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11-1156 (MECH)R - :T P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00601156 'Property Address: 44320- VII;LETA DR: APN: 604-144-021-236 -23269'-' Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2500 Applicant: Architect or Engineer: AA ------------------ LICENSED CONTRACTOR'S DECLARATION j VOICE7 ( 60) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/21/11 Owner: GRIEGO LUIS 80786 CANYON TRAIL INDIO, CA 92201 (760)275-3252 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ' Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C20 Lickase No.: 740689 Date:Contractor:y-,- 6 - ` - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the, applicant to a civil penalty of not more than five hundred dollars ($500).: • 1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed • pursuant to the Contractors' State License Law.). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Contractor:' ! ( ,�' _�] GRIEGO AIR CONDITIONT# & HEAT 80786 CANYON TRAIL I 9 INDIO, CA 92201. l `_. 2011 iq ` (760)275-3252 Lic. No.: 740689 ..A4-,TU9A17j WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ' Carrier EXEMPT Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner sous to become subject to the workers' compensation laws of California,. and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date.' /L';'- 21-1 'Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La.Quinta, its officers, agenis and employees for any act or omission related to the work being performed under or following issuance of this permit. ' 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and 6tate that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives. of this county to enter upon the above-mentioned property for inspection purposes. Date: Aa ``1"1kignature (Applicant or Agent): Application Number. 11-00001156 Permit MECHANICAL Additional desc . Permit Fee- 40.50 Plan Check Fee '. 10.13 Issue Date . . Valuation 0 Expiration Date.. 4/18/12 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA- MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-50OKBTU 16.50 ---------------- - --- - ------------------------ Special Notes and Comments HVAC CHANGE OUT 5 TON SPLIT SYSTEM 16 SEER -13 EER 2010 CODES. --------------------------- ------------- ----------------------------------.---- .Other Fees . . . . . BLDG.STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due ---------- ---------- ---------.- Permit Fee Total 40.50, .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other.Fee Total 1.00 .00 .00 1.00 Grand Total 51.63 .00 00 51.63 LQPERMIT Sirii>plified-P..rescrip Climate Zone's •IO to 15• ve t ertifickte'of Co 3 2v trace: 2008 Reside Equipment T List Minimum Efficiency 2 Duc ❑ Packaged Unit' Conditioned Floor insulation requirement Furnace ❑ AFUE O COP Over 4 Indoor Coil .OSEERZ_ 11HSPp replace Condensing Unit O EER 11 Resistance O R 6 O Other installed) O R 8 1. Equipment T}•pe: Choose theequipment f HVAC Allertaions CF=IR-ALT'=HVAC eneent Agency: Duct Date: Permit #r; ' Conditioned Floor insulation requirement Area Thermostat 0 ft of ducts added or ❑ Setback d in unconditioned space Served by system (ljnot already (CZ 10-13) 21.0c sf present. *must be (CZ 14-15) installed) ung testa ed, y more than one system. use another CF -1 R-ALT-HVACfor each system. 2. Minimum Equipment EJj"teieneies: 13 SEER, 78%AFUE. or 7.7HSPF f tl'Pua1 trsidetitial 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 CF4R forms (no hand filled CF4Rs allowed) are filled out and si ed. Beginning October 1, 2010 a registered copy of the CF -1R and CF -6R shaU also be on site for final Inspection. 1. HVAC Changeout Required Forms: 0AII HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and for s lit sterns MECH-25 • Condenser Coil and/or • Indoor Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Furnace CF4R 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 Exempted from duct leakage testing if: ❑ 1 Duct system was documented to have been previously sealed and confirmed through HER verification, or "02. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut s: al Chang outducting with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting rtd all CF4R forms: MECH 20-, and fors lits stems MECH-22, and MECH 25 new equipment) ( p y ) For Split Systems: Duct leakage < 6 percent; RC, CCA 2:350 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 CF4R 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 O 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-21-HERS CF4R 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) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. r 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 I and 6 of the California Code of Regulations. • the design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forint, worksheets. calculations, Aans and specifications submitted to the enforcement a enc fora oval with the it application. Name: r ✓ Signature: Company: n i I cTW „� LP✓V,2 �— ----" v �� Z Address: -N License: City/Statc/7.ip: " Phone: - 2008 Residential Compliance Forms March 2010 Bin # 0ty 6f 12 Quin to . . Building &.Sate' Division P.O..Box 1504, 78 495 Caffe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: -- 32c, r Owner's Name: A. P. Number: Address: Legal Description: Contractor: CShI City; ST, Zip: .y e 2Zo Telephone: .% -' Address: _ Project Description: 6k 14 - City, ST, Zip: p 2 2� t/)sc Telephone: ;:; .:....................:.3;:..:..: P ei - 275 2y::':.::::.;:�:<:::::::.:::«;.:<.::....:. State Lic. # : City Lic. Arch:, Engr., Designer: Address: C' City., ST, Zip: Telephone: State Lic. #: `'':< :`:::?:#'zs::'•'wsh:;;3:r%;'f <<;`•fi ti Construction Type: Occupancy:. Project type (circle one): New Add'ner Repair Demo Name of Contact Person:3 ZJf . Sq. Ft.: F ppb#Stories: Z # Units: Telephone # of Contact Person: Estimated Value of Project: -60 , 6-D APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 20° Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:-. '"' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr. Date of permit issue School Fees Total Permit Fees This installation certificate is required for compliance for alterations and.additions in existing dwellings to space conditioning systems and duct systems. ' x ' 6 3. Reduce leakage by 60% and eonduct smoke and fix all leaks , 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 2. Measured leakage.to outside less than 10% of Fan Flow 3. Reduce leakage by 60% and eonduct smoke and fix all leaks , 4 ,Fix all accessible leaks using smoke and HERS rater verify ; Note: (One of Options 1, 2, or 3 must be attempted before utilizing Option 4.) Determine nominal FankFlow using one of the wfollowing three tcalculation methods V V of er -CFM Cool mg�system maethod Size conden in Tons45t,'x'400',,­ 2000 F y e @�. .gF yi.;.. �,. � 1 * .: yg1 k''. •C times. ' •i V' Heatingisystem method -X21 7 x Output Capecitgyrmj ousands of Btu/hr CFM �r a V Measured system*airflow<usmg, RA3 3'airflow�testprocedures- OptiOII used then � r ri 4 .: ,� ` ='Fa 1 Allowed'leakage n Flow 2000 X0:15 300SCFM Actual Leakage":-- 256. CFM1:;` , - +'.• Pass if Leakage Actual is less than Allowed Pass Fail Option -2 used then:. 2 Allowed leakage = Fan Flow + x 0.10 = _ CFM Actual Leakage to outside = s . CFM ' Pass if Leakage Actual is less than Allowed Pass Fail Option 3 used then: • Initial leakage prior to start of work = CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 _ Initial leakage _ - Final leakage _•=,Leakage reduction CFM ((Leakage reduction _ / Initial leakage x 100% = % Reduction , - ' Pass if % Reduction > 60% • Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke. HERS rater must verify (No sampling). No smoke allowed to leak from system. Including ducts, plenums, air handler and door panel. Pass if all accessible leaks have been repaired using smoke Pass Fail ' � - • '�' .- •. ., 1. ' Reg: 211-A0063223A-M2100001A-M21A Registration Date/Time: 2011/12/07 11:54:08 HERS Provider: CalCERTS,•Inc: 2008 •Residential Compliance Forms March 2010 i :ERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 )uct Leakage Test - Existing Duct System (Page 2 of 2' Site Address: Enforcement Agency: Permit Number: 44-320 Villeta Dr, La Quinta CA 92253 (System 1) City of La Quinta 11-1156 Outside air (OA) ducts for -Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing: CFI{OA ducts that utilize controlled motorized dampers, that open only when OA ' ventilation'is required to meet'ASHRAE Standard 62.2, and close when OA ventilation is not required, may be.configured.to the closed position during duct leakage testing. v All supply and*return register boots must be4sealedrto the drywalllif smokertest isiutllized,,foi-.compliance `• - appliestoduct leakage compllariceoptlon 3 S(leakage reductlonby60%)andoptlon4(fx allaccessible ; leaks) cletcrlbed above f q g ./..New duct Installations cannot�utillze building cavities as pleyn` ums or platform returns m Ileu of,ducts �� V Mastic andidraw;bands must be;used In combination with'cloth backed-rubber,adhesiveaa, tape to seal` leaks at all snewAduct`:connectlons _ '�' �" ` DECLARATION STATEMENTP4, , _ 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). a The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the ' installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified 4 ' on the Certificate(s) of Compliance (CF -IR) approved by the local enforcement agency. { " The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6111) - Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) GRIEGO AIR CONDITIONING & HEATING Responsible Person's Name: CSLB Licenser Louie Griego Jr. 1740689' HERS Provider Data Registry Information ' Sample Group # (if applicable): N/A • tested/verified'dwelling not-tested/verified dwelling in ' la HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798612715 HERS Rater Company Name: ' Air Solutions of the Desert Responsible Rater's Name:, Responsible Rater's Signature: Walter W Nellis Walter W Nellis Responsible Rater's Cert ification Number w/ this HERS Provider: Date Signed: 12/6/2011 - Reg: 211-A0063223A-M2100001A-M21A Registration Date/Time: 2011/12/07'11:54:08 HERS Provider:'Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with t • the refrigerant charge verification requirement. TMAH and STMS are not required, for compliance, when a CID is utilized ' for compliance. 4 As many as 4 systems'in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. , Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2.'If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or.. _ ,.- "replacement space -conditioning systems that utilize prescriptive compliance method. ' TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System i System, Location or Area Served Whole House 1 ✓ Yes • No, Yes 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.1 2 ✓ Yes No: < 5/16 inch (8 mm) access hole downstream of evaporative coil in -the supply plenum and.labeled according to Figure in Section RA3.2.2.2.2. Yes to•1 and 2 is a pass. -; _.: Enter Pass or Fail ✓ ✓ Pass ✓ Fail, STMS -Sensor on theEva orator'Coil ..a.. ._.... p41 System Nameorldentification/Tag ;Y. �p 5ystem`1� !: 3 Yes Noy sensoris factoryinstalled; or field installed;accordi to manufacturers ; specifications, or isoinstalled by methods/specifications,approved by the Executive Yes i specifications, or is installed by methods/specifications approved by the'Executive ` Dir 21. WA �ti The sensorwire s terminatedwithca standard°'mini lug suitable for,connecton to Sr, P, s 4 Yesr � Nom HERS r the a tco j nician Yes No ., g•• g 9 and d a ate thout chan'nri airflow throne h the condein�se 5 No When attached to a'digital thermometer, the sensor provides_ an indication of.the , Yes - Y . When attached to a digital thermometer, the sensor provides an indication of the. saturation temperature of the coil. _F7 Yes to 3; 4, and 5 is a pass. Enter N/A"if STMS are not _ ✓ ✓ N/A Pass ✓ Fail applicable: Otherwise enter Pass or; Fail ✓ Pass ✓ Fail applicable. Otherwise enter Pass or Fail - ~STMS Sensor on the Condenser. Coil System Name or•Identification/Tag .' • System 1 - , The sensor is factory installed, or field installed according to manufacturer's 6 Yes No specifications, or is installed by methods/specifications approved by the'Executive ` Director. ' The sensor wire is terminated with a standard mini plug suitable for connection to a 7 Yes No digital thermometer. The sensor mini plug is accessible to the installing'technician and the HERS rater without changing the airflow through the condenser coil 8 Yes No When attached to a digital thermometer, the sensor provides an indication of the. - saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not V ✓ N/A ✓ Pass ✓ Fail applicable. Otherwise enter Pass or Fail - Reg: 211-A0063223A-M2500001A-M25A Registration Date/Time: 2011/12/07 11:58:08 HERS Provider: Ca10ERTS, Inc.,. 2008 Residential Compliance Forms , March 2'010 `, V1, ' CERTIFICATE OF FIELD,VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure [Pane,2 of 5) Site Address: Enforcement Agency: Per Number: 44-320 Villeta Dr, La Quinta CA 92253 City of, La Quinta 11-1156 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be•documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure, Space Conditioning Systems System Name or Identification/Tag - System 1 (must be re -calibrated monthly) g�wx , System Location or Area Served' Whole House ,.n 11/Y5/11 ++f -1z (must be re. -calibrated monthly) T Outdoor Unit Serial# E112214560 ` Outdoor Unit Make ' Day & Night Outdoor Unit Model- Ehd4x60AA Nominal Cooling Capacity Btu/hr i. 60000 Date of Verification k `',', 12/6/11 ' Calibration of Diagnostic Instruments Date of Refrigerant Gauge'Calibration.' 11/15/11 (must be re -calibrated monthly) g�wx '%M', ,�.: .d°: Ca°a5;�k.-.:`'st.�..;. W Date of Therm„ocoupleiCalibration ,, £: ,.n 11/Y5/11 ++f -1z (must be re. -calibrated monthly) e Supply (evaporator leaving) air dry-bulb�t' r _ - •a. Measured�Temperatures'(OF) f »''` a r .�',: .. System NBameor Identification/T8 g m 1 Awa �:i,•,1,--ex^ g�wx '%M', ,�.: .d°: Ca°a5;�k.-.:`'st.�..;. W /yGSyspte ,i"'. •. �".. +�.. '..w,...,�.. �£® RYs' Y3. `x e Supply (evaporator leaving) air dry-bulb�t' temperature (Tsupply, db) Return (evap.orator-entering) air dry, -bulb 69 _ temperature (Tret_ .”db) Return (evaporator entering) air wet -bulb temperature (T ) return, wb Evaporator saturation temperature _ 30 (Tevaporator, `sat) ' Condensor saturation temperature 70 1 (Tcondensor., sat) Suction line temperature (Tsuction) 36 " { Liquid Line Temperature (Tliquid) 59 r Condenser (entering) air dry-bulb_ 69:4 temperature (Tcondenser, db) • , r' ' r.. � + _ - _ V •n . •jw a •' t: 4 •,� 4f- -Reg: •Reg: 211-A0063223A-M2500001A-M25A Registration Date/Time: 2011/12_/07 11:58:08 HERS Provider: CalCERTS,'Inc. ,.. 2008 Residential Compliance Forms March 2010. 6 - • , r' ' r.. � + _ - _ V •n . •jw a •' t: 4 •,� 4f- -Reg: •Reg: 211-A0063223A-M2500001A-M25A Registration Date/Time: 2011/12_/07 11:58:08 HERS Provider: CalCERTS,'Inc. ,.. 2008 Residential Compliance Forms March 2010. Minimum Airflow Requirement Temperature Split Method Calculations for, determining Minimum Airflow Requirement for Refrigerant Charge •1 V . � Minimum Airflow Requirement Temperature Split Method Calculations for, determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in'Reference Residential Appendix RA3.2. System Name or Identification/Tag System 1 ' . r Calculate: Actual Temperature Split -= Treturn, 21.00 r - r • db - Tsupply,db . ' ' Target Temperature Split from Table RA3.2-3 20.9 using Treturn, wti and Treturn, db Calculate difference: 'Actual Temperature Split - 0.1 ' Target Temperature Split = Passes if difference is between -4°F and +4°F or, ' upon remeasurement, if between -4°F and PASS .. , -100°F > ` " Enter Pass or Fail Note:. Temperature Split Method Calculation is not necessary if actual Cooling. Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow'is measured, the value must be. equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) =,Nominal Cooling Capacity (ton) X 300 (cfm/ton) System Name or Identification/Tag 'r a J v� y x C_ alculated Minimum AirOwReg uireme$nt CFM ) •? N. . {, `�.f nF k+C .'ia'.. ..^ fk^%x=...•�i. `. 00`$Kr�• •I•M'.. Y 4 0 i¢" +f $ E it ' F MeasuredAprflowrusing�RA3 3.procedures (CF,M) y i..'°• a VF,.ra±� •�.'e.LR ' 6.`r ,.r+'R Id'- ^zf• .$h L i Y•i e1 2..: Passes..if measured airflow is greater,than or, equal to the calculated. minimum airflow - requirement ' ` 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 . r Calculate: Actual Superheat = r . r • Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn,ewb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -6°F and ' +6°F .. , Enter Pass or Fail ` . r. Reg: 211-A0063223A-M2500001A-M25ARegistration Date/Time: 2011/12/07 11:58:08 HERS Provider: CalCERTS, Inc.�'t, . 2008 Residential Compliance Forms .". March 2010- -' fT . r r . r • . r. Reg: 211-A0063223A-M2500001A-M25ARegistration Date/Time: 2011/12/07 11:58:08 HERS Provider: CalCERTS, Inc.�'t, . 2008 Residential Compliance Forms .". March 2010- -' INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 44-320 Villeta Dr, La Quinta CA 92253 City of La Quinta 11-1156 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 1 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 44-320 Villeta Dr, La Quinta CA 92253 City of La Quinta 11-1156 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/T4g System 1 Calculate: Actual Subcooling = 11.0 Tcondenser, sat-Tliquid f Target Subcooling specified by manufacturer - 9 Calculate difference: 2 Actual-Subcooling - Target Subcooling = System passes if difference is between -4°F and +4°F PASS Enter Pass or Fail ' w 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 s. System 1 . Calculate: Actual Superheat = 6.0.. Tsuction - Tevaporator, sat f Enter allowable superheat range from manufacturer's specifications (or use range ' 6 between -3°F and 26°F if manufacturer's specification is not available) System passes°if actual• superheat is within*then allowable superheat range ��_ : �'* PASS E'nter, PassFail w c 11 4' F� 'T.•"'� i`�:,� ..4, a�" �;:'i7 .map , T _T¢@.(_...y°'�VQ ..a. .Z �x�;- .. n �Y.:. ..• . Keg: 211-AUUb3LL3A-MLSUUUUlA-MenA Kegisrrarion uaCevi,ime: LUll/1L/U/ 11:Z)d:U6: t1GK5 erovlcer:, uall:GKTJ, inc. . 2008 Residential Compliance Forms'. March 2010• r 4 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification- Standard Measurement Procedure (Page5 of 5) Permit Number: Site Address: _t Enforcement Agency: 44-320 Villeta Dr, La Quinta CA 92253 City of La Quinta 11-1156' Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil If actions were taken, all airflow criteria based on measurements taken concurrently during system operation. corrective applicable verification criteria must be re -measured and/or recalculated. Responsible Person's Name: 1740689 CSLB License: Louie Griego Jr. HERS Provider Data Registry Information System Name or Identification/Tag System i dwelling in Ta HERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798612715 ' System meets all refrigerant charge and airflow Air Solutions of the Desert ' Responsible Rater's Name: r Walter W Nellis requirements. Enter Pass or Fail PASS Date Signed: 12/6/2011 J CC2004361 w.y. `.. rh. r' �•L. b42! „�" I` .j..� EYy'y4. j W} �i � �b net �4• � • • .. ., 1 • ... • �': Y x .. , r 1. f'. ��Z AL1 Yp'4a.4� t - f �• ". ( s ` .;jd" � �' '� � i ' ^,ani �F�'.'$ ` � • '� ,a '"t� 'DECLARATION STATEMENTS,.-., . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater who performed the verification services identified'and reported on this certificate (responsible rater). ' . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) r responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. f t Builder or Installer information as shown on the Installation Certificate (CF -6111) �. Reg: 211-A0063223A-M2500001A-M25A Registration Date/Time: 2011/12/07 11:58:08 HERS Provider: Ca10ER March nc. 2008 Residential Compliance Forms - Company Name: (Installing Subntractor or General Contractor or Builder/Owner) co GRIEGO AIR CONDITIONING & HEATING Responsible Person's Name: 1740689 CSLB License: Louie Griego Jr. HERS Provider Data Registry Information Sample Group # (if applicable): N/A tested/verified dwellingnot-tested/verified dwelling in Ta HERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798612715 ' HERS Rater Company Name: Air Solutions of the Desert ' Responsible Rater's Name: Responsible Rater's Signature: Walter W Nellis Wniter W Nellis Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/6/2011 J CC2004361 Reg: 211-A0063223A-M2500001A-M25A Registration Date/Time: 2011/12/07 11:58:08 HERS Provider: Ca10ER March nc. 2008 Residential Compliance Forms - t4 Reg: 211-A0063223A-M2500001A-M25A Registration Date/Time: 2011/12/07 11:58:08 HERS Provider: Ca10ER March nc. 2008 Residential Compliance Forms - INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 44-320 Villeta Dr, La Quinta CA 92253 (System 1) City of La Quinta 11-1156 Y -Space Conditioning Systems 'Heating Equipment Equip Type (package- heat pump) CEC Certified Mfr. Name and Model Number .. ARI Reference Number2 # of Identical Systems Efficiency (AFUE, etc.)1, 3 (>=CF -1R value)4 - Duct Location (attic, crawl- space, etc.) - Duct R -value Heating Load (kBtu/hr) Heating Capacity. (kBtu/hr) SplitDay Furnace & Night .� F8MXL1102120A 1 80 N/A Attic 11=4.2 105 5 Tons , Type and EER) (attic, (package • �' - t"', ARI ' - # of 1, 3 crawl- Cooling Cooling heat CEC Certified Mfr. Name Reference Identical (>=CF -1R space, Duct -Load Capacity pump) and Model Number Number2 Systems value)4 • etc.) R -value (kBtu/hr) (kBtu/hr) Split Day & Night 16 SEER Cooling Equipment 1. If project is new construction, see,Footnotes to Standards Table 151-e and Table 151-C for duct ceiling alternative - 2. ARI Reference Number can be found by entering the equipment model number at , http://www.aridirectory.orglarilac.php# 3. Listed efficiency on this page must be greater than or equal ( ? )'to the value shown on the CF -1R form. E ,4. When CF -IR is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID.FORM' ' 0 §110-§113: HVAC equipment is certified by the California Energy Commission. ' i 0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. ' 2.§150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements;of ` §112(c). D §150(j)2: Pipe insulation for cooling,system refrigerant suction,'chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. - Reg: 211-A0063223A-M0400001A-0000 Registration Date/Time: 2011/12/06 15:48:36 HERS Provider: Ca10ERTS,tInc. 2008 Residential Compliance Forms 4 4 August 2009 r Efficiency Duct , Equip 1. If project is new construction, see,Footnotes to Standards Table 151-e and Table 151-C for duct ceiling alternative - 2. ARI Reference Number can be found by entering the equipment model number at , http://www.aridirectory.orglarilac.php# 3. Listed efficiency on this page must be greater than or equal ( ? )'to the value shown on the CF -1R form. E ,4. When CF -IR is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID.FORM' ' 0 §110-§113: HVAC equipment is certified by the California Energy Commission. ' i 0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. ' 2.§150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements;of ` §112(c). D §150(j)2: Pipe insulation for cooling,system refrigerant suction,'chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. - Reg: 211-A0063223A-M0400001A-0000 Registration Date/Time: 2011/12/06 15:48:36 HERS Provider: Ca10ERTS,tInc. 2008 Residential Compliance Forms 4 4 August 2009 Efficiency Duct , Equip + (SEER Location Type and EER) (attic, (package • �' - t"', ARI ' - # of 1, 3 crawl- Cooling Cooling heat CEC Certified Mfr. Name Reference Identical (>=CF -1R space, Duct -Load Capacity pump) and Model Number Number2 Systems value)4 • etc.) R -value (kBtu/hr) (kBtu/hr) Split Day & Night 16 SEER • A/C. NXA660GKA ,.. 's: - 1 ,13 EERYAttid" R4 2 60 S Tons �t ` F b..+�.i • . ,.3.yer 41 FR a P 93Apr - ..t. ae"�6. -' kcF .d `L. e. 1. If project is new construction, see,Footnotes to Standards Table 151-e and Table 151-C for duct ceiling alternative - 2. ARI Reference Number can be found by entering the equipment model number at , http://www.aridirectory.orglarilac.php# 3. Listed efficiency on this page must be greater than or equal ( ? )'to the value shown on the CF -1R form. E ,4. When CF -IR is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID.FORM' ' 0 §110-§113: HVAC equipment is certified by the California Energy Commission. ' i 0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. ' 2.§150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements;of ` §112(c). D §150(j)2: Pipe insulation for cooling,system refrigerant suction,'chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. - Reg: 211-A0063223A-M0400001A-0000 Registration Date/Time: 2011/12/06 15:48:36 HERS Provider: Ca10ERTS,tInc. 2008 Residential Compliance Forms 4 4 August 2009 01, :NSTALLATION CERTIFICATE CF-6R-MECH-0: ipace Conditioning Systems, Ducts and Fans (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 44-320 Villeta Dr, La Quinta CA 92253 (System 1) City of La Quinta 11-1156 . s Ducts and,Fans §150(m): Duct and Fans 0 1. All air -distribution system ducts and plenums installed, sealed and insulated to meet the' requirements of CMC Sections -601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either.mesh or tape shall be used; and 2 1. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying. conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in.the cross-sectional area of the d u cts. 2 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. - © 7. Exhaust fan' systems have back draft or automatic dampers. 0 8. Gravity ventilating' systems serving conditioned space have either automatic -or readily accessible,, manually operated dampers: f 0 Protection of Insulation. -Insulation shall be protected from damage, including that due to sunlight; . moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above `or • painted with a coating thatis water retardant and provides shielding from solar radiation that can cause degradation of the. material: ; 0`10. Flexible ducts cannot have porous inner cores. ' Mt t41 • i= 7�11rl- �S .� rhe' a^ '•,.. r ""'bz �. '` -�-, DECLARATION: STATEMENT .} • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. ' • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) GRIEGO AIR CONDITIONING & HEATING Responsible Person's Name: Responsible Person's Signature: Louie Griego Jr. Louie Gr•iego Jr. CSLB License: Date Signed: position With Company (Title): 740689 12/6/2011 t Reg: 211-A0063223A-M0400001A-0000 Registration Date/Time: 2011/12/06 15:48:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 P. Reg: 211-A0063223A-M0400001A-0000 Registration Date/Time: 2011/12/06 15:48:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 P. Note: If installation of a Charge Indicator Display (CID) is utilized as en 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. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement.- Sensors easurement .. , Sensors (STMS) .' •• ` Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is r . 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., - s TMAH - Access Holes in Supply and Ret urn•Plenums of Air Handler " r System Name or Identification/Tag System 1 System Location or Area Served Whole House .1 Yes • No:^ -.k 5/16 inch (8 mm) access hole,upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ✓Yes No, 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to land 2 is a: pass;..... `.; : Enter Pass or Fail ✓ ✓ Pass ✓ Fail STMS = Sensor.on, the Evaporator -Coit.._ System Narne or.Identification/Tag _;` , " Syste ��. , • � ,, , �.�R.* � �'� :... 3 64 Yes The sensor is factory installed, or field installed according to manufacturer's. The sensor is factory instal ed,°or,fleld`installed`according to manufacturers;" speafications, or. is installed by methods/specifications approved by the Executive Yes No . �N;o T Director. f -. Director. ra . _ S : ,The sensor wife is terminated with'a,standard miniaplug suitable foreonnection too a; 4 Yeses Na digltalthermometerThe sensor, mini plug is accessible.to the.installmg technic an and the HERS rater without changing the airflow through the condenser coil ;and therHERS,�ter; without;cFianging the'airtlow tfi'rough the''condenser coil 5 Yes No = The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to.3, 4,=and: 5 is a pass: Enter N/A if STMS are not ✓ V N/A %01 Pass ✓ Fail applicablet"Otherwise enter. Pass or, Fail, ; STMS - Sensor on the Condenser Coil System Name or Identification/Tag System 1 - Y ,J The sensor is factory installed, or field installed according to manufacturer's. 6 Yes No . specifications, or is installed by methods/specifications approved by the Executive Director. ra . _ The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ' Yes No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 Yes No The sensor measures the saturation temperature of the coil within 1.3 degrees F, Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ✓ N/A ✓ Pass ✓ Fail . applicable. Otherwise enter Pass or Fail ; Y ,J ra . Reg: 211-A0063223A-M2500001A-0000 Registration Date/Time: 2011/12/07 11:50:54,, HERS Provider- CalCERTS, Inc. 2008 Residential Compliance Forms " August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 44-320 Villeta Dr, La Quinta CA 92253 City of La Quinta 11-1156 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) - Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential. Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for, any additional systems in the dwelling as applicable. I , The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems { System Name or Identification/Tag System 1 (must be re -calibrated monthly) r < System Location or Area Served Whole House ,,, Outdoor Unit Serial # E112214560 , Outdoor Unit Make Day & Night Outdoor Unit Model NXA660Gka ' , Nominal Cooling Capacity Btu/hr` 60000 ' 4v 51 Date of Verification C . 12/6/11. ' Calibration of Diagnostic Instruments - Date of Refrigerant'Gauge Calibration- -11/15/11 (must be re -calibrated monthly) Date of-Thermocouphe Calibration _ A. �11/15/li a (mustsc be re calibrated monthly) MeasuredATemperaturesS(°F) a '. t,. System Name:or Identification/Tag �F System 1, ,,, SupplY.,(evaporator, leaving) air:dry bulb , . temperature (Tsu I db) Return (evaporator. entering) air dry-bulb.: 69 , temperature;(Treturn, db) Return (evaporator entering) air wet -bulb 51 temperature (Treturn, wb) f • ' ' Evaporator saturation temperature 30 (Tevaporator, sat) . , Condensor saturation temperature 70 (Tcondensor, sat) Suction line temperature (Tsuction) 36.5 , Liquid Line Temperature (Tliquid) 59.5 Condenser (entering) air dry-bulb 79.4' temperature (Tcondenser, db) Reg: 211-A0063223A-M2500001A-0000 Registration Date/Time: 2011/12/07 11:50:54 HERS Provider: CalCERTS, Inc.. 2008 Residential Compliance Forms August 2009 Minimum Airflow Requirement ` w Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name -or Identification/Tag System i _ Calculate: Actual Temperature Split = Treturn, 21.00 db - Tsupply,db ` Target Temperature Split from Table RA3.2-3 20.9 using Treturn,.wb and Treturn, db - . Calculate difference: Actual Temperature Split - 0.1 Target Temperature Split = ' Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and PASS h '{ „ -100°F _ Enter Pass or Fail " Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be equal:to,or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) -, System'Name or IdentifYeation/Tag4� System 1 ���( 7 Ai WO - X4-1 Calculated Minimum Airflow Requirement`(CFM) �,`�' `; �a..�'.. • '��.-.� � . i,:�e-..rs'i,: .eu. .�"�' ���.� �n!�-,...r-.3f� - .a?1n4',,i: ... f4y Measured Airflow using,RA3 3 procedures • Passes if measured airflow is greatee.than or-'-- r-' ,,equal equalto the calculated minimum airflow requirement :!'� X 44.' - ' $ 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 - Calculate: Actual Superheat = . Tsuction - Tevaporator, sat , Target Superheat,from Table'RA3.2-2 using , Treturn,.wb and Tcondenser, db - . Calculate difference: Actual Superheat - Target Superheat = ' System passes if difference is between -5°F and +5°F Enter Pass or Fail _ Reg: 211-A0063223A-M2500001A-0000 Registration Date/Time: 2011/12/07 11:50:54 HERS Provider:,CalCERTS, Inc. 2008 Residential Compliance'Forms r " August 2009 ` INSTALLATION CERTIFICATE CF-611-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 44-320 Villeta•Dr, La Quinta CA 92253 City of La Quinta1,11-1156 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure.is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 - Calculate: Actual Subcooling = 10.5 Tcondenser; sat - Tliquid Target Subcooling specified by manufacturer, 9 Calculate difference: 1.5 Actual Subcooling - Target Subcooling = System passes if difference is between -3°F and +3°F PASS fi y x w �£ _ Enter Pass or Fail 4•. a• - System Name or Identification/Tag:: s - Calculate: Actual Superheat = r ,' Tsuction Tevaporator; .6.5 - sat Enter• allowable superheat range from: Metering Device Calculations for Refrigerant Charge Verification. This procedure is required,to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag:: System 1 Calculate: Actual Superheat = r ,' Tsuction Tevaporator; .6.5 - sat Enter• allowable superheat range from: manufacturer's specifications (or.use range 6.5 between 4°F and 25°F if manufactu"rer's: specification•is not available) System passesif actual superheat is With in,the�a allowable superheat range'3 "¢ PASS fi y x w �£ `• r•Pass„or;Fa�1 Ente 4•. S. Tti 4 tx .y .7 .: Reg: 211-A0063223A-M2500001A-0000 Registration Date/Time: 2011/12/07 11:50:54 HERS Provider: Ca10ERTS- Inc” 2008 Residential Compliance Forms - August 2009 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. r System Name or Identification/Tag System 1 CSLB License: Date Signed: Position With Company (Title): ` System meets all refrigerant charge and airflow 12/6/2011 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): requirements. PASS c Enter Pass or Fail DECLARATION STATEMENT'' • I certify under penalty of perjury; under the laws of the State of California, the information provided on this form is true and correct. . • I am eligible under Division 3 of..the Business and Professions Code to accept responsibility for construction, or an authorized representative of the personresponsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am r . required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if,those installations fail to meet the requirements of such quality assurance checking, the required corrective action and y� additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -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 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 r . provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data . registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings.' Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) GRIEGO AIR CONDITIONING & HEATING r Responsible Person's Name: Responsible Person's Signature: , Louie Griego Jr. Louie Griego Jr. CSLB License: Date Signed: Position With Company (Title): ` 740689 12/6/2011 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? Yes No M Reg: 211-A0063223A-M2500001A-0000 Registration Date/Time: 2011•/12/07 11:50:54 -.HERS Provider: CalCERTS, Inc. .2008 -Residential Compliance Forms August 2009