The URL can be used to link to this page

12-1227 (MECH)-QF., P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12=0 0 0 0122 7` Property Address: 49615 AVENIDA VISTA BONITA APN: 773-350-053-53 -14496 = Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1900 Tit!t 4 4'0" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner:V9253 F; �O\� DONALD BROSCO 49615 QUINTA, CA BONITALAO�� ;f Contractor: VOICE (760) 777-70 �'AX (760) 777-7011 ONS (760) 777-7153 ` �t 10/12/12 Applicant: Architect or Engineer: DOVE AIR INC 69749 RISUENO ROAD CATHEDRAL CITY, CA 92234 - rX (760) 327-1890 LiC. No.: 794315 rIn - - LICENSED CONTRACTOR'S DECLARATION - ----------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and P fessional Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20, ense No.: 794315 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Cq ractor: _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor / Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: , I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier E3EMPT Policy Number EXEMPT following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to certify that, in the performance of the work for which this permit is issued, I shall not employ any - construct, alter, improve, demolish, of repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to be ome 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 becc a subject to the workers' compensation provisions of Section „ - License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - _ 3700 of the Labor Code, I s fonhwi omplywith those provisions. - that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �I'��r, , any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: plicant: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and ' the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FA URE TO SECURE WORKERS' COMPEN SATION,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.). (_ 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: PV LQPERMIT 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, 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. 1 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 tenter upon t above-mentioned pr pe r mspec ' purposes. te: /U-/ •I .5' nature (Applicant or Agent):/(/1 Application Number . . . . . 12-00001227 Permit MECHANICAL Additional desc . Permit Fee 40.50 Plan Check Fee 10.13 r Issue Date Valuation 0 Expiration Date 4/10/13 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-500KBTU 16.50 ------------------------------------------------ Special Notes and Comments ` HVAC CHANGE -OUT: REPLACE GAS PACKAGE ) UNIT AT EXISTING ROOF -TOP LOCATION. 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 g Other Fee Total 1.00 :00 .00 1.00 Grand Total ,' 51.63 .00 .00 51.63 ' s LQPERMIT , simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlrerarions a.r-�R-..��-�•••� Climate Zones 10 - 15 Site Address: 49615 Avenida Vista Bonita La Quinta, CA 92253 Enforcement Agency: City of La Quints Date: Oct 12, 2012 Permit #: Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ® Package Unit [3Furnace ® AFUE 78% E3) COP E3 R 6 CZ 10-13 Served by system ® Setback If not already present, must be linst3lied) [3 Indoor Coil Cl SEER 13.0 '3HSPF ❑ R 8 (CZ i4-15) 1�4!?� sf [3 Condensing Unit 13 EER E3Resistance ❑ Other 1. Equipment Type: Choose the equipment being Installed; if more than one system, use another CF -IR -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decices what work is being done Options. Each Option lists the HERS measures that must.be conducted. A copy of the forms shall and picks one of the appropriate 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 -611 and registered CF -4R the CF -111 forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of and CF -6111 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS - replaced CF -411 forms: MECH-21 . Condenser Coil and /or CF -611 forms: MECH-04, MECH-2I-HERS . Indoor Coil and /or. CF -4R forms: MECH-21 . Furnace 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 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 ❑ 4. The systerin will not be Ducted (ie Ductless Niin ,plit»Systern)4(AlsofiExernptfromaRefrtgerant`Cbarge) -.1F Re uired,Formsc t :: ❑ 2 NewtHVAC System q ,, ,, , µ r AL. _ . Cut In4o'r Changeout with* 6Rforms�'NIECH-04, MEE'20HERS�nd(or split systens) MECH�2�IERS, and new duets: (ali new MECH`25 R$ r .t `'''.yam ducting" all new v GF -4R orms: MECH 0, n�da(for split sys S11) 22 nd MECH `" _ equi m nt '? ,##�' *',�'�� s� a,�+¢ For Split Systems. Duct;leakage <�6,percent, ;RC; CCA" ' 350 CM/torr 'FWD;>TMAH;'=SIMS, and :either`HSPP err PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New:'Ducts with/or without Required Forms: Replacement *Includes replacing or installing all new ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF -411 forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA 2 300 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 CF -611 forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems 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. Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of . I am eligible under Compliance. . I certify that the energy features and performance specifications for the design Identified on this Certificate of compliance conform tot e requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. iance are consistentapplicable compliance the tfor tperm ficate of (submitted elch approval wion forms,worksheets, cal ulations,�p plans and speciFl at ons t enforcement agencythe application. Name: Gary Laster Signature: Gary Laster 2012 Oct 12,s-: Company: DOVE AIR INC 5 794315 -ices Address: 68-749 RISUENO ROAD -ken , �.,,,,, Phone: (760) 327-1890 L,ILy/JLdIC/uN. %-P%111 , Reg: 212-A0057153A-000000000-0000 Registration Date/Time: 2012/10/12 16:49:57 HEELS Provider: CalCERTS,Inc. July 2010 2008 Residential Compliance Forms act.:�i=vuo aavr+ o: La a•nn a.a �ua.uca••auiica.uc�r.:aa y �"--• --- .__:::.::... y l;4ri# r� i f i�.nt� Qy :bf �WII1aCl Building 8E Safety Division P.O. Box 1504, 78-495 Calle Tampico La Qulnta, CA 92253 - (760). 777-7012 Building Permit Application and Tracking. Sheet . Permit # I (� Project Address: V 2 fl i C h V 1 f p „t Owner's Name: t tt 1 d T$ C 'J A. P. Number: Address: 4 fila i �A 9-VJ0, V 1 0A V"-A,- im.'Legal LegalDescription: City, ST, Zip: L2 S Contractor: i , r Tclopho e: Tt% Ar- 313/ Address; �J ProjoctDescription: o C City, ST, Zip: .mow ✓��. C- Z13� �1 '�� I`d0 1 Telephone:71 0 _ rf 0 State Lic. #: Y.31 City Lia. Arca., Engr., Designer: Address: City; Sf, 'Lip: ielephene: State Lic. #: Name of Contact Person: o i\ 4 e S C O Constriction Type: Occupancy: Project type (circle one): New: Add'. Alter .Repair Demo sq # Stories: # Units: 'Telephone# of ContactPerso.:�,fC)s S�jk �:.74D it EstlmatedValueofProject:. D APPLICANT: DO.:NOT.WNTE•BMOW THIS UNE N Submtttai R 'd Recd -TRAC kwo , PERMTT FEES Plan Sets Plan Meek submitted item Amount StructuralCales.. Reviewed, ready for corrections Plan Check Deposit Trass Cales. Called Contact Peroou Plan Check Baiastce Energy Cates. Naas picked up Construction Flood plain -plan . Plains resubmitted Mechanical Gradin$. plan' V Review, ready for eosrectlowAssat Electrical Sabcoutaclor List Callid Contact Person PlawUng Grant Deed Plaas picked up SM.i: H.O.A. Approval Maes ressubnilted' C.radidg IN HOUSE.- '"' keview, ready for correctiond4sue Developer impact Fee Planning Approval Called Conlaet Person AJ.T.P. Pub. Wks. Appr Date of permit issnc School Fees _...... . - _...._ .. ....' Total Permit Fees 0 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING .. CF-411-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 49615 Avenida Vista Bonita, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) ' City of La Quinta 12-1227 Enter the Duct System Name or Identification/Tag: System i Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling.. installation certificate is required for compliance for alterations and additions in existing dwellings to conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can'also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or, replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system Select one compliance method from the following four choices: ® 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 conduct smokeand 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.),,, t Determine nominal Fan Flow using one of the following three calculation methods: j* ✓ ® Cooling Sfize 400' system method: of,condenser in_Tonsfi' x 2000 CFM ❑ Hea�t}ing'system metthod: 7 x Output Capacity m Thousands ofjyBtu/hr .+j',S+i : 'In"y♦} N i X21 {yw b h y M,R+! i 'rt4? 9 •rr=.�,k Pkv' Y .+ '.. .x G�. •:,�; tl th;;},Y'T '- +i.Y{ A< ✓ ❑ Measured.•system airflo.w;using+RA3 3;"airflow.test.procedures: • �CFM�. _1; f!- Gth„ Option 1 used then. 1 Allowed d leakage = Fan Flow 2000 x 0.15'= 300 CFM Actual Leakage' - 164 CFM_;111, *- st'" Pass if Leakage Actual is less than AllowedCM Pass C] Fail Option 2 used then;z:,? 2 Allowed leakage Fan Flow 0.10 = CFM - Actual Leakage to outside .= " `CFM . `.a Pass if Leakage Actual is less than Allowed Pass Fail Option 3 used then: - • k . 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% _ %oReduction Pass if % Reduction >= 60% Pass Fail Option 4 used then: 4 All accessible leaks using smoke test. HERS rater must verify (No sampling). -repaired Pass if all accessible leaks have been repaired using smoke Pass Fail T ,Reg: 212-A0057153A-M2100001A-M21A Registration Date/Time: 2012/10/19 19:37:56 HERS Provider: Ca10ERTS;,Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 49615 Avenida Vista. Bonita, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1227 spw s A ® 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 ®AII supply/and return register,bootsrmust beJ.sealed to the drywalf;if;moke testis utilized for compliance - applies to_duct leakage compliance option 3 (leakage reduction by'60%)i andfoption 41(fix all accessible 'leaks) described above- r ,6 • a, .� 3 �, �4r , ®New duct installations cannotutilize buildi n Y ri cavities len6ms o j y g zp _ r plat orm r ur s in lieu of{ duc s `SA ' •"s' 'S,•„�!�1 � ' '; i* yrs �L..;�. ,. Td { ;• b 1`,Aw'�c....ty, `�.. s '�'• `� \'�ti",..r ` fe"'= ®Mastic an7d.draw"bands must be used;in,combination'with cloth backed'rubbe� adhesive duct tape to seal leaks at all new duct connections. �h ` 'DECLARATION STATEMENT,:_. _. . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.' ' . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component:or manufactured device requiring HERS verification that is identified on this certificate (the - installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. F. • . , . The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) DOVE AIR INC ' Responsible Person's Name: CSLB License: Gary Laster 1794315. ' i HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling, []'not -test d/verified dwelling in la HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798699149 HERS Rater Company Name: Air Experts Air Conditioning Responsible Rater's Name: Responsible Rater's Signature: Paul Van Vlymen Paul Van Vlymen ip Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/19/2012 - CC2004367 ' Reg: 212-A0057153A-M2100001A-M21A Registration Date/Time: 2012/10/19.19:37:56 HERS Provider:: CalCERTS, Inc:,,' 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 49615 Avenida Vista Bonita, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of -La Quinta 12-1227 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct.System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existingdwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system " Select one compliance method from the following four choices. ® 1. Measured leakage less than 15% of fan flow ,t [3 2: Measured leakage to outside'less than 10%'of Fan Flow 0 3.,Reduce leakage by 60% and conduct smoke and fix all -leaks ' 4`,Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2 or 3 MUS t.be.attempted: before utilizing Option 4.).,i. .,�_..,..k ,Y Determine fnominal:Fan Flow using one of�the following three calculation rnetho1. ds ,A r t ✓ ® CookiJrng `system method: Size def}'condenser in Tons f 5 x 400' z 2000 CFM $ r f'=r X ..6�� ❑ Heating system method 21 7�x1Output Capacityjin-Thousands�of Btu/hr CFM tF K; v°.kK ✓ ❑ Measured system airflow-, ing RA3 3 airflow test procedures .=> CFM`; >` ": �z '. �' 3 Option.1°used: then Y1: )4JE�£a., 1 Allowed leakage Fan Airflow --2000 x"0.15' 300 CFM Actual Leakage=' -'164 CFM `- ` Pass if Actual Leakage is less than Allowed leakage I@ Pass Fail Option'2 used then: pr 2 Allowed leakage Fan'Airflow�' x 0.10 CFM Actual Leakage to outside = "�- • CFM ' a ' Pass if Actual leakage to outside is less than Allowed leakage Pass Fail= ` Option 3 used them. 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% O Reduction Pass if % Reduction >= 60%-1 Pass ri Fail - Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling): Pass if all accessible leaks have been repaired using smoke Pass 0 Fail ,Reg: 212-A0057153A-M2100001A-0000 Registration Date/Time: 2012/10/19,19.29:24 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 49615 Avenida Vista Bonita La Quinta'CA 92253 (System Citv of La Ouinta 12-1 �O�07 ® 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. ®All supplyfand;return register boots,must:be),sealed'to the'dryrwall ifxsmoke testas utilized for compliance - applies4toFduct leakage compliance option 3.(lea!<ege reduction by 60%)and option 4f(fix WFaccessibleleaksd9S6ribed above f incavities as,plen' S•or ct ^{I' ic6r' 3 +' ' ria •.-s "' x7�! AL `S n6 ,.'3 duinstallations cannot�+utilize buildg platform ®New returns in lieu.of ducts: r � , i, xi i -54. .,� ,� ?.•� Yom-.. .�+� h ® Mastic an raw ban� mruds st.b�-e used'°In combination,with-cloth backed. rubber adhesive duct tape.to seal' leaks at all-new.duct connections r 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 4 enforcement agency. .. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also t perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS ' rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -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 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) t DOVE AIR INC- NC Responsible Responsible Person's Name: Responsible Person's Signature: Gary Laster Gary Laster ` CSLB License: '` 794315 Date Signed: 10/19/2012 position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes p No Reg: 212-A0057153A-M2100001A-0000 Registration Date/Time:'2012/10/19 19:29:24 HERS Provider: CalCERTS, Inc. 2008 -Residential Compliance Forms _ March 2010 - INSTALLATION CERTIFICATE CF -611 -ME CH -04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: 49615 Avenida Vista Bonita, La Quinta CA 92253 (System Enforcement Agency: Permit Number: ' 1) City of La Quinta', 12-1227 Space Conditioning Systems Heating Equipment Equip I Q p t' ` ay Efficiency Duct Type "' f. �w ' ,f <,_ + ' Efficiency Location Equip t k CEC Certified Mfr. Name.' ARI' Reference # of Identical AFUE, crawl-. space, Duct Cooling Load Cooling Capacity Type (package- CEC Certified Mfr. Name ARI Reference # of Identical etc.)1, 3 (>=CF -1R crawl-- space, Duct Heating Load Heating Capacity heat pump)' and Model Number Number2 Systems value)4 etc.) R -value (kBtu/hr) _(kBtu/hr) Package GOODMAN Iy...,�,Fs `, Vc .,a' .. .:..♦` %?. is , ! Fi. I 4 X3"71 a' •F.f •'f,�'' ....: S Tons ..7,- Furnace GPG136009OM41KA �� .tt. A� - 1 80 AFUE Attic R-4.2 73 92 kBtu ` �g`,f ea^�'+.q a} y,,X`4 ''�k,+••�i '� ,y�^"^e.�+s'.',�'4w*.•u.=. -e.'.1�rr ,n}�: fPM ."�r� 6�`'.r i i'"xa 43 -17 1 If ro'ect is new t Equip I Q p t' ` ay Efficiency Duct Type "' f. �w ' ,f <,_ + ' (SEER and EER) Location (attic (Package heat t k CEC Certified Mfr. Name.' ARI' Reference # of Identical 1, 3 (>=CF -1R crawl-. space, Duct Cooling Load Cooling Capacity pump) and Model Number l_ <• Number2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Package A/C "GOODMAN •'� ,; FG1'360090M41KA PG !`` . "�� 1 �e, x 13 SEERa. , r' Attic � R 2' � 60 +' a fi� c,. r2'-' v Iy...,�,Fs `, Vc .,a' .. .:..♦` %?. is , ! Fi. I 4 X3"71 a' •F.f •'f,�'' ....: S Tons ..7,- 'kk �� .�� .' 15. f ,� � t y. �� .tt. A� - d '� �At 3 x � _ 1�q� i�'' 3s �°Y. .n f�8 5k+ �..v �•f�?' �"`� "'.' "w.�4 �4�` �#� '�t •t � ��,,�� 2�'�:-'��[„�E;•"'. ` �g`,f ea^�'+.q a} y,,X`4 ''�k,+••�i '� ,y�^"^e.�+s'.',�'4w*.•u.=. -e.'.1�rr ,n}�: fPM ."�r� 6�`'.r i i'"xa 43 -17 1 If ro'ect is new t p J consruc ion, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative compliance. v 2. ARI Reference Number can be found by entering the equipment model number at ! http://www. aridirectory. org/ari/ac. php # 3. Listed efficiency on this page must be greater than or, equal ( ? ) to the value shown on the CF -IR form. r 4. When CF -1R 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 ® §110-§113: HVAC equipment is certified by the California Energy Commission. { �, ® §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA: ® §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of. §112(c). ® §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: z12-A0057153A-M0400001A-0000 Registration Date/Time:.2012/10/19 19:28:39 HERSProvider: Ca10ERTS, Inc. 2008'Residential Compliance Forms , i 'August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: 49615 Avenida Vista Bonita, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1227 Ducts and Fans §150(m): Duct and Fans ~ ❑ 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 1818 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 ❑ 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 ducts. 0 2D. Joints and seams of duct systems and their components shall not be sealedwith 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. ❑ 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. ❑ Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equiprrient maintenance, and -wind. Cellular foam insulation shall be protected as above or .,painted with,a coating that'is,water retardant and provides shielding from solar radiation that can cause 'degradation of the material;',F ❑ 10 Flexiblezducts cannot have porous vvi��nner cores s� , f" r s .r+ , _ Vtk k "'E�. nlSe �� `.: jIr :�.'"`:.�.. "'t' y F�. )?srr }aai�-'ti•.�•- 't'.. f w^` F rt. .f'r ;•.ti,,,� a�,,',..;� ,jrp)x,.s'iy,Y. e iYs' ic'•'x"' P f ;jp r 4 r L'r. 'a' 7- 71 w .,�yb .�.- �.' s tr �`' :+•;' of r.. :4,'- .o;�'g" �t , 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 buildina owner at errunanru Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) DOVE AIR INC Responsible Person's Name: Responsible Person's Signature: Gary Laster Gary Laster CSLB License: 794315 1110/19/2012 Date Signed: Position With Company Title p y ( ): h t h 7 meg: 212-Ao057153A=M0400001A-0000 Registration7Date/Time: 2012/10/19 19:28:39 HERS Provider: Ca10ERTS,- Inc. 2008•Residential Compliance Forms August 2009