26-10b U _W00OXXI UF VEHt%luysystem U. method:: ut.C,,-*m hR _ . , p - K,l V0me4�sysg 4�R airflow p 0� 11i .j-1. J I '- 0Ptionuded Allowed ah'floWMOMWM11000,71191 1 bl: t Actual Leakage 265 CFM -gryp v K RNss than Pass'if Leakage Actual anAll�Owe d -Pass' Fair' -P! 00 -.-2-'-'U§6'dJthdn:,- I C Allo"W"'ed lea'ka-g-e -Ax0.l0-= CFM 12. Actual Leakage to outside WN4. It ' "UM e— 7, 1 j p;s s W Leakage Actual is less than AlloWed q.9. , -, .,r-1 Pass Fail. Option 3*used then: r Initial leakage priiorto start of work CFM 4 f Final leakage after sii6ling.all CFM accessible leaks" smoke.test It 4 3 Initialde6kage Final leakage A, I =.Leakage reduction �'4CFM - I , age reduction Initial leakage x 100% wReduction ((Ceak 0/ 1, .1 , Pass 'if'%Jieductlon > 60%, n,Pass M Fail A, Option 4 used then: , accessible leaks repaire d using smoke HERS frater must v6rify"(W(o siamp ing). No smoke -'4%� allowed fo leak from system' Including ducts,'plenums, air handler and d6or.,pan el: Pass i all accessible leaks have:be6n repaired using smoke E] Pass t] Fail t 7, I v t v e— V' It 4 A, A, f al e Reg - '2l1-AO0525l8A-M2l0000-1A'-M2lA Reg'i6traiCiorn:Date/Tinie�:2011:/12/02 18:35:25 4 HERS,Pro'vid&i�: CalCERTS',' Ific.*w 2008 . Residential Compliance For" A -March2010 _z k9f �,.k r: f� `.,r✓ } �, .F J Teri -+ "4 ~s 1- •.'J+Y 3. c r• •, 4 ' t r .w. 4 ,. � a _ �t ,;#i .. 1 • •ll .n•. `i.•: .c Mc 'qi, r. ,-'l. 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Ifi rr, r f''1 �•C ,�„�z w.tyg' "' l'^? a'�.. # t {s; +,,'� u -.. w"I„.s f ^Y ;`�•ra°- j!;''' 44 F �r.,. n� .,.... �.+. <Cen` +uw�+ .y..m., - :.. ».� .. �. .•...,.� ,...: r•., ..,s.•....•a .�,..-mnaa- ...',xr.-.� v -... .- „�- }��:r,. ,` • r /'; C..,:- S.� + . } r ' •I � Outside air (OA) ducts fortral Fan Integrated,'(CFI) ventilation systems; shall not be sealed/taped off, s•r„4+. y r during duct,leakage testing CFI�OA ducts that utilize controlled motorized dampers, that, pen'only•when OA'. , ;a� ventilation -is required to.rneet ASHRAE Standard 62.2, and close when OA`ventilation is not,required, mayjf1-', +. t” be"configured to the`closed position during duct leakage All supply an6preturn registerbootsmust be seealed to the.dray§walJ if smoketa,test�ismutlllzed4 compliance's 1 -:applies 'oductxleaka,ge compllanceoptio'�n3(aeaka9e�re uctlonby6®%{) and optlon�4�(itix all a`ccessible''' _ S .leaks) des�ccib'ed-above x, tp R 9.New d c-t,-installations3cannot utilize'building.cavities�asvplenum's of platform returns in heti of ducts � +L{�.' °£r 1 ..�; :#. .:¢ y kt{'?• ; ,,.+ # P tic i n 4x� 2• r : JE r -- fC- .c' ' x,� .. r r ee. ♦ ,F.v v, ;' a �.a Mastic and�sdraw bands must be used incornbmatron withclothbacked rubber adhesiueduct tape to seal ural; +, : ' simw� a,:. • pr leaks at all newsduct connections ;• r l 4 - ': r t P } 4 �'a n t.. •+ �,'�, �. �t,y r� � � !. C"a � a. - Fs'�3' i` r :C r -.nti � �1,• �..j ' r {� �` `" x Y ..- -, v� �. `Ys. ',' S -,t.a` ', � , '+ •!' r o'F'T+ > t � � '�.j+ penalty o DECLARATION''9TATEMENT , ,T ; ;. w •„� *.'r cw ; c, r under f perjuryund&'the laws of the State of California ; I certify, the information provided on this form is true and correct. ,',• a I am the certified HERS rater.who performed the verification services identified and reported on this certificate (responsible rater): rD cy ; ,The installed feature,, material component, or manufactured device requiring HERS verification that is identified on this certificate (the"_f'r f,l •` x installation) complies with,the'applicatile requirements'in Reference,R,esidential'Appendices RA2 and.RA3'and the requirements.specifi.ed,�`�'' ,on the Ceitificate(s),of Compliance (&-1R) approved by the1ocal enforcement agency -The information reported:on applicable sections of the Installation Certificate(s) (.6-611),'eigned and submitted by. the persons) - responsible for the installation conforms to the requirements specified on the.Certificate(s) of Compliance (CF -111) approved by the ' L f• ,I. aM1 a...i Y enforcement agency.. r _ 't-` .r> t wr.i _ ':, - ,' a !•+.M .a lf7, ,'.ti i7 ry , Builder or Installer information as shown on the Installation Certificate (CF -6R) • ,e. a3 r. , '. 0. .� HARRISON'ENTERPRISES INC** ' ,r "' « . °, '. �' '- '• w.,. + ; Yi �>�+;j .:, +CSLB +.. Responsible Person's Name: �• + t- �{ _y• itY n -•i ; .r,� _s � {ty t' f4 N r r+5 Aoj HERS Provider Data Registry Information; Y ]� ,s,S"t • <� '.` r i r' Y J �. 3.e-,{• A Y Y% - 'T" . e i aaT ,e^ / L !1 L �1 r . •'� �. Y�r I 6 c, a x'_ w � _.Y. 4 1. .�••L a,i ,M �i �:X f � �,.k r: f� `.,r✓ } �, .F J Teri -+ "4 ~s 1- •.'J+Y 3. c r• •, 4 ' t r .w. 4 ,. � a _ �t ,;#i .. 1 • •ll .n•. `i.•: .c Mc 'qi, r. ,-'l. '#•� • , .1 t , y. `+tangy {.. c ►T 't = •jr r, y F, J^ 'c`.. 'U r� ` � t "�v' ` a �_ 'r�`' • 1 ski .� +�".}a n' v{ s. � v- f � Y a•. f Sc �'y: ' t •. _3. t �J. .f,. .L. L" •f r ,w r t ' � ' t ,f i a a o.�.. -r, ter. P <' ''' f'y i '4 ; w ; r Y Y1, NL x- , # {c +t iL d • 7'= + r,` +S F,y ;'(s};�.� �t{1jyt'�F•}^ ++ o., " T ;.`��: . r1 _,,i �vsr # a .� .�...rc r ' r - • i w •i ... � `,k a ]" +? a c ,� V.. , « -_,f.� ..• � 4 , s:� �. -N J } .t , , j �,,: e"� ' - k ♦. v •. 9'. +Y* , 3� •.,� F 1t: li V Y ... k K, r s 'i ., � �r . l.t � ,. % •., `.' � r '{ ^� �t ., i r n v , a + 7' t :� . "i• • i x ; +; , a ». t . is T rr�«..a C • i a v�`;'.'''r '' L:,: #r♦s,�:�.• f... tt k , sa •.i i {.e : •c r eT L ."" a!} ja t 1` � � r•P � r'�I' . �, '' s, t, �'ti �, ��/ t. 'r `T �°' �. r �£ x 1 �,:: � � :�` ww. 5 'F i►` le .ai y ,i i a•s ry r_ t,e y 'ti•�-qy �'y a #' !�*: e'`+` #. `41 nt �s" 'i:- s i ► j'• tri y., t • +_ l,;,rfi y'. ' 1 e .�. Ifi rr, r f''1 �•C ,�„�z w.tyg' "' l'^? a'�.. # t {s; +,,'� u -.. w"I„.s f ^Y ;`�•ra°- j!;''' 44 F �r.,. n� .,.... �.+. <Cen` +uw�+ .y..m., - :.. ».� .. �. .•...,.� ,...: r•., ..,s.•....•a .�,..-mnaa- ...',xr.-.� v -... .- „�- }��:r,. ,` • r /'; C..,:- S.� + . } r ' •I � Outside air (OA) ducts fortral Fan Integrated,'(CFI) ventilation systems; shall not be sealed/taped off, s•r„4+. y r during duct,leakage testing CFI�OA ducts that utilize controlled motorized dampers, that, pen'only•when OA'. , ;a� ventilation -is required to.rneet ASHRAE Standard 62.2, and close when OA`ventilation is not,required, mayjf1-', +. t” be"configured to the`closed position during duct leakage All supply an6preturn registerbootsmust be seealed to the.dray§walJ if smoketa,test�ismutlllzed4 compliance's 1 -:applies 'oductxleaka,ge compllanceoptio'�n3(aeaka9e�re uctlonby6®%{) and optlon�4�(itix all a`ccessible''' _ S .leaks) des�ccib'ed-above x, tp R 9.New d c-t,-installations3cannot utilize'building.cavities�asvplenum's of platform returns in heti of ducts � +L{�.' °£r 1 ..�; :#. .:¢ y kt{'?• ; ,,.+ # P tic i n 4x� 2• r : JE r -- fC- .c' ' x,� .. r r ee. ♦ ,F.v v, ;' a �.a Mastic and�sdraw bands must be used incornbmatron withclothbacked rubber adhesiueduct tape to seal ural; +, : ' simw� a,:. • pr leaks at all newsduct connections ;• r l 4 - ': r t P } 4 �'a n t.. •+ �,'�, �. �t,y r� � � !. C"a � a. - Fs'�3' i` r :C r -.nti � �1,• �..j ' r {� �` `" x Y ..- -, v� �. `Ys. ',' S -,t.a` ', � , '+ •!' r o'F'T+ > t � � '�.j+ penalty o DECLARATION''9TATEMENT , ,T ; ;. w •„� *.'r cw ; c, r under f perjuryund&'the laws of the State of California ; I certify, the information provided on this form is true and correct. ,',• a I am the certified HERS rater.who performed the verification services identified and reported on this certificate (responsible rater): rD cy ; ,The installed feature,, material component, or manufactured device requiring HERS verification that is identified on this certificate (the"_f'r f,l •` x installation) complies with,the'applicatile requirements'in Reference,R,esidential'Appendices RA2 and.RA3'and the requirements.specifi.ed,�`�'' ,on the Ceitificate(s),of Compliance (&-1R) approved by the1ocal enforcement agency -The information reported:on applicable sections of the Installation Certificate(s) (.6-611),'eigned and submitted by. the persons) - responsible for the installation conforms to the requirements specified on the.Certificate(s) of Compliance (CF -111) approved by the ' L f• ,I. aM1 a...i Y enforcement agency.. r _ 't-` .r> t wr.i _ ':, - ,' a !•+.M .a lf7, ,'.ti i7 ry , Builder or Installer information as shown on the Installation Certificate (CF -6R) • ,e. a3 r. , '. Company Name: (Installing, Subcontractor or General Contractor or Builder/Owner) HARRISON'ENTERPRISES INC** ' ,r "' « . °, '. �' '- '• w.,. + ; Yi �>�+;j .:, +CSLB +.. Responsible Person's Name: �• • License: r • , N` •' •a , u HERS Provider Data Registry Information; , r ” s Sample Group #'(if applicable). 298029' r a �,.k r: f� `.,r✓ } �, .F J Teri -+ "4 ~s 1- •.'J+Y 3. c r• •, 4 ' t r .w. 4 ,. � a _ �t ,;#i .. 1 • •ll .n•. `i.•: .c Mc 'qi, r. ,-'l. '#•� • , .1 t , y. `+tangy {.. c ►T 't = •jr r, y F, J^ 'c`.. 'U r� ` � t "�v' ` a �_ 'r�`' • 1 ski .� +�".}a n' v{ s. � v- f � Y a•. f Sc �'y: ' t •. _3. t �J. .f,. .L. L" •f r ,w r t ' � ' t ,f i a a o.�.. -r, ter. P <' ''' f'y i '4 ; w ; r Y Y1, NL x- , # {c +t iL d • 7'= + r,` +S F,y ;'(s};�.� �t{1jyt'�F•}^ ++ o., " T ;.`��: . r1 _,,i �vsr # a .� .�...rc r ' r - • i w •i ... � `,k a ]" +? a c ,� V.. , « -_,f.� ..• � 4 , s:� �. -N J } .t , , j �,,: e"� ' - k ♦. v •. 9'. +Y* , 3� •.,� F 1t: li V Y ... k K, r s 'i ., � �r . l.t � ,. % •., `.' � r '{ ^� �t ., i r n v , a + 7' t :� . "i• • i x ; +; , a ». t . is T rr�«..a C • i a v�`;'.'''r '' L:,: #r♦s,�:�.• f... tt k , sa •.i i {.e : •c r eT L ."" a!} ja t 1` � � r•P � r'�I' . �, '' s, t, �'ti �, ��/ t. 'r `T �°' �. r �£ x 1 �,:: � � :�` ww. 5 'F i►` le .ai y ,i i a•s ry r_ t,e y 'ti•�-qy �'y a #' !�*: e'`+` #. `41 nt �s" 'i:- s i ► j'• tri y., t • +_ l,;,rfi y'. ' 1 e .�. Ifi rr, r f''1 �•C ,�„�z w.tyg' "' l'^? a'�.. # t {s; +,,'� u -.. w"I„.s f ^Y ;`�•ra°- j!;''' 44 F �r.,. n� .,.... �.+. <Cen` +uw�+ .y..m., - :.. ».� .. �. .•...,.� ,...: r•., ..,s.•....•a .�,..-mnaa- ...',xr.-.� v -... .- „�- }��:r,. ,` • r /'; C..,:- S.� + . } r ' •I � Outside air (OA) ducts fortral Fan Integrated,'(CFI) ventilation systems; shall not be sealed/taped off, s•r„4+. y r during duct,leakage testing CFI�OA ducts that utilize controlled motorized dampers, that, pen'only•when OA'. , ;a� ventilation -is required to.rneet ASHRAE Standard 62.2, and close when OA`ventilation is not,required, mayjf1-', +. t” be"configured to the`closed position during duct leakage All supply an6preturn registerbootsmust be seealed to the.dray§walJ if smoketa,test�ismutlllzed4 compliance's 1 -:applies 'oductxleaka,ge compllanceoptio'�n3(aeaka9e�re uctlonby6®%{) and optlon�4�(itix all a`ccessible''' _ S .leaks) des�ccib'ed-above x, tp R 9.New d c-t,-installations3cannot utilize'building.cavities�asvplenum's of platform returns in heti of ducts � +L{�.' °£r 1 ..�; :#. .:¢ y kt{'?• ; ,,.+ # P tic i n 4x� 2• r : JE r -- fC- .c' ' x,� .. r r ee. ♦ ,F.v v, ;' a �.a Mastic and�sdraw bands must be used incornbmatron withclothbacked rubber adhesiueduct tape to seal ural; +, : ' simw� a,:. • pr leaks at all newsduct connections ;• r l 4 - ': r t P } 4 �'a n t.. •+ �,'�, �. �t,y r� � � !. C"a � a. - Fs'�3' i` r :C r -.nti � �1,• �..j ' r {� �` `" x Y ..- -, v� �. `Ys. ',' S -,t.a` ', � , '+ •!' r o'F'T+ > t � � '�.j+ penalty o DECLARATION''9TATEMENT , ,T ; ;. w •„� *.'r cw ; c, r under f perjuryund&'the laws of the State of California ; I certify, the information provided on this form is true and correct. ,',• a I am the certified HERS rater.who performed the verification services identified and reported on this certificate (responsible rater): rD cy ; ,The installed feature,, material component, or manufactured device requiring HERS verification that is identified on this certificate (the"_f'r f,l •` x installation) complies with,the'applicatile requirements'in Reference,R,esidential'Appendices RA2 and.RA3'and the requirements.specifi.ed,�`�'' ,on the Ceitificate(s),of Compliance (&-1R) approved by the1ocal enforcement agency -The information reported:on applicable sections of the Installation Certificate(s) (.6-611),'eigned and submitted by. the persons) - responsible for the installation conforms to the requirements specified on the.Certificate(s) of Compliance (CF -111) approved by the ' L f• ,I. aM1 a...i Y enforcement agency.. r _ 't-` .r> t wr.i _ ':, - ,' a !•+.M .a lf7, ,'.ti i7 ry , Builder or Installer information as shown on the Installation Certificate (CF -6R) • ,e. a3 r. , '. Company Name: (Installing, Subcontractor or General Contractor or Builder/Owner) HARRISON'ENTERPRISES INC** ' ,r "' « . °, '. �' '- '• w.,. + ; Yi �>�+;j .:, +CSLB +.. Responsible Person's Name: �• • License: r • , N` •' Danielle Garcia ° + ' at .r; 686310 n HERS Provider Data Registry Information; , r ” s Sample Group #'(if applicable). 298029' r +`r tested/.verifie dwelling "'. ',~ not-tested/verified'dwelling ink's • a HERS sample group , HERS Rater Information CalCERTS Certificate # CC1-1798598611 HERS.Rater Company Name: •r Energy Driven Solutions, Inc. j r �' e^ 3 +"" Responsible Rater's Name: • r Responsible Rater's Signature:' David Bricker '. • . David Bricker • a `'' i �` a" * 4 .. Responsible Rater's Certification Number w/ this HERS Provider Date Signed:, 11/30/2011 CC2004131 T -f. : 'If' •1 , '+ c Ys. ;s.•.. { .5, at .r; J' i W c!.Irafa Reg; 211-AO052518A11 M21A" Ristime: egration Date/T 2011/12/02.18:35:25 r HERS Provider: Ca10ERTS,• n Ic',f', +s",2008 1-M2100001A= Residential Compliance Forms �, , S - — k f , - r ' t March 2010 t > w t r A ,yV , ! iC a a;, • r c to . K. .; s, ,,;rr i T , r t "` . , ,� ;,�C' ,iV, 9 �• r . {� ! �i . � ,�„! � �. + `' 't ,. .' - rcl { t ,�� wa c Jte . •� a. . /Vote:'if installation ofe Charge Indicator Display '(CID) is utilized'as•an'alternative,to refrigerant charge verification for comp/iance, a MECH-24, Certificate'(instead of this MECH-25 Certificate) should be used to demonsErate compliance with - •� 'the refrigerant charge verification requirement. TMAH and SIMS arenot required for compliance, when a CID is utilized , forcompliance. r'As many as 4 systems in the"dwelling can be documented for compliance using this form. Attach.an additional forni(s) for , : + any additional systems in the dwelling as applicable. i �Temperature.Measurement;Access Holes.(TMAH) and Saturation'Teinperature Measurement Sensors (STMS).. �.. , .P,rocedures for installing,TMAH are specified in 'Reference Residential Appendi'x,RA3.2. If refrigerantiharge 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. • v J _TMAH -'Access Holes in Supply and Return Plenums of Air Handier, r 1 . r� System Name or Identification/Tag ` ` System Location,or Area Served Upstairs 11 3# ®Yes ` ❑ No ' '. 5/16 inch. (8 mm) access hole upstream`of:evaporative coil in the return plenum and labeled according t4; Figure. in Section:RA3,2,2.2,2. 2; ® Yes ❑ Nc ( 5/16•inch1(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 1%and 2 is a pass. Enter Pass or Fai!j, ✓, 0 Pass ✓ ❑ Fail a STMS - Sensor on the Evaporator�Coil , System Nam, erorpIdentifi'cation/Tag , Sy'0 is 0.00 3# '. p;No 3The sensor is factory mstalled,`or fieltlinstalled`accordmg tornanufacturer s_ Y.%fF '�^p -:. '�y'.�Fv.r� if-F^'14`,•D{tk$° .. .fd.• b,]�x>. speafcations, or is installed by methods/specifications,approved bythe Executive z . ❑ Yes, , ' ' ❑ No 4 . Y Y b ' TF: ti:Yv°� ,No��-: y �: gTrMfisor wi'rre is terminated'w�th a?sfandard mmi plug�suitatile�for connection to a di itai Yhermometeaese sn or mmi sac ':fix.,. .. 9 b �rb,lug„ 5:gy as M.q.•. 91 t .. c hangingtheairfloW ahro.ugh the=condensercoiS: • ZA a STMS - Sensor on the Evaporator�Coil , System Nam, erorpIdentifi'cation/Tag , Sy'0 is 0.00 3# '. p;No 3The sensor is factory mstalled,`or fieltlinstalled`accordmg tornanufacturer s_ Y.%fF '�^p -:. '�y'.�Fv.r� if-F^'14`,•D{tk$° .. .fd.• b,]�x>. speafcations, or is installed by methods/specifications,approved bythe Executive z . ❑ Yes, , ' ' ❑ No ff 'jr ��r ,x1� 4' ' TF: ti:Yv°� ,No��-: y �: gTrMfisor wi'rre is terminated'w�th a?sfandard mmi plug�suitatile�for connection to a di itai Yhermometeaese sn or mmi sac ':fix.,. .. 9 b �rb,lug„ 5:gy as M.q.•. 91 t .. c hangingtheairfloW ahro.ugh the=condensercoiS: • ZA ❑ NoWhen l attached to a digital'thermometer, the sensor provides an•indication of the 4, = and the HERS rater without changing the airfiow through the condenser coil _ saturation temperature of the coil. Yes to 34,'and 5`is'a pass. Enter N/A:if STMS are not,y N%A ✓ ' ❑Pass :� /_{ ❑Fail applicable; Otherwise ene& a. o Fail , : ++ saturation temperature of the coil. _ y .r. ,. Sii r ' ' STMS - Sensor on they Condenser Coil �' ~{ r y'* ' A 7 h.; System Name or Identification/Tag ` _ System 1. The sensor`is factory installed, or field installed according to manufacturer's ` ,6 z . ❑ 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 t ' 4, = and the HERS rater without changing the airfiow through the condenser coil _ 8 ❑ Yes' ` ❑'Nor'f When attached to a digital thermometer; thesensor provides.an indication of the : ++ saturation temperature of the coil. _ y .r. Yes to 6, 7, and 8 is:a pass. Enter N/A if STMS are not. ✓ -9 N. ✓ ❑ Pass ,. ✓ •❑ Fail applicable. Otherwise enter Pass or Fail _ - ,._ �f' 0. { Reg:'211-A0052518A7M2500001A•M25A .•Registration Date/Time: 2011/1.2/02.18:37:47 HERS Provider:a Ca10ERTS; Inc, ..' A2008i, Residential Compliapce�Forms ; } ”�'� march 2010 M a � ,tib - - & , t ''1 • r. _ _ .' .: . - �._ � t . '- • L.. ` ,� f , N t • : F *^{ t,l,4 S- ,* F/ - ty t ; rt t.. � �4�y R t � Y,/p�+i •, � %i �S•. � '♦} t • � AKry' ^ 4 i � ��L .J !}�.•� w ,y. t Il � ,} �` ♦ 'L ! }•.... a �'.'< r �. �. W (r- ry.. .r,, System Location or Area Served 1 ;' Upstairs l i, ,r y '' .y 1 • r y : • L i�Y �' ail { f -ter x . •4 yw. ` t �, . • Outdoor Unit, Serial:# - ' 5811C10787. S4 - CERTIFICATE OF FIELD VERIFICATION•& DIAGNOSTIC.TESTING•` w ., .CF-4R-MECH-25 Refrigerant Charge Verification. --Standard Measurement Procedure (Page 2 of 5) Site Address: ". r`; .` ;. ♦ w ! , , 78375 VIA SEVILLA La Quinta'CA 92253;, Enforcement Agency., City ofta, Quinta Permit Number. 11-1115'" r 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 • a, 4 Appendix.RA3.2. As many as,4, systems in the dwelling can be documented for compliance using. this. form.`Attach an additional forms) _any additional systems in the dwelling as applicable. " "_ , aft, ♦ r • The system should-be'installed and charged in accordance with the manufacturer's specifications before starEing, this procedure.., • The system must meet minimum airflow requirements as prerequisitefor 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 N . ^^ ► s 4' r , " Syetem Narne orldentification/Tag '* System41' ' ' ; ♦ ,, • . r'r "`i 'a � (,must be re calibrated monthly) System Location or Area Served 1 ;' Upstairs 4 _ • fY } •r. �` r 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 • a, 4 Appendix.RA3.2. As many as,4, systems in the dwelling can be documented for compliance using. this. form.`Attach an additional forms) _any additional systems in the dwelling as applicable. " "_ , aft, ♦ r • The system should-be'installed and charged in accordance with the manufacturer's specifications before starEing, this procedure.., • The system must meet minimum airflow requirements as prerequisitefor 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 N . ^^ ► s 4' r , " Syetem Narne orldentification/Tag '* System41' ' ' ; ♦ ,, • . r'r "`i 'a � (,must be re calibrated monthly) System Location or Area Served 1 ;' Upstairs 6 "� � :il'�:.. �5 } •r. �` e .%E" .'f -n i temperature (T su I db ) w PP Y, �.� Outdoor Unit, Serial:# - ' 5811C10787. , ' - - tt"t♦w,= temperature(<Tre'trn,db� ,a Ff, t, M Outdoor Unit Makes t Lennon wb) yS.' Outdoor Unit Model " . •� `. )XC21-060-230 (Tevaporator, sat) +•. Nominal Cooling Capacity Btu/hr *59500 i :' , : (Tcondensor,, sats > } :3 t . :,: ,: '• ', Date of Verification' M 1i-30-11 t r.� r • , r ' r , r •1 < rrrtisi:� , 4 �� • 9'.+.', _4 ,Calibration of rDiagnostic Instruments' ..,;�, { _ .-,.- � � ,,, ••„ aF ,{ 4 tlty Date of Refrigerant•GaugerCalibration ",' 11-1rii • k ♦(must be re=calibrated monthly) rys. a. si Y • Date of ThermocouAM7alibration '. �Sx A w..p' f• "SFb � 11 1 ii � (,must be re calibrated monthly) �'_ Measured T,emperatures,(,.% ') " a1125 9065 System Name or Identification/Tag System i41 pow"', 44 a , supply.( air�dry`bulb �... ,rw / . .',!�5N', .4ta S jC ' d�'rN 48 i 9eYi1v3 6 "� � :il'�:.. �5 } •r. �` e .%E" .'f -n i temperature (T su I db ) w PP Y, �.� Return (evaporatorentering) air dry"bulb 70 ,� r•' -f µ. y temperature(<Tre'trn,db� ,a Ff, t, M Return (evaporator entering) air wet.'bulb, temperature (T;eturn, S4 wb) yS.' Evaporator saturation temperature 62 (Tevaporator, sat) +•. Condensor saturation temperature a rr 88 i :' , : C.it( •T�",1 V (Tcondensor,, sats > } :3 t . :,: ,: '• ', Suction line temperature (Tsuction) ' .a ` t 4, Liquid Line Temperature (Tliquid) t a 86 Condenser (entering), air dry-bulb " 75_ temperature (T . )r condenser, db . ' • ,� ..,R, Yy j 4 ..moi n'' ij`ts 'sal. �"• .t 46 t+ i JWy t♦ S 1' �,y �` '• � „,i � � ✓ •- A+r` ; . . `� tom: r A '• ,dr i , 4 Yt.` `,�� ' ,e, r �.", r'' �r� t r, :n � �-�) � ' . ♦ ` • r 7 ` , � •^,�,� •' ' +' � ! � s •�Y tic,: +& !.• # rt i ,1 ,:.' at •. t } # Ji i I' { 7,�, V; ti' l`. ,i }Q ','� ? ��yy rhe + !sa i 1 T k a .y�r r }+ 4�'� ♦tR i�. a 3+ • }'� .7{ i+ 'Jr't4,y , z. e iytF. �$`a, r t. , s �� .r �. € T f t. r• 0 at rt ,ai At'`s It as `�. .•� Y 2 B �'" ° - •r+ .� ` " ♦ } a f, ^y 1 a. �. o , 4, i f `. A., t+ ' ! ► ,t l! `t x, . "1 l�4?: �", + k i 'i. rti, , '.t^ + . ({ '' . i r r 4 . `� t •• i.F .� w, "'• , �.. .� `a�, �'. # q. eta' e� r 1 r 'r n .•" i 'ti �� *y ,.� z r ?¢ �..� ,.�.t •� * �. mit 4 � c"rF •k�'��yCx ♦ ss + t Mw`yr i.'r f* .'� _ y' a��+'� - :I '.•` �,• •+ . ;♦,• '. ,',L y -<e t ,M'i a , :�..� i h Gk * s. ice. � F �.. .'� • C jj i b ,- i. , ,`t •i t' J ii ' ! •' j i4,' .irx *�- , `' Y�al; ,fh ,�j i'-iy r :y t + i fix. „ "r .:n, t• � r ti r .r •s. l• t ,� ,'J h J. 1 z Re9.'211-A0052518A M2500001A-M25A Registration 'Date/Time: 2011%12/02,18 37:47 HERStProvider .Ca10ERTS,.Inc.,'� , 'y*`Irst20i)8'"Residential"`Compliance,Forms 4 r. s -A F^� ;March 2010' ; b4 r �a. i.. ,:. ' -'.y�+' �. �.'� !♦ ♦ �. '"�"� � J t♦ � r . ,ti R .iti r . - /' �,gi. " r � 0 v4b „br,a �rr, �.j Y Minimum"Airflow Requirement f r. Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method:,is specified in.Referen'ce Residential Appendix RA3.2. System'Name or Identification/Tag System -Name or Identification/Tag System 1� ♦ : ywj . i. x ` ,y o�4M 1 Calculate: Actual Superheat Calculate: Actual Temperature Split Treturn,22.00 a wi ,V + .= db ` Tsupply, db' , , Target Superheat,from Table RA3.2-2, using Target,Temperature Split from Table RA3.2-3, , 20 tt Treturn, wb and Tcondenser, db . using Tretu,.rn, wb and Treturn, db j. Calculate difference: - "' "` Actual Superheat -`Target Superheat Calculate difference: Actual Temperature Split;' y- •�i . y' 4 , • �'^ ;. � •,, # � ; Target Temperature Split = 1 System passes if difference is between -6°F. and Passes if difference -is between --4°F and +4°F or, HERS Provider. Ca10ERTS;`Inc.> r ,' l .� r : «• ,upowremeasurement,'if between -40F and a PASS ( Enter,Pass or Fail' -100°F A. Enter Pass or Fail,,. �t1ur:.-o�plit-Me,>•h `� Calr�a� ti :is-not•re e�sz-�• f .ct�a; C� ./�n. � ' �r� � irf�; ,r� is verlf,;ed-using one of the._ airflow measurement procedures spec,Fed in Reference'Re'sidentia/Rppendix' RA3.3:.If actual cooling coil airflow is ` IL measured; -the value must -,be equal56 or greater than the;Calculated Minimum`AirFlow Requirement in the table below. { , Calculated•,Mmimu'm'Airflow Re 6irement CFM ='Nominal'Coolin Ca acit ton X 300 cfm ton q.� ) p YC ) / ) �9 r� SystenAame oriIdentification/Tag; - s Rg, AM FJ , Calculated M nimum:Airflowq i R reemen CFM) r r r� E - €� :a: Measured AMW2,using A3d e toce0r Passes.if measuredairflowis greater than equal to the calculated minimum airflow , requirement' r, Enll r ass or Fail ` 1 SuperheatCharge'Method'Caicuiations for Refrigerant Charge Verification., This procedure is required to be used' for fixed. orifice metering device systems System'Name or Identification/Tag J � ♦ : ywj . x ` ,y o�4M 1 Calculate: Actual Superheat wi Tsuction' Te'vapocator, sat Target Superheat,from Table RA3.2-2, using } , tt Treturn, wb and Tcondenser, db j. Calculate difference: - "' "` Actual Superheat -`Target Superheat - y- •�i . y' 4 , • �'^ ;. � •,, # � ; r r f r 1 r System passes if difference is between -6°F. and 2011/12/0218 37:47x''• HERS Provider. Ca10ERTS;`Inc.> r 2008'. Residential;Compliance'Forms l .� +60F� ( Enter,Pass or Fail' A. t � ,C J � ♦ : ywj . y "L y fi'� Y S ♦. .•i`,/'' x ` ,y o�4M 1 wi j. Y r r f r 1 r Reg :,'211-A005251'8A-M2500001A=M25A YRegistration Date/Timed, 2011/12/0218 37:47x''• HERS Provider. Ca10ERTS;`Inc.> r 2008'. Residential;Compliance'Forms l .� _ March .2010 .•;� ( •.� n, . .. l •= y x at ,r L LL- r I r Crl. a4s ..., _ S F •;� +�.,:Y ii r - Y .i - * .y .. ,,i, • Calculate`. Actual Subcooling 23:0 r. 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:. ;; Gc• `� System Name or Identification/Tag System'i ; ��, M -� h { • Calculate`. Actual Subcooling 23:0 r. :• r a t Tco.. nd.enser, sat " Tliquid • •• Z.O �. Enter allowable superheat range from _, t manufacturer's •specifications (or use' range t, • • ' g, rPi, Target Subcooling specified by manufacturer; ' 3' � System �passes�if actual superheat isrwrthm the allowable•su erheat ran e P 9 PASS " � �_` =' � } t• jr a� �R` Calculate difference: Actual Subcooling =-Target Subcooling = �1+ }I c • `'. "' .aSr.°.��h".. . -. .. �': _. �. � •• ,.. . .:4 „a .+r System passes if difference is between -40F and -+40F ; , F PASS •'. ,r Enter Pass or Fail r ;% r �� . Nei wltk - , al •, V :1,a • t t*• a. V0 r �• �y�1, '. r�'f 1' , N . 3 _ l4 ".a a. a .f + V 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 r +System i _.� ; ��, M -� h { • Calculate: Actual Superheat'-- Tsuction-'+Tevaporator, 23:0 :• sat Enter allowable superheat range from _, t manufacturer's •specifications (or use' range t, • • ' g, rPi, between•30F"and 260F if manufactu ersr specification is not available)o ;w tx 2S, System �passes�if actual superheat isrwrthm the allowable•su erheat ran e P 9 PASS " � �_` =' � _, r t # ` ' Enter.Passor`Fail Sb,�T. T � :. .... i` ': .aSr.°.��h".. . -. .. �': _. �. � •• ,.. . .:4 .rt �..' ... :y y a-G4t u r Y \, - � '••t.' y ._ � r�r,�. '� c 2ai'KING ,�' •r ",:�y,•e'e :Lt L„ rF'M"''tas: .. "y.i-."`�, 1 ~ rv��''� '". rJ ' i;tYl ' w , r r} t .. _ `+i 7 e`+ �� 5 „ • r ■ j r M ta? + F y,y if �••"35:� ,rk' {aL -I r Y•t x<� - i .Sa R '' t. h ; tij"'t .,R �_1 « fa .i. 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A ~t• itt {' `� t ;�Y •t •'f !=L t a,l A"" § w i�'►t ii t ��ities: .� •t • ,,ti 7. } w� i ;r, is , k J .y • s�' t � � . 4 r i •s 4. + � M . r s » it - A �. 4a .• ,� �_ Y'� .a, ti ''+ v ^ {•\,..'sal++;r'i i /y'.. r, .i r ' t { i i. 'a W 15! .d•�:� + A, .4 1, l ; .e:n F t �, 1� y R -��. ��' y. ,+' *,+ i .' , ` '{�irtt . \ b''. r. r rr .,� t :: 1 Y+ f,a, ♦ * :,"ax �:7•a.•",,,, ` f rt ` ... ,» ^(. rrYt a� f{ lrn.! • ; t»` !Jr _1` � , �✓-.�, • • 1. � '.y � :, ~�•` � ! •Ft! �� r. \ rf• ��r �i r',.r ,.� �,� � Ff -.7 f.r'r -G'F %�.,,.' r �i ,� ", J. r'e c �' k' ? -.S �'' 1 , •� rry '' _ 1• , ..,. t r,,, �-.1� A•tiiY r.. T , `, `.e,j, '� t��• t w S_,• i '-, a -z -,3 y * - "A' P. 1`, t}r. meq' ' �r b.,� [ • ': v Yr � �f`.. r t ;a aM � �7' v � � .'�- � • Y i i � ;\,•, �,, . r' a . . ??4f: :�. y �.. �,•r'1' 4,C c ��-.�'ar, '�s d_ 'K j-1 ,l' .,kp \:,i: cr .:,•t �`t t r •.r r i' ty 7{ A' .�`'s t �'Y s t F. ny, �..M x1•+•dh };»r .a•:� 'l`..l -'.L3 4 ” q= r . .x .. _,., ^•a *, rry 5 r 1. , ,Fr. - � 1 r 1' !- +aa t r ..J - A .ti ♦ .� r' i i' t ^`y 4.41 W. � y . ,fit :,r.'l � � • ^•,+rill" �.,, a L ay 4 + 4 � t. ; "l ♦ - :* �S � � .ti: •'4E y�'i ~ ! ] � � i `1... •�T * .4 '.' u 4 ';1 :� z :"4�t 4f • .�'1y.f. 'f. s a ! V f •. \ 3 i♦ t ria ( 4 1. s 'r rp r : ' r „� "�'n t ' r � '�' ` i � a i � I �: t.. ° �. • { }' t „�y... +. ,F '�i� irk• F. ,,,t, y.�'i tr � , o .if '- .. a w rv�'r1 . '! •t .� • ra. ,• •lji:: rr +•� - ar Ya v .I _ �, r.1'; •r. a,r.:. �: -,. .r , =t' �.. r�•f� krr ,�C .l • .. .., .- ..• .p.` r t ^+d": -i ya,.ti.7 ,. 'Q -r w:... 1 ,Reg: 211-A0052518A-M2500001A-M25A Registration Date/Time: 2011/12/02t18:37:47 HERS`Provider Ca10ERTS, Inc.; ;Y+2008 Residential -Compliance -Forms• r ; i '.s 1, t.` .� YMarchr2010, a } J'.i.+' a-. •;�.i ;...4. `y' ' • � 1 a 'a.• * � � «• ' . t�1. '�N -•f' .;�._ t, _ 'r r Y - � r - t �' �,;.t» ` i� �•Y.*+1,, t r. 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 Idenfification/Tag' System i { } n Sample'Group # (if applicable): 258029 t []not tested/verified dwelling in . . p _ , _ tested/verified dwelling , a, HERS sample group a., System meets all refrigerant charge and, airflow " HERS Rater Company,`Name: � • ' Energy Driven Solutions, Inc. a Responsible Rater's Signature: requirements. PASS Responsible Rater's Certification Number w/ this HERS Provider: ' Date Signed.:. 1/30/2011 `' CC20041311. (: '. Enter Pass,or Fail T, m r \% r. �Y `. �.� F+` fi �,� r ,�'' �• � Y +.`_ fry, Y-( +^"��,� " �` , � v & J , P i s .. Y f . v.F .. , i _ h• �, r,. ' � ' `i ��r`� a� � s°. � i •�` } .r + ••��t �i a iFd �:...�i= �. - r� •N v _ .� '° r.. 4' , r. c s - F v 'fo 7 J. i � 7 �R a . C � `' �.M" � j y •. ::�s ,A � ' � r .+ • :..`F fir .e� �4 � t! �� + .• i� r v yrt �� r ..ir r r �• •yr K .. �� ,i ,v^ a y _+ s s 'a l+ ` tV.T,11Rx•L?..�.r, �YDECLARATION 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) • "� x, The installed feature, material component, or manufactured device requiririg" 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,"a ;,Y 4' O P ( ) pP Y agency. a 3- *on the Certificates of Compliance CF-iR •a roved b the local enforcement a enc The information reported on applicable sections of the. Installation Certificate(s) (CF -6R), signed and submitted by the person(s) {41 responsible for the installation conforms to the requirements specified on,the Certificates) of Compliance (CF71R) approved by the + 4 ? a enforcement agency. Builder or Installer information as shown 'on the Installation. Certificate (CF -6111) t Company�Name: (Installing Subcontractor or General Contractor or:Builder/Owner) HARRISON ENTERPRISES INC 'f r ,. Responsible Person's Name: CSLB License: + Danielle Garcia ,c ,-1686310. ; HERS Provider Data Registry Information xA Sample'Group # (if applicable): 258029 t []not tested/verified dwelling in . . p _ , _ tested/verified dwelling , a, HERS sample group a., HERS Rater Information CaICERTS Certificate # CCi-17.98598611 HERS Rater Company,`Name: � • ' Energy Driven Solutions, Inc. Responsible Rater's Name:' ` . u ` �: Responsible Rater's Signature: David Bricker, '' ..._ . , . �+ David Bricker Responsible Rater's Certification Number w/ this HERS Provider: ' Date Signed.:. 1/30/2011 `' CC20041311. (: '. r;' 4 A "1 3.4, hoar J 41. A•Ir ti 4 iA ice; r This installation,clertificate is'require'd for compliance for alterations'and additions in existing dwellings to space ohdi g systerng and duct systems. tionin' I � ' . -. , •� „ >~.cr �.• a . � .,, r,' f.., . • r a�' �` ^ , >, r t'..f . Sy a `:i.. t t.�ft � �. Zo ra �. i , Note .,,For,'existing,,dWellings,'a completely new or replacement duct system can alsoinclude, existing parts of original 'duct -system. (e:g:;, register boots, air handleicoil,;'plehum�, etc.) if thoseparts are accessible and they can, be, sealed. Fdra,com pletely,,rieworreolacem6ntdijctsyst6m:in��alledin'anexisting'dwellIng,: use'th6 Installation,;Cdrtifidate titled 'Duct LeakJje.Teit 7 Cbmplpt6lk.'New or Replacement Duct, System. r, *A4, ,-Diuct Leakage Diagnostic Test-`exiistlinq duct system , Select one com liance method from the following four choices "" El 1; Measured leakagd less than 15Wof fan flow a9 'Measuredleakade to outside less than.10 / 'o f 'Fa'A FI ow A pi'R'educe fea`kage by 60%' and '80"1hduci smoke and fix all leaks r❑_114 'Fix, .'611.,acc6ssib*le, leaks smoke and HERS rater verify WAS. Note':, (One of'Options 1;' 2, or 3 mus be attempted, before utilising Option 4 Determine nominal-,Ean-flow using dfiVlof,the following three calculatigh methods Cooling Sys ernimethod: Size 9:a ins �Of- In .0 =72AM B 2 _� CFM V 0 Heating_method 7. ty I usi PiP it -th Xv, _Output Capa�d ko W , .�k kxrfim� SIM IN N - OC�11. Ur!W,_ VOMe s systtnrg, W, n914 fl�!3 3' ro6wtest i IN- <, A #My 00ti usddAh (REVA 4'p z_. Allowed-elea kAg P A HIM-"ORMINNOWN WM NIP Na N ActualLINO, CFM age: X;7t Pas if Actual beaki'g'e"is les k Pass s tllh'ah'Alllo�"ved leakage �e Pass' Fail'' , 0Pt'ij'2iid0. ..b.... n- 'x!0.10 NIN_wedleakage Fan Airflow- zCFMil 41, Aft661 Le6kade.to b ide' :CFM . ......Actual leakage to outside than: Allowed, leakage a!is if is s a 'PassEj Fail Option 3 used then: Initial leakage 'prior to startof wo'r`981 CFM: 'k Final leakiigeaftersealing all accessible leaks using . sm - oke test .= "390 CFM OL Y'3" Initial leakagel . 9811: -'Final'IdaVage 390 LeSkage'reduction - 591,1, CFM iction 591 Initial leakage Reduction ((Ldakage reduction 981 X'100%'=� L' 60.24 O/b Pass if Reduction > 600/ol polPass, 0 Fail OptioW4 used then, All'aftessible-deAs repaired using smoke test.'HERS rater must Verifvj(No Sampling). saks h -lee Pass ifall,accessible IL have been repaired using smoke C] Pass E] Fai 7 0. 4 4 J, 41 v, ir 4 + 4. 4 'J' jt f -k• �Q V f d" % ,4 k -4 7 J. 4 4, 4' Reg 211-A005253:8A-M2100001A-,0000 Registration bate/tirne:- 2011/11/30'20:06.- 55., HERS Prbvides- Ca10EkTS1' Inc:+s ` nc -m Marc R.�.ide�tili'_60ffi'�li. e,Fo� S V 0 4� 3t 4' k � R4 '�•' •^ � { ,. i �'� v . tit `"�., i - � r JF a0 Outside air (OA) ducts for Central Fan Integrated (CFI) yentllatiori systems, shall. not be sealed/taped off, }, y during duct' leakage•testing CFIOA ducts that utilize controlled motorized dampers, that open only',when,OA y, •� ventilation'is required to meet ASHRAE Standard,62.2, and close when OA.ventilation is not required, may be configured to"th'e.closed posltiion during'duct leakage testing R All supply a�ndreurnregister boots-rlustbe sealed to drywf s allmoketest is utilizedfor compliance ` appliestuct leakagecompl'i Efi3 (leakagereduction by:60%,}�amd option 4 `(;fix all accessible, leaks) described above a �� r r K C, y,►; _' 5.c } • s '#c e 7 S 'tt�� d k xi .. ' 0 New duct'installatlons cannot, utiirze building cavltles a�s plenums;orbplatform returns In lieu of ducts ;c# All O,Mastic a;nddraw.bands must,be°used Incombtnatlon,w.Ithcloth,backedrubber adhere;duct„tape toseai ,. leaks at all Yd dUcttConn'ectlOnSx DECLARATION STA EMENT �� • I certify:under' penalty ofperjury, und6P.ahe laws of the State of California, the information provided on this form is true and correct I am eligible under Division: the Business and Professions Code to accept responsibility for construction, or en authorized: r. representative of the person responsible:.for,construction (responsible person):' #. , ' #y9' #t �e ,•” •`I 'certify. that the installed features meferials, components, or manufactured devices identified on thiscertificate (the installation) conforms to ail applicable codes and regulations, and the installation is consistent with.the.plans and specifications approved by-the, k `enforcement agency.. • I understand that a HERS rater will check the installation to verify compliance, and.that.1that if such checking identifies defects, I arr..', required to take corrective action at my expense. I understand that Energy Corrimission,and HERS provider representatives will also m • -' . t , n 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 instal lationsin,that HERS sample group will,be,performed at my expense. 4, •;I reviewed,a copy of the Certificate of Compliance (CF; -1R) form approved by the enforcement agency that identifies the specific" _ '� ._..:,• r..µ requirements for the installation. I certify that the requirements detailed on the CF -1R that apply tothe installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the , - m r r ► �: building permit(s).issued for the building, and made available to,the enforcement agency for all applicable inspection;..i f 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 proGider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low rise residential buildings. t Company Name: (Installing Subcontractor or General Contractor or. Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name:' xt Responsible. Person's. Signature x Danielle Garcia.' , Danielle Garcia � CSLB License: ' ' Date Signed: position With ,Company (Title):` 686310' a. '" 10/26/2011 is installatiowmonitored.by a Third. Party Quality [Co1n'troljProgram(TPQCP)T, Name.of TPQCP..(if applicable):' . • ❑ Yes ❑ No Reg: 211-A0052518A-M2100001A-0000 Registration'Date/Time :'2011%11/30 20.06:,55.1, HERS, Provider CalCERTS, Inc.; , t 2008 Residential Compliance Forms , ,;� " March;2010 , INSTALLATION CERTIFICATE* CF-6R-MECH-25-HERS Refrigerant Charge Verification -,Standard Measurement Procedure (Page, 1 of 5) `.Site Address:' 78375 VIA SEVILLA,, L6.Quinta. CA 92253 Enforcement Enforcement Agency:Permit City.of La Quinta , ' I ,• 7 Number: 11-1115 Not6: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for. System'Na O�Q#r��ation/Tag 175551,,IL .YW ' 3 � M221. es. Not6: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for. psor is factoi;y in9t ..according"to'l�'m�'-8in—''u�fac't"u"r'er's to mti n ecifit o s,.or i meth Wficationtgapprov§Wyxecu ive t • compliance, a IMECH-24 Certificate ' i (instead of this MECH-25. Certificat&) should beused to demonstrate compliance q7pliarice- with o. the: verification refrigerant charge requ rement. TMAH and STMS are not required for compliance, when a CID. is utilized i6rec 66, 2=16 for compliance.* ,9sg. As many,as,4systems in the dwelling can be documented for compliance using., this, form., Attach an additional form(s) foi )Th , n.sor w.ire`.is'Aterminated .WithWf,§tanda'rd4niW0lj6-§! U'it o connect064wja �ai ital bejnWmpee T rMMJug,inAcde§sibl lihg,-:techniciani 7va any additional systeins in the dwelling as applicable. 'Temperature Measurement Access Holes (TMAH). and Saturation Temperature Measurement R, t9 ffl throughthe eiser coil Sensors (STMS) DYes. Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If reFrigerant charge verification is The sensor measures the saturation temperature of thelcoil within 1.3 degrees F' .1 required for compliance, TMAH are also required for compliance. STMS are only required for'completely new or. 2 N/A replacement space-conditi6ning systems that utilize prescriptive compliance method. 0❑�ail TMAH - Access'Holes in Supply and Return Plenums of Air.Ha . ndler X System Name or Identification/Tag,, System's Yes -to 6, 7, and 8 is a pass. Enter N/A if,•STMS,are notN/A: System, Location oe Area Served= Upstairs El Pass I Fail Eyes!No 5/16 inch (8mm) access hole Upstream of evaporative coil in the - return plenum and 4 • labeled according to Figure in Section RA3.2.2.2.2. Yes El -No 5/16 inch (8 mm) access hole downstream of.porative coil in the -supply plenum % iWand labeled* according to Figure in Section RA3Z.2;2.2.',_ A, Yes to 1..a nd 2 is, a pas Enter Pass or Faill. V,21, Pass - ✓ El STMS',-Sensor on the Coil r R r► y - , - - - --. P ---------- :� ,t _ ' System'Na O�Q#r��ation/Tag 175551,,IL .YW ' 3 � M221. es. RION psor is factoi;y in9t ..according"to'l�'m�'-8in—''u�fac't"u"r'er's to mti n ecifit o s,.or i meth Wficationtgapprov§Wyxecu ive t .,] Yes"- No f i6rec 66, 2=16 -4 ,9sg. Director. )Th , n.sor w.ire`.is'Aterminated .WithWf,§tanda'rd4niW0lj6-§! U'it o connect064wja �ai ital bejnWmpee T rMMJug,inAcde§sibl lihg,-:techniciani 7va i The sensor wire is terminated with'a standard mini plug suitable for connection to a R, t9 ffl throughthe eiser coil 5 DYes. El No The sensor measures the saturation temperature of thelcoil within 1.3 degrees F' .1 Yes to.3 j Ag-ancP-5��ig,'Apass. Enter N7W if STMS are not g er ise-ent iapolicabkFQ.thwfi'�::" er Pass orgpi 2 N/A /T 0 Pass 0❑�ail El Yes E] No , T The sensor measures the saturation temperature of the coil within 13 degrees F Yes -to 6, 7, and 8 is a pass. Enter N/A if,•STMS,are notN/A: 4 STMS - Sensor on theC on ensercoil % System Name or Identification/Tagsystem 1,. The sensor is factory installed, or field installed according to manufacturer's, 6 .,] Yes"- No specifications,. or s installed by. methods/specifications approved by the Executive N, Director. i The sensor wire is terminated with'a standard mini plug suitable for connection to a 0 Yes 0 No digital thermometer. The sensor plug is accessible to the installing technician -77 'mini and the HERS rater without changing the airflow through the condenser coil 8 1 El Yes E] No , T The sensor measures the saturation temperature of the coil within 13 degrees F Yes -to 6, 7, and 8 is a pass. Enter N/A if,•STMS,are notN/A: El Pass I Fail applicable. Otherwise enter Pass.or Fail 4 N, + 4 % A A, Reg: 21,17A00512518A-M2500601A-0600 Registr-ation,'Dat6/Time: 2011/11/30 20:08:37. ',HERS Proiiider:, CalCERT§, Inc. 2008,.ReSid&ntii1 Compliance",Forms August 2009 �. e ` ati' y t a 7.:, `'`•v l�. 2 _r�� {". �tl �,�� t i '� f + i'�'+ ��•""- .t <t ':i, ;�w �- • is .� .z~� �. .. r.1..•'.•I�. rotes �*". �+tt ;- ..:7' !efi+r. r s �F .r. a.. �t `J{, *�, � L� rya. i + C :. Standard Charge Measurement Procedure"(for use if outdoor a}r dry -bulli is above'S5°F): Procedures for determining Refrigerant.Charge using the Standard Change.MeasureriFent Procedure:are available in, Reference Residential TM• w '1,. �` ty, y ',.'Appendix RA3.2. As many as'4 systems in the'' dwelling'can,be, documented for compliance using this form. Attach n additional forms) for any additional systems in the dwelling as applicable. i r s °P The system should be installed and charged in''accordance,wim the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite fora valid refrigerant charge test.' ,• % If outdoor air dry-bulb is 55°F or be/ow,'the installer must use the'Alternate Charge Measurement Procedure'' `.i f . Space Conditioning. Systems f+ •t ."YI`t". Sys£emrName or Identification/Tag' System 1 (must be,re-calibrated monthly)} ` r A .. • ; pX-00 Date of Therrnocou legCalibration{>" * 7 r • . System Lo6ttion°or.Area Served �{ •+ Upstairs •. �„ } a 'd .'. `" ,' temperaturer(T=su db) yea •1 N A�`. 1 . Standard Charge Measurement Procedure"(for use if outdoor a}r dry -bulli is above'S5°F): Procedures for determining Refrigerant.Charge using the Standard Change.MeasureriFent Procedure:are available in, Reference Residential TM• w '1,. �` ty, y ',.'Appendix RA3.2. As many as'4 systems in the'' dwelling'can,be, documented for compliance using this form. Attach n additional forms) for any additional systems in the dwelling as applicable. i r s °P The system should be installed and charged in''accordance,wim the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite fora valid refrigerant charge test.' ,• % If outdoor air dry-bulb is 55°F or be/ow,'the installer must use the'Alternate Charge Measurement Procedure'' `.i f . Space Conditioning. Systems f+ •t ."YI`t". Sys£emrName or Identification/Tag' System 1 (must be,re-calibrated monthly)} ` r A .. • ; pX-00 Date of Therrnocou legCalibration{>" ' 9 11 • 7 r • . System Lo6ttion°or.Area Served �{ •+ Upstairs •. �„ } a 'd .'. `" ,' temperaturer(T=su db) 11 Outdoor Unit Serial # 4 ; ► " •5811C10787 _ ; r 4 rau:,,r, db) C_. Outdoor Unit Make Lennox wr 4 ` s' ti ' ) return, wb �.. e. Outdoor. Unit Model w XC21-060-230 °r z`� fy •"'a ' °" r rw of �� F sats .' �.. ty Nominal Cooling.Capacityl3tu/hr 59500r "` t,�, r' s• «` '.x "' .-" - — sat)': - Date of Verification' 10-26711 58 t suction t - 3 t r,: i • }, • w 3 7 7 a- 1 '441 .F 4'��.i Hr.Fi�" +. t •�W Calibration'of Diagnostic Instruments ' y • ; ;iia * 2' 2 Date pf RefrigerantGauge Calibration° .- °'9-26-11,' (must be,re-calibrated monthly)} ` r A • ; pX-00 Date of Therrnocou legCalibration{>" ' 9 11 • (m s re-c�alib�at 'A monthlY)> Supply(evaporat%orle vmg)air�drytiulb �I Fm l r�52 ,$ W! tbe V. tr Vi�z, ,tF F. � "+ i ' ",MeasuredTem eratures:oFw� System N Nm e or Identiatio %Tsa�g��rqq�r> Sys em r Supply(evaporat%orle vmg)air�drytiulb �I Fm l r�52 temperaturer(T=su db) 11 Return eva orator entering air d _bulb temperatureTreturn 73 rau:,,r, db) C_. Return (evaporator entering) air wet=bulb temperature'(T' " : 53 ) return, wb �.. Evaporator saturation temperature*`' » +� :� (Tevaporator, X37 r �: , ' . , r sats .' �.. ty Condensor•saturation temperature t r + : 87 , r" ; . ••-a c-� a c f, (Tcondensor, sat)': Suction line temperature (Ts' ) 58 suction Liquid Lme.Temperature (Tliquid)• �"� 85 < �' r'�° i ~�{ FC—o;n1enser (entering) air dry-bulb ., , 75:. , mperature(T+ ) condenser; db y� , r� ' r (~ » . „ ° r r . { . ! 3 ' 41, k t .r ` to t i .41 •'l' a t • Y 5 -i .y. !!.-..il. tr k . ♦ w :.� ! :t �. y .; a ^. •S r r -.7 r" 4 ,r.- c > L c r=F �. S. + int •� q1 A �.. , Ei � �•tc i � # t, .y +�'. ♦ f _ ' �•F�'* �. a.--' r * ; t: ., y ��► r �. P, lir a -..s if S �! � - y't) Y: t f 1 � p e TM} f ,U, a t° .� .. , ! �F . 1 . (A . F .,.. tf . rrr� 6: '"'� As..•., w � � - . { � {t , � :��, l�f'.» � � �'� � i f+!. } ,, E'L+ t �, !a Q�. x s.��K l � `i.` _'•t �' ' � Y T j n i -_ � � �-,� - �� ` �� + E � !' � # r t ,_, r3 * � �� . i ! � w ! -•` i ,,, - � � .« . p :,- 7ny�h ~ ; '4 � f F , �S tW` M+,+ f ykw 7 .`i• # �( � �� ,. '�. A itF i, ! 11Y ✓� ..• x + '`. y . • .: e.'�"" e' r ry �x� .+' Bf '. l.�t>r �, "#•�'t ..l t } kt + -f -0 +t} { 1 !. y i •}-. t f -,y '�', 1 •i, �! 4r iii W RIC • • A . •• .� • :E' 1 •"JAY` "� 1 } hr', 7 a w� � �' �'-• ( F. I n '"� 't -kw sr �o-`� E _ �, - y , •. • era .t� i r ! +1,cjry?$N' �,.,�' } ;.a � `"..�'� � �, +' ..F ° i 4 ! •w�'• C � '�. Y r - • r+ ,,. a .L�'n ?4 . � •id {. �R �62� r { r t:Ei .� t, Cyt. -�„ ' is !�{ , :rJ ..'� -7 r J K •+ �.F 7 • ti < h - t ,� :; y . �,r 4 7 .?• r V a �,; , r t •' ! ♦ . s , ,. t.r •, a ;, w R t Y- a • �` `rt- j t�'. r{ � i 7 bi , a. '� t a,: t - " . � >•'` -J, T ..,,,y�.y j'` +(•� } +f kt f � z ��' .i`' s�': r y,•�; ` 1 ` � °�" ,ti •. 2`;.y r -. ,�f "'4• t+ �.-. tf a, i + r. },� '3 :« �'+ t _ ! t � ' a ' {" f ..afd,. „G4•i S "i Yi (s�, • i4.� rfp t R'.ay .l. t .4 �� a ; t'p i ? r `�. �. � -f �- � � !fw• � ' � ��. `: f•F `.Y �t .S `�,.. ��t•�J ^^� p ,{ tI"+; ),r Reg 211 A0052518A M2500001A-0000 Reg 4stration Date/Time: 2011`/11/30y,20 08:37 HERS Provider "'C}a1�CERTS;� {7 2008 Residential Compliance Forms4 r.,v • t. i q""�F # August 2009 . 7 �# 4 Fg r* Y r �.�£ • �� ` S : •a{ � -._: E .. 'p. � 1 -• f -- 3L Ay �+ "`�: �. ...F i •az, rq f' r r 4 i •,r a .7 4 cr'..r.f;p„r. 1 c 3" `• _+ 'r` ,rf 4, It' •� '� t •t � .. .� r• C _, 5 Sjo r 4 System i t 'a " * � •' Calculate: Actual Temperature Split =, Treturn, 21.00 c° Tsuction --Tevaporatoe, sat db - Tsupply, db' t * , Target Temperature. Split from,Table RA3.2-3 !using, and Treturn, 22 r Treturn,'wb and Tcondenser, db' •` return, wb db' I 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. I System Name or Identification/Tag System Name or.Identification%Tag,-, System i t 'a " * � •' Calculate: Actual Temperature Split =, Treturn, 21.00 c° Tsuction --Tevaporatoe, sat db - Tsupply, db' t * , Target Temperature. Split from,Table RA3.2-3 !using, and Treturn, 22 r Treturn,'wb and Tcondenser, db' •` return, wb db' A ' Calculate -difference: Actual Temperature Split- + x •.' •' ' Actual Superheat, -,':Target Superheat Target Temperature.Split = System passes if difference is between -5°F and `. Passes if difference is between' -3°F and +30F or, upon remeasurement; if between -3°F and 1. ' +50F, -100°F PASS ' ,Enter Pass or'Fail AIS�t?:.Tim_ ar��r..e_ 21itJ ertlosl,Gal�ula iQn:i�.l�n n re,sa a,Sual Qo )gw is v'Prif&A,usi'Dg on_e,ofdie .�. f airflow measurement procedures specified in Reference Residential Appendix RA3,3. If actual "tooling coil airflow is measured, the value must be equdl.Ub or greater than the Calculated Minimum Airflow Requirement in the table below. Calcul ted Minimum Airflow Requirement (CFM) = Nominal Cool in 'Ca acitY(ton) X.300(cfm ton) 4,X System Name�'o iIde fication/Tag a, , System�i °f -7`: �U CalculatedMinimum Airflow Requilrtement(tGFM) li-1; -•1 y y, yw �q SS�IeII f9r '. (�r�yX [ �r4%YR' b�fds +•"`g r3' Measured Airflow usingWRA3 proceclures (€CFM) WA { i' '3•Y # } WO NON Reg: 211-AO052518A-M2500001A-0000 Registration Date/Time: 2011/x1/30`20:08:37 'HERS Provider: Ca10ERTS,- Inc.. a� asecJ'airfiow is greatei-�than or;��.:. Basses if meur equal to the calculated minimum airflow • , - .: ; ^- -• g 3r y requirement , a r .r:n + ' d Enter.Pass or Fail Superheat"Charge Method`Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering `device systems System Name or Identification/Tag system 1, , f � i ; Calculate: Actual Superheat'= }int v-' yL ;L' �- c° Tsuction --Tevaporatoe, sat ' t * Target Superheat from Table RA3.2-2- using R r Treturn,'wb and Tcondenser, db' •` A ' Calculate difference: �*e'� " n Actual Superheat, -,':Target Superheat System passes if difference is between -5°F and `. ' +50F, ;r Enter Pass or, Fail s ',, t ' ••'�� , f � i _' 3 r.''� � }int v-' yL ;L' �- � .. '�� +r �*e'� n s ',, ••'�� , f � i _' 3 r.''� � }int v-' yL ;L' �- � .. '�� +r -•1 y Wit, y.�! w.� { J 4 . .� , y . Reg: 211-AO052518A-M2500001A-0000 Registration Date/Time: 2011/x1/30`20:08:37 'HERS Provider: Ca10ERTS,- Inc.. *2008• Residential Compliance Forms , ; `' y , ,. .'r • August 2009 i M f f+�'.,. a t ; ,. ' ,'•"+' �. '' t k,3 f �r .,¢r, { '{'. 3� h f r. � � i'�. il"` '. J{�.t !" % xi.• i.. ''' 'J� ,i, ,, i , .:R. A. +s 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/TagS " + y stem 1 �'•" , r♦ +y + Calculate: Actual' Subcooling =1 r ' ' 2.0 t ,• =` s w r' t, , Tcondenser,•sat: Tliquid` ♦ �♦ Target Subcooling specified,'by manufacturer; 3 i 5. • t manufacturer's specifcations (or use: rangen 25°F' 2 5rs ,,�, Calculate, difference:. • #1 _i •� `�' '• , ActualSubcooling,-Target Subcool,'ing System passes if difference is betweena PASS ' a r, { 731F and' +3°F y. 3 r'� PASS • x .,` Enter Pass'or Fail r ,Y f • y _ t .y F j Y . '� i • , 7 . M , r !a 1. Metering Device Calculations for -Refrigerant Charge Verification. This procedure is required,to be used for 1,. •-,, �. thermostatic expansion valve (TXV),and electronic expansion valve(EXV) systems. +: ' . . Systern'Name or Identification Tag .�* ".= System i.. .' +r ,' , r♦ +y ' Calculate 'Actual Superheat'= Tsuction Tevaporator,. L 21.0 �• ' ',"* =` s w r' r ,Y f • y _ t .y F j Y . '� i • , 7 . M , r !a 1. Metering Device Calculations for -Refrigerant Charge Verification. This procedure is required,to be used for 1,. •-,, �. thermostatic expansion valve (TXV),and electronic expansion valve(EXV) systems. +: ' . . Systern'Name or Identification Tag .�* ".= System i.. .' +r ,' ,. , +�; • a Calculate 'Actual Superheat'= Tsuction Tevaporator,. L 21.0 �• ' ',"* =` s w r' - sat 1AR Enter allowable superheat range from":"- y ' 5. • t manufacturer's specifcations (or use: rangen 25°F' 2 5rs ,,�, between 4°F, and 'if manufactu e -� i specification is not'available) S stem''.passes�if ac€ual,su erheat.is within the allowable superheat range;" PASS { W. EnterPassorFail R M+ "+3...i� .,u x,57 �♦ . � 4 r 2 r•'? s '� ' , e b ;• 4-'r -IW, � a � e '�r 1�,�. 1 r .�,,,�� '' t + ''� z z��,. �.i r rr`r.—}�.�,�.� .i �,��•�.� y i`�-''ti,1 k��'s + � �� r r ♦ 4.. r ' 'II r 4 �;, r. � 1r � � , ,�' r � �, +,' r J �i ., y i ' ..f .Y t.'., rr `+, � a � +• s; � ♦ �«� �' _,:,.X w Fi� �; � ;:N �' " ~ �.+ : 'r ,� ,r _'�' x r' ♦ r , ' � , -,f r-S'�` � `.t;;�• � �'.,� C �' � l� •{ ,.w' .,. ��f{ �� "+�lr r ,�5., �• • �¢'�'`u r +q's. .� rn +, ri # � + l.�r .. r'a' E: y ." ., r i ti M 5� v, � �. M {. ti »• .: t t r,• •`. a t ,% tik. �»t -. +.. r .�.� a'rt•. t �'-'S r1 t�d, 's. �, s fir # • i • �{ ,. .re„ ' r ; '�- r �� "f`� �, r .-:. �" 1w,,,;t� k + J " • Y. '•i S f r ,{ , y ,:, ♦. 'i "at'7'.... \4y'r'' .. f.r , "1�r ` 'j + '•i , P r. ` r •3 e..� 4-%. a y.,,t ti ..' f s i 4' m!, a. .,•tib h ♦ .r ,+ a_. �` ' ' f ,. . rJ t g ws# a, j a f.., hF .L ► t '�f, f tf. r r. c: i'"': t sf, f, �' k3. { .r' _ ,,.',�' r,y {�, +y f�fi •. � '� , �. ' 4 f .` • _ `:�.» i '^i. •; ^� - _ _- ;" `{ ,Y '!, •t l r^ }. r , f it _• ., `� { i #�` moi' 611 f'f. - iF r,'• ,r • .:y,�, Yr' z •a r r� . ..ter a 7 t f i S fy i, �; 4 > i t` w i f�fT �Y ♦. r �. +fir. s" y >� r. , f t r .. f ' •.° w '� +1, o, swY4e f. � t;,{ G r 1 . t R�r � � � ti ; e 'tf� r • ' + r �f" 4.+c r,iw .: - „yr r ± � �. ` �. �• � .,��'. w. {�., ....* ...,, # i. r' a'# � r"rr r11, ,?1. •� f... y F "'�'s tart' 9' "` . Z # i. i r� , s,! yr, r t +�j ! �`: f",�. n.� ✓�' -4 L+C. '. [}Zs "k ,� ! '[ ^ y f.. ; f ; « F 'f -:�•'i # �i•' . •ti r'. ..a ? y ".4, r'` .r; �r'�f' �' ♦1i .• r7 • i r�.'" 4f '^li... "`" R 1 t� i �'+ . ,�. s :. 'f. a ''• � �' '. S � f t 'rC;^>"'�' �, '• ''�c 4`r i ti-'fT`, i,tc+ t a}� .� •F. ,j"��r'�., a.l Vf 4. L Vis' ! '''o ��"r� s„•"s r.r." �� r_F ,� z -'� l �a ...yr'}` .�,'i ,`�•s: �J f ..�. �'.', � ,'if +�.. ' �' , J� .� ', Sr+f F�. sf- rt' 4�."x K '.�M+i�x lt't� .s � � .. ,V t � f - :4-,�'. c.' : . . i • �' � t ;'f)r t' � 3 , h 4,:- �, � i _ 'k'.rr ' .« �' .: � ri f • y,- Reg: 211-A0052518A-M2500001A-0000.'Registration Date/Time: 2011/11/30.20 08:37• dHERS Provider 'Ca10ERTS,'Inc ."ry>L-�� 2008 Residential Compliance Forms `Augustr2009 '�TM� �•� r �.f`';, 3,..: °. s,... � .• r �, r t � ` � � ..�,� � �, � . t M: �.-��r t,.n�1'- r r , t / + ► t t Standard Charge:Measucement Summary: ' ;;'', - System shall pass both refrigerant charge criteria,metering device criteria. (if applicable), and minimum cooling coil . airflow criteria based on measurement's taken.concurrently,during'system operation. If corrective actions were taken, all applicable verification criteria -must lie: re -measured and/or recalculated. • >' ` System Name or Identification/Tag Systema ' Date Signed:: ' Postion'With Compeny`(Title):44 686310 10/26/2011 Is this installation monitored by a Third Party Quality „ Name of TPQCP (if applicable): z ' System;meets all refrigerant,charge-and airflow-' r r • , 'i requirements; ; . PASS + ter'. Reg:r2T1-A005251i3A-M2500001A-0000 Enter Pass or Fail A' ; �• HERS Provider Ca10ERTS, Inc. .' i,2008 Residential'Compliance Forms r!'W '« ".?+•: a r k. •�, .:: '�• , N a n. •'�'• f I r- '.0�� t. ��.3 s r s Y -t�s�f, -�� fi i • i «`- ,�� r � '�u ��r .�f t ��'� _� s'`"`s � fir+. f r,x Fy, :�.•� ttu k� � � ♦., �c y ri` � •. "24te s 4F" _ 4 .. ,.7� a..� i5" 1� f � 1Yi'R •H.: r � , .. �; sus �s� , y} � '- ti s DEC TA' &ENT ' • I'certify under. penalty of perjury un Mahe laws of the State of. California, the information provided on this,form is true and correct ;y } `i S•"am eligible under Division 3'of the Business and Professions Code to accept responsibility for construcion, or'an.authorized ' u' rr� Y r- representative of the.person,responsibI` for construction (responsible person).; + " • I certify -that the installed 'features, materials, components; or manufactured devices identified orrthis certificate (the installation) —,conforms to'all applicable codes and regulations; and the installation.is consistent with the•plans and specifications approved by the cy. g a« - enforcement a en k } yr y u' .3 -,understand thata.HERS rater will check the installation tomerify compliance`and that that if such checking identifies defects, I am ; « required.to take, corrective action"atmy.expense,'I understand that.Energy Commission and'HERS.provider representative's will also + w ;perform quality assurance checking of installations, including those approved,;as part`of'a sample group, but not checked by a HERS +:' •• i rater,` and if those installations fail to meet the, requirements of such qualityassurancechecking, the required corrective action and 'k +' i'• �, additional checking/testing of other installations,in that HERS sample group will performed'at my expense.. ' ' • I reviewed a copy of the Certificate of.Compliance (CF -111) form approved by the enforcement agency that•identifies the,specific ' F requirements for the'in'stallation. I certify that, the requirements detailed on the CF -111 that 'apply to the installation'h'ave been met {?. ; • I will ensure that a'completed, signed copy, of this Installation Certificate shall be posted,.ormade 'available with the •, building'permit(s) issued for the building, and made available to the enforcement agency for allapplicable.inspections: I ' understand that a signed copy of,this Installation Certificate, is required to_be included'with,the documentation the builder 3 e`er' 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 Oct6ber.1, 2010, for all'low-rise residential Buildings.. T r s Company Name: (Installing Subcontractor or General Contractor or Builder/Owner),F `. HARRISON:ENTERPRISES INC ,` ,. • �. Responsible Person's Name:' Responsible Person s'Signature •- Danielle Garcia i Danielle.Garcia s CSLB License t Date Signed:: ' Postion'With Compeny`(Title):44 686310 10/26/2011 Is this installation monitored by a Third Party Quality „ Name of TPQCP (if applicable): z ' Control Program (TPQCP)? p Yes: ❑ No. r,� � v • - I r r • , 'i ter'. Reg:r2T1-A005251i3A-M2500001A-0000 Registration Date/Time:' 2011/11/30 20:08:37 HERS Provider Ca10ERTS, Inc. .' i,2008 Residential'Compliance Forms 11"' •^1 4 August .2009 1� 4 ` CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC,TESTING CF-4111-MECH-21 r ' ,Duct Leakage Test -Existing Duct System. i^ � ; (Page 1'of 2) ' A, Site Address:` ", Y ', Enforcement'Agency Permit.Number: 78375 VIA SEVILLA; La.Quinta CA 92253 (System 1)-j City of La Quinta 11'-1115 - 4* „ .Thisinstallation certificate is required,for compliance for alterations and additions in existing dwellings to f: 'c space conditioning systeirms :and .duct systems. t r•. t r � ' Duct Leakage Diagnostic Test -existing duct system Select one compliance method from the following four choices. • ' 1:'.Measured leakage less than 15%'.of fan flow } + Measured"I'e�ko outside ?s"s [f aFi`l0lo'c�r r n Fiav�` - "`� f , +` Y Note`:f%(One,of Options 1, 2, or 3 must3¢,b.e attempted before utilizing Option 4:) ;• ,, +r. r Determine nominal�Fan Flow using one' 'f -the following4hree calculation methods. _ a ¢ �x ✓ © Cooling,isystem`retFiod: Size o.f"condenser inTonsax 400 - 1200�CFM .j . t F' �'n' ✓ Heating system method21 7 x Output Capacity ip ousands o gtu/hr _CFM w 5RA3 ✓❑ Measuretl system airflow`using 3iairflow�test f cedures.:_CFM Optioniusedthen r�'sf x Allowetlleaka.ge Fan Flow 1200 015 '�180i CFM '' 1 x � ,� Actual Leakage = 74 CFM ,t ` ` ° M.. • E" Pass if Leakage Actual is less than Allowed •" Pass Fail .Thisinstallation certificate is required,for compliance for alterations and additions in existing dwellings to f: 'c space conditioning systeirms :and .duct systems. t r•. t r � ' Duct Leakage Diagnostic Test -existing duct system Select one compliance method from the following four choices. • ' 1:'.Measured leakage less than 15%'.of fan flow } + Measured"I'e�ko outside ?s"s [f aFi`l0lo'c�r r n Fiav�` - "`� F-1:3:•,Reduce leakage by 60%" and conduct smoke and fix all -leaks • ' _ t+ + r'rt� ! x n'4. Fix all-accessible/leaks` using smoke and HERS rater verify47, Note`:f%(One,of Options 1, 2, or 3 must3¢,b.e attempted before utilizing Option 4:) ;• ,, +r. r Determine nominal�Fan Flow using one' 'f -the following4hree calculation methods. _ a ¢ �x ✓ © Cooling,isystem`retFiod: Size o.f"condenser inTonsax 400 - 1200�CFM .j . t F' �'n' ✓ Heating system method21 7 x Output Capacity ip ousands o gtu/hr _CFM w 5RA3 ✓❑ Measuretl system airflow`using 3iairflow�test f cedures.:_CFM Optioniusedthen r�'sf x Allowetlleaka.ge Fan Flow 1200 015 '�180i CFM '' 1 x � ,� Actual Leakage = 74 CFM ,t ` ` ° M.. • E" Pass if Leakage Actual is less than Allowed •" Pass Fail 2 . Optiorr 2 used%Ke'n s� Allowed leakage Fan Flow k 0.10 - _CFM �y � - -• � r ` Actual;Leakageto outside W.2'UM 9� `?= i Pass if Leakage Actual is less than Allowed ,* Pass Fail _ • Option 3 used. then:! 4, Initial leakage prior:to start of work - _ CFM •3"°. Final -leakage after sealing all accessible leaks'using smoke test '- CFM Initial. leakage-_' - Final leakage _ _. Leakage reduction CFM" `• ((Leakage reduction.,..'/ Iniflalleakage ) k 1000/0 Mo.Redudiony",'- N, Pass if %Reduction > 60%P ass 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. '�: " It :'. "�+ • Pass if all accessible leaks have: been repaired using smoke Pass' Fail !� •zR�� .r , ' - ' ' • � _ .� �y � - -• � r ` 4 � 1 � '.tits � ` f ?..` . Reg:, 211-A0052519A-M2100001A-M21A Registration Date/Time: 2011/12/02 18:'46:17 HERS Provider: .Ca10ERTS,,Inc., '' 2008 Residential Compliance Forms. '^ x March.2010 yit ` • � � v x i " -. t •htE .,r ti :... � •' 4 �' F �i �-� ` ; ,i. ., r j •„y. t 'w . , a ^' r -.`'� x .s,'�:- r, a K "� �� y •.efie cs� a'�' 4 a .Is�� .. "f A i j ; Jt _4,LVOsst 44 41 CERTIFICATE.OF,FIELD VERIFICATION &-•DIAGNOSTIC TESTING CF-4R-MECH-21 r �� _Duct Leakage.Test.- Existin Mulct;S stem, e (Page,270f 2) ; Site Address: Enforcement Agency: Permit Number: r `78375 VIA SEVILLA; La Quinta•'CA 92253.(System 1), .City of La Quinta i1-111'5 , r ' ; , .• "'. • a r, . y k. y,r NN� } - rt � t }, ar i +t # `" ir. . .. 5k , _ �I`'�''� . -� _ , � ',+ ' � • t. 4 I� - * �� a•. I F � '! � t . CY jl � x Af 1 }r r r t F •, t 4 •.� $ rs...•,t''lS y'r; ',L a ; ,• � � « + ti + _ � •.x' 7 t � ' a A Are .� �*y - + ! t ' I' .' r � �' J' tY. * ' . _� t� 7 w•. r M a' y � � ".'(5 h �.. !" '•' ' -. . +� r M 't. 'r W�; 'a i•, s'- , �y •! r j + I s .. _ • ` - rC >r „� , } ;. � �� { y ,s. �".:' y )�y` tf t y a � ry,.H z „' �. �,:., ' r .t,�D '`y r .:� - � a 4 w '" y • r'. y t f �.xr.. � � �' ;3 � i � if - y�,iw. _ 1..r, ,,,.i( �..�s .•• - ,t • '. � F.1' .° `r, > _;. 'r r, a• t '� r y t 1 ' : •af.r.,� j. f h,' J' f r { .r a1 {• r Z. r- r AA.:n; rr Y - ` lSy.'• 4 F ' 1-4 •U_ ,.tA� :.:3.. -- .d. r_ #_.J ..- { " .,Y.. _ - _. -, . ,e° � "F-_ _ 't„ _ _.-_. a�. '� r�.�.�.-.�r,� t t- �.,.�r� N �r �1 . r+ t,' . 0 Outside air (OA)•.ducts for Central Fan Integrated (CFI) ventilation systems;*shall not be sealed/taped offs ,.tduring duct leakage testing CFIQA ducts that utiliie controlled motorized dampers; that open only when OAa aA --ventilatioh_is re- uired to meet ASHRAE Standard 62,2 and cicse.when OA ventilation is not're uieed' may ";, y� H Y �` •?� rs 4. Y Ala ` be configured to thi closed poslti,on during duct leakage testing © All supply and eturn'register boots-m,ustbe sealed toth•e drywall`if smoketestx.isAutilizedfo;'r tom liance `,:�� } , �•'i +" �'• ., '` r ».s.. - ". n •+s„7s �5ik' `its xnfi,R P applies to "duct leakage compliance option 3 (leakage reduction by A60 /o) and optlon4 fix all accessible ,�. �, •. ,,'-L „ Teaks) described above x _ �,f.;: � tO'New ductInstallations cannot'utllizebullding caAm"INiplemums orplatform returns Inlleu,of==ducts wg.i `, ... ``<' ,►- ©+Mastic a'nd dr w bandsamust.be used in c binatia wlfh cloth ack � h f :� u�.K::��. , b ._ ed ubberad eslduct tapeto.searly ) ,rat; leaks at all�new�duct,connectlons .' L s,Y tit, ,f.• 1,' z f r ,, ' t•` , , j ` t `- _T F hb 7.J Lhj ` •,�1'"'�, � h4 i_ •' ^}_Y'�'.<, }; x t "' * yiTMf 4 + -,t DECLARATION STATEMENT *= ?'''' ` ► tk - L,certify.'underpenalty of perjury under the laws of the State of California, the information provided on this form is true and correct,-" 2 Iamthe certified'H•ERS raW'-.who performed"the verification services identified anb reported on this certificate (responsible rater). k W�-. ca a . The installed feature, material, component; or manufactured device requiring HERS verification that is identified on this, certificate (the r '.t > `installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the'requirements specified:• iii, •, *•;,�:on the Certificate(s) of Compliance (CF -111) approved by the local enforcement, agency ...,? ,` ' :. ?• �� , `,ei '. �r�" ,:!, r,The information reported on applicable sections of the Installation Certificates) (CF -6R), signed and submitted by theperson(s)'. responsible for the installation conforms to the requirements specified on the'Certificate(s) of Compliance (CF -1R) approved by -the, ♦ re . _ r c .,.,r ;,.enforcement agency• - , 4 •- ! r . _.., .. • ' .,..,4 a.. ri �, _ 1 f ,, ,f -°t.. , �''' Installer information as shown;on the Installation Certificate`(CF-6R) FBuilder.or any Name: (Installing Subcontractor or General Contractor or Builder/Owner)RISON,ENTERPRISES INC+ . * `� - .- Responsible Person's Name: C� CSLB License: Danielle Garcia` r },, '"'�`' * 686310 4 HERS Provider Data Registry Information ; • , .,;, , •. , r .., . �y.. Sample Group # (if'applicable):-258030 [0 tested/verified dwelling " `� r not-tested%verified dwelling In "• '. � -: • "=,, .. _ .. f a HERS sample group Y. HERS Rater Information CaICERTS Certificate # CC1=1798598612 " • , , HERS Rater Company Name: +• - F,.L - t'rr Ene' Driven Solutions Inc: 9Y .r _ a Responsible,.Rater's Name:- r , ',. r A; , ,' Responsible Rater's,Signature: David Bricker " •' . David Bricker Responsible,Rater's Certification Numberw/ this HERS Provider:, Date Signed:°11'/30/2011 CC2004131' ' •ice r .4.. ff ; .a14 -'a,+ • , r..F a. k } ,. 4. +.i '✓ r •.. :� 4 .� r • ' ' 7•,. y ,i/. R yY y� S :.� 't .( y �1 1T •F4 y �'�• •r �ai ( a d f te. i. "• '. � -: • "=,, .. _ .. f .. ;.`' 1 � J':� t -°'' .,. �eg:"211-A0052519A-M2100001A M21A ,Registration"Date/Time •'2011/12/02 18.46:17` HERS' Provider Ca10ERTS,rInc _2008 Residential Compliance Forms ^ �{ �` 'i f! `.° w 'wFi March%.6iO �4 sr. c:'Vr..y r r w� ' •ice r .4.. r } - ,� • -. d y - - et .�t V= F Note: -If installation of a Cherge 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 derionstrate compliance with F Y + the refrigerant charge verification requirement. TMAH and STMS are not required for compliance; when a CID is utilized, for compliance. t ,. • " 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)e and Saturation Temperature Measurement �' - ! 4 } Sensors (STMS) : ` ' � S a +Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is,"3`r ;1. _ tr Wt+ ' required for compliance, TMAH are also required for compliance. STMS are only, required for complete/y'new or replacement space -conditioning systems that utilize prescriptive compliance, method. �TMAH -Access Holes in Supply and Return Plenum's of Air. Handier', F{ System Name or Identification/Tag System 2 + System_ Location or. Area Served, Downstairs 77 �. rV �. , _,-'.�71 Yes��: , = •_❑;Nom;' 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum ands iaocred..accordirkg to Figure-in'Secuun RA3 2 2.' 2 - -- ._- ••and Ee p Yes ' []'No yHa 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply.plenum labeled according to Figure in Secfion RA3.2.2.2.2.s to land` 2 is a pass.: ".: '' Enter Pass -or Fail % Pass L ✓ ❑Fail , w V ' fl. STMS -Sensor on he Eva t' r;' w t porator oil - ' Y � r{ k Ay�r�T S stem Name or Identification/Ta y a, g System2 i� i + •� 13 rQYe_$s ®No� Theses`or is factory�nstaled 'orfield inst�alled=acco�rdig nufacturers.,,,;.,. specif ations; or is inmil& methods%specifications "approved by the Executive ` ` -❑ Yes p No specifications, or is installed by methods/specifications approved by the Executive ' ., Director : r - . 4 � es 3 - ,No mThe sensor wire is dRminated,Withfla,standardImfniA lu suitable for con`nect1omto a : • ! `11-1-11 ,r 7 r r Proceduresfor.determining Refrigerant Charge using the Standard Charge Measurement Procedure -are available in Reference Residential.' :6`^RY.i,exat�.,.. Date of TherrnocoupleiCalibration ". % 4 t �,, .. a' { 1 ,/ ,1• A`iY glrSystem • The system should be installed and charged in'accordance with the manufacturer's specifications before starting this procedure: ; x w, "_ , ; ~ "' k! r • If outdoor air dry-bulb. is 55°F or below, the installer must use the Alternate Charge Measurement Procedure •` . 1 + • ni .:,; j. jiu r. :,� r (TsuPplYr iib) . � r System Name or Identification/Tag• System 2 M.' Standard Charge Measurement procedure (for use�if outdoor air dry-bulb is above 55aF)' ' ! `11-1-11 ,r 7 r r Proceduresfor.determining Refrigerant Charge using the Standard Charge Measurement Procedure -are available in Reference Residential.' :6`^RY.i,exat�.,.. Date of TherrnocoupleiCalibration ". % Appendix RA3.2. As many is 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: , • ., �' glrSystem • The system should be installed and charged in'accordance with the manufacturer's specifications before starting this procedure: ; r. 01 WEN •The system must meet minimum airflow. requirements as prerequisite for a valid refrigerant charge test. Supply (evapprator leav ngi)aair dry bulb • If outdoor air dry-bulb. is 55°F or below, the installer must use the Alternate Charge Measurement Procedure •` . 1 j Space Conditioning Systems r r �• (TsuPplYr iib) . � r System Name or Identification/Tag• System 2 Return (evaporator' tering) air dry�bulb r temperatu�e�(T�eturndb� 65 «• w r« System Location or Area Served ` Downstairs r,r _„� (Treturn, wb) f , Evaporators saturation temperature �i ' 42 = 1 r. Outdoor Unit,Serial # : 5811D09578. > ,. •, k Condensor saturation temperature ('Tcondensor, 83 sat) " Outdoor Unit Make Lennox Suction line' temperature (Tsuction).'. L 67 ,1 �� •_. - y" .- � * } K �i � } --5' }ALL Outdoor Unit Model' - XC21=036-230 1r r :, •�, rr Condenser (entering) air dry-bulb ..• ^75, ± • ~r€ Y'' A , r temperature (T) condenser db NominalCuaiirig Cd"pa{i•q=n - = 36800 Date `of Verification .. 11-30-11 Calibration'' of Diagnostic Instruments_ ;' ,, t - , ' ' Date of Refrigerant Gauge Calibrati n ! `11-1-11 ,r 7 r (must be..re`-calibrated monthly): { :6`^RY.i,exat�.,.. Date of TherrnocoupleiCalibration ". % �$y%'%y -.. .�... y. ': �. mil 1 ii �# i' T�f3� (must�hbeRr e calibrated monthly)'MAN glrSystem EE r. 01 WEN 1 -Z. • lJ T � 5 : C + r $ Measured TemperaturesPQ) ,, ' r : N 44 'ag System Nam e or Identifi{caAtion/yTag 2' AM glrSystem EE Supply (evapprator leav ngi)aair dry bulb 1 9, 6q g �� xr "-T,temperature (TsuPplYr iib) . � r Return (evaporator' tering) air dry�bulb r temperatu�e�(T�eturndb� 65 «• w r« Return (evaporator entering) air wetZbulb temperature. 52 (Treturn, wb) s^ Evaporators saturation temperature �i ' 42 = 1 '•�t. (Tevaporator,'sat): .. > ,. •, k Condensor saturation temperature ('Tcondensor, 83 sat) Suction line' temperature (Tsuction).'. L 67 Liquid,Line Temperature (Tliquid) 81 - `• ' rr Condenser (entering) air dry-bulb ..• ^75, ± • ~r€ Y'' A , r temperature (T) condenser db Vii; �. a •4 ,. k k �zaj xe k.„t 4. 1 '74 � • rtk� t, J a•''~T P h _tib I't'. el � lr • ••` 4 +Y� '.• `' R ”' } ," Y ♦ , , R.t cit i' i y^ x ,..r k f"' , n V : ✓ ] �� .} .'art 4rL �"ti 4' c �A * : t ,� �' �. � ` #y ..� i k n ,;.! dry• i', ! V S k"r 'Y; �k .,'+ x . i , k e ;F 1 l ..�•} 4 + :•.'x j 'r •. .d1 ; 7.y 4' { H z , i }:: .. .+, - - t.•tb+., ° - r•'(ti•p - tea'., _ Reg: 211 A0052'519A-M2500001A-M25A*;Registration Date/Ti me':"'2011/12/02 18,, 48-05 HERS Provider."Ca10ERTS', Inc;.', 2008 Residential Compliance Forms r . x`y March 2010 � " - � ` . -.;,_.• :� �'� a � ,` - �� ; r 4 1 r n,r 1. •� r d t,;. L INSTALLATION'CERTIFICATE r'. , ',•,. CF-411-MECH-2S Refrigerant Charge Verification - Standard.Measurement Procedure ,'' ` '(Page,3°of-,S) Site Address:.- Enforcement Agency: Permit Number X78375 VIA SEVILLA La Quinta'CA 92253 City of La'Quinta;.- r 11-11.15 Verification: The temperature split method is specified in Reference Residential p. P P Appendix RA3.2. r System,Name or Identification/Tag System Name or Identification/Tag sR 'System 2t,4. i . t..r, , .e� ,., .�'. Z, • x -t +}. "j ''' H ! �'' .. � g'+, r ..rr , yr '� ! � • -Y�4''{ �' p - '` . r 1 � tr w t ..{ S• �} r111', � . '' k- �; .. { . .�•'" a • , }. s �, Target Temperature Split.frorn Table RA3.2-3 _ 18 INSTALLATION'CERTIFICATE r'. , ',•,. CF-411-MECH-2S Refrigerant Charge Verification - Standard.Measurement Procedure ,'' ` '(Page,3°of-,S) Site Address:.- Enforcement Agency: Permit Number X78375 VIA SEVILLA La Quinta'CA 92253 City of La'Quinta;.- r 11-11.15 1 �` Minimum Airflow Requirement ' r �. .. �' `� `►"'�. i. •t'+i .# •,,i. . .t�,.�t .,�� '� Temperature Split Method Calculations for determining Minimum Airflow. Requirement for Refrigerant Charge Verification: The temperature split method is specified in Reference Residential p. P P Appendix RA3.2. r System,Name or Identification/Tag System Name or Identification/Tag sR 'System 2t,4. « J t H Calculate: Actual Superheat = '.� r Calculate: Actual Temperature Split= Treturn,' 2100._ • l"! x "yi 1 �` Minimum Airflow Requirement ' r �. .. �' `� `►"'�. i. •t'+i .# •,,i. . .t�,.�t .,�� '� Temperature Split Method Calculations for determining Minimum Airflow. Requirement for Refrigerant Charge Verification: The temperature split method is specified in Reference Residential p. P P Appendix RA3.2. r System,Name or Identification/Tag System Name or Identification/Tag sR 'System 2t,4. Calculate: Actual Superheat = '.� r Calculate: Actual Temperature Split= Treturn,' 2100._ • l"! x "yi db -.TSu l db }. s �, Target Temperature Split.frorn Table RA3.2-3 _ 18 a• ' < t usin 'T and Tr using'T wb. return, db • ,i` ..t", �' �, Treturn, and Tcondenser, db,. Calculate difference: Actual Temperature Split -,'r^ rit 4w " 3'A `' ' ti`"' ;` ,,- ;" ', •, • Target Temperature Split ." ' Passes if difference is between 4'F, and +49F or, , Actual Superheat - .Target Superheat = ♦ , upon remeasurement, if between .=40F and PASS System passes if,difference.is between-69F.and, - -100°F Enter Pass'or Faill rc I R 4 � « `� '4. '.V i .Y J t. if actual Cooling. d using. one of the s pte:.'Temperature.Spk? "?ethod Calcul�lGr, !&. not necessary. Coil-Airflow•is-verifie airflow measurement procedures specified in Reference Residential Appendix RA3 3.'If actual cooling coif airi. flow ?. , f , measured,; the va/ue must be equal-`& or, greater than the Calculated Minimum Airflow•Requirement in the.table below." .. �R3w,_„cr .t�•,r�� ,r`f�/ Calculated Min1.imum Airflow Req irement.(CFM) = Nominal Cooling {Capacity (ton),X 300 (cfm/ton)w �•�a r W r�F System Na to or�Ide ntification/Tag A N i x•'kY q � � �. 'A T �y r t'•�ir^e Q! i1 4 'Y♦ _ w,N� _ . , ,"� Nx � `. •� �"� .�- �'�' i : i , fry `-(Y1rff Cal culated�Mmimum'A�rfoWe-w�Requirement (CFM) ' ` MeasuredAi011owgusing RA3 3 procedures (CFM) Passes if measured airflow is greaterathanlo-r equal to the calculated minimum airflow x requiremee�ntffl i q „ Enter;, Pass or Fail ,' K• , VV! Superheat Charge, Method"Calculations for Refrigerant Charge Verification This procedure is,required to be'used for fixed orifce,metering device systems `Y' • ..; ` r ' ' * `` ; "' ' System,Name or Identification/Tag Calculate: Actual Superheat = '.� r €.. ; r" ,'i+x • l"! x Tsuction - - , }w }. s �, _Tevaporator,'sat' , . rr Target Superheat from Table RA3.2-2 using:; . ? r ,4,� * ,! .,• ` s 1 f Treturn, and Tcondenser, db,. t .r wb Calculate difference:; '` f , } , Actual Superheat - .Target Superheat = ♦ , System passes if,difference.is between-69F.and, - 'y' ;., z.. r• . w _ Enter Pass or' Fail ry "t s r ,+, + ;' 4/r jj Y • . r',�' r �T.• • J � .r(` � c r K i iM,t ♦ 4 . '?'i 4' �r�` ``` e.r i f..Fj� . ,.;aa>� +. t .+1 r j S w .t e. `M"S'� r `ssi i' J Gr*,a `%s {. •9t 'h }�• >Jt •r '+� �C3 �tP4 L•;�4^ ut t t + r �3 • a r rr J,4 y {t x #. 71'' S t A-.� r 3 r. i• l,. r t�yv r ` „a -r, �"+13 "' , •q •Y.•�. `.:�' �+y �..}�ti h4,1�r't,... v t �( .� r Yf.•t .r &a,� � �j �. � I rr}';'y `A • � •i T r ` ° `w u .[ ,t 1. ' �'' a` r _'k qt J: }'.• � , .. x Y 14 .t y�' .. • z � 't „�. 4 4e ';S.r' Y '• t Jy .t t t. .`,6 a i '♦ a?_ ♦ r• i. r ' 3+Iv `' ' ; .,. ! °+�a. 'f ,fy Y , .. F,r� • - 1 r' t � '�a r ; �' -�f. � ";r -r ' •r,� ' +' al ..• f' 3 .t ' fi z Rg A0052519,A-M2500oblA -M25A Registration Date/Time2011t/`12/c0r21,18:48:05 HERS,SPr'ov�ider Cta10ERTS,'Inc.- `t .� 2008.ResidentialComplianceForms ` `March 2010} , �'%,� �r ter. r.Z•r �., ✓.,''!'v b..t ,.., � �♦ ,'� ,r' +.� �+. .�.ryi `~' r yw� .a,• -r �♦" F It t .41. ♦ k' t� r.'k. s. a ..°;� �.. % r%" ,'.. ] �, •* +, Y ' 1%, INSTALLATION CERTIFICATE CF.-4111-MECH-25 ;+JA. Refrigerant Charge Verification `St andaed.Measurement Procedure! = (Page 4 of 5) Site Address,.#r c , Enforcement Agency Permit Number: 78375 VIA SEVILLA, La;Quinta CA 92253`.' City: of La Quinta i- l. -r a; 11-1115' •' �: �'� ` x e, i ♦ T . r +' Subcooling Charge Method {akulations;for Refrigerant Charge Verification. This procedure is'required to be used for thermostaticexpansioq valve {TXV) and;electronic'expansion valve.(EXV) systems r♦ z Systern,Name or:Identification/Tag. 1. System Name or Identification/Tag,,, "System 2 Lr 4i�, �• ` Calculate `Actual Superheat• _ Calculate: Actual Subcooling Tcondenser, sat - Tliquid ; ��¢ �' 2.OL is tf i,: Enter allowable superheat range from # `' �j} 2; g r , anuf iilecturer's"specifications(oruserange tee• cSboolingspeitiedbye.- Target, mn -. 2'. 5c i'at . r �° r Calculate -difference:' a.. rr " `•r �i tw. `,t 0;5 range Actual Subcooling -Target Subcooling $ t , .. ° � �r System''passes if difference is between --!,r, .. •' ,� 40F and. +40F t L PASS Enter Pass or Fail r .rill -i^i •'�' .. 'tt+i k tit c a Y�• � .` r k fa r Metering�Device Calculations for Refrigerant Charge' Verification. This procedure is required„to be used,for thermostatic expansion valve,(TXV)'and electironic expansion valve (EXV) systems* r♦ z Systern,Name or:Identification/Tag. 1. t, System 2 �ei�` Lr 4i�, �• ` Calculate `Actual Superheat• _ Tsuction,-,Tevaporator, sat ! r :r ;•t„. Enter allowable superheat range from # `' �j} anuf iilecturer's"specifications(oruserange �; , 254 F i'at r between 30F and 260F if manufacturer's , is r specification not available) System pas�sesP{f actualsuperheat is=withm thus, allowable;sup�erheat g`� range , PASS=� t Enter Pass orr,,Fail .. ° � �r ro .:%.r;z 1 .fi=F.4 a �[4.•Y - fry` If t, u {li:Ae ! ''.i ".a ;� 'Q `kr rw V�'M y i sil i N :� � � � \ ♦ y �3�XY� Y � Tom'' X � .' 2'S ¢ i N t �'..). t ` .t..sz .,� �ei*"x' , y' r . t'_ . i' !i i -y* °'s•' '+ ee, h'tl' A. rf7. F'�..-'� ; Y'� ate. - �< r 1 ,r t• to fia ,i+,TY •c4 i``� ' t # 1. 4 •d . ;. 4 I ". .x-. a .�f f �+ ,•• i ` �, { . °� T !fit ♦ v a' \ , �I,.;° ; k� S `- t ! ” f , r+♦ t v. �� .¢. ? �'�r .+14 { " %►t i y�, + * 3. ° '.:: r ! -i , 'r 1• I i �r . �' ► y ^ ., "` `l '", €• 7 J11 4�r i Y 44" Y�n �: c r r ti �� r r r ° r rl arG . ♦,t ♦ � ` pr, �: rr .k, a " it ♦Z,' rr."Cc + ,`. .� ♦ y '�. r Ft`s. F*,,t T% �, sf�a0k r+ ay all 1, 'i'k « �r r ;`+yf y a ` .•t. a- i ''.+ ar ,f t , 'y .d •,., tr _i, {'.�': 3,M'..^ t . t+'�Y i' a' ... '•\# i � f a ,;loy ° "1' 1� fir' rr �.,*. Fvht , �;;i i �" � iS: l .,rte A r.,�.;. . �.. A..: S' `�" i' � r t• •y�'„ , �,�•'r r ', i, ` ,� ..' `t ' 4 't, . e + R'' •+,. :. � �n - t ;�.'u S , r j\,,, y i. -! �, F, lt F f t.. '� • i � 1. k ++ s , y � a,•" '' i !Y ,4 ►' T '4 t ! r �•,. 3 C 3 � 'k J.- � ,f •v y S� ,� . �� } ' i Er(� ":� 4. r • ♦ .. + i t� G ' �i �. , rt �. ., 1 i ! ham., kr '' " 3" ,.'�� ; !f, f .C+r*- .T,' '_ y 'rya.: ', .,.r ,fix. { '� ,.� a rl iii`i'�n h , ate+ " •A tl"?' n, t' �r4,�•}6, ..'! ,t.' ?� i r r '3 }# ,.r� . 4 �" F>r.e+ r,r'- c i r +•1 ( ,�.,, 3t^ , Ok�•.' ,j''*♦+ ,�• � w y t�. asr ' ."♦r- K t r♦' ; 1 •� � i �� ,� f 5 + �.) r� ~ E ♦ a. i � aN,rf...y "� r .. ° j {t t : r, +� � v ' , ♦, c r♦ f ,i 'r • -, .c is r .,� i T ti, °, \y + •+! � � fYr-',� r c'X.� � it ,! w� .. A '� t ��3 ." � ♦" t .. t .+,�t '! '�, r� �. �.'2 RKy )} � �± �+1 ;4 F. .� t , 1,, '?`> M' ♦i r.",a ih k. ,Ri+' it ,r f,y5, ♦.4 '4 a, ,� , ,.w4. .c <} % f , Lw tir . R'v'r, r '•e.rt { 9 rW>' r . ,� .: w .. a, aim -3 ! . rr^, E 1 _ 5 i - 1 ♦ •, i r .. r° x �, .P.�.. r" * •+al + r s a �` �',• "�.,:.i y K. �wr . r. t t -� E+ r YA. a +�• '' �,.f r "r a r,�.: '° ' 4i'k a>a ir? �w ,, ° 2 a { },.t>+ Mme' k t t 't' ,, r i. • t• ,s ,a it ,v"i �';� „ it M•� .♦r t° r.r • .:..i 'fit,',.fr a'r^r' 7 i ,( 'k'4.r ♦ r a. �i'r:5 }r�'.i' 4 �., `_ . Si ,- i .Y�' ♦ •5 ,$. '', t, t .r , ,"� T� /r # Yn. w�}' wr^!r '� a n to r. -'ti ° F+•a;.'• +� rr, r s#`� L rt•• R♦tl",~ ` t+ "F.'ar , tr . ;/ X� + m r >', .. � F s �: , ♦`r, 1 [ ,J t N * t "', .-p e7 't• \ �. tr ii' y, h ^i`t - �-M • l �y „* i. i +�'.,t_ � � `�' � _� � '.fir' ' ,t• 's a -,* r t ,y �. •jy � _r. ,' � , ° •It, ' ° 4 ;^+� r+ ♦ r. , ' , ..+' . # �i. ; jYt ? •,sj ��j "t•' , `i a .` f ` ,. S t ,'', y p , L y ,t ;�q, •y . : t 1 1 .•r't .., �+r` r4 r. , "ii 71 Reg: 211-A0052519A-M2500.001A M25A Registration.Date/Time: 2011/12%02'18 48'-05,;---HERSrProvider-::Ca10ERTS; Inc`. ,•A':ir, . ` 2008: Residential, Compliance FormSs ,r % ,r r r +1, ;"Erid+� k . y March 2010 v•. <; a , :' jj y, ,, ai ,j .3:. •1 a,'.., 1 ' 1 '� .'MaY. i h '. '" y t � 't... .-t�' i _ . ..� ._44. .. � � -.�r ry ,1 it . �••y: .q !i.•. t f #E. .. r fif.! iI V! 74. � Standard Charge Measurement Summary: System shall pass,both refrigerant charge criteria, metering device criteria .(if applicable), and, minimum cooling coils = 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/Ta Y - 9 ;- ,System -2� HERS.Provider Data Registry Information Sample Group # (if applicable): 258030 System meets all refrigerant charge and airflow ❑ not-tested/verified dwelling in 1a,HERS sample group, requirements. ' i - Enter Pass or Fail PASS ♦� Responsible Rater's Name: ' David Bricker. David Bricker Responsible Rater's Certification Number.w/ this HERS Provider: Date Signed,: 11/30/20111 CC2004131 'ice a ,3. • '. � � ) 'i ar �' s i' f a _ „ •fit 1 . WOW• ♦ .: F ` f ry � �_} l ^�' .. _ .Ste« ,� ,' . ! \i.!} DECLARATION STATEMENT , I certify under penalty of perjuryunderthe 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) # J.-• . . �. The installed feature, material component, or manufactured device requiringjHERS verification that is identified on'this certificate (the i installation) complies with 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. - R The information reported on applicable sections of the Installation Certificates) (CF -6R), signed and submitted by the persons) + ? ' . f responsible for the installation conforms to the requirements specified on the Certificate(s).of.Compliance'(CF-1R) approved by the Y _ enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6111) ' . t Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) . HARRISON ENTERPRISES INC ` x` Responsible,Person's Name: CSLB License:,, Danielle Garcia HERS.Provider Data Registry Information Sample Group # (if applicable): 258030 Q tested/verified dwellin ' 9' ❑ not-tested/verified dwelling in 1a,HERS sample group, HERS Rater Information-CalCERTS Certificate # CCl-1798598612 - HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker. David Bricker Responsible Rater's Certification Number.w/ this HERS Provider: Date Signed,: 11/30/20111 CC2004131 .'F 3 y wt { Y t Ix f { , This installation certificate is required for compliance for alterations and additions in existing dwellings to ► space': conditioning systems and duct system`s.. u'� Note: For .existing "dwellings, a, completely new4or replacement. du& system can also, include existing parts ofyy the ori inal;duct-s stem e. g y ( 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 t «• 'Duct Leakage Diagnostic Test - existing duct system' Select one compliance method from the following four choices j r'"}i•F •1s„ v ': , r ,r ❑ 3..Reduce`leakage by 60% and conduct smoke"and fix all leaks n P_:�. 7!'-. � `H C' •,1^ `. *'1. 4 T ~• - � "` ..+"'�.. i* t.. � LT. �^'p �,:�r �„ }! 4th r .YN tv_� +- � 7-r l tri },�.° t 55 :Y t r r } •f t � i rpt Y 'L�� +� � •. f.' .,: � , , 'V.ra. tfx (: �' /�l ,4a � t a.�t� .�� *x• 4 Pass Fail 'ti' •t" -i ~'xl i" ',) r i Option 3 used then.' i. A. r:� Initial leakage prionto start of work •_ CFM . '„ .` " ' ':�. " +.'. -• , ' •i••, Final leakage, after sealing all accessible leaks using smoke test— CFM ��' 3•. Initial- leakage4� - Final leakage_' =•Leakagereduction- `CFM r w , ,.. ,�.;•° r wt { Y t Ix f { , This installation certificate is required for compliance for alterations and additions in existing dwellings to ► space': conditioning systems and duct system`s.. u'� Note: For .existing "dwellings, a, completely new4or replacement. du& system can also, include existing parts ofyy the ori inal;duct-s stem e. g y ( 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 t «• 'Duct Leakage Diagnostic Test - existing duct system' Select one compliance method from the following four choices 01.•Measured leakage less. than 15% of fan flow 2-'Meast,red'1eakag pio'outside less tFJ11 lC�! Lf'� -Floe- ` � -�� r � ^" ��-d—t� ~ ry 4''�u,-� (I' ❑ 3..Reduce`leakage by 60% and conduct smoke"and fix all leaks ., �.A• M .. t .M t ,fir r i- f �. ❑ 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.) Determinenominal�Ean Flow using -one of'.the following three calculation methods. ✓ ©Cooling sy�stem rn „tg�hod. Size of condensertn Tons�a3.CFM' r I fi N ✓ ❑Heating system method'-: 217 x Capactty,.tn Thousands ofxBtu/hr =Output ❑ Measured systen ir�flo�w, ustnii Ibwjtestjprocedures _CFM �. .' �¢ t �;.;s�{ ♦„fl7 T. � � � 4v+ it4 . !, �. �j` ~{-• 5. ! Optionlusedthen t .. R„ Allowed leakage Fan 1200 x 0 15, 180 CFM 1 Airflow Actual Leakid'db 77 CFMIA y , Pass if Actual Leakage is.less than, Allowed leakage Pass `Fail Wthent • t Allowed';leakage Fan Airflow ,x 0.10 _ CFM '' " "+ ► r ' 2-y Actual Leakageao ± CFM ' + ../ I�.•`4, .. s .. , .� •'� ��' t s outside '.; ,'t ' •, Pass if Actual leakage to outside is less than Allowed leakage' 4 Pass Fail 'ti' •t" -i ~'xl i" ',) r i Option 3 used then.' .fir. ti. '• ,.,. M .i . Initial leakage prionto start of work •_ CFM . '„ .` " ' ':�. " +.'. -• , ' •i••, Final leakage, after sealing all accessible leaks using smoke test— CFM ��' 3•. Initial- leakage4� - Final leakage_' =•Leakagereduction- `CFM r w , ,.. ,�.;•° r ((Leakage reduction _/ Irntial leakage"=).x 100%0 = %Reduction ; r' X' F. `^MPass if 0/6 Reduction > 60% Pass" Fail, :. Option 4 used then:.. leaks HERS ' f ,4 All accessible repaired'using smoke test. rater must verify (No Sampling). + ' March 20.10 +•�+ Rw� ` ` �ti y , ' .' ' 's •� Pass if all accessible leaks have been repaired,;using.smoke ,' Pass -Fail . i r:[M, �.R }F.. ?qL `, R{ N i r:1 �t �. y t k•�.' 4 4 +r r. !. w d s s i• 4, r i .... t t ., �.A• M .. t .M t ,fir r i- f �. � , .� � ..i_r K `� � �. �} � .,.! 1. a..= `, ..* i�' �. �. .' �¢ t �;.;s�{ ♦„fl7 T. � � � 4v+ it4 . !, �. �j` ~{-• 5. ! • l ; t. !i �. ,� �rt}}d fir' S. .SCI -s „� ;r F, .ill ! 'r t 4 r'.:c r ,j, t 1. ,1 i, l,a r - er � .!7ly:i' •Y y. a, ♦ 4s t.+'+,i 'v 3 T '4 j, .. s .. , .� •'� ��' t s � t . •" 1�: n .t, fi� .: �3 F ,. r 'ti' •t" -i ~'xl i" ',) r i f .fir. ti. '• ,.,. M .i . � , ,r �: ,• a ` i'�~ � tfi ` ! in r, �= o- � K. 'r � ji�� ,� IrJ ' ,<1 flrcv`' ♦ . + Reg 211-A0052519A-M2100001A-'0000 Registration Date/Timet 2011/11/30'20 10:49 HERS Provider': CalCERTS, Inc i 2008 Residential Compliance Forms a} .. , + ' March 20.10 +•�+ Rw� ` ` �ti y , , a 7 it` ,t4 a 4. . � x (. lJf 4. .s� ♦ 1 - • -V . Al a: r r R Outside air (OA) ducts for Central Fan Integrated (CFI)'ventilation systems, shall not be sealed/taped off `. "A- r :idu-ring duct leakage testing CFIOA ducts that utilize controlled motorized dampers,,,that open only, when, OA',� t ,'ventilation„is required fo meet ASHRAE Standard 62.2,” an'd'close`when,OA ventilation is not required, may,. ` be configured to the closed po 4iti'on during duct leakage testing. « • <'t,R All supply and return register boots=must be sealed to the ;drywall if smoke test, is utilized -for compliance applies rg.,duct;leakage compliance.o,ptlon 3 leakage reduction` by 60% wand o tion 4` fix all accessible' leaks) descnbe`d above. h:5i R �'t a ' ` ,_ . ? 4 £ s s New duct installationscannotfiutilizekbuilding cauitiesga's 1enums or p,letform returns in''lieu of ducts ' r + . . +`" ' i • . ,gyp. s ... i " o t+ a a. . `x ,6 {'. t��.� ,..Y • { O Mastic an, d draw bands; must be used "in cofmbinationTw,ith cloth backed rubberadhesrve' duct tape ¢to,seals °.. leaks at allnewduct connections '1 k ' S. DECLARATION STATEMENT • 4certify under penalty of perjuryunderahe laws of the State of California, the information provided on this form is true and correct m • I am eligible under Division 3 of the Business"and.Professions`Code to accept responsibility for construction, or an authorized:, representative of.,the person .responslble' for construction (responsible person)` * + • I certify that the installed -features materials, components, ormanufactured devices identified.'on this certiricate (tFie installation] c = h - conforms to all "applicable codes and regulation's, and the installation is consistent with the plans and specifications approved by'the' enforcement agency. • 4 - a.. , _{,,; I understand that a -HERS rater will check. the installation to verify comp) ance,and that that if such checkingyidentihes defects,,IFam -++. required t6take corrective'action at my expense. I understand that Energy Commission and HERS provider representatives will also aim q tY g g. PP P P g P y<4 . a perform uali assurance.checkin of installations, includin those a roved:as art of a sam le rou but ch 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 HERSsample group'will be performed at my expense.' • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that'identifies the specific "' 'requirements for the installation. I certify that the requirements detailed on the CF -1R that apply'to the installation have been met.' ' I * 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; foeall low-rise residential buildings. Company Name:. (Installing Subcontractor or General Contractor°or Builder/Owner) HARRISON ENTERPRISES INC. r n a i Danielle Garcia banielle Gorcio ;• CSLB`License:t r" ". �.` W Y ti f,'N 10/26/2011 .t 4 t •f "� ix � •1,v � .e�,2 �`. '� A ♦r .• t' �,,.f. ir. ±�J++ •li (`tr r... �,�t. 4.'" � �. � x (. lJf 4. .s� ♦ 1 - • -V . Al a: r r R Outside air (OA) ducts for Central Fan Integrated (CFI)'ventilation systems, shall not be sealed/taped off `. "A- r :idu-ring duct leakage testing CFIOA ducts that utilize controlled motorized dampers,,,that open only, when, OA',� t ,'ventilation„is required fo meet ASHRAE Standard 62.2,” an'd'close`when,OA ventilation is not required, may,. ` be configured to the closed po 4iti'on during duct leakage testing. « • <'t,R All supply and return register boots=must be sealed to the ;drywall if smoke test, is utilized -for compliance applies rg.,duct;leakage compliance.o,ptlon 3 leakage reduction` by 60% wand o tion 4` fix all accessible' leaks) descnbe`d above. h:5i R �'t a ' ` ,_ . ? 4 £ s s New duct installationscannotfiutilizekbuilding cauitiesga's 1enums or p,letform returns in''lieu of ducts ' r + . . +`" ' i • . ,gyp. s ... i " o t+ a a. . `x ,6 {'. t��.� ,..Y • { O Mastic an, d draw bands; must be used "in cofmbinationTw,ith cloth backed rubberadhesrve' duct tape ¢to,seals °.. leaks at allnewduct connections '1 k ' S. DECLARATION STATEMENT • 4certify under penalty of perjuryunderahe laws of the State of California, the information provided on this form is true and correct m • I am eligible under Division 3 of the Business"and.Professions`Code to accept responsibility for construction, or an authorized:, representative of.,the person .responslble' for construction (responsible person)` * + • I certify that the installed -features materials, components, ormanufactured devices identified.'on this certiricate (tFie installation] c = h - conforms to all "applicable codes and regulation's, and the installation is consistent with the plans and specifications approved by'the' enforcement agency. • 4 - a.. , _{,,; I understand that a -HERS rater will check. the installation to verify comp) ance,and that that if such checkingyidentihes defects,,IFam -++. required t6take corrective'action at my expense. I understand that Energy Commission and HERS provider representatives will also aim q tY g g. PP P P g P y<4 . a perform uali assurance.checkin of installations, includin those a roved:as art of a sam le rou but ch 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 HERSsample group'will be performed at my expense.' • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that'identifies the specific "' 'requirements for the installation. I certify that the requirements detailed on the CF -1R that apply'to the installation have been met.' ' I * 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; foeall 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: a } Danielle Garcia banielle Gorcio ;• CSLB`License:t r" ". �.` Date Signed: Position With'Company (Title): 686310 , 10/26/2011 Is this, installation monitored by a Third Party Quality. Name of TPQCP;(if applicable): . Control Program (TPQCP)? p'Yes .❑;No, •� � r" f i s r [ �i,.. f vl 4 i L_L a"' � �.ti r r ❑ No 5/16 ich.(8 mm) access hole upstream of evaporative coil in the return plenum and .4, . r -ab. , acGordir to•Figure'in-Se 1, -t -RA -12;2 - - - 2 p YesNo ❑ , ,5/16 inch (8 mm) access, downstream of evaporative coil•in the supply plenum Day 1. and labeled according to Figure in Section PA3.2.2.2..2. , Yes to,l_and,2 is,a pass., r + Enter Pass or F6ill ✓ 2 Pass ✓. ❑ Fail, ' a :: r •., f rpa :,. E z:.. - . T iiftheHERS.raterwithout Yes' r❑ No, NoteYIf installation of a Charge Indicator Display (CID) is utilized as, an alternative to refrigerant charge, verification for compliance, a MECH-24 Certificate (instead of this,MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when.a CID is utilized ' for compliance. ' -As many as 4 systems in'the dwelling can be documented for compliance using this form. Attach 'an additional forms) for' any additional systems in the dwelling as applicable: ' MTemPeratuee.Me'asurement.Access Holes (TMAH) and Satul'atlon Temperature Measurement: �, •. - Sensors' (STMS):. 4 ' P 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 L ` • * y ,.' 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 2 System Location or Area Served Downstairs , • •• 1 p Yes? ❑ No 5/16 ich.(8 mm) access hole upstream of evaporative coil in the return plenum and .4, . r -ab. , acGordir to•Figure'in-Se 1, -t -RA -12;2 - - - 2 p YesNo ❑ , ,5/16 inch (8 mm) access, downstream of evaporative coil•in the supply plenum Day 1. and labeled according to Figure in Section PA3.2.2.2..2. , Yes to,l_and,2 is,a pass., r + Enter Pass or F6ill ✓ 2 Pass ✓. ❑ Fail, ' a :: r •., f rpa :,. E z:.. - . T iiftheHERS.raterwithout Yes' r❑ No, digital thermometer. The sensor mini .plug is accessible to .the installing technician an changmg:cthe airflow through the condenser coil s ❑ Yes NoteYIf installation of a Charge Indicator Display (CID) is utilized as, an alternative to refrigerant charge, verification for compliance, a MECH-24 Certificate (instead of this,MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when.a CID is utilized ' for compliance. ' -As many as 4 systems in'the dwelling can be documented for compliance using this form. Attach 'an additional forms) for' any additional systems in the dwelling as applicable: ' MTemPeratuee.Me'asurement.Access Holes (TMAH) and Satul'atlon Temperature Measurement: �, •. - Sensors' (STMS):. 4 ' P 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 L ` • * y ,.' 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 2 System Location or Area Served Downstairs , • •• 1 p Yes? ❑ No 5/16 ich.(8 mm) access hole upstream of evaporative coil in the return plenum and he sensor is factory installed;"or field nstalletl :according to rnaMfactuier s spec�f cations, or is installed by methotls/specifications approvetl by "the Executive '.❑ Yea, -ab. , acGordir to•Figure'in-Se 1, -t -RA -12;2 - - - 2 p YesNo ❑ , ,5/16 inch (8 mm) access, downstream of evaporative coil•in the supply plenum Day 1. and labeled according to Figure in Section PA3.2.2.2..2. , Yes to,l_and,2 is,a pass., r + Enter Pass or F6ill ✓ 2 Pass ✓. ❑ Fail, ' .'j t � ` STMS Sensor on, the Evaporatorto System'NarneorjIdentifcation/Tag'&:ru , System�2 5;,` ",M� 3 ❑;Yes �. _ ®,Nbo he sensor is factory installed;"or field nstalletl :according to rnaMfactuier s spec�f cations, or is installed by methotls/specifications approvetl by "the Executive '.❑ Yea, ❑ No specifications, or is installed by methods/specifications.approved by the Executive Dire ctor:• �. -4=YNo' Day p Rgs nsor vi exis to 1Unated with a standard mmi p�lugxsuitable fo connectiorifto a di �talthermometer. Tlesensormini 'lursaccessitile>to th�e`instaliin' technic an. 9 � 9 9 U ; a :: r •., f rpa :,. E z:.. - . T iiftheHERS.raterwithout Yes' r❑ No, digital thermometer. The sensor mini .plug is accessible to .the installing technician an changmg:cthe airflow through the condenser coil s ❑ Yes ❑ No The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes'to 3, 4,andi5,isra'pass. Enter N/A if STMS.are not applicable:.00Fierwise enter Pass od.all �,�' ©N/A ✓ ❑Pass -, , ✓� ❑Fail , ..: -.t .• . r "? �: s 1. . - � i?'. s% r y F •; • STMS =Sensor on the CondenserCoil t System. Name or Identification/Tag., , System 2 TV The sensor is'factory installed, or field installed according `to manufacturer's ' -6 - '.❑ Yea, ❑ 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' r❑ No, digital thermometer. The sensor mini .plug is accessible to .the installing technician ',"0 •:` and the HERS rater without changing the airflow through the condenser coil ' 8 ❑ Yes' ❑ No The sensor measures the-saturation'temperature•of the coil within 1.3 degrees F_ • ,ry Yes to 6, 7, and Us a pass. Enter N/A if STMS.are not, ✓,r ©,N/A ✓ Pass El Fail applicable. Otherwise enter. Pass or Faif ,❑ �✓ TV w d.'14 i•.. 1 •:` "L .. .y .. s.• i r;=* fit .��t' �.. � � h �'� i .s A. ,`i,. Regi 211-A0052519A-M2500001A-0000. Registration Date/Time: 2611/11/30 20:13•:31 HERS Proirideri'-Ca10ERTS>'Inc. 2008+Residential Compliance Forms t "M, r August 2009 ••+ fav °K: 1 ;+ Ye •p e � "�.. '+ •, .T s + •,mak •, 4' r , .,�; ��. �" �f, 'Standard Charge Measurement Procedure (for use if outdiior�air dry-bulb is, above 554F) 9-2671.1 Y . 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)-fore f' _ any additional'systems in the dwelling as'applicabie. ' , •. , . +- ; - * . - , * ' • 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 fora valid refrigerant charge:test. y f • If outdoor air dry=bulb is 551F or below,, the installer must use the Alternate Charge; Measurement Procedure ;. ;•- < {, ' Space Conditioning Systems' { 'I ' r� . ; . , JF P erature ud pP y, „ ill .. { System Name or. Identiflcation/Teg f System 2. Return (evaporator entering) -air dry•.'bulb � temperature �", i *, return db t • ,� + '{ r System -Location or Area Served Downstairs i . b)e w ' F �' ., Evaporator saturation temperature r 38 < • 41 S (Tevaporator, sat) Outdoor Unit Serial # `' 5811D09578 � C Condensor saturation temperature i "' (Tcondensor, sat).: a r81 ,�FV • - `' Outdoor Unit Make ik t Lennox r ,;• �' R w. '� •' Liquid Line Temperature (Tliq uid) .79 h Outdoor°Unit Model 41, ?- XC21-036-230 Condenser (entering)•air'dry-bulb f 75' temperature,(Tcoridenser, db), { _.... Nom;nei oGsng Laracis_.-R*� /hr� _ ,_ .:. _ -- -.... _ w-- - .. ..68QC�_ '.: - - -- -- -- -- Date of Verification 10-26-11' Registration Date/Time: 2011/11/3026:13:31 HERS Provider CalCERTS,L Inc'. c 2008 Residential Compliance Forms' `+ �+ August 2009 r' Calibration of -Diagnostic Instruments Date'of Refrigerant Gauge. Calibratioh ' 9-2671.1 (must be re -calibrated monthly).,'3 Date of Thefmo ~ou` le Calibration x p "� 9 26 1 `� q(must�be�re calibrated monthly) Su I eva"`orator leaven 4air�d `bulb• E(,T--,, b)�5 tem ' V �'" a R. A k <� F Measured�Tkemperatunij& F) 5 ` r NOW.,`` P- ' , VOWW'' R4 System Name or Iden�tificabon�ag System 2 y Su I eva"`orator leaven 4air�d `bulb• E(,T--,, b)�5 tem ' V �'" a R. s �� a P erature ud pP y, „ ill .. { r Return (evaporator entering) -air dry•.'bulb � temperature �", *, return db t ,� Return (evaporator entering) air wef bulb '- , temperat(Treturn, 51 , i E . b)e w Evaporator saturation temperature r 38 < •.• . (Tevaporator, sat) �-*F[ C Condensor saturation temperature "' (Tcondensor, sat).: a r81 ,�FV • + � t .r''t ,, Suction line temperature (T ., ) suction 59 r ,;• ,` , , f. , .;: Liquid Line Temperature (Tliq uid) .79 Condenser (entering)•air'dry-bulb f 75' temperature,(Tcoridenser, db), { ;w. r it. �-*F[ a wy. L R` + � ,�FV • y• s } •it *f�:E � t .r''t ,, R y Reg:: 211-A0052519A-M2500001A-0000' Registration Date/Time: 2011/11/3026:13:31 HERS Provider CalCERTS,L Inc'. c 2008 Residential Compliance Forms' `+ �+ August 2009 r' i. Minimum Airflow Requirement. • 5 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, 7 System,Nameorldentification/Teg' System Name or,'Identification/Tag System 2'.,,, •` �x s'i +;, Calculate: Actual Superheat- uperheat'= , ', Calculate:.Actual TemperatureSplit = Treturn t` ~n 19.00 �, ' },, 4 ., Yc ,� .:; Target Temperature Split from Table RA3 2-3 20 5 •� �':�, >., ��.� , .° •i S ' ':�,Y Target' Superheat from Table RA3.2-2, using,s using Treturn, wb and Treturn; db ,€ ± �• C i Calculate difference:.1 Actual Terriperature`Split - _1 d � R.' l i' f Calculate difference:. Actual Superheat. Target Superheat =. Target Temperature_ Split = y s� ',`. - '' =,. ' Passes if difference is. between -3°F and +3°F or, upon'.remeasurement, if between' -3°F and ,,», • ,. System passes if difference is between-50F.and r Enter Pass or Fail PASS +5°F i , igoce:?empef r .e 'p1�cNi�t%�d Ct3u.•I_dtianIs. .npt'necessary if_.jni7`yjc�`usirtg onQ oflie . airflow measurement procedures speciFed'in Reference. Residential Appendix RA3.3.-lf'actual cooling coil aielow•is measured, the value must be equal��t�o or greaterthanthe Calculated Minimum Airflow Requirerrientin the table'below:. ` r,. Calculated',Minimurn Airflow Requ rement-(CFM) = Nominal' tooiing•Capacity (ton) X 300 (Orn/.ton) System Name or IdenYte ation/Tag�"� 5i KA `, " f j�F' Iy '. "Mr: jSystem�2jj CYk« !&�� y' 3�t.> Y S Calculated M nlmum AirflowRequire�m� (CFM) ' li, xE ; ,. .r. 'i'-7•, >�5s _ `Reg :• 211`A0052519A-M2500001A-0000 ' Registration, 'Date/Tim_ei'•2011/11/30 20:13:31' HERS Provider:,'CalCERTS, 'Inc''' mea4aE z h^ o s'�'uiaW ��. ss.- y MeasurediAirflow usingRA3 3procedures (CFM) ” + » August :2009 p+�.: ub�ir�,G% ..,r. sew,. t i�' Passes if measured"airflow'is�greaEeNthan or�� ' j equal to the calculated minimum airflow requirement M� w i ' { F EnterPass or Fail, Superheat•Charge Method`Calculations for Refrigerant Charge' Verification.''This procedure is requiredito be used for;fix`ed orifice: meteringdevice systems System,Nameorldentification/Teg' System.2 " ii' x •` �x s'i +;, Calculate: Actual Superheat- uperheat'= , ', k • € • },, -r Tsuction Tevaporator, sat Yc .i 5 •� �':�, >., ��.� , .° •i S ' ':�,Y Target' Superheat from Table RA3.2-2, using,s -r t {Tr C i Treturn, wb and Tcondenser,' db U x f ' d � R.' l i' f Calculate difference:. Actual Superheat. Target Superheat =. A � y a-' "$ ti • System passes if difference is between-50F.and +5°F i , •i k k r,. # Enter Pass° or Fail *r { ,� - -,,I - i-. -r .sr i. _ i-•x+'".rs • �x s'i '.if k • { ,� - -,,I - i-. -r .sr _ i-•x+'".rs • �x s'i '.if Yc .i 5 •� �':�, >., ��.� , .° •i S ' ':�,Y p ��' -r t {Tr C i '# gyp44 .,.'` - � .. d � R.' l i' f fk A � t Y .. k`„ •' ,. t '�. 5 1f, r� _ .ski 3 ; his „• >.i _ `Reg :• 211`A0052519A-M2500001A-0000 ' Registration, 'Date/Tim_ei'•2011/11/30 20:13:31' HERS Provider:,'CalCERTS, 'Inc''' r' 2008 Residential Compliance'Forms a` ” + » August :2009 t INSTALLATION: CERTIFICATE, "...CF-7011-MECH-215-HERS Refrigerant efri§erant Charge Verificatidn,-:'Standard Measurement Procedure (Page 4:; S si,. .ite-Address: Enforcement Agency mit Number: L78375 VIA SEVILLA, La',Quinta CA,92253 Q 'City -a- QiLiintzi 1'11.71115 thermostatic expansion \ia1ve`(-TXV) and electronic expansion valve (EXV . ) systems. yst r ems. Sy'§'te'm"Name; 6r Identification/Tag - g System 2' Calculate: Actual Superheat =:i 41, -21.0- V 1. 2.0. Tico denser, T liquid evaporator,` or po�at' ; a NOV,, IF sat Enter allowable superheat range fr&,K.: . . ......range - manufactur.6 r's-specifica t,ohS (or u'sEira nge - Target Subcooling speciiied by.manufacture� INSTALLATION: CERTIFICATE, "...CF-7011-MECH-215-HERS Refrigerant efri§erant Charge Verificatidn,-:'Standard Measurement Procedure (Page 4:; S si,. .ite-Address: Enforcement Agency mit Number: L78375 VIA SEVILLA, La',Quinta CA,92253 Q 'City -a- QiLiintzi 1'11.71115 Subcooli ng'Charge Method Calculations for Refrigerant Charge,Verification. This procedure is required to be used, for Metering Device Calculations for Refrigerant Charge VerificatiO, n.. This procedure,is required to be used for., thermostatic expansion \ia1ve`(-TXV) and electronic expansion valve (EXV . ) systems. yst r ems. Sy'§'te'm"Name; 6r Identification/Tag - g System 2' Calculate: Actual Superheat =:i 41, -21.0- Calculate: Actual Subcooling 1 2.0. Tico denser, T liquid evaporator,` or po�at' ; a NOV,, sat Enter allowable superheat range fr&,K.: . . ......range - manufactur.6 r's-specifica t,ohS (or u'sEira nge - Target Subcooling speciiied by.manufacture� -2.5 _41 spe6ficaiio7iijs not available),.: Calculate difference _or S �M PASSE o: Actual Subeooling - Target,Subc'oofing,=' Pass AM 1, System passes if difference is between f 3°F and"4-39F PASS Enter� Pass or, Faill Subcooli ng'Charge Method Calculations for Refrigerant Charge,Verification. This procedure is required to be used, for Metering Device Calculations for Refrigerant Charge VerificatiO, n.. This procedure,is required to be used for., , - -, U 14. thermostatic,expansioh valve .(TXV) and electronic expansion valve (EXV) systerns.'-.. 11 System Name, or Id6ritificati6ri/Tag.- System 2 - Calculate: Actual Superheat =:i 41, -21.0- Tsuction, Te evaporator,` or po�at' ; a NOV,, Enter allowable superheat range fr&,K.: . . ......range - manufactur.6 r's-specifica t,ohS (or u'sEira nge - 4x et we'en 40F*and 25°F _41 spe6ficaiio7iijs not available),.: System;.,Oass68,lifS'Etb78i;l"superheat is i n allowablesup�irh rangeb NO "Awl �M PASSE o: N*4 Pass AM 1, 14 J 41 k r!r` `� '1"S- r "°ry �„z� °s} r g�F� 3u 4. }`.�,n:-c �`8� + - }y { + y�.�^Jy 'Si' i l; 'y K. N X, j Y, "a -4 lid V: U 71 A 0�_ j td 4 F6 ij j - FF cr �Y, 4 4 T.$ 191 '4A if 4 A 7 -1 7 ' t v A 4 4, 4 6 40 r A f t t 4 Reg .(211'AbO52519A!-M2500001A-0000, Registration]&Date/Tiiiie2L011/11/30`20 1: 13 31 HERS ProV:�der :,CalCERTS; Inc 2608 "R.'s id. 2009 ntiai.'C;Mpii�, yg - `4e J StandardCharge Measurement` Summary: System, shall pass both refrigerant charge criteria; metering device criteria (if applicable), and minimum cooling coil ' airflow criteria based Ion 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 2 r e" 01 «, "airflow V r Date Signed: - 'position. With�Company_(T,itle): System meets all refrigerant charge and ` 686310 11110/26/2011 .. r requirements PASS Control: Program: (TPQCP)? a- . ❑ Yes ❑ No _ .Enter. Pass. or Fail lit .." W. t 411 j. 71 V. '•I y �,� 's' i�'�r i �� _ '.. _ '�.� N� i ''° psi ?' «+ � a �a �.f.. ta/ `,kp k fir:` [ • _ti { y, �t �W N- ! tem }• •. r ,pp µ > E 4 OR f +« "� Y •i� DECLARATION STATEMENT. a��^ ., ; ; t > F•. ' r 1' d ax " F n' • I:certify under penalty W, of pedury'unthe laws of the.State of.California;'the information provided on this form is true and correct k ' 4. i, • ? , • 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 T , ,. enforcement agency. ' e I understand that a HERS rater will check the-installation'to verify compliance, and that that if such checking identifies def 4 s,,I am c, required to take corrective action at my.expense: I understand that Energy Commission and HERS provider representatives will also �'.` • x' perform quality assurance checking of installations;, including those approved as part of a sample group but not checked by.a'HERS. k 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; • Previewed a co of the Certificate of Compliance CF -1R forma roved, b the enforcement agency that, identifies the specific PY P ( ) PP Y 9 Y P 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 3 `r understand that a signed copy of this Installation Certificate:is required to 6e included with the documentation the builder rovides to the building owneeat occupancy. I will ensure that all, Installation' Certificates will come from a HERS provider data ' registry for multiple orientation alternatives, and be innin October 1,''2010, for..all low-rise"residential buildin s: ` " '" » : ` ^ rF _ 9 rY P 9• 9 9 r-- ++ Company Name: (Installing. Subcontractor or General Contractor or Builder/Owner) V, HARRISON ENTERPRISES INC,'' * `°• Y Responsible Person's Name:Responsible' r e" Danielle Garcia ' Danielle Garcia V r Date Signed: - 'position. With�Company_(T,itle): 686310 11110/26/2011 W.. lit .." W. t 411 j. 71 V. '•I y �,� 's' i�'�r i �� _ '.. _ '�.� N� i ''° psi ?' «+ � a �a �.f.. ta/ `,kp k fir:` [ • _ti { y, �t �W N- ! tem }• •. r ,pp µ > E 4 OR f +« "� Y •i� DECLARATION STATEMENT. a��^ ., ; ; t > F•. ' r 1' d ax " F n' • I:certify under penalty W, of pedury'unthe laws of the.State of.California;'the information provided on this form is true and correct k ' 4. i, • ? , • 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 T , ,. enforcement agency. ' e I understand that a HERS rater will check the-installation'to verify compliance, and that that if such checking identifies def 4 s,,I am c, required to take corrective action at my.expense: I understand that Energy Commission and HERS provider representatives will also �'.` • x' perform quality assurance checking of installations;, including those approved as part of a sample group but not checked by.a'HERS. k 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; • Previewed a co of the Certificate of Compliance CF -1R forma roved, b the enforcement agency that, identifies the specific PY P ( ) PP Y 9 Y P 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 3 `r understand that a signed copy of this Installation Certificate:is required to 6e included with the documentation the builder rovides to the building owneeat occupancy. I will ensure that all, Installation' Certificates will come from a HERS provider data ' registry for multiple orientation alternatives, and be innin October 1,''2010, for..all low-rise"residential buildin s: ` " '" » : ` ^ rF _ 9 rY P 9• 9 9 r-- ++ Company Name: (Installing. Subcontractor or General Contractor or Builder/Owner) V, HARRISON ENTERPRISES INC,'' * `°• Y Responsible Person's Name:Responsible' r e" Danielle Garcia ' Danielle Garcia CSLB License: _ f` • Date Signed: - 'position. With�Company_(T,itle): 686310 11110/26/2011 Is this installation monitored by a.Third Party Quality;" Name'of TPQCP (if. applicable)" lit .." W. t 411 j. 71 V. '•I y �,� 's' i�'�r i �� _ '.. _ '�.� N� i ''° psi ?' «+ � a �a �.f.. ta/ `,kp k fir:` [ • _ti { y, �t �W N- ! tem }• •. r ,pp µ > E 4 OR f +« "� Y •i� DECLARATION STATEMENT. a��^ ., ; ; t > F•. ' r 1' d ax " F n' • I:certify under penalty W, of pedury'unthe laws of the.State of.California;'the information provided on this form is true and correct k ' 4. i, • ? , • 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 T , ,. enforcement agency. ' e I understand that a HERS rater will check the-installation'to verify compliance, and that that if such checking identifies def 4 s,,I am c, required to take corrective action at my.expense: I understand that Energy Commission and HERS provider representatives will also �'.` • x' perform quality assurance checking of installations;, including those approved as part of a sample group but not checked by.a'HERS. k 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; • Previewed a co of the Certificate of Compliance CF -1R forma roved, b the enforcement agency that, identifies the specific PY P ( ) PP Y 9 Y P 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 3 `r understand that a signed copy of this Installation Certificate:is required to 6e included with the documentation the builder rovides to the building owneeat occupancy. I will ensure that all, Installation' Certificates will come from a HERS provider data ' registry for multiple orientation alternatives, and be innin October 1,''2010, for..all low-rise"residential buildin s: ` " '" » : ` ^ rF _ 9 rY P 9• 9 9 r-- ++ Company Name: (Installing. Subcontractor or General Contractor or Builder/Owner) V, HARRISON ENTERPRISES INC,'' * `°• Y Responsible Person's Name:Responsible' Person's Signature: e" Danielle Garcia ' Danielle Garcia CSLB License: _ f` • Date Signed: - 'position. With�Company_(T,itle): 686310 11110/26/2011 Is this installation monitored by a.Third Party Quality;" Name'of TPQCP (if. applicable)" Control: Program: (TPQCP)? a- . ❑ Yes ❑ No _ , I1, r t: r •1 i } "F Reg-: 211-A0052519A-M2500001A-0000 Registration Date/Time:_2011/11/30 20:13:31 HERS Provider: CalCERTS,,Inc. .'2008 Residential Compliance Forms ; , t ' - August 2009." J) Y. •. - ?�f—X3-00,� t,�t I41 L s2 -s l F,/4 HVAC Field Data Sheet pg 1 oft Client Name P AZA C-4 0r&ti . Job # 19 115L6 Date Ito - -16 -1 Address 7 L/,; S� �!�'( lfQg``t-4 ri-RPh 42�') F�2v5-3 Technician(s) r,10,7-0422 Jurt l TC o 77—Permit # Gauge/Thermocouple Calibration Date -gG lr Package I Some Ducts Only ( All Ducts 0* (Circle type of work) MECA:p4 , fi"menLData ZONE 1 ZONE 2? ZONE ZONE4 System Location or Area Served U-2 r6 �f, Heating Equipment Make C v Heating Equipment Model < , � 5Lgao ARI Reference Number FgeatwgEcpflpment:AFDi? Dud Location (attic, crawlspace, etc.) i •`� i4' i� Duct R Value (if ducts were installed) Heating Load 4p Heating Equipment Output Capacity �%�, I-20CC 51��iezr—) Condenser Make L e,,,t 4,t�;VNOV- Condenser Model Kc2 -o KC9t o36 Size in Tons SEER & EER qac j � 13 Z Cooling Load Cooling Capacity Zo,aa .f3 'M9aj Z0 & 21 Duct Tmdng Duct leakage pretest result Duct Leakage Final Result QACFM/boa to pass (6%) Passwail Dud Leakage Final Result 40 CFM/wn to pass (15%) D Pass Pass using 60% leakage reduction? J' Pass using smoke and visual inspection? fE-W 22. or.JIWW Z5 'Coof'i W CooAlrjlow & Ban..*attgraw . d,36 PasslFail PassiFffi1 7 9<2S�Fa FasslTefI Measured Air Volume from Flow Grid or Hood WFW NEW DUCTS Target 350CFMjdonsCondenserTons CHANGEOuT Tf geC 300 CFM/ton s condenser Tons Measured air greater than Target? (YIN) Measured Fan Watt Draw Target: 0.58 watts/measured CFM = Measured Watts less than Target?(YIN) Copyright 0 MI EDS Ener® Driven Sow iom Luc. HVAC Field Data Sheet Pg 2 of 2 Client Name V,4 IZ 'I/ 4AC/jab # �� `�J�& Date Waf 25 Chmge & Afrflow ZONE 1 ZONE2 ZONB 3 ZONE4 Condenser Serial Number�1�//ii Supply air dry bulb temperature " Return air dry bulb temperature Return air wet bulb temperature " Evaporator Saturation Temperature -32 Condenser Saturation TemperatureFI Suction Line Temperature se Liquid Line Temperature 95 Suction Pressure / Liquid Pressure r Actual Airflow Temperature Split Target Temperature Split from Table RA3.2.3 a Passes if difference is t T of Target Temp (Y/N) �/ C Actual Subcooling (t 4° of Target to pass) c Target Subcooling from Mfr. c Actual Superheat (3 to 26° to pass) Outside air dry bulb temperature AWC92. 6,°Wefgh-ln Qealgl>;g 6elow55` A(14 Actual Line Set length (ft:) Mfrs Standard Line Set length (ft) Length Difference = Correction Factor (ounces per foot) Target Correction Factor x Length Difference System Charged to Target? (YM Other Data Minimum amps Maximum amps Breaker size .� Compressor amps c Return Static Pressure A461 - Supply Static Pressure Supply Air Wet Bulb Temperature ALL APPLICABLEBOXBS ON THISFORNMUST BECOMPLETED FOR EACHJOR NO ESCEPTIONS: • « copyd& 0 2011 &us EaaU Driven Soiu OM tae SMOKE AND CARBON NION:OXIDE ALARM -RETROFIT VERIFICATION rr� I and 1, (Print Property Ow Name) (Tenant's Name - if same as Owner write "Same") -who own and/or live in the dwelling located at: , (Address) - -vurify-th-attrfe--smolre- and -carbon monoxirre`aiarms-required by-thB California -Residential Coda (z, -RC) have- — been installed in the dwelling, incompliance with the code and with the manufacturer's instructions and further that they have been tested and do function properly. In an effort to enhance life safety within dwellings, CRC Section R314.6, R315.2 and CBC 420.4 require the retrofit of these alarms. in existing dwellings when alterations, repairs or additions requiring a permit and exceeding $1,000 in value are.made. Generally, the alarms must be hard wired (110 volt) with battery back-up and all alarms are to be interconnected. If the installation of the alarms will require the removal ofwall or ceiling finishes or there is no access by means. of attic, basement or crawl space, then alarms may be solely battery operated and not interconnected. Alarms must be installed in all of the following locations, within the existing dwelling: In all bedrooms (only require Smoke Alarms) ➢ Immediately outside of,each separate bedroom. (require Smoke and Carbon Monoxide Alarms), 'In each story level of the dwelling, including basements and habitable attic rooms (require Smoke and Carbon Monoxide Alarms) These safety devices must be installed by,the time a final inspection is requested for your project. I understand the above requirements and certify that we now have smoke alarms and carbon monoxide alarms installed that comply. We agree to comply with the CRC. In regards to. smoke alarms, carbon monoxide alarms: Signature of OwtreK Date Signature of Tenant Date ATTENTION OWNER -OCCUPANT: This is a Voluntary Smoke and Carbon Monoxide Alarm verification procedure. If you prefer a Building Inspector to perform the verification, you must arrange- to have an adult present at the time„ of inspection. NOTE. This Verification is only used when normal access to the Interior of the dwelling by the City of : wilding Inspector Is not achieved during the course of project construction. It is normally used for projects such as re-rooring, re -siding, patio covers, swimming pools and the like.