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W OD W H W I �701H10 (D W 01H wto U'F AUlw1 N I F tlj • O -3w NNw OUI LnA O I I k OH000I rt HUINiP 001000000'M F (D O O W O O O O O N 0 0 O 1 IHO I: Ln UJ I Fl I' O O O { I I 00 00 H 01 H H 0000p 000ol.G R N - rt H Ln Lo -3 oJovlN olnooFj 000o1Q 0000(D N w tlj tri (D 11 rorororo L-1 t -I t -I r tdWtdW I CO (n 1-3 1-3 M tri � t�i-JH`ro`ro I Hro H x I tlj tij z w `dv HH i II \ trj Utt F3e I \ �dz W H I ro tIi rt (D U7rPW-1W o(nouio 0 0 0 0 0 (D 'iJ Fl FO Fl F- F- N - rt n rt 0. (D Fl ro td H z O O OD I 0 0 0 0 0 OD 0 LI) CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8) CF -411 Project Address Builder Name 81601 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number Kirk Bingenheimer 480 367-3792 4515 HERS Rater Telephone Sample Group Number/ Lot iF (if applicable) William Irvine 760-772-2954 97650 / 6058 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Date Certificate Number September 10, 2008 CC3-1798438235 Firm: BCI Testing HERS Provider:CaICERTS, Inc. Street Address: 41800 Washington St. City/State/Zip:6ermuda Dunes / CA / 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested 0 Approved as part of sample testing, but was Associated. 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 -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. CMINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Associated 2 Fan Flow: Calculated (Nominal 0 Cooling (D Heating) or 0 Measured Enter Total Fan Flow in CFM: Associated 3 Pass if Leakage Percentage < 6% [ 100 x ( Line 1 / Line 2 )]: Associated Q Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Associated Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System Associated ` for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System Associated Line 4 - Line 5 [ ] - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Associated 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: Associated ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [ 100 x ( Line 5 / Line 2 A: Associated ❑ Pass ❑ Fail ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Associated 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] Associated El Pass El Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pas ❑ Pass ❑ Fail CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 Project Address Builder Name 81601 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telep one Plan Number Kirk Bingenheimer 480 367-3792 4515 HERS Rater Telephone Sample Group NumberI Lot # (ifapplicable) William Irvine 760-772-2954 97650/ 6058 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature pate Certificate Number September 10, 2008 CC3-1798438235 Firm: BCI Testing HERS Provider: Ca ICE RTS, Inc. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes / CA/ 42203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested 0 Approved as part of sample testing, but was Associated. 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 installer has provided a copy of the CF -6R (Installation Certificate). 9THERMOSTATIC 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( 0 Pass ❑ Fail CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -411 Project Address Builder Name 81601 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number Kirk Bingenheimer 480 367-3792 4515 HERS Rater Telep ane Sample Group Number/ Lot # (if applicable) William Irvine 760-772-2954 97650/ 6058 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Date Certificate Number September 30, 2008 CC3-1798438235 Firm: BCI Testing HERS Provider:CaICERTS, Inc. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes / CA/ 922 63 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested 0 Approved as part of sample testing, but was Associated. 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 installer has provided a copy of the CF -6R (Installation Certificate). iJHIGH EER AIR CONDITIONER: Associated in Sample Procedures for verification are available in RACM, Appendix RI. 1 ❑ Yes ❑ No EER values of installed systems match the CF -1R 2 ❑ Yes ❑ No I For split systems, indoor coil is matched to outdoor coil ❑ Yes ❑ No ITme Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pass Q pass ❑ Fall CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 7 of 8) CF -4R Project Address Builder Name 81601 Rustic Canyon Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number Kirk Bingenheimer 480 367-3792 4515 HERS Rater Telephone Sample Group Number/ Lot # (if applicable) William Irvine 760-772-2954 97650 / 6058 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Date Certificate Number September 10, 2008 CC3-1798438235 Firm: BCI Testing HERS Provider:CaICERTS, Inc. Street Address: 41800 Washington St. City/State/Zi p: Bermuda Dunes / CA/ 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested 0 Approved as part of sample testing, but was Associated. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the applicable requirements of the "High Quality Installation of Insulation" protocols as specified in the Residential ACM, Appendix RH and as checked on this form. Note that to PASS and receive compliance credit, NONE of the BOXES below may be checked "No" and the first three boxes also must be checked. Check "NA" only if the item is not part of the design of the building (i.e., single story buildings do not have rim joists or there may be no recessed can lights installed, etc.) REQUIREMENTS FOR HIGH QUALITY INSTALLATION OF INSULATION COMPLIANCE CREDIT: 0 The building is wood frame construction with wall stud cavities, ceilings, and roof assemblies insulated with mineral fiber cellulose insulation in low-rise residential buildings. Q Description of Insulation, (CF -6R, formerly IC -1) signed by the installer stating: insulation manufacturer's name, material identification, Installed R -values, and for loose -fill insulation: minimum weight per square foot and minimum Inches. y� Installation Certificate, (CF -6R) signed by the installer certifying that the Installation meets all applicable requirements as specified in the High Ouallty Insulation Installation Procedures (ACM, Appendix RH). Yes No N/A FLOOR ❑ El 0 All floor joist cavity insulation installed to uniformly fit the cavity side-to-side and end-to-end D Ll R Insulation in contact with the subfloor or rim joists insulated ❑ ❑ 0 Insulation properly supported to avoid gaps, voids, and compression Yes No N/A WALLS © Wall stud cavity insulation uniformly fills the cavity side-to-side, top -to -bottom, and front -to -back 0 ❑ No gaps ❑ ❑ No voids over 3/4" deep or more than 10% of the batt surface area. El El to access wall stud cavities such as; corner channels, wall intersections, and behind tub/shower enclosures insulated to proper R -Value. insulated Small spaces filled Rim -joists insulated ❑ ❑ 0 0 El ❑ Wall stud cavities caulked or foamed to provide an air tight envelope. Yes No N/A ROOF/CEILING PREPARATION ❑ ❑ All draft stops in place to form a continuous ceiling and wall barrier. 0 ❑ All drops covered with covers. 0 ❑ [71 All draft stops and hard covers caulked or foamed to provide an air tight envelope. ceiling. recessed light fixtures IC and air tight (AT) rated and sealed with gasket or caulk between the housing and the ceiling. _ Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics. El E] CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 8 of 8) CF -4R Project Address Builder Name 81601 Rustic Canyon Drive - La Quinta, CA 92253 Covies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT Shea Homes, Inc. R ❑ F] Eave vents prepared for blown insulation - maintain net free -ventilation area Knee walls insulated or prepared for blown insulation. Area under equipment platforms and cat -walks insulated or accessible for blown insulation 0 D W 0 El Q Q ❑ F1 Attic rulers installed Yes No N/A ROOF/CEILING BATTS 0 ❑ ❑ No gaps 0 F-1 ❑ No voids over 3/4 in. deep or more than 10% of the batt surface area. R ❑ F� Insulation in contact with the air -barrier. D E] [:] Recessed light fixtures covered Q E F] Net free -ventilation area maintained at eave events Yes No N/A ROOF/CEILING LOOSE -FILL Q ❑ ❑ Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls. 0 ❑ ❑ Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave vent 0 ❑ D Attic access insulated Q [J Recessed light fixtures covered Q Insulation at proper depth - insulation rulers visible and indicating proper depth and R -Value © Loose -fill mineral fiber insulation meets or exceeds manufacturer's minimum weight and thickness requirements for the target R -value. Target R -value — Manufacturer's minimum required weight for the target R -value (pounds -per -square -foot). Sample weight_ (pounds per square foot). © E:i ❑ Manufacturer's minimum required thickness at time of installation 10.59 (inches) Manufacturer's minimum required settled thickness 10.27 (inches). Number of days since loose -fill insulation was installed 10 (days). At the time of installation, the insulation shall be greater than or equal to the manufacturer's minimum initial insulation thickness. If the HERS rater does not verify the insulation at the time of installation, and if the loose -fill insulation has been in place less than seven days the thickness shall be greater than the manufacturer's minimum required thickness at the time of installation less 1/2 inch to account for settling. If the insulation has been in place for seven days or longer the insulation thinkness shall be greater than or equal to the manufacturer's minimum required settled thickness. Minimum thickness measured 10.5 (inches).