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08-1606 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: _W8'-_00001606 Property XddPes§: 49259 AVENIDA VISTA BONITA APN: 773-350-030=30 -14496.- Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 10000 Applicant: -4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TOM ADDIS 49259 AVENIDA VI LA QUINTA, CA9 (949)510-5522, Contractor: ,t►j Architect or Engineer: PALM DESERT AIR C: 1 / 42081 BEACON HILL PALM DESERT, CA 92211 (760)346-0677 Lic. No.: 374937 LICENSED CONTRACTOR'S DECLARATION _ I hereby affirm under penalty of perjury that.I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is, in full force and effect. License Class: C20 Lice No.: 374937 Dater Contractor��_�f%/G OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. ,Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7644, 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.). . 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/22/08 , C �QO� C18F,p 1, 4 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 STATE FUND Policy Number 238-0004656-07 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comp ith those provisions. Date.�Applican�.. 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 Applicationis hereby made to the Director. of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject, permit to cancellation. certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection p poses. ' { date gztlt& Signature (Applicant or Agent) e- Application Number . . . 08-00001606 Permit MECHANICAL Additional desc Permit Fee 24.00 Plan Check Fee 6.00 Issue Date Valuation .0 Expiration Date 3/21/09 Qty Unit Charge Pe'r. Extension BASE FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 -----Special Notes and Comments REPLACE EXISTING 4.0 TON WITH (1) 4.00 TON LENNOX SYSTEM Fee summary Charged Paid, Credited Due Permit Fee Total; 24.00 .00 .00 24.00 Plan Check Total6.00 .00 .00 6.00 Grand Total 30.00 .00 .00 30.00 LQPERMIT ,. 6 Bin # City of La Quinta Building U Safety Division R.O. Box 1504, 78-495 Calle Tampico La Quinta, cA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # wk Project Address: 49-259 AVENIDA VISTA BONITA Owner's Name: TOM ADDIS A. P. Number: Address: 49-259 AVENIDA VISTA BONITA Legal Description: City, ST, Zip: LA QUINTA, CA 92253 Contractor: Palm Desert Air Conditioning & Heating Company Telephone: 949-510-5522 f.:.�::::.�>::.:::::::><:::.::;:•:.:> Address: 42081.Beacon Hill Project Description: City, ST, Zip: Palm Desert, CA 92211 REPLACE EXISTING 4.0 TON 760 Telephone: ( ) 346-0677 P • �:.<.u;:;•::.;;;;:<;.:;::;:•:;;:;•::>;•:r.;:. WITH ONE 1 4. T N L 0 O ENNOX State Lic. # : 374937 City Lic. #; 100886 SYSTEM. Arch.; Engr., Designer: Address: ``- City., ST, Zip: Telephone: State Lic # Construction Type: Occupancy: P cY: Project type (circle one • New AdcPn Alter a air Demo Name of Contact Person: Kimberly Garcia Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: (760) 346-0677 Estimated Value of Project: 4w 60 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed,` ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Cot►structon Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing: Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT ` Version 03-10-06 This form can only be used on projects being verified by CaICERTS certified raters. Project Title: Date: ©.CaICERTS 2005 TOM ADDIS 09/x,308 IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # 1 of 1 systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match typellocation and meet or exceed efficiencies/R-values. 28 Configuration: ® Split system ❑ Package Unit 29 ❑ r Handler ®Gas furnace, AFUE: dQy ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 ❑D Heat Exchan er 31 G Outdoor CondensingUnit ®A/C ❑Heatpump Efficien SEER/HSPF: / N/A EER if re d : 32 D Cooling or heating coil ®A/C ❑Heatpump ❑Hydronic 33'0 Ducts Location: Length (ft): JR -value: All mandato measures apply to an altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: Name: Kimberly Garcia Address: Company Name: Palm Desert Air Conditioning & Heating Company City/State/Zip: Address: 42-081 Beacon Hill Phone: City/State/Zip: Palm Desert, CA 92211 Phone: (760) 346-0677 Signature: Signature: �j Enforcement A enc (BuildingDepartment) Notes/Com encs: Name: Title: Department: Phone #- Fax #: Signature or Stamp: Required forms: CF -1R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sam le rou shall not be released until all testing and verification is completed rage z or z www.calcerts.com andpassed for the entire group. ` Version 03-10-06 This form can only be used on projects being verified by CaICERTS certified raters. Project Title: Date: ©.CaICERTS 2005 TOM ADDIS 09/x,308 IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # 1 of 1 systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match typellocation and meet or exceed efficiencies/R-values. 28 Configuration: ® Split system ❑ Package Unit 29 ❑ r Handler ®Gas furnace, AFUE: dQy ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 ❑D Heat Exchan er 31 G Outdoor CondensingUnit ®A/C ❑Heatpump Efficien SEER/HSPF: / N/A EER if re d : 32 D Cooling or heating coil ®A/C ❑Heatpump ❑Hydronic 33'0 Ducts Location: Length (ft): JR -value: All mandato measures apply to an altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: Name: Kimberly Garcia Address: Company Name: Palm Desert Air Conditioning & Heating Company City/State/Zip: Address: 42-081 Beacon Hill Phone: City/State/Zip: Palm Desert, CA 92211 Phone: (760) 346-0677 Signature: Signature: �j Enforcement A enc (BuildingDepartment) Notes/Com encs: Name: Title: Department: Phone #- Fax #: Signature or Stamp: Required forms: CF -1R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sam le rou shall not be released until all testing and verification is completed rage z or z www.calcerts.com Version 03-10-06 . , Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com, Certificate of Compliance- Prescriptive Method - HVAC -only Alteration CF -1 R -ALT - Climate Zone. 15 Buudmg Perma xx. x.x ..... Documentation Author: Telephone: Kimberly Garcia - '949-510-5522a Plan check Date ; � £ ; - ' k. . s,; ., l,t, v =, {°� ..:. Project Title: ) Eield check Date t' �� f s ` �F` x x :'13!..xArn„s Date: ©CaICERTS 2005 TOM ADDIS 2 ❑p 09/%1108 3 ❑O An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 ❑O A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ 6, Enforcement A enc UseSOnl a 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct SealinglOnly if any of Lines 1 2 3 4 or 5 are'checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ Version 03-10-06 . , Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com, Pro)ect Address. 49-259 AVENIDA VISTA BONITA Climate Zone. 15 Buudmg Perma xx. x.x ..... Documentation Author: Telephone: Kimberly Garcia - '949-510-5522a Plan check Date ; � £ ; - ' k. . s,; ., l,t, v =, {°� ..:. Company Name: Palm Desert Air Conditioning & Heating' Company" Eield check Date t' �� f s ` �F` x x :'13!..xArn„s IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # 1 of t systems altered in this house. Check all lines that apply. Check only lines that apply. . Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑p Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 ❑O An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 ❑O A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined: • ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct SealinglOnly if any of Lines 1 2 3 4 or 5 are'checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This duct system is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AK6EER 12 condenser will be installed with TXV(RCA) D added duct insulation R4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AND EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AMD. EER 12 condenser will be installed with TXV(RCA) r AND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 O None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a packaga unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 S 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ This s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 OO This system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 22 ❑O If line 15 is checked, HERS verification is required for Duct Sealing. 23 ❑O If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - E ui ment Efficiencies 25 ❑ Ilf lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ Ilf less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R4.2 Section 6 - see next page ti Version 03-10-06 . , Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com, The house was LJTested U Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -611 has been received for the sample and tesbec buildings. The installer has providedia copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns In lieu of ducts). New systems where doth backed, rubber adhesive duct tape Is installed, mastic and drawbands are used In combination with cloth backed, rubber adhesive dud tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: ' CaICERTS i �' CO Pypage 1 of 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8) CF -411 49-259 Avenida vista bonita - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. Not Tested 08-00001606 Contractor Contact Telephone Permit Number Paml Van VI men 760-777-1724 112403. H R Rater Telephone Sample.Group Number n C: ; - Vyn , \1 ober 31, 2008 CC14-1798452974 Certifying signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CaICERTS, Inc. Enter Reduction in Leakage for Altered Dud System 6 [Line 4 - Line 5] - (Only if Applicable) -- Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS® is an approvediHERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT Not ested The house was LJTested U Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -611 has been received for the sample and tesbec buildings. The installer has providedia copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns In lieu of ducts). New systems where doth backed, rubber adhesive duct tape Is installed, mastic and drawbands are used In combination with cloth backed, rubber adhesive dud tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Dud Pressurization Test Results (CFM @ 25 Pa) Measured V51ueS 1 Enter Tesbed Lea N/A 2 Fan Flow: Calculated (Nominal ':•' Cooling `' Heating) or'.-.: Measured Enter Total Fan Flow in'.CFM: Not Tested 3 V/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Fiow In CFM from CF -611: Pre -Test of Existing Dud System Prior to Dud System Alteration sand/or Equipment Change -Out. Not rested Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Dud System 5 for Dud System Alteration and/or Equipment Change -Out. Not Tested Enter Reduction in Leakage for Altered Dud System 6 [Line 4 - Line 5] - (Only if Applicable) Not Tested 7 Enter Tested Leakage Flow In CFM to Outside (Only If Applicable) Not —esbed 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: Not ested ❑ pass ❑ Fall TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass If Leakage Percentage < 15% [ 100 x ( Line 5 / Line 2 )]: Not Tested ❑ Pass ❑ Fail 10 Pass If Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Not Tested ❑ Pass ❑ Fall it Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection Not le5ted ❑Pass ❑Fail 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass If One of Lines S9 through iei2 pass []'Pass_ ❑ Fail ` CaICERTS ; Page 2 of 14 F F t CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF-411 49-259 Avenida vista bonita - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 08-00001606 Contractor Contact Telephone Permlt Number Paul Van VI men 760-777-1724 112403 HIRA Rater`' Telephone Sample Group Number C1x .) \t,, � V October 31, 2008 CC14-1798452974 Certifying Signature Date CertlNcate Number Firm: Air Experts Air Conditioning HERS Provider:Ca10ERTS, Inc. StFeet AddFess=ox-94— ------.------------.._..-.---..._:--:.__...__....-----.CitylState/ZiPaa-QLista../-CA-/—q2247 _ Copies to: Homeowner, HERS Provider and Building Department This CF-411 has been registered with the CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CalCERTSO Is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was aested © Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on thio form complies with the dia nostic tested compliance requirements as checked on this form. a The installer has provided a copy of the CF-6R (Installation Certificate). HERMOSTATIC EXPANSION VALVE TXV : Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. HVAC System TXV ❑ Pass ❑ Fail w L s { + y.. y: