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12-1348 (SFD) HERS & Installation Certificate53-045 HUMBOLDT BLVD LA QUINTA LOT 54B HERS CERTIFICATION 42-240 Green Way, Suite C ■ Palm Desert, CA ■ Mail: Post Office Box 1455 ■ Palm Desert, CA 92261 Office: 760-340-4216 ■ Fax: 760-341-571.6 0 Contractor's License #681590 • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: Enforcement Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 Agency: (CFM) (System I (HVAC 1)) City of La Quinta Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = Enter the Duct System Name or Identification/Tag: System 1 (HVAC 1) Enter the Duct System Location or Area Served: SYSTEM 1 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Lpakanp Diannnctir Tpct - cmmnlptply npw nr rpnlarpmpnt rlurt cvctpm Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to'be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system, method: Nominal capa/city of condenser in Tons' 50 z leakage'factor -�0"1- CFM ❑Heating system method:,''�1 I 21.7 x Output Cap,a`city in Thousands of Btu/hr x'leakage fact7l= CFM ❑ Measured'airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using pp leakage applicable duct 9 Actual Leakage(CFM) pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). List Actual Leakage from duct leakage test(CFM) 108 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail • -. ii Reg: 212-N0071820A-M2000001A-M20A Registration Date/Time: 2013/10/29 10:28:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 Enforcement Agency: Permit Number: (System 1 (HVAC 1)) City of La Quinta HERS Provider Data Registry Information eOutside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage 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 supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building rcavities'as'plenurris or platform, returns, in' lieu =of 'ducts'"� Mastic and draw bands must be used in combination with Cloth backed, rubber'adhesive duct tape to seal leaks at • uct connections. DECLARATION!STATEMENT C • I certify under penalty of perjury; under the laws of the State of California, the informationprovided on this form is true and correct. `Yo • 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 -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -SR) 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 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 CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2000001A-M20A Registration Date/Time: 2013/10/29 10:28:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 Enforcement Agency: Permit Number: (System 2 (HVAC 2)) City of La Quinta (CFM) Enter the Duct System Name or Identification/Tag: System 2 (HVAC 2) Enter the Duct System Location or Area Served: SYSTEM 2 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Lpakanp r1iannnctir Tpct - rmmnlptply naw nr ranlaramant rinrt cvctam Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -111, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then'use aleakage factor of 0.03 in the calculations below. No Cooling system method: /ka'� ge factor -- 96~`'` CFM�� Nominal capacity of condenser in Tons 4r�'z ea /� t' ❑ Heating system method: 21.7 x i Output Caap5btty in Thousands of Btu/hr x;leakage factory- CFM ❑ Measured airflow method (RA3.3):, Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 69 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑pass ❑Fail Reg: 212-N0071820A-M2000004A-M20A Registration Date/Time: 2013/10/29 10:28:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 Enforcement Agency: permit Number: (System 2 (HVAC 2)) City of La Quinta HERS Provider Data Registry Information IOutside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct Reakage 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 supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building �cavities'as,plenums or platform. returns :in,lieu:of,ducts � Mastic a'nd draw bands must be used/in combination with Cloth backed, rubber adhesive duct tape to seal leaks at • uct connections. �i , tr --��•, DECLARATION!STATEMENT � • I certify-under:pen'alty of perjury' under the laws of the'State of California, the information; provided on this form is true and correct.co • 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 Certificates) (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) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 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 # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2000004A-M20A Registration Date/Time: 2013/10/29 10:28:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System Enforcement Agency: permit Number: 3 (HVAC 3, 4 & 5)) City of La Quinta (CFM) Enter the Duct System Name or Identification/Tag: System 3 (HVAC 3, 4 & 5) Enter the Duct System Location or Area Served: SYSTEM 3 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Lpakane Diannnctic Tpct - cmmnlPtPly npw nr ranlarpmant rinrt cvcteam Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -IR, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system, method: Nominal cap city of'condenser in Tons+ 5(5 6; leakage fa for =, ^120 6m Heating fir-�`�'' system method: 4 21.7 x I Output Capacity m Thousands of Btu/hr xyeakage factor - CFM ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM ` Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 101 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ pass ❑Fail Reg: 212-N0071820A-M2000011A-M20A Registration Date/Time: 2013/10/29 10:28:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System Enforcement Agency: Permit Number: 3 (HVAC 3, 4 & 5)) City of La Quinta HERS Provider Data Registry Information FaOutsideair (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage 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 supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building cavities`as'plenums or platfor1 11m, returns: in' lieu of `ducts. Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at uct connections.; 7 r" DECLARATION,STATEMENT • I certify =under.perialty of perjury `under the laws of the State of California, the information -provided on this formlis true and correct 4� • 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 -611), 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 -61111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 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 # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2000011A-M20A Registration Date/Time: 2013/10/29 10:28:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 C7 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System Enforcement Agency: permit Number: 4 (HVAC 3, 4 & 5)) City of La Quinta (CFM) Enter the Duct System Name or Identification/Tag: System 4 (HVAC 3, 4 & 5) Enter the Duct System Location or Area Served: SYSTEM 4 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Leakage Diannnstic Tpct - cmmnlataly naw nr ranlaramant Anrt cvctam Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -111, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling systemY,method: Nominal capacity of corndenser in Tons' 4� x leakage factor = 96 , CFM - } ❑ Heating system method: , P■]/ /�II� I 21.7 x Output Capacity in Thousands of Btu/hr xfleakage factor = CFM ❑ Measured airflow method (RA3.3). Enter measured fan flow in CFM here x leakage factor = CFM - Enter value for -Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 63 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessib/e portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ pass ❑Fail 9 Reg: 212-N0071820A-M2000012A-M20A Registration Date/Time: 2013/10/29 10:28:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System Enforcement Agency: Permit Number: 4 (HVAC 3, 4 & 5)) City of La Quinta HERS Provider Data Registry Information Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage 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 supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building`cavitieslas'plenums orplatform,retu-rns-in,Iieu:of�durcts" Mastic and draw bands must be used in combination with ClotWbacked, rubber adhesive duct tape to seal leaks at uct connections. DECLARATIO N!STATEM ENT 1 • I certify under. penalty of perjury, under the laws'of the'State of California, the'l nformation i provided on this form'is true and correct. it • 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 -111) approved by the local enforcement agency. • 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 -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 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 Ca10ERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2000012A-M20A Registration Date/Time: 2013/10/29 10:28:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • C] • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System Enforcement Agency: Permit Number: 5 (HVAC 3, 4 & 5)) City of La Quinta (CFM) Enter the Duct System Name or Identification/Tag: System 5 (HVAC 3, 4 & 5) Enter the Duct System Location or Area Served: SYSTEM 5 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Leakaqe Diaqnostic Test - completely new or replacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system method:�� Nominal caparcity of condenser in Tons', i� x leakage factor -- 96 `\CFM %J4 f I � ~ � ❑ Heating system method: � _ r `CFM 21.7 x f Output Capacity in Thousands of Btu/hr x,leakag factor = /T ElMeasured'airflow method (RA3.3). Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential A p p Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 71 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke []Pass ❑ Fail J Reg: 212-N0071820A-M2000013A-M20A Registration Date/Time: 2013/10/29 10:28:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System Enforcement Agency: Permit Number: 5 (HVAC 3, 4 & 5)) City of La Quinta HERS Provider Data Registry Information ROutside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage 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 supply and return register boots must be sealed to the drywall ® New duct installations cannot utiliie building"cavities+as'plenums or platform returns in^liewof;ductsj°" jr If, tr / . v,�,, r - i; r� • RMastic and draw bands must be used in combination with Cloth backed, rutiber'adhesive duct tape to seal leaks at uct connections. DECLARATION[STATEMENT ► .+ - ` ` ` /' j L10 • 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) 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 -61R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 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 Ca10ERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2000013A-M20A Registration Date/Time: 2013/10/29 10:28:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • • C] CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 1 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta System 2 (HVAC 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ❑ Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag plenum as shown in the figure in Section RA3.3.1.1. System 2 (HVAC 2) System 3 (HVAC 3, 4 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located ❑ PSPP downstream of the evaporator coil in the supply plenum as shown in the figure in Section & 5) & 5) RA3.3.1.1. System Name or Identification/Tag System 1 System 2 System 3 System 4 5 (HVAC 1) (HVAC 2) (HVAC 3, 4 & 5) (HVAC 3, 4 & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Confirm that a HSPP or PSPP has been CFM/ton CFM/ton CFM/ton Calculate the target minimum airflow for the test by multiplying installed on the air handler per the PASS PASS PASS PASS requirements of RA3.3.1.1. 1400 1750 1400 capacity of the outdoor unit (ton). Enter Pass or Fail Target (CFM) Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be,perfd7m- ed'as specified in,Reference Residential' Appendix RA3.3. -Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure'requires,verificatiori by a HERS rater. Select one method from the three choices below for compliance with the Cooling Coil Airflow test requirement for this dwelling. "oI i k ❑ Diagnostic Fan Flow Using Plenum,Pressure Matching according to'the procedures in RA3.3.3.1.1 ® Diagnostic Fan Flow Using Flow Grid Measurement according to the procedures in'RA3.3.3.1.2' - = *— ❑ Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 System 4 (HVAC 3, 4 & 5) & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Nominal Cooling Capacity (ton) of the outdoor unit. 5 4 5 4 Enter the minimum airflow requirement from the CF -1R 350 350 350 350 (CFM/ton). CFM/ton CFM/ton CFM/ton CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling 1750 1400 1750 1400 capacity of the outdoor unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1750 1576 1788 1590 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS PASSPASS PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • • Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta System 4 (HVAC 3, 4 an wait uraw verirication When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -IR for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 System 4 (HVAC 3, 4 Sample Group # (if applicable): N/A13not-tested/verified ®tested/verified dwelling dwelling in la & 5) & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Enter the air handler Tested (CFM) from the cooling coil 1750 1576 1788 1590 airflow test table above. Enter the fan watt draw requirement from the CF -111 .58 .58 .58 .58 (Watt/CFM). Watt/CFM Watt/CFM Watt/CFM Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -1R by 1015 914.08 1037.04 922.2 the air handler Tested (CFM). Target (CFM) Enter the diagnostically tested Watt draw (Watt). 790 722 788 789 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS PASS PASS PASS - Enter, Pass or. Fail „-,,, _I- - �,_ _ _,_„ 1,.� L v, • 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 -111) 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 -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -61111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A13not-tested/verified ®tested/verified dwelling dwelling in la HERS sample group HERS Rater Information Ca10ERTS Certificate # CCi-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 1 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CFIR )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ❑ Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 plenum as shown in the figure in Section RA3.3.1.1. 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located ❑ PSPP downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. & 5) System 5 System Location or Area Served System Name or Identification/Tag (HVAC 3, 4 & Nominal Cooling Capacity (ton) of the outdoor unit. 4 5) Enter the minimum airflow requirement from the CF -111 (CFM/ton). System Location or Area Served SYSTEM 5 Calculate the target minimum airflow for the test by multiplying the CFM/ton Confirm that a HSPP or PSPP has been criteria specified on the CF -111 by the nominal cooling capacity of the outdoor installed on the air handler per the PASS unit (ton). requirements of RA3.3.1.1. Target (CFM) Enter Pass or Fail Enter the diagnostically tested airflow (CFM). Cooling Coil Airflow Verification When the Certificate of.Compliance indicates Cooling,Coil Airflow, verification, is required, --the procedures for measuring the. cooling coil airflow must betperformed as specified in Reference Residential Appendix RA3.3. Results of the''cooling coil airflow diagnostic test must be entered in We table below. This measure. requites -verification by a HERS rater. Select one method from,the three'choices below for compliance with the Cooling Coil Airflow test requirement for this dwelling: ❑ Diagnostic Fan;Flow Using Plenum Pressure,Matching according to the procedures in RA3.3.3:1.1_-'.-'_ ® Diagnostic Fan Flow Using Flow Grid Measurement according to the procedures in RA3.3.3.1.2 ❑ Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System 5 System Name or Identification/Tag (HVAC 3, 4 & 5) System Location or Area Served SYSTEM 5 Nominal Cooling Capacity (ton) of the outdoor unit. 4 Enter the minimum airflow requirement from the CF -111 (CFM/ton). 350 CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -111 by the nominal cooling capacity of the outdoor 1400 unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1632 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS Enter Pass or Fail 7 err Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA Enforcement Agency: Permit Number: 92253 City of La Quinta HERS Provider Data Registry Information Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -IR for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 Responsible Person's Name: System 5 James Elia 1881926 HERS Provider Data Registry Information System Name or Identification/Tag (HVAC 3, 4 & ❑ not-tested/verified dwelling in la HERS sample group 5) HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: System Location or Area Served SYSTEM 5 Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 Enter the air handler Tested (CFM) from the cooling coil airflow test table 1632 above. Enter the fan watt draw requirement from the CF -1R (Watt/CFM). .58 Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -1R by the air handler Tested (CFM). 946.56 Target (CFM) Enter the diagnostically tested Watt draw (Watt). 790 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS Enter Pass or Fail • s 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 -111) approved by the local enforcement agency. • 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 -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) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 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 # CCl-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible.Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Cooling Coil Airflow (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply plenum as System Name or Identification/Tag / F ,, System°1 -1) shown in the figure in Section RA3.3.1.1. 13 PSPP 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located (HVAC. (HVAC 2 downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. System Name or Identification/Tag System 1 System 2 System 3 System 4 SYSTEM 4 (HVAC 1) (HVAC 2) (HVAC 3, 4 & 5) (HVAC 3, 4 & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Confirm that a HSPP or PSPP has been CFM/ton CFM/ton CFM/ton installed on the air handler per the PASS PASS PASS PASS requirements of RA3.3.1.1'. CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of 1750 1400 1750 Enter Pass or Fail the outdoor unit (ton). Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Select one method from the three choices. below,for compliance with the Cooling Coil, Airflow_test,requirement for this dwelling. ❑ Diagnostic'Fan Flow Using Plenum Pressure'Matching according,,to the�procedures'in RA3:3.3.1.1' r ® Diagnostic Fan Flow Using Flow Grid Measurement according to the procedures in RA3.3.3.1.2 1 ❑ Diagnostic Fan Flow Using,Flow Capture Hood according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag / F ,, System°1 -1) System 2 System 3rl (HVAC 3; 4. System,4 (HVAC 3, 4 _ (HVAC. (HVAC 2 System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Nominal Cooling Capacity (ton) of the outdoor unit. 5 4 5 4 Enter the minimum airflow requirement from the CF -1R (CFM/ton). 350 350 350 350 CFM/ton CFM/ton CFM/ton CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of 1750 1400 1750 1400 the outdoor unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1750 1576 1788 1590 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS PASS PASS PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 s CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Cooling Coil Airflow (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta ran watt uraw verirication When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their taroet criteria snecified by the CF -1 R fnr the dwellinn. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 System 4 (HVAC 3, 4 Sample Group # (if applicable): N/A lEtested/verified dwelling ❑ not-tested/verified dwelling in a & 5) & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Enter the air handler Tested (CFM) from the cooling coil airflow test 1750 1576 1788 1590 table above. Enter the fan watt draw requirement from the CF -1R (Watt/CFM). .58 .58 .58 .58 Watt/CFM Watt/CFM Watt/CFM Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -1R by the air handler 1015 914.08 1037.04 922.2 Tested (CFM). Target (CFM) Enter the diagnostically tested Watt draw (Watt). 790 722 788 789 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS PASS PASS PASS 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 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) responsible for the installation conforms to the requirements snecified on the Certificate(s) of Comoliance (CF -1R) aonroved by the enforrement anenrv. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A lEtested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CCi-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Cooling Coil Airflow (Page 1 of 2) Site Address: Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 7 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CFIR )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply plenum as System Name or Ide'ntifica_ tion/Tag System.5 (HVAC 3 4 shown in the figure in Section RA3.3.1.1. 11 PSPP 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. System Name or Identification/Tag System 5 (HVAC 3,4&5) System Location or Area Served SYSTEM 5 SYSTEM 5 Confirm that a HSPP or PSPP has been Nominal Cooling Capacity (ton) of the outdoor unit. 4 installed on the air handler per the PASS 350 CFM/ton requirements of RA3.3.1.1. Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria Enter Pass or Fail specified on the CF -1R by the nominal cooling capacity of the outdoor unit (ton). 1400 Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Select one method from the three choices below for compliance with the Cooling Coil Airflow test requirement for this dwelling. ❑ Diagnostic Fan Flow,Using Plenum°Pressure, Matching according to the procedures -in RA3.3.3:1`.11 r ® Diagnostic Fan Flow Using Flow Grid Measurement according to the procedures in RA3.3.3.1.2 " ❑ Diagnostic Fan Flow Using.Flow Capture Hood according to;the procedures -in RA3.3.3.1.3 "I I System Name or Ide'ntifica_ tion/Tag System.5 (HVAC 3 4 System Location or Area Served SYSTEM 5 Nominal Cooling Capacity (ton) of the outdoor unit. 4 Enter the minimum airflow requirement from the CF -1R (CFM/ton). 350 CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of the outdoor unit (ton). 1400 Target (CFM) Enter the diagnostically tested airflow (CFM). 1632 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS Enter Pass or Fail 0 - Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Cooling Coil Airflow (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 01111111111 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their taroet criteria specified by the CF -1R for the dwellino. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 Responsible Person's Name: System 5 James Elia 1881926 HERS Provider Data Registry Information System Name or Identification/Tag (HVAC 3, 4 & ❑ not-tested/verified dwelling in a HERS sample group 5) HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: System Location or Area Served SYSTEM 5 Robert Bechus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 Enter the air handler Tested (CFM) from the cooling coil airflow test table above. 1632 Enter the fan watt draw requirement from the CF -1R (Watt/CFM). .58 Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -1R by the air handler Tested (CFM). 946.56 Target (CFM) Enter the diagnostically tested Watt draw (Watt). 790 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS Enter Pass or Fail • ' I, 1104 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. • 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 Comoliance (CF -111) anoraved by the enfnrrpmpnt anpnrv. • Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bechus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 C] CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-2? Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. As many as 4 systems in the dwelling can be documented for compliance usin4 this form. Attach an additional form(s) for anv additional systems in the dwelling as aoolicable. 1 System Name or System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 System 4 (HVAC 3, 1881926 Identification/Tag Sample Group # (if applicable): N/A❑ ® tested/verified dwelling & 5) 4 & 5) 2 System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Responsible Rater's Signature: Certified EER Rating of the Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 3 installed equipment 12.7 12.7 12.7 12.5 (Btu/Watt-hr) 4 Make and Model Number of the YORK YORK YORK YORK installed Outdoor Unit CZF06013CA CZF04814CA CZF06013CA CZF04814CA 5 Make and Model Number of the ADP ADP ADP ADP installed Inside Coil CV603C6 CV60006 CV603C6 CV60006 6 Make and Model Number of the YORK YORK YORK YORK installed Furnace or Air Handier. TMLX10OC20MP11C TMLX10OC20MP11C TMLX10OC20MP11C TMLX10OC20MP11C Minimum Equipment EER —T 7 required for compliance as 12.5 12.7 12.5 12.5 reported on the CF -1111 ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. 0 When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater 8 than the required minimum EER in row 7, the unit complies. PASS PASS PASS PASS If the unit complies enter f Pas .� I/ i7 • 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. • 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 ComDliance (CF -1R) aooroved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A❑ ® tested/verified dwelling not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag System 5 (HVAC 3, 4 Responsible Person's Name: --T S LB License: James Elia 881926 HERS Provider Data Registry Information & 5) ® tested/verified dwelling ❑ not-tested/verified dwelling in a 2 System Location or Area Served SYSTEM 5 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12.5 Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 4 Make and Model Number of the installed Outdoor Unit YORK CZF04814CA 5 Make and Model Number of the installed Inside Coil ADP CV60006 6 Make and Model Number of the installed Furnace or Air Handler. YORK TMLX10OC20MP11C 7 Minimum Equipment EER required for compliance as reported on the CF -1R 12.5 I@ When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than the 8 required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass �+'' 1 •4 i t1, 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. • 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 -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: --T S LB License: James Elia 881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CCl-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. As many as 4 systems in the dwelling can be documented for compliance usino this form. Attach an additional form(s) for anv additional systems in the dwellino ac annlirahla- 1 System Name or System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 System 4 (HVAC 3, 1881926 Identification/Tag Sample Group # (if applicable): N/A ® tested/verified dwelling & 5) 4 & 5) 2 System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Responsible Rater's Signature: Certified EER Rating of the Robert Bochus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 3 installed equipment 12.7 12.7 12.7 12.5 (Btu/Watt-hr) 4 Make and Model Number of the YORK YORK YORK YORK installed Outdoor Unit CZF06013CA CZF04814CA CZF06013CA CZF04814CA S Make and Model Number of the ADP ADP ADP ADP installed Inside Coil CV603C6 CV60006 CV603C6 CV60006 6 Make and Model Number of the YORK YORK YORK YORK installed Furnace or Air Handler. TMLX10OC20MP11C TMLX10OC20MP11C TMLX10OC20MP11C TMLX10OC20MP11C Minimum Equipment EER 7 required for compliance as 12.5 12.7 12.5 12.5 reported on the CF -1R ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater 8 than the required minimum EER in row 7, the unit complies. PASS PASS PASS PASS If the unit complies enter % Pas 4m„_, "°l 1 �- - ! '. -� --? �yrC�., 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. • 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 sDecified on the Certificate(s) of ComDliance (CF -1R) aooroved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bochus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 L J • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quint a CA 92253 City of La Quinta Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag System 5 (HVAC 3, 4 Responsible Person's Name: CSLB License: James Elia 1881926 HERS Provider Data Registry Information & 5) ® tested/verified dwelling ❑ not-tested/verified dwelling in a 2 System Location or Area Served SYSTEM 5 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12.5 Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 4 Make and Model Number of the installed Outdoor Unit YORK CZF04814CA 5 Make and Model Number of the installed Inside Coil ADP CV60OC6 6 Make and Model Number of the installed Furnace or Air Handler. YORK TMLX10OC20MP11C 7 Minimum Equipment EER required for compliance as reported on the CF -1R 12.5 ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than the 8 required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass ;yt 40 JI DECLARATION STATEMENT a, • 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) 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 -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • • 0 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: 53-045 Humboldt Blvd La Quinta CA,, La Quinta CA Enforcement Agency: Permit Number: 92253 City of La Quinta Identification/Tag Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 System 4 (HVAC 3, ® tested/verified dwelling la Identification/Tag & 5) 4 & 5) Z System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Certified EER Rating of 3 the installed equipment 12.7 12.7 12.7 12.5 (Btu/Watt-hr) Make and Model 4 Number of the installed YORK YORK YORK YORK Outdoor Unit CZF06013CA CZF04814CA CZF06013CA CZF04814CA Make and Model 5 Number of the installed ADP ADP ADP ADP Inside Coil CV603C6 CV60006 CV603C6 CV60006 6 Make and Model Number of the installed YORK YORK YORK YORK Furnace or Air Handler. TMLX10OC20MP11C TMLX10OC20MP11C TMLX10OC20MP11C TMLX10OC20MP11C Minimum Equipment 7 EER required for +, 12.5 12,7 12,5 12.5 compliance as reported on the CF -1R ® When a high EER system specification includes a,time delay relay,•the installation,of-the time delay relay must be verified for compliance credit. Refer to'Reference Residential Appendix;RA3:43 for the Time Delay Relay Verification Procedure.' r I ( } ® When installation of specific matched equipment is necessary to achieve'a high'EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 ism i ,f equal to or greater ` 8 than the required PASS ' minimum EER in row 7, PASS PASS PASS the unit complies. If the unit complies enter Pass 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. • 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: James Elia CSLB License: 1881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling la ❑ not-tested/verified dwelling in HERS sample group Reg: 212-N0071820A-M2300010A-M23A Registration Date/Time: 2013/10/29 11:01:14 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 • • HERS Rater Information Ca10ERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bochus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 I f -7 L rte' .. r i Reg: 212-N0071820A-M2300010A-M23A Registration Date/Time: 2013/10/29 11:01:14 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 11 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA Enforcement Agency: Permit Number: 92253 City of La Quinta HERS Provider Data Registry Information Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag System 5 (HVAC 3, 4 Responsible Person's Name: CSLB License: James Elia 1881926 HERS Provider Data Registry Information & 5) ® tested/verified dwelling ❑ not-tested/verified dwelling in la 2 System Location or Area Served SYSTEM 5 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12.5 Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 4 Make and Model Number of the installed Outdoor Unit YORK CZF04814CA 5 Make and Model Number of the installed Inside Coil ADP CV60OC6 6 Make and Model Number of the installed Furnace or Air Handler. YORK TMLXIOOC20MP11C 7 Minimum Equipment EER required for compliance as reported on the CF -1R 12.5 ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. Ig When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than 8 the required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass 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. • 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 -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: CSLB License: James Elia 1881926 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 # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N007182oA-M2300010A-M23A Registration Date/Time: 2013/10/29 11:01:14 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 1 System 2 System 3 (HVAC System 4 (HVAC (HVAC 1) (HVAC 2) 3, 4 & 5) 3, 4 & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 5/16 inch (8 mm) access hole upstream of evaporative coil in the ® Yes ® Yes ® Yes ® Yes 1 return plenum and labeled accordingto,Figure in Section ❑ No ❑ No ❑ No ❑ No RA3.2Z.Y2:-�,i' Return side of the duct system,is located entirely within conditioned J f ❑+Yes '= ❑ Yes ❑ Yes ` ❑ Yes la space and return aw irflo' temperature,to'be.measured at the 0 No ❑ No ❑ No -` ❑ No return grille 5/16 inch (8 mm) access hole downstream of evaporative coil in ® Yes ® Yes ® Yes ® Yes 2 the supply plenum and labeled ❑ No ❑ No ❑ No ❑ No according to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information seehttp://www.energy,ca.00v/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, ® Pass ® Pass ® Pass ® Pass is a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 C] • is CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evaporator Coil System Name or System 1 (HVAC System 2 (HVAC3 System (HVAC 3, System 4 (HVAC 3, Identification/Tag 1) 2) 4 & 5) 1 4 & 5) 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. []Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa pass,® Enter N/A if STMS are not N/A ® N/A ® N/A ® N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or System 1 (HVAC System 2 (HVAC System 3 (HVAC 3, System 4 (HVAC 3, Identification/Tager _ 1),.�y a y--�, �2) r--4:&•5) , 4 & 5) 6 The sensor is factory installed, or�field installed according to, manufacturer's specifications, or is installed by methods/specifications,approved by the Executive Director. / f j I AF ) I j , ❑iYes ❑ No /1 D Yes ❑ No ❑ Yes ❑ Noy `• ' ❑ Yes ❑_No The sensor wire is;terminated,with a standard mini plug suitable for connection to a digital thermonieter.The 7 sensor.mini,plug;is-accessible to'the installing technician and the,HERS,rater without changing the, airflow�.O through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No 8 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. 0 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8isa pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: I Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems • Calibration of Diagnostic Instruments I / :-,4 /� / \, y Date of Refrigecant�Gauge Calibration �V System 1 System 2 System 3 System 4 System Name or Identification/Tag (HVAC 1) (HVAC 2) (HVAC 3, 4 & (HVAC 3, 4 & Supply (evaporator leaving) air dry-bulb 5) 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Outdoor Unit Serial # WiH3997705 WIH3974872 WiH3997704 WIH3974876 Outdoor Unit Make SYSTEM YORK YORK YORK Outdoor Unit Model CZF06013CA CZF04814CA CZF06013CA CZF04814CA Nominal Cooling Capacity 5 Tons 4 Tons 5 Tons 4 Tons Date of Verification c10/1/2013� t-,�.10/1/2013 40.5 10/1/2013 orator sat) - �10%1/2013 • Calibration of Diagnostic Instruments I / :-,4 /� / \, y Date of Refrigecant�Gauge Calibration �V 10/1/2013 (must be re -calibrated monthly) Date of Thermocouple Calibratioin 10/1/2013 (must be re -calibrated monthly) Measured Temperatures (°F) System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature (Teva 33.8 35.5 40.5 32.5 orator sat) Condensor saturation temperature (Tcondensor sat) g1.4 81.4 88.1 84.9 Suction line temperature (Tsuction) 55.7 55.7 59.5 56.1 Liquid Line Temperature (Tliquid) 73 73 78 74.8 Condenser (entering) air dry-bulb temperature 70 70 70 70 (Tcondenser, db) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 Calculate: Actual Temperature Split = Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -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 1 System 2 System ,3 System 4 Systemf Name or Identification/Tag , i HVAC71) '(HVAC 2) (HVAC 3 4 & t (HVAC 3 4 & 1 Ilr / 1 / 5) Calculated Minimum Airflow. Requirement (CFM) "�. t.�+"',J it :r -'' '� ..,.• 1 j .J 1500.. 12001 1500 t — /-j,,1200 Measured Airflow using RA3.31procedures 1750 1576 1788 1590 (CFM) _ i Measurement Method, Flow Grid Flow Grid Flow Grid Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow PASS PASS PASS PASS requirement. Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & Calculate: Actual Superheat = (HVAC 1) (HVAC 2) 5) 5) Tsuction - Teva orator sat 8,4 8.4 10.1 10.1 Target Superheat from Table RA3.2-2 using Treturn wb and Tcondenser, db 9 9 9 9 Calculate difference: —y ,� ] -0:6 r---.- 0,6 -- ,ri:l "► 1.1 Actual Superheat - Target Superheat = L, System passes if difference is between -6°F and PASS. PASS PASS PASS +6°F Enter Pass or Fail PASS PASS PASS PASS 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Subcooling = 8,4 8.4 10.1 10.1 Tcondenser, sat'- Tli uid Target Subcooling specified by manufacturer 9 9 9 9 Calculate difference:,.- Actual Subcooling 'Target Subcooling —y ,� ] -0:6 r---.- 0,6 -- ,ri:l "► 1.1 , L, Systemapasses if difference -is between -4°F and +4°F �i� PASS. PASS PASS PASS Enter Fail Pass or PASS PASS PASS PASS 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 System 2 System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Superheat = 21.9 20.2 19.0 23.6 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range 3-26 3-26 3-26 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS PASS PASS PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag g System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & ® tested/verified dwelling not-tested/verified dwelling in la 5) 5) System meets all refrigerant charge and HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: airflow requirements. PASS PASS PASS PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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. . 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=611) 4 . Company Name: (InstaIli ng.Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Jf Responsible Person's Name: James �Eliaf (� f/' t CSLB License: �.-� �,'11 .��. 881926 _� (' 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 CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Buchus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 0 - Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4111-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address:Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 5 (HVAC 3,4&5) System Location or Area Served SYSTEM 2 5/16 inch (8 mm) access hole 1 upstream of evaporative coil in the O Yes ❑ Yes ❑ Yes ❑ Yes return plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. Return side of,the duct system is e la located•entirely within conditioned ❑ Yes` ❑ Yes J ❑ Yes ❑ Yes space and return airflow temperature ❑ No' 1,)_0 No� �O No ❑ No to',be measured aCtlie return grille. y 5/16 inch (8.mm) access hole downstreaeof evaporative coildn the -11r r� ® Ye l ❑.Yes > rr ', ❑ Yes 2 ,Yes . supply plenum and labeled according ❑ No ❑ No ❑ No- ❑ No to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information seehttr)://www,energy.ca.gov/title24/2008standards/`special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is a M Pass ❑ Pass ❑ Pass ❑ Pass pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 Cj • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4111-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evai)orator Coil System Name or System 5 (HVAC 3, Identification/Tag 1 4 & 5) ---.----------.,-? r.., , The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No I ❑ Yes []No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa pass. Enter N/A if STMS are not ® N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or System 5 (HVAC 3, Identification/Tager,,, 4 &,5)..r.w,. ---.----------.,-? r.., 6 The sensor is factory installed, or/field installed according to manufacturer's specifications, or is installed by methods/specifications,approved by the Executive Director./ ,r J �❑-Yes ❑ No J 0 Yes ❑ No ' !O Yes ❑ Noti 'Oyes ❑Nor, The sensor wire is,terminated,with a standard"mini plug suitable for connection to a digital thermometer. The " 7 sensor,minilplug'is accessible'to the•installing.technician_and the.HERS_rater without changing`the,air`flow�- through the condenser coil -� _ '❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No .1 -When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8isa pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 922531 City of La Quinta 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioninq Svstems System Name or Identification/Tag System 5 (HVAC 3, 4 & 5) (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 System Location or Area Served SYSTEM 2 Outdoor Unit Serial # W183459848 Outdoor Unit Make YORK Outdoor Unit Model CZF04814CA Nominal Cooling Capacity �. 4 Tons Date of Ver ificationf t'r L i 1/10/l/2013 1I JCalibration .of,Diagnostic Instruments_ j Date of Refrigerant Gauge Calibration 10/1/2013 (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 (must be re -calibrated monthly) Measured Temperatures (°F) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 System 5 System Name or Identification/Tag (HVAC 3, 4 & 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 31.6 (Teva orator sat) Condensor saturation temperature (Tcondensor, 83.4 sat) Suction line temperature (Tsuction) 52.9 Liquid Line Temperature (Tliquid) 75.3 Condenser (entering) air dry-bulb temperature 70 (Tcondenser db) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • L� • INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta1 Minimum Airflow Reauirement 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 Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -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) .".� 4 r € System'Name or Identification fag Y � System 5 (HVAC 3,4&5) ] Calculated Minimum Ai low Requirement (CFM) 1200 0'f t 40 ' til / a Measured Airflow using RA3.3 procedures"(CFM) - 1632 Measurement Method +� Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS Enter Pass or Failli Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 5 (HVAC 3,4&5) Calculate: Actual Superheat = 8.1 Tsuction - Teva orator sat 21.3 Target Superheat from Table RA3.2-2 using 9 Treturn wb and Tcondenser, db -0.9 Calculate difference: --�-�-.9-.--�e-,-., ..-- Actual Superheat - Target Superheat = U System passes if difference is between -6°F and +6°F Enter Pass or Fail PASS 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 5 (HVAC 3,4&5) Calculate: Actual Subcooling = 8.1 Tcondenser, sat - Tli uid 21.3 Target Subcooling specified by manufacturer 9 Calculate difference: -0.9 ling =1tz" *�- Actual Subcooling& Target Subcoo� --�-�-.9-.--�e-,-., ..-- System passes if difference is between -4°F and'+41FPASS U (`� Enter Pass Fail or 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 Id entificationgag System 5 (HVAC 3,4&5) Calculate: Actual Superheat = 21.3 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-4111-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: I Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 922531 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 5 (HVAC 3,4&5) HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow not -tested/ dwelling in lverified a HERS sample group requirements. PASS Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail Robert Buchus Responsible Rater's Certification Number w/ this HERS Date Signed: 10/1/2013 Provider: 11 Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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. ; • 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`enforceme`nt agency. Builder,& Installer information as'shown'on the Installation Certificate (CF -6111) Company Name: (InstallingiSubcontractor or General Contractor or'Builder/Owner) p EFFICIENT AIR CONDITIONING }f ,• �"",� Responsible P, eerrson's Name:'1 f yJ ' James Elia CSLB,License:_, , 1881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling not -tested/ dwelling in lverified a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Buchus Responsible Rater's Certification Number w/ this HERS Date Signed: 10/1/2013 Provider: CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in SuDDIV and Return Plenums of Air Handler System Name or Identification/Tag System 1 System 2 System 3 (HVAC System 4 (HVAC (HVAC 1) (HVAC 2) 3, 4 & 5) 3, 4 & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 5/16 inch (8 mm) access hole upstream of evaporative coil in the ®Yes ®Yes ®Yes ®Yes 1 return plenum and labeled according to Figure in Section ❑ No ❑ No ❑ No ❑ No RA 3.2; 2:2.2 :� -S-1 „r; -" 7 7 ► 7-71—N, C----�- la Return side of the duct systemlis' located entirely within conditioned s ace and returni"airflow p J' f ` �� . ❑+Yes ❑ Yes O es O ❑ Yes temperature,to'be.measured at the '`( ` ❑ No' �❑ No ❑ No ` ^,"❑-No .1 return grille!' " \ ` -% 4. J _? I!,' 5/16 inch (8 mm) access hole downstream of evaporative coil in ® Yes ® Yes ® Yes ® Yes 2 the supply plenum and labeled ❑ No ❑ No ❑ No ❑ No according to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information seehttp://www.eneray.ca.6ov/title24/2008standards/sr)eciaI case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, ® Pass ® Pass ® Pass ® Pass is a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evaporator Coil System Name or System 1 (HVAC System 2 (HVAC Sys tem 3 (HVAC 3, System 4 (HVAC 3, Identification/Tag 1) 2) 4 & 5) 4 & 5) 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No I ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa pass. ❑ N/A Enter N/A if STMS are not ❑ N/A pass. Enter N/A if STMS are not ® N/A ® N/A ® N/A ® N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or System 1 (HVAC System 2 (HVAC System 3 (HVAC 3, System 4 (HVAC 3, Identification/Tag, ; , 1) ---.=-.--� 2)_-----,.,_ I p--4&,5) , 9 4 & 5) 6 The sensor is factory installed, or,field installed according to manufactuirer's specifications, or is installed by methods/specifications,approved'by the Executive Director. / J, f f /] I ) iOlYes ❑ No /1 QYes ❑ No ' 1 J❑ Yes ❑ Nod `❑Yes ❑.No The sensor wire is terminated with a standard"`mini plug suitable for connection to a digital thermometer.iThe 7 sensor.mini ,plwq is accessible to'the installing technician and the.HERS„rater without changing`the.aiftlow-�;N through the condenser coil V r- ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8isa pass. ❑ N/A Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioninq Svstems System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & 5) System 4 (HVAC 3, 4 & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Outdoor Unit Serial # WiH3997705 WiH3974872 WiH3997704 WIH3974876 Outdoor Unit Make SYSTEM YORK YORK YORK Outdoor Unit Model CZF06013CA CZF04814CA CZF06013CA CZF04814CA Nominal Cooling Capacity 5 Tons 4 Tons 5 Tons 4 Tons Date of Verification-L-10/1/2013� �-� _'l �s'7 ..'` x-10/1/,2013- X10%1-/2013 10/1/2013 • Calibration of Diaqnostic Instruments • h Date dRefrigerant/Gauge Calibration 41_ 10/1/2013 (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 (must be re -calibrated monthly) Measured Temperatures (°F) System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 33.8 35.5 40.5 32.5 (Teva orator sat) Condensor saturation temperature (Tcondensor, sat) 81.4 81.4 88.1 84.9 Suction line temperature (Tsuction) 55.7 55.7 59.5 56.1 Liquid Line Temperature (Tliquid) 73 73 78 74.8 Condenser (entering) air dry-bulb temperature 70 70 70 70 (Tcondenser, db) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 C7 • INSTALLATION CERTIFICATE CF-4111-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 Calculate: Actual Temperature Split = Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -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. Y 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 ((to�n+))XX+�3,00 (cfm/ton) i r r' s It System 1 System 21 System 3 System 4 System Name or Identification a y YA 5 (HVAC�1) -(HVAC 2) (HVAC 3, 4 & (HVAC 3 , 4 & I is r 3 . 5) Calculated Minimum Airflow Requirement • d, .. 1500 q j ' 1200 1500 r' / 1200 (CFM) Measured Airflow using RA3.3 procedures 1750 1576 1788 1590 (CFM) _ Measurement Method Flow Grid Flow Grid Flow Grid Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow PASS PASS PASS PASS requirement. Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-4R-MECH-2E Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6] Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & Calculate: Actual Superheat = (HVAC 1) (HVAC 2) 5) 5) Tsuction - Teva orator sat 8.4 8.4 10.1 10.1 Target Superheat from Table RA3.2-2 using Treturn wb and Tcondenser, db 9 9 9 9 Calculate difference: - i --0:6• '� r * --0.6=' i 2 11'1~`7 �' A; 1.1 Actual Superheat - Target Superheat = *E System passes if difference is between -6°F and i PASS �-PASS 1, PASS < PASS +6°F - "•, Enter Pass or Fail PASS PASS PASS r'"�` :ti 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Subcooling = i 8.4 8.4 10.1 10.1 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 9 9 9 9 Calculate difference: ,�, �,.��'*� Actual Subco6ling -,Target Subcooling - i --0:6• '� r * --0.6=' i 2 11'1~`7 �' A; 1.1 _ *E System passes if difference,is between -4°F and +4°F I/ ,' i PASS �-PASS 1, PASS < PASS Enter Pass orFail' - "•, the allowable superheat range PASS PASS PASS r'"�` :ti 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. 11 System Name or Identification/Tag System 1 System 2 System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Superheat = 21.9 20.2 19.0 23.6 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range 3-26 3-26 3-26 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS PASS PASS PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & ® tested/verified dwelling not-tested/verified dwelling in 5) 5) System meets all refrigerant charge and HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: airflow requirements. PASS PASS PASS PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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 -111) 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'shownion the`Installation Certificate (CF -;6R) Company Name: (Install ing,Sutcontractor or General Contractor or Builder/Owner) \\ EFFICIENT AIR CONDITIONING � -'r f Responsible Pers..+o�n's'Name:l James Elia.-,,,! { fi ! CS License: /I �+'''— 881926._. HERS Provider Data Registry,Information Sample Group # (if applicable): N/A ® tested/verified dwelling not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 7 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page I of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 5 (HVAC 3,4&5) System Location or Area Served SYSTEM 2 5/16 inch (8 mm) access hole 1 upstream of evaporative coil in the ® Yes ❑ Yes ❑ Yes ❑ Yes return plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. Return -side of�the duct system is,rf.� -� %' �, 7 -• J7 la located entirely within conditioned ❑ Yes' • ❑Yes: ❑Yes space and return airflow temperature ❑ No ❑ No 1O No ❑ No to;,be measuredat tfie return grille. _ _ 5/16 inch (8mm) access hole, downstream the'/.� i/ f M Yes 2 of evaporative coil•in ❑,Yes t, ❑-Yes tiI ,-' ❑•Yes supply plenum and labeled according ❑ No ❑ No ❑ No-- ❑ No to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information seehttr)://www.energy.ca.gov/title24/2008standards/`sr)ecial case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is a 11 Pass ❑ Pass ❑ Pass ❑ Pass pass. 1❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evaporator Coil System Name or System 5 (HVAC 3, Identification/Tag 1 4 & 5) -•-- --� ., 1►.---- --� , 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No I ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5'is a pass. Enter N/A if STMS are not ® N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or System 5 (HVAC 3, Identification/Tag, 4 &,5)o , -•-- --� ., 1►.---- --� , 6 The sensor is factory installed,.orr.field installed according to manufacturer's specifications, or is installed by methods/specification_s,approved by the Executive Director. ( ,f" f I J;'❑ Yes ❑ No 11 ❑ Yes ❑ No j❑ Yes ❑ No ' ❑,Yes ❑ No,, The sensor wire is terminated with a standard'mini plug suitable for connection to a digital thermometer The 7 sensor,mini,plug:is`accessible to"the installing technician and the.HERS�rater without changingfthe airflow-j-� through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not 13 N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 C7 • • INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems System Name or Identification/Tag System 5 (HVAC 3, 4 & 5) (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 System Location or Area Served SYSTEM 2 Outdoor Unit Serial # W163459848 Outdoor Unit Make YORK Outdoor Unit Model CZF04814CA Nominal Cooling, Capacity 4 Tons Date of� erification �{ r 10/1/2013 r Ilk Calibration,of,D gnostic Instruments - ). : / J % %. Y t' ._ Date of Refrigerant Gauge Calibration 10/1/2013 (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 (must be re -calibrated monthly) Measured Temperatures (°F) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 System 5 System Name or Identification/Tag (HVAC 3, 4 & 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 31.6 (Teva orator sat) Condensor saturation temperature (Tcondensor, 83.4 sat) Suction line temperature (Tsuction) 52.9 Liquid Line Temperature (Tliquid) 75.3 Condenser (entering) air dry-bulb temperature 70 (Tcondenser db) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 L J • L INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -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) !r' ' r_7 ; System Name or Identification/T ag System 5 (HVAC + r . _� � � A 3,4&5) j / Calculated Minimum Airflow rRequirement (CFM) 1200 Measured"Airflo using RA3.3,p ocedures CFM) 'JI` 1632 4, Measurement Method Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 5 (HVAC 3,4&5) Calculate: Actual Superheat = 8.1 Tsuction - Teva orator sat 21.3 Target Superheat from Table RA3.2-2 using 9 Treturn wb and Tcondenser, db -0.9 Calculate difference: Actual Superheat - Target Superheat = PASS System passes if difference is between -6°F and S, +6°F Enter Pass or Fail PASS 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 5 (HVAC 3,4&5) Calculate: Actual Subcooling = 8.1 Tcondenser, sat - Tli uid 21.3 Target Subcooling specified by manufacturer 9 Calculate difference: -0.9 Actual Subcooling„Target Subcooling k System passes if difference is between,' -4°Fa +4°F PASS 5-r' /Enter Pass Fail f S, or 3' 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 Identificationffag System 3, 4 & SHVAC Calculate: Actual Superheat = 21.3 Tsuction - Teva orator sat s Enter allowable superheat range from manufacturer's specifications (or use range 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • r �J INSTALLATION CERTIFICATE CF-4111-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address:Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 5 (HVAC 3,4&5) HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow ❑ not-tested/verified dwelling in la HERS sample group requirements. PASS Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail Robert Bachus Responsible Rater's Certification Number w/ this HERS Date Signed: 10/1/2013 Provider: ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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. • 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,(&,1R) approved -by the"enforcement agency.'��r ``�l —) ( j7-`—)7 Builder,or Installer information as shown'on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or°Builder/Owner) t1 EFFICIENT AIR CONDITIONING Responsible, Person's Name: 'f *� �.r�._ J' CSLB Licenser f 1881926 James Elia 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 CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Date Signed: 10/1/2013 Provider: CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 1 System 2 System 3 (HVAC System 4 (HVAC (HVAC 1) (HVAC 2) 3, 4 & 5) 3, 4 & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 5/16 inch (8 mm) access hole 1 upstream of evaporative coil in the return plenum and labeled' ® Yes ® Yes ® Yes ® Yes according toFigurein Section ❑ No ❑ No ❑ No ❑ No RA3.2.2'.2.2.'\ f �-- Return side of the duct system'is` located entirely within conditioned 0 -Yes ❑Yes ❑Yes ` ❑Yes la space and returnrairflow I temperature,to'be measured at the �� ,F 13 No f ❑ No ❑ No - ""`f'❑,No return grillef -� 1 .:.� --�: r;� '�L-O." 5/16 inch (8 mm) access hole 2 downstream of evaporative coil in the supply plenum and labeled ® Yes ® Yes N Yes ® Yes according to Figure in Section ❑ No ❑ No ❑ No ❑ No RA3.2.2.2.2. The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information seehtti)://www.enerciv.ca.aov/title24/2008standards/special case aoDlian ge TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, ® Pass ® Pass ® Pass ® Pass is a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail 0 - Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evaporator Coil System Name or System 1 (HVAC System 2 (HVACSystem 3 (HVAC 3, System 4 (HVAC 3, Identification/Tag 1) 2) 4 & 5) 1 4 & 5) , The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes []No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No []Yes ❑ No Yes to 3, 4, and 5isa pass. Enter N/A if STMS are not ® N/A ® N/A ® N/A ® N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name orSystem 1 (HVAC T- System 2 (HVAC System 3 (HVAC 3, System 4 (HVAC 3, Identification/Tag-," 4 & 5) 6 The sensor is factory installed,,, installed according to manufacturer's specifications, or is installed by methods/specifications,apprcved by the Executive Director. 1, f [ / J ❑ Yes ❑ No f ❑ Yes ❑ No ' j❑ Yes ❑ Noy' �,. 10 Yes ❑,No,., The sensor wire is,terminated with a standard'mini plug suitable for connection to a digital thermometer -The 7 sensor,mini,plug:is accessible to`the-installing technician and the,HERSerater without changing`the,airfiow-+n- through the condenser coil - *' ` ' ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 1 ❑ Yes ❑ No 8 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8isa pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address!mm: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & 5) System 4 (HVAC 3, 4 & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Outdoor Unit Serial # WiH3997705 WIH3974872 WIH3997704 WiH3974876 Outdoor Unit Make SYSTEM YORK YORK YORK Outdoor Unit Model CZF06013CA CZF04814CA CZF06013CA CZF04814CA Nominal Cooling Capacity 5 Tons 4 Tons 5 Tons 4 Tons Date of Verification c10/1/2013� --10/1/2013•— X10%1/2013 10/1/2013 • Calibration of Dia4nos tic Instruments • r Date of Refrigerant Gauge Calibration_ , _/16/1/2,013 ; (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 (must be re -calibrated monthly) Measured Temperatures (°F) System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 33.8 35.5 40.5 32.5 (Teva orator sat) Condensor saturation temperature (Tcondensor, sat) 81.4 81.4 88.1 84.9 Suction line temperature (Tsuction) 55.7 55.7 59.5 56.1 Liquid Line Temperature (Tliquid) 73 73 78 74.8 Condenser (entering) air dry-bulb temperature 70 70 70 70 (Tcondenser, db) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 Calculate: Actual Temperature Split = Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -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) f ( ' System 1 r 2 System Sy stem 3 System 4 System Name or Identification/Tag' (HVACTl) `(HVAC 2)'/ (HVAC 3, 4 & (HVAC 3, 4 & ,+! I %, s e V a 5) � � .. 5). rr Calculated Minimum Airflow Requirement (CFM) "tw ' ( r ,. • 1500 j - 1200,' �t 1500 4" r J 1200 ti Measured Airflow using RA3.3 procedures (CFM) 1750 1576 1788 1590 Measurement Method Flow Grid Flow Grid Flow Grid Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow PASS PASS PASS PASS requirement. Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • INSTALLATION CERTIFICATE CF-4111-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & Calculate: Actual Superheat = (HVAC 1) (HVAC 2) 5) 5) Tsuction - Teva orator sat 8,4 8.4 10.1 10.1 Target Superheat from Table RA3.2-2 using 21.9 20.2 19.0 23.6 Treturn wb and Tcondenser, db 9 9 9 9 Calculate difference: x'~-0- C r', -0.6- — Actual Superheat - Target Superheat = i „ 3-26 3-26 System passes if difference is between -6°F and PASS f `JPASS PASS PASS +6°F ' .- Enter Pass or Fail PASS PASS PASS PASS 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Subcooling = 8,4 8.4 10.1 10.1 Tcondenser, sat - Tli uid 21.9 20.2 19.0 23.6 Target Subcooling specified by manufacturer 9 9 9 9 Calculate difference:► �,.. Actual Subco6ling =.Target Subcooling _ x'~-0- C r', -0.6- — between 3°F and 26°F if manufacturer's i „ 3-26 3-26 Systema passes if difference -is between -4°F and +4°F ' PASS f `JPASS PASS PASS C Enter Pass or Fail / .- 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 System 2 System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Superheat = Tsuction - Teva orator sat 21.9 20.2 19.0 23.6 Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if manufacturer's 3-26 3-26 3-26 3-26 specification is not available) System passes if actual superheat is within the allowable superheat range PASS PASS PASS PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 U • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 (HVAC 1 ) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & ® tested/ verified dwelling not-tested/verified dwelling in la 5) 5) System meets all refrigerant charge and HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: airflow requirements. PASS PASS PASS PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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. . 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 -111) approved by the enforcement agency. Builder orTnstaller information as'sh'ownion the'Installation Certificate (CF -;6R) f r Company Name: (Installling�Subcontractor or Ge ral Contract r or Builder/O ner) EFFICIENT AIR CONDITIONING � ''J ti 0 Responsible Person's Name: f , tj �l CSLB License: James Elim - 881926 HERS Provider Data Registry4nformation - Sample Group # (if, applicable): N/A ® tested/ verified dwelling not-tested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • i • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: I Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 7 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 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 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, unless the TMAH Compliance Option is chosen. 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 5 (HVAC 3,4&S) System Location or Area Served SYSTEM 2 5/16 inch (8 mm) access hole 1 upstream of evaporative coil in the N Yes ❑ Yes ❑ Yes ❑ Yes return plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. Returmside of.the duct system ise',.' Ar ^ r / 1a located entirely within conditioned v ❑ Yes' ) ❑ Yes ❑ Yes ❑ Yes rature space and return airflow temp9rille. ❑ Nd ��r ❑ No �� No ❑ No to be measured n aE�the retur f 5/16 inch (8)mm)yaccess hole, iw ] l ; 2 downstream of evaporative coil,in1he 1` M Yes ❑ Yes L. ❑.Yes4,0-Yes J � ❑ Yes supply plenum and labeled according ❑ No ❑ No ❑ No- ❑ No to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information see_httr)://www.enerav.ca,gov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to I and 2, or checking the TMAH Compliance Option, is a ® Pass ❑ Pass ❑ Pass ❑ Pass pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta1 STMS - Sensor on the Evaporator Coil System Name orSystem 7 5 (HVAC 3, Identification/Tag 4 & 5) 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No I ❑ Yes ❑ No I []Yes ❑ No I ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa pass. ❑ N/A Enter N/A if STMS are not ❑ N/A pass. Enter N/A if STMS are not ® N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or System 5 (HVAC 3, Identification/Tag;.,,. _ 4 &;5).»� 6 The sensor is factory installed, orfieldinstalled according to manufacturer's'specifications, or is installed by methods/specifications,approved by the Executive Director. / ] ij ,f' / I f •❑ Yes ❑ No j ❑ Yes ,❑ No ' I❑ Yes ❑ No1 ` '' ❑,Yes ❑,No .,,, The sensor wire is terminated with a standard'mini plug suitable for connection to a digital thermometer -The` 7 sensor,mini,plug`is accessible to"the installing technician and the HERS rater without changing"the,airflowr,,-, through the condenser coil " ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. t ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8isa pass. ❑ N/A Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ Pass applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Fail Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems System Name or Identification/Tag System 5 (HVAC 3, 4 & 5) (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 System Location or Area Served SYSTEM 2 Outdoor Unit Serial # W1133459848 Outdoor Unit Make YORK Outdoor Unit Model CZF04814CA Nominal Cooling Capacity 4 Tons Date of Verifications /10/1 '2013 r Calibration,of,Diagnostic Instruments .�• �, ,l .� ,± ,,� Date of Refrigerant Gauge Calibration 10/1/2013 (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 (must be re -calibrated monthly) Measured Temperatures (°F) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 System 5 System Name or Identification/Tag (HVAC 3, 4 & 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 31.6 (Teva orator sat) Condensor saturation temperature (Tcondensor, 83.4 sat) Suction line temperature (Tsuction) 52.9 Liquid Line Temperature (Tliquid) 75.3 Condenser (entering) air dry-bulb temperature 70 (Tcondenser db) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 - Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -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 '� ° System b (HVAC i ' jr 3,4&5) Calculated Minimum Ai IowFRequirement (CFM) 1200 A J7 J 1 rrJ 100' Measured Airflow using RA3.3 procedures,(CFM) 1632 Measurement Method Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-4R-MECH-2E Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 5 (HVAC 3,4&5) Calculate: Actual Superheat = 21.3 Tsuction - Teva orator sat Target Superheat from Table RA3.2-2 using 9 Treturn wb and Tcondenser, db 0',9�.---..r Calculate difference: ---»-� Actual Superheat - Target Superheat = 4 PASS System passes if difference is between -6°F and � 11 r # +6°F PASS Enter Pass or Fail 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 5 (HVAC 3,4&5) Calculate: Actual Subcooling 21.3 Tcondenser, sat - Tli uid Target Subcooling specified by manufacturer 9 Calculate difference: 0',9�.---..r Actual Subcooling, Target Subcooling =-�-�+ ---»-� System passes if difference is between," ., Y -4°F and'+4°F i 11 I 4 PASS a! ! Enter Pass Fail � 11 r # ] or PASS 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/rTag System 3, 4 & SHVAC Calculate: Actual Superheat =; 21.3 Tsuction - Teva orator sat . Enter allowable superheat range from manufacturer's specifications (or use range 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 5 (HVAC 3,4&5) 881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow not-tested/verified dwelling in la HERS sample group requirements. PASS Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail Robert Bachus Responsible Rater's Certification Number w/ this HERS Date Signed: 10/1/2013 Provider: ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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. • 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 tWenfor'cement agency.v-7—' Builder,or Installer information as`shown'on the Installation Certificate (CF -6R) Company Name: (Installing 'Subcontractor or General Contractor or'Builder/Owner) {k EFFICIENT AIR CONDITIONING Responsible Person's Name:' 'a �..'� J -- CSLB License: J James Elia 881926 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 CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Date Signed: 10/1/2013 Provider: CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Suoolv and Return Plenums of Air Handler System Name or Identification/Tag System 1 System 2 System 3 (HVAC System 4 (HVAC (HVAC 1) (HVAC 2) 3, 4 & 5) 3, 4 & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 5/16 inch (8 mm) access hole 1 upstream of evaporative coil in the return plenum and labeled ® Yes ® Yes ® Yes ® Yes according to Figure in Section ❑ No ❑ No ❑ No ❑ No RA3.2;2:2.2�- �`•---7 ` ^--- r�� /°`�`7 Return side of the duct system,is% located entirely within conditioned 1� 0 -Yes ❑ Yes ❑Yes ❑Yes la space and returnf`airflow �; f temperature to 6e.measured at the `�_ " ❑ No ❑ No ❑ No "` "'❑ No return grilleir! �, _� ti r' C_ .J ; ,� f.,C an, 5/16 inch (8 mm) access hole 2 downstream of evaporative coil in the supply plenum and labeled ® Yes ® Yes ® Yes ® Yes according to Figure in Section ❑ No ❑ No ❑ No ❑ No RA3.2.2.2.2. The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information sephttD•//www enerov ca aov/title24/2008standards/sr)ecial case aDDliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, ® Pass ® Pass ® Pass ® Pass is a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • U CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address!mmm: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evaporator Coil System Name or System 1 (HVAC System 2 (HVAC3 System (HVAC 3, System 4 (HVAC 3, Identification/Tag 1) 2) 4 & 5) 1 4 & 5) .1 IThe sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No I ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. []Yes ❑ No ❑ Yes ❑ No []Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa pass. Enter N/A if STMS are not ® N/A ® N/A ® N/A ® N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or System 1 (HVAC System 2 (HVAC System 3 (HVAC 3, System 4 (HVAC 3, Identification/Tag,—.4 y 1)r�►�.* . --._---�2)�--�-- �+----4&;5) ,�- , 4 & 5) 6 The sensor is factory installed' -orfieldinstalled according to manufacturer's'specifications, or is installed by methods%specifications,approved by the Executive Director. j - J,, 1 j j ooF_ I I J l❑ Yes ❑ No f '❑ Yes ❑ No ' I j Yes ❑ Nod _'Oyes ❑,No , The sensor wire is,terminated,with a standard mini plug suitable for connection to a digital thermometer:: The 7 sensor,mini,plug is accessible to.the-installing technician and the.HERS,rater without changing°the,airflow-� _. through the condenser coil �'❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 When attached to'a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes []No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8isa pass. Enter N/A if STMS are not p N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 temperature is less than 55°F the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioninq Svstems System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & 5) System 4 (HVAC 3, 4 & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Outdoor Unit Serial # WiH3997705 WIH3974872 WIH3997704 WiH3974876 Outdoor Unit Make SYSTEM YORK YORK YORK Outdoor Unit Model CZF06013CA CZF04814CA CZF06013CA CZF04814CA Nominal Cooling Capacity ' S Tons 4 Tons 5 Tons 4 Tons Date of VeJrification --10[1/2013/2013 -� , f 10/1/2013—-1/ • Calibration of Diagnos' tic Instruments • Date of�RefrigerantrGauge Calibration ....t ' 10/1/2013 (must be re -calibrated' monthly) Date of Thermocouple Calibration 10/1/2013 (must be re -calibrated monthly) Measured Temperatures (OF) System Name or Identification/Tag System 1 System 2 System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature (Teva 33.8 35.5 40.5 32.5 orator sat) Condensor saturation temperature (Tcondensor sat) g1.4 81.4 88.1 84.9 Suction line temperature (Tsuction) 55.7 55.7 59.5 56.1 Liquid Line Temperature (Tliquid) 73 73 78 74.8 Condenser (entering) air dry-bulb temperature 70 70 70 70 (Tcondenser, db) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 Calculate: Actual Temperature Split = Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -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. r Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling, Capacity (ton) X 300 (cfm/ton) 1 ' T; ! I ' System 1 System 2/ System '3 System 4 System Name or Identification/Tag 1 HVAC 1) (HVAC 2)' (HVAC 3, 4 & "5) ' (HVAC 3, 4 & 5)r sti Calculated Minimum Airflow Requirement < �`� /� ' `..�"`F ')e 15001- �/ 12061 11500 r Y //,,1200 (CFM) ; J , Measured Airflow using RA3.3tprocedures (CFM) # 1750 1576 1788 1590 Measurement Method �} Flow Grid Flow Grid Flow Grid Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS PASS PASS PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms February 2013 • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & Calculate: Actual Superheat = (HVAC 1) (HVAC 2) 5) 5) Tsuction - Teva orator sat 8.4 8.4 10.1 10.1 Target Superheat from Table RA3.2-2 using 21.9 20.2 19.0 23.6 Treturn wb and Tcondenser, db 9 9 9 9 Calculate difference: 3-26 --7%0.6-71r_ 1 1.1 Actual Superheat - Target Superheat = System passes if difference is between -6°F and 1 PASS PASS PASS < PASS +6°F -s "' r.. Enter Pass or Fail , PASS - l'� 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Subcooling =• 8.4 8.4 10.1 10.1 Tcondenser, sat - Tli uid 21.9 20.2 19.0 23.6 Target Subcooling specified by manufacturer 9 9 9 9 Calculate difference:, Actual Subcooling ? Target Subcooling 3-26 --7%0.6-71r_ 1 1.1 between 3°F and 26°F if manufacturer's System passes if difference -is between -4°F and +4°F' 1(% 1 PASS PASS PASS < PASS Enter Pass or Fail -s "' r.. the allowable superheat range , PASS - l'� 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 System 2 System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Superheat = Tsuction - Teva orator sat 21.9 20.2 19.0 23.6 Enter allowable superheat range from manufacturer's specifications (or use range 3-26 3-26 3-26 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS PASS PASS PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 0 • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 (HVAC 1 ) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & ® tested/verified dwelling ❑ not-tested/verified dwelling in la 5) 5) System meets all refrigerant charge and HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: airflow requirements. PASS PASS PASS PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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 -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 -111) approved by the enforcement agency. Builder or -Installer information as`shown,on the'Installation Certificate (CF -611) Company Name: (InstaIli ng.,Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person'slNarrte: ICSLB License: James Elia:._, � �� 881926, ,.•` ✓ /� ��r',�-( _.,,y 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 # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC200569S Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4111-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 5 (HVAC 3,4&5) System Location or Area Served SYSTEM 2 5/16 inch (8 mm) access hole 1 upstream of evaporative coil in the ® Yes ❑ Yes ❑ Yes ❑ Yes return plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. Return -side ofPe duct system is..rj/ �" ' r ,r r �' la located entirely within conditioned ❑ Yes,+' ❑Yes ❑ Yes, ❑ Yes space and return airflow temperature ❑ No ❑ No �❑ No ❑ No to be measured at tFie returngrille. �{ 5/16 inch (8 mm).access hole, downstreamof eJaporative'coil,in ►� ® Yes �. 2; the ❑ Yes 4_,_ ❑ Yes r.('40 -Yes supply plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information seehtto://www,energy.ca.gov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is a ® Pass ❑ Pass ❑ Pass ❑ Pass pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • r� U CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evaporator Coil System Name or System 5 (HVAC 3, Identification/Tag 1 4 & 5) 1 T , , The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil []Yes ❑ No []Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No []Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa pass. Enter N/A if STMS are not ® N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or JSystem 5 (HVAC 3, Identification/Tagk", , 4 &,5) x ----------w--.� ----.w�--� , �. , 6 The sensor is factory installed,-ortfield installed according to manufacturer's specifications, or is installed by methods%specifications,apprd` ed by the Executive Director, f Z j \ I "rt /❑-Yes ❑ No 11 ❑ Yes ❑ No " I i❑ Yes ❑ Nod ` O Yes ❑;No r. The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The ` 7 sensor,mini,plug,is accessible to`the installing technician and the,HERS.rater,without changing'the,airflow-^{, through the condenser coil '❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not 11 N/A 13 N/A 13 N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • Cj • INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Svstems System Name or Identification/Tag System 5 (HVAC 3, 4 & 5) (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 System Location or Area Served SYSTEM 2 Outdoor Unit Serial # W183459848 Outdoor Unit Make YORK Outdoor Unit Model CZF04814CA Nominal Cooling Capacity .�"r "tee - �`^-n 4 Tons :`-----.-�-^� �--' x-"'�., t' --•-a ^� y .,'7`r.` -r Date ofV erificationv J, {�� L '10/%2013 Calibration.of,Diagnostic Instruments - .- _I Date of Refrigerant Gauge Calibration 10/1/2013 (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 (must be re -calibrated monthly) Measured Temperatures (°F) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 System 5 System Name or Identification/Tag (HVAC 3, 4 & 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 31.6 (Teva orator sat) Condensor saturation temperature (Tcondensor, 83.4 sat) Suction line temperature (Tsuction) 52.9 Liquid Line Temperature (Tliquid) 75.3 Condenser (entering) air dry-bulb temperature 70 (Tcondenser db) Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quit_ 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 Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using T return wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -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) -._:._� I-,✓ System Name or Identification/ITag System 5 (HVAC 3,4&5) j k Calculated Minimum Airflow Requirement CFM }� 1200 4L 01 4 171 . .k a ✓" Measured Airflow using RA3.3-procedures (CFM) ' 1632 �;, J i. , Measurement Method Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms - February 2013 • • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 5 (HVAC 3,4&5) Calculate: Actual Superheat = 8.1 Tsuction - Teva orator sat 21.3 Target Superheat from Table RA3.2-2 using 9 Treturn wb and Tcondenser, db C',9— Calculate difference: ;r-,,,r•�.� Actual Superheat - Target Superheat = PASS System passes if difference is between -6°F and , I +6°F Enter Pass or Fail PASS 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 5 (HVAC 3,4&5) Calculate: Actual Subcooling = 8.1 Tcondenser, sat - Tli uid 21.3 Target Subcooling specified by manufacturer 9 Calculate difference: C',9— Actual Subcoolingz Target Subcooling..--..-� ;r-,,,r•�.� System passes if difference is between,' -4°F and +4°F 1 ' PASS { e"� %Enter Pass or Fail! , I System passes if actual superheat is within the 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 5 (HVAC 3,4&5) Calculate: Actual Superheat = 21.3 Tsuction - Teva orator sat - Enter allowable superheat range from manufacturer's specifications (or use range 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 7 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 5 (HVAC 3,4&5) 881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow not-tested/verified dwelling in la HERS sample group requirements. PASS Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail Robert Bachus Responsible Rater's Certification Number w/ this HERS Date Signed: 10/1/2013 Provider: ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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. • 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. `- 'r,� �;"� ---::7 f7 Builder,or Installer information as'shown'on ,the Installation Certificate (CF -6R) Company Name: (Instralling'Subcontractor or General Contractor or`Builder/Owner) (� EFFICIENT AIR CONDITIONING Responsible Person's Name:'] -" CSLB License: L ll �rr James Elia 881926 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 CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Date Signed: 10/1/2013 Provider: CC2005695 Reg: 212-N0071820A-M2200007A-M22A Registration Date/Time: 2013/10/29 10:32:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 5/16 inche(8:mm) access hole upstream of evaporative coil in 1 the,"return plenum and,labeled ®Yes 11 N6 ®Yes ❑Nom ®Yes 13 No v ®Yes 0 N according to Figure'i S _04 , �tio 4 RA3.2.2.2.2. ' T` Return, side.of,the`duct+system�is located'ei`tirely within conditioned ❑Yes ❑Yes ❑Yes 'Y - Yes ❑es la space and return airflow ❑ No ❑ No 13 No 13 No temperature to be measured at the return grille. 5/16 inch (8 mm) access hole downstream of evaporative coil in ® Yes ® Yes ® Yes ® Yes 2 the supply plenum and labeled ❑ No ❑ No ❑ No ❑ No according to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information see httD://www.energy,ca.gov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance ® Pass ® Pass ® Pass ® Pass Option, is a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail z �> O Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • n LJ i I Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2313/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA Enforcement Agency: Permit Number: 92253 City of La Quinta 1 2) STMS - Sensor on the Evaporator Coil System Name or System 1 (HVAC System 2 (HVAC System 3 (HVAC System 4 (HVAC Identification/Tag 1) 1 2) 3, 4 & 5) 3, 4 & 5) 3 e sensor is factory installed, or field installed according to manufacturer's specifications, or is installed r methods/specifications approved by the Executive Director. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the 7 airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature 8 of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ® N/A ® N/A ® N/A ® N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail ❑ Fail Fail STMS - Sensor'on•the Condenser Coil, — �t'�., J' --; ;---?-• System Name or System 1 (HVAC System'2 (HVAC jSystem 3 (HVAC System �-H-V`, C Identification/Tag,f ,`1) ,f2) f , ; 3, 4�& 5) 3, 45) 6 The sensor is factory installed, or field installed according to manufacturer's specifications, or is..installed�, by methods/specifications approved by the Executive Director. '`Vorl1 .. t . ❑:Yes &No "` ❑ Yes ❑ No ❑ Yes ❑ No-, ❑ Yes' ❑ No- \' �- The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 7 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta (HVAC 2) 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 temperature is less than 55°F the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems System Name or Identification/Tag System 1 System 2 System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (must be re -calibrated monthly) (HVAC 1) (HVAC 2) 5) 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Outdoor Unit Serial # WIH3997705 WIH3974872 WiH3997704 WiH3974876 Outdoor Unit Make SYSTEM YORK YORK YORK Outdoor Unit Model CZF06013CA CZF04814CA CZF06013CA CZF04814CA Nominal ooling Capacity Sjons : 4yTons! e 5 Tons 7 4 Tons wet -bulb temperature (Treturn wb) Date of Verification 33.8 023 3 10/1 `/2013 ; 1 1 Calibration of Diagnostic Instruments Date of Refrigerant Gauge Calibration 10/1/2013 (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 (must be re -calibrated monthly) Measured Temaeratures (°F) System Name or Identification/Tag System 1 System 2 System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 33.8 35.5 40.5 32.5 (Teva orator sat) Condensor saturation temperature (Tcondensor, sat) 81.4 81.4 88.1 84.9 Suction line temperature (Tsuction) 55.7 55.7 59.5 56.1 Liquid Line Temperature (Tliquid) 73 73 78 74.8 Condenser (entering) air dry-bulb 70 70 70 70 temperature (Tcondenser, db) Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA Enforcement Agency: Permit Number: 92253 City of La Quinta 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 Calculate: Actual Temperature Split = Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn, wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -100°F Enter Pass or Fail 1 Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures, sp-ecified�in Reference Residential Appendix RA3.3. If actual cooling coil.airflo`w is measured, the•value.mu'st.be'equ5l to or greater than'the,Calculated Minim un AirflowFRequ�m hi i 'the table below.� E r . '� `' 'i t.. t f / Calculated Minimum Airflow Requirement (CFM) No nal Cooling Capacityt (ton) X 300 � I System Name'or Id entification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) Calculated Minimum Airflow Requirement (CFM) 1500 1200 1500 1200 Measured Airflow using RA3.3 procedures (CFM) 1750 1576 1788 1590 Measurement Method Flow Grid Flow Grid Flow Grid Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS PASS PASS PASS Enter Pass or Fail Ked Z Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta Calculate: Actual Superheat = 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 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & Calculate: Actual Superheat = (HVAC 1) (HVAC 2) 5) 5) Tsuction - Teva orator sat 8.4 8.4 10.1 10.1 Target Superheat from Table RA3.2-2 using g --�� L F �9 9 Treturn wb and Tcondenser, db 1 , Calculate difference: r -0.6 J -0.6 1.1 Actual Superheat - Target Superheat = 3-26 3-26 3-26 3-26 System passes if difference is between -6°F and +6°F PASS PASS PASS - `PASS Enter Pass or Fail 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(HVAC System 1 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Subcooling = Tcondenser, sat - Tli uid 8.4 8.4 10.1 10.1 Target Subcooling: specified by manufacturer" g --�� L F �9 9 Enter allowable superheat range from 1 , Calculate difference:? l Actual Subcooling -Target Subcooling r -0.6 J -0.6 1.1 range between 3°F and 26°F if 3-26 3-26 3-26 3-26 passes.ifrdifference is.betweend _ +4°F rF PASS PASS PASS - `PASS Enter Pass or Fail 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 System 2 System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Superheat = Tsuction - Teva orator sat 21.9 20.2 19.0 23.6 Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if 3-26 3-26 3-26 3-26 manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS PASS PASS PASS Enter Pass or Fail Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • i r �' fJl ,4� -., �Iyf3JY � r _ Ji �t � )jj aI� •� hrl�p� Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • C] • INSTALLATION CERTIFICATE CF-4111-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta System 3 (HVAC 3, 4 & Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & ® tested/verified dwelling not-tested/verified dwelling lin 5) 5) System meets all refrigerant charge HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: and airflow requirements. PASS PASS PASS PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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. � `,r, :;p -N ,,�'----,_--� 1 -77--,, .–a - �—, /• . 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 Certificates) of Compliance (CF -1R) approved by the enforcement agency. 1 --'f h Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installin g-Subcontract�r or General Contractor or.Builder/Owner) EFFICIENT AIR CONDITIONING" { Responsible Person's Name: CSLB License: James Elia ' 1881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling not-tested/verified dwelling lin a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/1/2013 CC2005695 R '+ Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms February 2013 5� r Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • C] • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4111-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA Enforcement Agency:Permit Number: 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 Val Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 System 5 System Name or Identification/Tag (HVAC 3, 4 & 5) System Location or Area Served SYSTEM 2 5/16 inch.(8 mm) access hole in ,�. ' ®YesL __ 1 upstream of evaporative coil the ❑ Yes 0Ys 13 Yes return plenumiand labeledlaccording ❑ No ❑,No ❑'No ❑ No to,Figure in Section'RA3.2'.2.2.2. - r, Return side of the duct system is - la located entirely within conditioned ❑ Yeses/ J ❑ Yes ❑ Yes ❑,Yes ,f r space and return airflow temperature ❑ No 1' ❑ No 13 -No ❑ N6, i- to be measured at the return grille. 5/16 inch (8 mm) access hole 2 downstream of evaporative coil in the ® Yes ❑ Yes ❑ Yes ❑ Yes supply plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information see httr)://www.enerav,ca.gov/title24/2008standards/special case aDDliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is ® Pass ❑ Pass ❑ Pass ❑ Pass a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Val Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 L� • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta STMS - Sensor on the Evaporator Coil System Name orSystem 5 (HVAC [3, J ] u Identification/Tag 4 & 5) 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes []No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa pass. Enter N/A if STMS are not ® N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor`on•the Condenser Coil,, System Name or f System 5 (HVAC J ] u Identification/Tag ,.•.+ / 3,`4&5) 6 The sensor, is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications.6ppr6ved'by the Executive Director. 1 - '�• ❑ Yes 'G -No Yes ❑ No 4 ❑ Yes ❑ No'--• -!�- ❑ Yesr❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 7 The sensor minkplug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail > 0 b Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • �j INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems Calibration of'Diagnostic Instruments Date of Refrigerant Gauge Calibration System 5 (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 System Name or Identification/Tag (HVAC 3,4 & 5) System Location or Area Served SYSTEM 2 Outdoor Unit Serial # WIB3459848 Outdoor Unit Make YORK Outdoor Unit -Mom d 19? /� CZF0481 A) Return (evaporator entering) air Nominal Cooling Capacity/ 4 Tons�'� Evaporator saturation temperature 31.6 Date of Verification r+ j 10/1/2013 Condensor saturation temperature 83.4 Calibration of'Diagnostic Instruments Date of Refrigerant Gauge Calibration 10/1/2013 (must be re -calibrated monthly) Date of Thermocouple Calibration 10/1/2013 (must be re -calibrated monthly) Measured Temperatures (°F) 0 Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 System 5 System Name or Identification/Tag (HVAC 3, 4 & 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 31.6 (Teva orator sat) Condensor saturation temperature 83.4 (Tcondensor, sat) Suction line temperature (Tsuction) 52.9 Liquid Line Temperature (Tliquid) 75.3 0 Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • Condenser (entering) air dry-bulbI 70 temperature (Tcondenser. db) I r Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA LEnforcement Agency: Permit Number: , 92253 t y of La Quinta 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 Calculate: Actual Temperature Split = Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -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•3000 ' (cfm/ton), �" � - i j�4F •,�."t✓ . c 2) ....- System Name Identification/Tag System'5 (HVAC or 3,4&5) ' Calculated Minimum Airflow Requirement 1200 (CFM) Measured Airflow using RA3.3 procedures 1632 (CFM) Measurement Method Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow PASS requirement. Enter Pass or Fail } 0 Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta Calculate: Actual Superheat = 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 5 (HVAC 3,4&5) Calculate: Actual Superheat = 8.1 Tsuction - Teva orator sat Target Superheat from Table RA3.2-2 using g Treturn wb and Tcondenser, db *'r"—,='-�-� Ac Calculate difference: Y -0.9 Actual Superheat - Target Superheat = PASS t / y System passes if difference is between -6°F and +6°F PASS Enter Pass or Fail 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 5 (HVAC 3,4&5) Calculate: Actual Subcooling = 8.1 Tcondenser, sat - Tli uid Target Subcooling specified by g manufacturer,-j� , *'r"—,='-�-� Ac Calculate odifference: `r Actual Subcooling - TargetiSubcooling = Y -0.9 System passes if difference is between -4°F and +4°F,,` PASS t / y N, �.wC! Enter Pass or -Fail, 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 5 (HVAC 3,4&5) Calculate: Actual Superheat = 21.3 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail 0 Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • � + i+l�l�� f 4 1 txcl- Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • • INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta HERS Provider Data Registry Information Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 5 (HVAC 3,4&5) 1881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and ❑ not-tested/verified dwelling lin a HERS sample group airflow requirements. PASS Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail Robert Bachus Responsible Rater's Certification Number w/ this Date Signed: 10/1/2013 HERS Provider: ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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-6�e by the local enforment,agency. 11.�n CZ7 • The information reported on applicable sections of the Installation Certificates) (CF -6R), signed and submitted by the person(s) responsible for the installation c6nforr6s to the requirements specified on the Certificate(s) of Complian`cef(CF-1R) approved by the' -enforcement agency! . C Builder or Installerinformation as shown on the Installation Certificate (CF -6R) Company Na(Installing Subcontractorwor General Contractor or`Builder/Owner) fti .•� EFFICIENT AIR CONDITIONING - Responsible Person's Name: CSLB License: James Elia 1881926 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling lin a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798808167 HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number w/ this Date Signed: 10/1/2013 HERS Provider: CC2005695 Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 • Reg: 212-N0071820A-M2500003A-M25A Registration Date/Time: 2013/10/29 10:50:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms i February 2013 53-045 HUMBOLDT BLVD LA QUINTA LOT 54B INSTALLATION CERTIFICATE 42-240 Green Way, Suite C ■ PalmDesert, CA ■ Mail: Post Office Box 1455 ■ Palm Desert, CA 92261 Office: 760-340-4216 0 Fax: 760-341-57.16 0 Contractor's License #681590 0 L_ INSTALLATION CERTIFICATE CF-6R-MECH-20-HER9 Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 Enforcement Agency: 1 Permit Number: (System 1 (HVAC 1)) City of La Quinta Leakage Enter the Duct System Name or Identification/Tag: System 1 (HVAC 1) Enter the Duct System Location or Area Served: SYSTEM 1 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Leakage Diagnostic Test - completely new or replacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage ducts in conditioned space is shown in the special features section of the Allowed CF -111, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed Leakage. (CFM) Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final' or 4% (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the,CF�-1R as 3%, then use aleakage.factor of,0.03,in the calculations.bbe"low.-�-�} ��--//� �\ I /r _., C is JF i �_ , 1 f I ' '7 �` li11 ® Cooling system method: J ; f Nominal capacity of condenser in Tons.1 x 400 x leakage factor{,= 120 CFM)- ❑ Heatin system method:, ta g1 21.7 x 1 Output Capacity imThousands,of Btu/hr x leakage factor = CFM � � y � l/t •;., fJ//,� , � ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct Actual Leakage leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 108 Pass if Actual Leakage is equal to or less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail 0 - Reg: 212-N0071820A-M2000001A-0000 Registration Date/Time: 2013/10/29 08:05:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 Agency: 1 Date Signed: 9/1/2013 (System 1 (HVAC 1)) City of La Quinta Name of TPQCP (if applicable): Compliance Method This dwelling was: (select one of the following two choices): ® Tested at Final ❑ Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) visual inspection at renal construction stage (IT appncanle) After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following 1 procedure must be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ® 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 supply and return register boots must be sealed to the drywall -----r. ® New duct installations cannotwtilize+building cavities"as;eplenums or platfo*�rm+returns In'lieu of ducts. •® Mastic and draw bands;rriust+be used in comb in tion.w,ith Cloth baked, rubber adhesive duct tape to seal leaks at duct connections? 0 DECLARATION STATEMENT + I certify under penalty of perjury, unser 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 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 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 -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. 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2000001A-0000 Registration Date/Time: 2013/10/29 08:05:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • INSTALLATION CERTIFICATE CF-6R-MECH-22-HERS HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test (Page 1 of 2) Site Address: I Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply plenum as System Name or Identification/Tag, System 1 (HVAC 1) shown in the figure in Section RA3.3.1.1. ❑ PSPP 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located SYSTEM 1 downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. System Name or Identification/Tag System 1 (HVAC 1) 5 System Location or Area SYSTEM 1 350 Served Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of the outdoor unit (ton). Target (CFM) 1750 Confirm that a HSPP or Enter the diagnostically tested airflow (CFM). Tested (CFM) 1750 PSPP has been The system complies if Tested (CFM) is equal or greater than Target (CFM). Enter Pass or Fail PASS installed on the air handler per the PASS requirements of RA3.3.1.1. Enter Pass or Fail Cooling Coil Airflow Verification _ When the CeFiifiM caste of Compliance indicates` Cooling Coil •AirflowveriFcation i xequired,.theprocedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results • of the HERS r doling coil airflo t iag stic test must be4 ntered in th6 table below. this measure requires verification by a • Select one method from the three,choices below for compliance withithe Cooling Coil Airflow test requirement for,this dwelling. " ❑ Diagnostic FanWFlow,Using Plenum Pressure•Matching according to the procedures,in RA3.3.3:1.1 ® Diagnostic Fan Flow Using Flow Grid Measurement according to the procedures in RA3.3.3.1.2 ❑ Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag, System 1 (HVAC 1) System Location or Area Served SYSTEM 1 Nominal Cooling Capacity (ton) of the outdoor unit. 5 Enter the minimum airflow requirement from the CF -1R (CFM/tan). 350 Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of the outdoor unit (ton). Target (CFM) 1750 Enter the diagnostically tested airflow (CFM). Tested (CFM) 1750 The system complies if Tested (CFM) is equal or greater than Target (CFM). Enter Pass or Fail PASS Reg: 212-N0071820A-M2200008A-0000 Registration Date/Time: 2013/10/29 08:23:12 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • INSTALLATION CERTIFICATE CF-6R-MECH-22-HERS HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test (Page 2 of 2) Site Address: I Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their taroet criteria specified by the CF -IR for the dwellino. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. IN Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag System 1 (HVAC 1) James Elio CSLB License: 881926 Date Signed: 9/1/2013 System Location or Area Served SYSTEM 1 Name of TPQCP (if applicable): Program (TPQCP)? ❑ Yes ❑ No Enter the air handler Tested (CFM) from the cooling coil airflow test table above. 1750 Enter the fan watt draw requirement from the CF -111 (Watt/CFM). .58 Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -SR by the air handler Tested (CFM). Target (CFM) 1015 Enter the diagnostically tested Watt draw (Watt). Tested (Watt) 790 The system complies if Tested (Watt) is less than or equal to Target (Watt) Enter Pass or Fail PASS • / 1 �1 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 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 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. r U Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elio CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2200008A-0000 Registration Date/Time: 2013/10/29 08:23:12 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 C7 INSTALLATION CERTIFICATE CF-6R-MECH-22-HERS HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential ADDendix RA3.3. This measure reouires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ❑ HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply plenum as System Name or Identification/Tag shown in the figure in Section RA3.3.1.1. ❑ PSPP 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. System Name or Nominal Cooling Capacity (ton) of the outdoor unit. Identification/Tag Enter the minimum airflow requirement from the CF -1R (CFM/ton). System Location or Area Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of the outdoor unit (ton). Target (CFM) Served Enter the diagnostically tested airflow (CFM). Tested (CFM) Confirm that a HSPP or The system complies if Tested (CFM) is equal or greater than Target (CFM). Enter Pass or Fail PSPP has been installed on the air handler per the requirements of RA3.3.1.1. Enter Pass or Fail Cooling Coil Airflow Verification When the Certificate'of Compliance indicatesCooling'Coil'Airflow'verification'is'required„the procedures for measuring"the cooling coil airflow.inust be performed as specified in Reference'Residential Appendix RA3.3. Results of the cooling coil • airflow,diagndstic`test must be entered in the table'below. This measure requires verification by a HERS rater. �' j f f V t 'r � 0 • Select one method from the three choices below for compliance with,the Cooling Coil Airflow test, requirement for this dwelling`, ❑ Diagnostic Fami'low Using PlenumPressure,Matching according to the procedures in RA3.3.3.1.1 ..lj-, ! �,.' / +; t,•., ❑ Diagnostic Fan Flow Using Flow Grid Measurement according to the procedures in RA3:3.3.1.2 ❑ Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag System Location or Area Served Nominal Cooling Capacity (ton) of the outdoor unit. Enter the minimum airflow requirement from the CF -1R (CFM/ton). Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of the outdoor unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). Enter Pass or Fail Reg: 212-N0071820A-M2200008A-0000 Registration Date/Time: 2013/10/29 08:23:12 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • INSTALLATION CERTIFICATE CF-6R-MECH-22-HERS HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test (Page 2 of 2) Site Address: I Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 922531 City of La Quinta Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -IR for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ❑ Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag CSLB License: Date Signed: Position With Company (Title): Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑ Yes ❑ No System Location or Area Served Enter the air handler Tested (CFM) from the cooling coil airflow test table above. Enter the fan watt draw requirement from the CF -1R (Watt/CFM). Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -1R by the air handler Tested (CFM). Target (CFM) Enter the diagnostically tested Watt draw (Watt). Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) Enter Pass or Fail �L 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 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 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 -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 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. Reg: 212-N0071820A-M2200008A-0000 Registration Date/Time: 2013/10/29 08:23:12 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Responsible Person's Name: Responsible Person's Signature: CSLB License: Date Signed: Position With Company (Title): Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2200008A-0000 Registration Date/Time: 2013/10/29 08:23:12 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-23-HERS Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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 dwellin4 as applicable. 1 System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, System 4 (HVAC 3, CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Control 4&5) 4&5) 2 System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 3 Certified EER Rating of the 12.7 12.7 12.7 12.S installed equipment (Btu/Watt-hr) 4 Make and Model Number of the YORK YORK YORK YORK installed Outdoor Unit CZF06013CA CZF04814CA CZF06013CA CZF04814CA S Make and Model Number of the ADP ADP ADP ADP installed Inside Coil CV603C6 CV60OC6 CV603C6 CV60OC6 6 Make and Model Number of the YORK YORK YORK YORK installed Furnace or Air Handler. TMLX10OC20MP11C TMLXIOOC20MP11C TMLX10OC20MP11C TMLX10OC20MP11C Minimum Equipment EER required 7 for compliance as reported on the 12.5 12.7 12.5 12.5 CF -1R ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched. equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than the 8 required minimum EER in row 7, PASS PASS PASS PASS the unit complies. If the unit complies enter Pass • I J • 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 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 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 beginninq October 1, 2010, for all low-rise residential buildinas. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2300010A-0000 Registration Date/Time: 2013/10/29 09:48:13 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 • • INSTALLATION CERTIFICATE CF-6R-MECH-23-HERS Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag System 5 (HVAC 3, 4 Responsible Person's Signature: James Elia James Elia CSLB License: Date Signed: & 5) 881926 9/1/2013 2 System Location or Area Served SYSTEM 5 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12.5 4 Make and Model Number of the installed Outdoor Unit YORK CZF04814CA 5 Make and Model Number of the installed Inside Coil ADP CV60OC6 6 Make and Model Number of the installed Furnace or Air Handier. YORK TMLX10OC20MP11C 7 Minimum Equipment EER required for compliance as reported on the 12.5 CF -1R ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure, Certified EER Rating in row 3 is equal to or greater than the Tfthe quired minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass 1 t r DECLARATION STATEMENT . I certify urider 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 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 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 -111 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: Date Signed: Position With Company (Title): 881926 9/1/2013 Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2300010A-0000 Registration Date/Time: 2013/10/29 09:48:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: I Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 1 System 2 System 3 System 4 (HVAC 1) (HVAC 2) (HVAC 3, 4 & 5) (HVAC 3, 4 & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 5/16 inch (8 mm) access hole upstream of evaporative coil in the ® Yes ® Yes ® Yes ® Yes 1 return plenum and labeled . ❑ No ❑ No ❑ No ❑ No according to Figure in Section RA3.2.2:2:2'" .r-� `? lr =; 1 71 Return'side of the duct system,is' located entirely within conditioned v ' ,t s Yes.. la space and return airflow ❑)Yes :- r ❑ Yes ❑ 1,� ❑ Yes temperature.to�be measured 'at the ' 1' 1/ El No ❑ No i .0 No - r❑,No 1 return grille's j 5/16 inch (8 mm) access hole 2 downstream of evaporative coil in the supply plenum and labeled ® Yes ® Yes ® Yes ® Yes according to Figure in Section ❑ No ❑ No ❑ No ❑ No RA3.2.2.2.2. The TMAH Compliance Option should be checked only if it is physically impossible to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3 For more information see htti)://www.energy,ca.ciov/title24/2008standards/special case annliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, ® Pass ® Pass ® Pass N Pass is a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evaporator Coil System Name or System 1 (HVAC System 2 (HVAC Sys tem 3 (HVAC 3, System 4 (HVAC 3, Identification/Tag 1) 2) 4 & 5) 4 & 5) 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow 7 through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F ,7 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5 is a ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ® N/A ® N/A ® N/A ® N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or System 1 (HVAC System 2 (HVAC Sys tem 3 (HVAC 3, System 4 (HVAC 3, Identification/Tag 1) 2) 4 & 5) 4 & 5) 6 The sensor.is4actory installed, or field, instal led according to,manufacturer's-specifications,%or is installed by ` methods/specifications approved by the Executive Director. ,I ! I' ' ` I / __., / ❑ Yes ❑ No I ❑;Yes ❑ No-/, ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 7 sensor mini plug is'accessible to the installing itechni6an and the HERS rater without changing-the:airflbW �' through the condenser coil ' ,7 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F ❑ Yes []No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2013 • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems Calibration of Diagnostic'Instruments " / J, l ) 1 u_� 1 Date ofsRefrigerant Gauge Calibration 1 -4 System 1 System 2 System 3 System 4 System Name or Identification/Tag (HVAC 1) (HVAC 2) (HVAC 3, 4 & (HVAC 3, 4 & Supply (evaporator leaving) air dry-bulb 33.8 35.5 5) 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Outdoor Unit Serial # WiH3997705 WIH3974872 CZF06013CA CZF04814CA Outdoor Unit Make YORK YORK YORK YORK Outdoor Unit Model CZF06013CA CZF04814CA WiH3997704 WiH3974876 Nominal Cooling Capacity 5 Tons 4 Tons 5 Tons 4 Tons Date of Verification10/1/2- �' ��?013. ---�13 10/1/2013 9/1/Je'fl2013 9/1/20__A� (Tcondenser db) �— Calibration of Diagnostic'Instruments " / J, l ) 1 u_� 1 Date ofsRefrigerant Gauge Calibration 1 -4 10/1/2013 j ,t I 1 (must be re -calibrated monthly) I ! r, Date of Thermocouple Calibration 10/1/2013 (must"be re -calibrated' monthly) Measured Temperatures (°Fl System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & temperature (Treturn wb) 5) 5) Supply (evaporator leaving) air dry-bulb 33.8 35.5 40.5 40.5 temperature (Tsu I db) Return (evaporator entering) air dry-bulb 81.4 81.1 88.1 88.1 temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 33.8 35.5 40.5 40.5 (Teva orator sat) Condensor saturation temperature (Tcondensor, 81.4 81.1 88.1 88.1 sat) Suction line temperature (Tsuction) 55.7 49.8 59.5 59.5 Liquid Line Temperature (Tliquid) 73 75.1 78 78 Condenser (entering) air dry-bulb temperature 70 70 70 70 (Tcondenser db) Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: I Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 922531 City of La Quinta 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) Calculate: Actual Temperature Split = Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and -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).=� i min�al;Cooli g�Cap acity.(ton),X.300 (cfm/ton) J • System 1 - j System 2 System 3 { System 4 System Name or Identification/Tag (HVAC 1) (HVAC 2) (HVAC 3i 4 & (HVAC 3, 4 & Calculated Minimum Airflow'Re uirement--'�` - q 1500 ti 1200- ' �.1500_)4� +" Y C'1200 (CFM) Measured Airflow using RA3.3 procedures 1750 1576 1788 1590 (CFM) Measurement Method Flow Grid Flow Grid Flow Grid Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow PASS PASS PASS PASS requirement. Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6111-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 61 Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Superheat = 8,4 6.0 10.1 10.1 Tsuction - Teva orator sat Target Superheat from Table RA3.2-2 using 9 9 9 9 Treturn wb and Tcondenser, db 0-6-1 31" r -3�'"' 4-25 4-25 Calculate difference: Actual Superheat - Target Superheat = J PASS PASS PASS i PASS System passes if difference is between -5°F ` r1 1,7f and +5°F 1 , , 1-,' , e-- Enter Pass or Fail 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Subcooling = 8,4 6.0 10.1 10.1 Tcondenser, sat - Tli uid Target Subcooling specified by manufacturer 9 9 9 9 Calculate difference:, Actual Subc`oolin ' Tar et Subc olin''' 0-6-1 31" r -3�'"' 4-25 4-25 between 4°F and 25°F if manufacturer's System,passes if difference,is between -3°F and +3°F ],/ , J PASS PASS PASS i PASS I A Pass or Fail ` r1 1,7f .Enter 1 , , 1-,' , e-- 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 System 2 System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Superheat = 21.9 14.3 19.0 19.0 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range 4-25 4-25 4-25 4-25 between 4°F and 25°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS PASS PASS PASS Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 Ll INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No 5) 5) System meets all refrigerant charge and airflow requirements. PASS PASS PASS PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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 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 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.req uire ments.of.such quality.assurance checking, the required corrective-a'ciion and additional checking/testing of other installations in that'HERSsample group{will lie performed at my • expense.' ] . I reviewed a copy of the; Certificate of Compliance (0-1R) 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 buildingipermit(s)Issued for the building; and made available to the enforcement agency foir.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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: 3ames Elia James Elia CSLB License: 881926 Date Signed: 19/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 �j • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 5 (HVAC 3,4&5) System Location or Area Served SYSTEM 5 5/16 inch (8 mm) access hole 1 upstream of evaporative coil in the ® Yes ❑ Yes ❑ Yes ❑ Yes return plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. Return,side-ofthe duct system is locat6d'entirely r `❑ la within conditioned space and return airflow temperature ❑Yes ❑ No ❑ Yes 1:1No Yes NO No 13Yes ❑ No tobe measured atrthe return ,grille.l ,, 5/16 inch (8mm) access'hole,� downstream, of evaporative coil,in.they J . M Yes . -� ❑ Yes �► am.❑ Yes > > {,/i, " I ❑ Yes 2 supply plenum and labeled according ❑ No h ❑�No ❑ N6 to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if it is physically impossible to drill the TMAH as required by Section RA3.2.2.2.2. Using this, Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH'cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3 For more information see http://www.energy.ca.gov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is a ® Pass ❑ Pass ❑ Pass ❑ Pass pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evaporator Coil System Name or System 5 (HVAC 3, Identification/Tag 1 4 & 5) 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 0 Yes ❑ No Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not ® N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or System 5 (HVAC 3, Identification/Tag ' 4 & 5) 6 The sensor. is, factory installed„or field dnstalledtaccording tot man ufacturer's:specifications For is installed by methods%specifications approved by,tlie Executiv_ a Director. -[]Yes ❑ No ❑ryes D No,/ ❑ Yes ❑ No i” ❑Yes ❑ No e sensor wire isoterminated with a standardmini plug suitable for connection to a digital thermometer. Themensor mini plug;is`'accessitile to the installing technician and the HERS rater without changing^th`eairflow`rough T� th_e,condens`e' coil f-) �� - ❑ Yes "❑'No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8isa pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • r� INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems ! N Calibration of Diagnostic Instruments � rI! l yI' / 1 T _/f Date of Refrigerant.Gauge Calibration. t►J System 5 '. .0" F r- • ` (must+be re -calibrated, monthly) Date of Thermocouple Calibration _ f 9/1/2013 System Name or Identification/Tag (HVAC 3, 4 & Evaporator saturation temperature 5) System Location or Area Served SYSTEM 5 Outdoor Unit Serial # WIB3459848 Outdoor Unit Make YORK Outdoor Unit Model f CZF04814CA Nominal Cooling Capacity ', 4 Tons F Date of, e ficationt �' 1/9/1/'2'013� ,; r ` 7 C ! N Calibration of Diagnostic Instruments � rI! l yI' / 1 T _/f Date of Refrigerant.Gauge Calibration. t►J ... �J,r."`-.'r 9/1/2013•x. '. .0" F r- • ` (must+be re -calibrated, monthly) Date of Thermocouple Calibration _ f 9/1/2013 (must be re -calibrated monthly) s Measured Temperatures (°F) ' System 5 System Name or Identification/Tag (HVAC 3, 4 & Evaporator saturation temperature 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) 83.4 Return (evaporator entering) air dry-bulb temperature (Treturn db) 52.9 Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 31.6 (Teva orator sat) Condensor saturation temperature (Tcondensor, 83.4 sat) Suction line temperature (Tsuction) 52.9 Liquid Line Temperature (Tliquid) 75.3 Condenser (entering) air dry-bulb temperature 70 (Tcondenser, db) Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 L� • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HER9 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 61 Site Address: I Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Minimum Airflow Reauirement 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 5 (HVAC 3,4&5) Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using T return wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and -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) �-r I�a .1 System Name or dentification/Tagf `� System'S (HVAC r^—�� -k7 j 3, 4 &! Calculated Minimum iirflowrRequirement (CFM) 120if 01, .. , .•ti ..-, rt Measured Airflow using RA3.3,procedures•(CFM) . 4- "1632 Measurement Method f Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6' Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 5 System Name or Identification/Tag (HVAC 3, 4 & Tcondenser, sat - Tli uid 5) Calculate: Actual Superheat = 9 Tsuction - Teva orator sat 4-25 Target Superheat from Table RA3.2-2 using 0'9.,<.-., Treturn wb and Tcondenser, db --,-..y Calculate difference: I PASS' Actual Superheat - Target Superheat = `qf I System passes if difference is between -5°F and :. +5°F Enter Pass or Fail 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 5 (HVAC 3,4&5) Calculate: Actual Subcooling = 8.1 Tcondenser, sat - Tli uid Target Subcooling specified by manufacturer 9 a 4-25 Calculate difference: 0'9.,<.-., Actual Subcooling „Target Subcooling y..^ --,-..y System passes if difference is betwee`n,' V -3°F and`+3°F! •` I PASS' I -/fjr ter Pass Fail `qf I ,� or :. I a rr r, 1i f . r I r I _ -.+ • r -11 K �i,fl, - v Mete ring, Device Calculations for:Refrigerant Charge Verification. This procedure is.required,to be -used -for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. R System Name.or-Identification/Tag 1 System 5 (HVAC 3,4&5) Calculate: Actual Superheat = I 21.3 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range 4-25 between 4°F and 25°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 5 (HVAC 3,4&5) CSLB License: 881926 Date Signed: 19/1/2013 Position With Company (Title): System meets all refrigerant charge and airflow Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No requirements. PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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 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 perform quality assurance checking of installations, including those approved aspartof a sample group but:notachecked-by;a HERS -rater, and:if-those, installations fail to meet the requirements of such quality assurance checking,l th'e 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�tlie Certificate of Compliance (CF""1R) form approved by the enforcement agency that identifies the specific requirements for the installationf I certify that the requirements detailed on therCF 1R,thart applyito the installation have been met _. i j "/ . _ lr!- • Iwill ensure that'"a completed; signed copy of this Install tion, 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 19/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:00:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2) Site Address: Enforcement credit for verified low leakage ducts in conditioned space is shown in the special features section of the 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 Agency: Permit Number: (System 2 (HVAC 2)) City of La Quinta Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage Enter the Duct System Name or Identification/Tag: System 2 (HVAC 2) Enter the Duct System Location or Area Served: SYSTEM 2 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Leakage Diagnostic Test - completely new or replacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage ducts in conditioned space is shown in the special features section of the Allowed CF -111, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed Leakage. (CFM) Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final' or 4% (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which'case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on therCF-1R as 3%, then use all eaakkage,facto ,of.0.03.in the calculations, below, ®Cooling syr stem method: PI ),) Nominal capacity of condenser in Tons 4 x 400 x leakage factors= 26 CFM f ❑ Heating 1 system method.i «' 21.7 x -ow A,utput Capacity in Thousands.of Btu/hr x leakage"factor / CFM�� {. ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct Actual leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). Leakage (CFM) List Actual Leakage from duct leakage test(CFM) 69 Pass if Actual Leakage is equal to or less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail 11 Reg: 212-N0071820A-M2000004A-0000 Registration Date/Time: 2013/10/29 08:17:51 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 C] INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 Enforcement Agency: 1 Permit Number: (System 2 (HVAC 2)) City of La Quinta Date Signed: 9/1/2013 Compliance Method This dwelling was: (select one of the following two choices): IN Tested at Final ❑ Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) visual inspection at renal construction stage (IT appncable) After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ® 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 supply and return register boots must be sealed to the drywall ® New du t�installatiions cannottilizerbuildingrcavities as; plenums or99platformireturns In"lieu of ducts. •® Mastic and draw bands'm`ust be Used in combin Ln.with Cloth backed, rubber adhesive duct tape to seal leaks at duct connections? 1 • 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 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 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 -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. 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2000004A-0000 Registration Date/Time: 2013/10/29 08:17:51 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • C. INSTALLATION CERTIFICATE CF-6R-MECH-23-HERS Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag System 1 (HVAC 1) Responsible Person's Signature: James Elia James Elia 2 System Location or Area Served SYSTEM 1 Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑ Yes ❑ No 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12.5 4 Make and Model Number of the installed Outdoor Unit YORK CZF06013CA 5 Make and Model Number of the installed Inside Coil ADP CV603C6 6 Make and Model Number of the installed Furnace or Air Handler. YORK TMLX10OC20MP11C 7 Minimum Equipment EER required for compliance as reported on the 12.5 CF -1R ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than the 8 required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass ,�- 4, DECLARATION STATEMENT . I certify under penalty of perjury, under4 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 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 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 -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. 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2300010A-0000 Registration Date/Time: 2013/10/29 08:27:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • INSTALLATION CERTIFICATE CF-6R-MECH-23-HERS Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) 2 System Location or Area Served CSLB License: JDate Signed: Position With Company (Title): 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑ Yes ❑ No 4 Make and Model Number of the installed Outdoor Unit 5 Make and Model Number of the installed Inside Coil 6 Make and Model Number of the installed Furnace or Air Handler. 7 Minimum Equipment EER required for compliance as reported on the CF -1R ❑ When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ❑ When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. 8 If the Certified EER Rating in row 3 is equal to or greater than the required minimum EER in row 7, the unit complies. If the unit complies enter Pass e. _.sire. %t 1.. �•�,. ti.-... ` — �"" _ ..�� i "."�_ � .� �«��7'�-"� DECLARATION STATEMENT 4 -{ . 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 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 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. Reg: 212-N0071820A-M2300010A-0000 Registration Date/Time: 2013/10/29 08:27:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Responsible Person's Name: Responsible Person's Signature: CSLB License: JDate Signed: Position With Company (Title): Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2300010A-0000 Registration Date/Time: 2013/10/29 08:27:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 1 (HVAC 1) System Location or Area Served SYSTEM 1 5/16 inch (8 mm) access hole 1 upstream of evaporative coil in the ® Yes ❑ Yes ❑ Yes ❑ Yes return plenum and labeled 'according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. Returniside of�the duct system is,ef f la located entirely within conditioned ❑ Yes' ❑Yes ❑ Yes ❑Yes space and return airflow temperature ❑ No ,.� ❑ No❑ No ❑ No to�be measured,at tl e`return,grille. �b� N \, _ — ,,, - 5/16 inch (8 m'm),a�ccess hole, downstream'of evaporative coil,in they + ®Yes, ] �� _. ❑,Yes //I C.�,❑.Yes ,. j ` ❑Yes 2 supply plenum- and labeled according ❑ No ❑ No ❑ No' ❑ No to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if it is physically impossible to drill the TMAH as required by Section RA3.2.2.2.2. Using this'Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH' cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3 For more information see htti)://www.enerav.ca,gov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is a ® Pass ❑ Pass ❑ Pass ❑ Pass pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-00003A-0000 Registration Date/Time: 2013/10/29.08:13:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: I Enforcement Agency: Permit Number: 537045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evaporator Coil System Name or 7 System 1 (HVAC _7_ Identification/Tag 1) , The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑Yes ❑ No 5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F " ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa pass. Enter N/A if STMS are not ® N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or . System 1 (HVAC _7_ Identification/Tag 1) , The sensor.is,factory installed, or field -installed -according to,manufacturer's;specifications or, is installed by methods%specifications approved by,tlie Executive Director, N ty' j ` o` T ol, / ❑ Yes ❑ No ❑NYes ❑ No ,,+_ ❑ Yes ❑ No ❑ Yes ❑ No e sensor wire is,terminated with a standard mini plug suitable for connection to a digital thermometer. The nsor mini plug,iPaccessible to the installing technician and the HERS rater -without changing the�airflow '3' T'� rough the�condensei coil L.! - :�� -' J f �l J %�tl.f ' - ❑ Yes -❑ No ❑ Yes ❑ No ❑ Yes O No ❑ Yes ❑ No 8 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F " f ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ( ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-00003A-0000 Registration Date/Time: 2013/10/29 08:13:37 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2013 • rA INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 67 Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditionina Svstems System Name or Identification/Tag System 1 (HVAC 1) (must be re -calibrated monthly) i System Location or Area Served SYSTEM 1 r _ ^10/1/2013�� y 3 i + i (must be re-ffcalibrated monthly) `�,. Outdoor Unit Serial # CZF06013CA Outdoor Unit Make WiH3997705 Outdoor Unit Model ADP Nominal Cooling Capacity 5 Tons Date of Verification 10/1/2013 'sr'rte/ ' r-�,r ' - r--'�` If," if Calibration of Diagnostic Instruments 3 iF Date Of(Refri erant Gaa a Calibration 9 9� 10/.1/2013 (must be re -calibrated monthly) i i. •. ! t Date of Thermyo couple.Calibration r _ ^10/1/2013�� y 3 i + i (must be re-ffcalibrated monthly) `�,. temperature (Tsu I db) . ' 33.8 Measured Temperatures (OF) System Name or Identification/Tag System 1 (HVAC 1) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) . ' 33.8 Return (evaporator entering) air dry-bulb temperature (Treturn db) 81.4 Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 33.8 (Teva orator sat) Condensor saturation temperature (Tcondensor, 81.4 sat) Suction line temperature (Tsuction) 55.7 Liquid Line Temperature (Tliquid) 73 Condenser (entering) air dry-bulb temperature 70 (Tcondenser, db) 0 - Reg: 212-N0071820A-00003A-0000 Registration Date/Time: 2013/10/29 08:13:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 L • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 (HVAC 1) Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using T return wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and -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. , i Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) t System Namor Iden e tifications g, Sysemi'(HVAC r i I - ) ` Calculated Minimum Airflow, Rquiement (CFM) / 1500 Measured Airflow using RA3.3.procedures'.(CF,M) •71''✓ � ,14750 { JrT /jjf /)J �? %�' 1 L.. "'w-. ,.++`•� 4r^ 4 .f ¢/ Measurement Method Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS j Enter Pass or Fail Reg: 212-N0071820A-00003A-0000 Registration Date/Time: 2013/10/29 08:13:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HER9 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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(HVAC 1) Calculate: Actual Superheat = 8.4 Tsuction - Teva orator sat Target Superheat from Table RA3.2-2 using 9 Treturn wb and Tcondenser, db -0.6 Calculate difference: Actual Superheat - Target Superheat = PASS " 1f (77 System passes if difference is between -5°F and IAIT +5°F , 1, Enter Pass or Fail 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 (HVAC 1) Calculate: Actual Subcooling = 8.4 Tcondenser, sat - Tli uid Target Subcooling specified by manufacturer 9 Calculate difference: -0.6 Actual Subcooling - Target Subcooling = System passes°if'difference is between--^^�. -3°F and +3°F ! �' PASS " 1f (77 JEnter Pass or Fail IAIT allowable superheat range , 1, 1 �r f'/ t r I --% r, I" f -\ -i• 11.i, Metering Device iCalculations for Refrigerant Charge Verification. This procedure is required to be used for' thermostatic.expan`sion,valve (TXV),and.electronic expansio—n_valve`(EXV).systems. System Name or Identification/Tag System 1 (HVAC 1) Calculate: Actual Superheat = 21.9 Tsuction - Teva orator sat Enter allowable superheat. range from manufacturer's specifications (or use range 4-25 between 4°F and 25°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS • Enter Pass or Faill Reg: 212-N0071820A-00003A-0000 Registration Date/Time: 2013/10/29 08:13:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency:Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 (HVAC 1) CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): System meets all refrigerant charge and airflow Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No requirements. PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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 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 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 P 1 i' l r— f r' ex ense,,,r Vii-` N V -'"� f,+;`� `j 1, (` �_ . 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.,Wcertify that the requirements detailed ori,the CF -112 that apply to the installation have been met. `/ l l . 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 al[appliceble inspections. 1 understand that a.signed.copy of this Installation Certificate is required tome 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. y Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: , Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-00003A-0000 Registration Date/Time: 2013/10/29 08:13:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 . r-1 0 Reg: 212-N0071820A-00003A-0000 Registration Date/Time: 2013/10/29 08:13:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • �j 0 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2) Site Address: Enforcement Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System Agency: Leakage 3 (HVAC 3, 4 & 5)) City of La Quinta Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage Enter the Duct System Name or Identification/Tag: System 3 (HVAC 3, 4 & 5) Enter the Duct System Location or Area Served: SYSTEM 3- HVAC 3, 4 & 5 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Leakaqe Diagnostic Test - comDletely new or reDlacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage ducts in conditioned space is shown in the special features section of the Allowed CF -1R, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed Leakage. (CFM) Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final" or 4% (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which'case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the,C`FF-1R as 3%, then use aleakage.factorYof 0.03,in the calculations, below. A ® Cooling/system method: ! Nominal capacity of condenser in Tons.1 x 400 x leakage factor"= CFM) - FM) ' i ❑ Heatin system method:�� T 0 9 Y ` J 21.7 x Output Capacity in Thousands.of Btu/hr x /eaka a"factor CFM ❑ Measured airflow method (RA3.3)`: Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct Actual Leakage leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 101 Pass if Actual Leakage is equal to or less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail 0 Reg: 212-N0071820A-M2000011A-0000 Registration Date/Time: 2013/10/29 09:01:07 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System Enforcement Agency: Permit Number: 3 (HVAC 3, 4 & 5)) City of La Quinta Date Signed: 9/1/2013 Compliance Method This dwelling was: (select one of the following two choices): ® Tested at Final ❑ Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) visual inspection at renal construction stage (Ir appucame) After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ® 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 supply and return register boots must be sealed to the drywall ® New duct) nstallations cannotirutilize uildingrcavities-asIplenums or platformlreturnvs In lieu o -f ducts. •®Masti and draw bands'm`ust be u� d in combination with Cloth baked, rubber adhesive duct tape to seal leaks at duct connections i 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 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 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 -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. 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2000011A-0000 Registration Date/Time: 2013/10/29 09:01:07 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2) Site Address: Enforcement Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System Agency: Leakage 4 (HVAC 3, 4 & 5)) City of La Quinta Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage Enter the Duct System Name or Identification/Tag: System 4 (HVAC 3, 4 & 5) Enter the Duct System Location or Area Served: SYSTEM 4 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Leakaqe Diagnostic Test - comDletely new or reDlacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage ducts in conditioned space is shown in the special features section of the Allowed CF -111, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed Leakage. (CFM) Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final" or 4% (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Haridler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage,factor_of,0.03,in the calculations,below. ® Cooling -system m d: Nominal,�capacity of condenser in Tons 4 x 400 x leakage factor'"= 96 CFM )WI ❑ Heating system metfidd;�` - _ 21.7 x k Output Capacity: imThousandsrof Bt /hr x leaka e:factor C FM ❑ Measured airflow method (RA3.3)": Enter measured fan.flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct Actual Leakage leakage pressurization test procedure from Reference Residential Appendix RA3.l(CFM @ 25 Pa). (CFM) 63 List Actual Leakage from duct leakage test(CFM) Pass if Actual Leakage is equal to or less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail 0- N 711 Reg: 212-N0071820A-M2000012A-0000 Registration Date/Time: 2013/10/29 09:10:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System JAgency: Date Signed: 4 (HVAC 3, 4 & 5)) City of La Quinta 9/1/2013 Compliance Method This dwelling was: (select one of the following two choices): ® Tested at Final ❑ Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) Visual Inspection at Final Construction Stage (if applicable) After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ® 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 supply and return register boots must be sealed to the drywall r-.----�'1. . ® New duct -installations cannotrutilize 1 wilding cavities aspplenums or platform returns �n lieu of ducts. /11 •® Mastic nd draw bands'must be used d in combination with CI th ba eked, rubber adhesive duct tape to seal leaks at duct connectns? bco y 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 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 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 -SR 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: Date Signed: Position With Company (Title): 881926 9/1/2013 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2000012A-0000 Registration Date/Time: 2013/10/29 09:10:36 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 1 System 2 System 3 System 4 (HVAC 1) (HVAC 2) (HVAC 3, 4 & 5) (HVAC 3, 4 & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 5/16 inch (8 mm) access hole upstream of evaporative coil in the ® Yes ® Yes ® Yes ® Yes 1 return plenum and labeled' ❑ No ❑ No ❑ No ❑ No according to Figure in Section RA3.2.2;2'21" ..P"? ,y, °A`'�'►.-izz la Return'side of the duct system)isy located entirely within"conaitioned space and return ,airflow If Uu ❑EYes . ❑Yes ❑Yes ❑Yes temperature1o4be easu ed at the t.01 f No �❑ No ❑ No r ,,r+, ❑,No �� return•grille'�/ f ,'..l -; ',"� 1 ,� • ., 5/16 inch (8 mm) access hole downstream of evaporative coil in ® Yes ® Yes ® Yes ® Yes 2 the supply -plenum and labeled ❑ No ❑ No ❑ No ❑ No according to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked only if it is physically impossible to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3 For more information see http://www.enerav.ca,gov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, ® Pass ® Pass ® Pass ® Pass is a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evaoorator Coil System Name or System 1 (HVAC System 2 (HVACtem 3 (HVAC 3, Tys System 4 (HVAC 3, Identification/Tag 1) 2) 4 & 5) 4 & 5) 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No- -7 ❑ Yes ❑ No 5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F ❑ Yes ❑ No 1 ❑ Yes ❑ No I ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes [3 --No Yes to 3, 4, and 5isa ❑ Yes ❑ No Yes to 6, 7, and 8isa pass. Enter N/A if STMS are not ® N/A ® N/A ® N/A ® N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or System 1 (HVAC System 2 (HVACm te 3 (HVAC 3, Tys System 4 (HVAC 3, Identification/Tag 1) 2) 4 & 5) 4 & 5) 6The sensordsifactory installed, or fieldjnstalledtaccording to.,manufacturer s;specifications,-or is installed by methods/specific'a'tions approved byrthe Executive Director. ` '' N 1 ❑ Yes ❑ No ❑)Yes q No ,>� I] Yes ❑ No ❑ Yes ❑ No The sensor wire is,te`rminated with a'standardimini plug suitable for connection to a digital therrhometer. The 7 sensor mini plug is'aceessitile to the installing technician avid the HERS rater without changing,the�airflow-`' •..k through the�colnd&s76� coil - ► \. - 1111L "4 L" ),. 1 ; _,f v L,,, ❑ Yes ❑ No 1 ❑ Yes ❑ No I ❑ Yes ❑ No ❑ Yes ❑ No 8 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F - ; ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8isa pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CaICERTS, Inc. 2008 Residential Compliance Forms March 2013 • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 61 Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 922531 City of La Quinta Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioninq Svstems f I s If' /,. • Calibration of Diagnostic'Instruments I l J, /- I. I" i V Date of;``Refrigerant G uge Calibration System 1 System 2 System 3 System 4 System Name or Identification/Tag (HVAC 1) (HVAC 2) (HVAC 3, 4 & (HVAC 3, 4 & Supply (evaporator leaving) air dry-bulb 33.8 35.5 5) 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Outdoor Unit Serial # WiH3997705 WiH3974872 WiH3997704 WiH3974876 Outdoor Unit Make YORK YORK YORK YORK Outdoor Unit Model CZF06013CA CZF04814CA CZF06013CA CZF04814CA Nominal Cooling Capacity S Tons 4 Tons 5 Tons 4 Tons Date of Verification. 10/1/2013 10/1/2013 _ 9/1(2013 9/1/2013 f I s If' /,. • Calibration of Diagnostic'Instruments I l J, /- I. I" i V Date of;``Refrigerant G uge Calibration ' 104/1/2013 (must�be.re-cal ibrated monthly) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & temperature (Treturn wb) Date of Thermocouple Calibration-- 10/1/2013" (must'be re-calibrated'monthly) r Measured Temp natures (°F) ' System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & temperature (Treturn wb) 5) 5) Supply (evaporator leaving) air dry-bulb 33.8 35.5 40.5 32.5 temperature (Tsu I db) Return (evaporator entering) air dry-bulb 81.4 81.1 88.1 84.9 temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 33.8 35.5 40.5 32.5 (Teva orator sat) Condensor saturation temperature (Tcondensor, 81.4 81.1 88.1 84.9 sat) Suction line temperature (Tsuction) 55.7 49.8 59.5 56.1 Liquid Line Temperature (Tliquid) 73 75.1 78 74.8 Condenser (entering) air dry-bulb temperature 70 70 70 70 (Tcondenser, db) Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • C] is INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) Calculate: Actual Temperature Split = Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and -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. a Calculated Minimum Airflow Requiter^ement.(CF)M)-=-NominJal;Cooling Capacity.(ton)�X-300 (cfm/ton) System Name or Identification%Tag System 1 -System 2� System 3 (HVAC. 3; 4 & System 4 3, 4.& (HVAC 1) (HVAC 2) (HVAC Calculated Minimum Airflow'Requirement,---'!- - 1500 1200 , + 4t 1 500qr , a C 1200 (CFM) + Measured Airflow using RA3.3 procedures (CFM) - 1750 1576 1788 1590 Measurement Method l Flow Grid Flow Grid Flow Grid Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow PASS PASS PASS PASS requirement. Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • r � U INSTALLATION CERTIFICATE CF-6R-MECH-25-HER9 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Superheat = 8,4 6.0 10.1 10.1 Tsuction - Teva orator sat 9 9 9 9 Target Superheat from Table RA3.2-2 using �'?0:6 -: 3 Treturn wb and Tcondenser, db 4-25 4-25 4-25 4-25 Calculate difference: PASS � '�i�PASS f PASS PASS Actual Superheat - Target Superheat = t � System passes if difference.is between -5°F and +5°F PASS PASS, PASS PASS Enter Pass or Fail 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) 5) 5) Calculate: Actual Subcooling = Tcondenser, sat - Tli uid ' 8,4 6.0 10.1 10.1 a Target Subcooling specified by manufacturer 9 9 9 9 Calculate difference: Actual Subc`ooling'-*Target Subcooling" �'?0:6 -: 3 manufacturer's specifications (or use range 4-25 4-25 4-25 4-25 System passes if differenceris between -3°F a ld +3°F i� { PASS � '�i�PASS f PASS PASS Enter Pass or Fail t � L ..71 `.vi 7! + \ . —07 - / - - ,J) f ti 1 I. i di./iI;_tf 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 System 2 System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & (HVAC 1) (HVAC 2) ) Calculate: Actual Superheat =; Tsuction - Teva orator sat ` 21.9 14.3 19.0 23.6 Enter allowable superheat range from manufacturer's specifications (or use range 4-25 4-25 4-25 4-25 between 40F and 250F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS PASS, PASS PASS Enter Pass or Fail Reg: 212-N007182OA-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No 5) 5) System meets all refrigerant charge and airflow requirements. PASS PASS PASS PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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 . 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 perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater,�andtif those installations fail to meet.the,requirements.of.such quality.assurance checking, the required corrective -action and additional checking/testing of other installations in $iat HERS sample group'`will be performed at my expense. / i •. I reviewed a copy of theACertifical/of Compliance y(CF.�1R) form app4ved by the enfo cement 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.y, . I will ensure thatia completed,;signed copy of sha this Installation Certificate ll 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. ; U Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EFFICIENT AIR CONDITIONING Responsible Person's Name: :_ Responsible Person's Signature: 3ames Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2013 C] • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: I Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 5 (HVAC 3,4&5) System Location or Area Served SYSTEM 5 5/16 inch (8 mm) access hole 1 upstream of evaporative coil in the ® Yes ❑ Yes ❑ Yes ❑ Yes return plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. la Return side-of;'the duct system is locatedentirely within conditioned �„y-, Y ❑ Y ' '�'` / �- ❑.Yes r"�+i '❑ Yes �❑ ❑ Yes space and return airflow temperature ❑ No , ❑ No No ❑ No to,be measured at the'return;grille. t 5/16 inch (8�mrn) access'hole downstream, of evaporative coil,in the�'r f ®:Yes ❑Yes `�.❑,Yes + ' 2 .J r •f'13 Yes supply plenum and labeled according ❑ No ❑'No ❑'No 1 ❑'No to Figure in Section RA3.2.2.2.2. The TMAH.Compliance Option should be checked only if it is physically impossible to drill the TMAH as required by Section RA3.2.2.2.2.'Using this'Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAHIcannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3 For more information see http://www.energy.ca.aov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is a ® Pass ❑ Pass ❑ Pass ❑ Pass pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • i INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: I Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta STMS - Sensor on the Evaporator Coil System Name or System 5 (HVAC 3, Identification/Tag 1 4 & 5) 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The 4 sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow 7 through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F • ❑ Yes,O No ❑ Yes ❑ No I ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No []Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa ❑ Yes ❑ No Yes to 6, 7, and 8isa pass. Enter N/A if STMS are not ® N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or System 5 (HVAC 3, Identification/Tag ,. 4 & 5) , The sensoryis,factory installed,.or field,installedeaccording to:manufacturer's specifications^on is installed by methods/specifications approved blthe Executive Director. ] ` ''z ' e e , J/ J v.r j ❑ Yes ❑ No ❑ryYes El No j�, l7 Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standardimini plug suitable for connection to a digital.thermometer.�The 7 sensor mini plug,is accessible to the installing technician and the HERS rater without changing, the,aiMb%;i '' through the,cond6ns coil ' I �, �,,�,.�'�� r w�' - Y " s �, ,--) ,, f '; • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems System Name or Identification/Tag System 5 (HVAC 3, 4 & 5) (must;be xe=cr abr`aIte'j monthly) Date of Thermocouple Calibration 9/1/2013 System Location or Area Served SYSTEM 5 Outdoor Unit Serial # WIB3459848 Outdoor Unit Make YORK Outdoor Unit Model • CZF04814CA Nominal Cooling Capacity 4 Tons Date of +Verification f 9/1/2013 NN Calibration of Diagnostic Instruments ' 1{I 3 J' Date of RererantGaugge Calibration 9 1 2013J (must;be xe=cr abr`aIte'j monthly) Date of Thermocouple Calibration 9/1/2013 (must be re -calibrated monthly) Measured Temperatures (°F) Return (evaporator entering) air wet -bulb System 5 System Name or Identification/Tag (HVAC 3, 4 & Evaporator saturation temperature 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) 83.4 Return (evaporator entering) air dry-bulb temperature (Treturn db) 52.9 Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 31.6 (Teva orator sat) Condensor saturation temperature (Tcondensor, 83.4 sat) Suction line temperature (Tsuction) 52.9 Liquid Line Temperature (Tliquid) 75.3 Condenser (entering) air dry-bulb temperature 70 (Tcondenser, db) Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: I Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 5 (HVAC 3,4&5) Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and -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 Na a or Id ratification/ g% `VA Sys3,4&S) r" ^�C r'�`~T Calculated Minimum AirflowRequirement(CFM)1200 Measured Airflow using RA3:3,procedures(CFM) "1632 . �. Measurement Method Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS t Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HER9 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta 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 5 System Name or Identification/Tag (HVAC 3, 4 & Tcondenser, sat - Tli uid 5) Calculate: Actual Superheat = 9 Tsuction - Teva orator sat Target Superheat from Table RA3.2-2 using C'9--•- Treturn wb and Tcondenser, db -.,K, ...* Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -5°F and PASS +5°F Enter Pass or Fail 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 5 (HVAC 3,4&5) Calculate: Actual Subcooling = 8.1 Tcondenser, sat - Tli uid 21.3 Target Subcooling specified by manufacturer 9 a Calculate difference: C'9--•- Actual Subcooling,� Target Subcooling =.jowatz , -.,K, ...* System passes if difference is between' -3°F and`+30FPASS j Enter Pass or Failr allowable superheat range PASS 4 . r t ! I ; t 1 /' 3 - '1 --. — rr r C, -i Ir"— N.�-, Meterirng,Deviee Calculatio_ns'for_Refrigerant Charge Verification. This procedure is.required,to Ue,used•for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. ' System Name or Identification/Tag System 5 (HVAC 3,4&5) Calculate: Actual Superheat = 21.3 Tsuction - Teva orator sat +' Enter allowable superheat range from manufacturer's specifications (or use range 4-25 between 4°F and 25°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms I March 2013 • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 City of La Quinta Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 5 (HVAC 3,4&5) CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): System meets all refrigerant charge and airflow Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No requirements. PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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 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 perform quality assurance checking of installations, including those approved asypart,of a sample group butanot•checked-by�a HERS -rater, and,ifothose-installations fail to meet the requirem6nfs of such quality assurance checking,1th`e 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 ofthe Certificate of Compliance (CF -,111) form approved by the enforcement agency that identifies the specific requirements for the installations I ceraify that the requirements detailed on.the CF-11R,that apply�,to the installation have been met. ] �►' R't.�%ft�ir • I will ensure,fhat 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 C] • • INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System Enforcement Agency: Permit Number: 5 (HVAC 3, 4 & 5)) City of La Quinta Leakage Enter the Duct System Name or Identification/Tag: System 5 (HVAC 3, 4 & 5) Enter the Duct System Location or Area Served: SYSTEM 5 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Leakaqe Diaqnostic Test - comDletely new or replacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage ducts in conditioned space is shown in the special features section of the Allowed CF -1R, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed Leakage. (CFM) Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations if tested at "final" or 4% (leakage factor = 0.04) if tested at "rough." When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the,,CF-1R as 3%, then use. aleakage,factorof,0.03,in the calculations. below. �l ® Cooling sy' stem m d: Els Nominalcapacity of condenserin T4 x 400 x leakage factor= 96 CFM ❑ Heating system method:.° t f 21.7 x Output Capacity`n,Thousands.ABtu/hr x leakage factor = CFM ❑ Measured airflow method (RA3.3) Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct Actual Leakage leakage pressurization test proced6re from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) 71 List Actual Leakage from duct leakage test(CFM) Pass if Actual Leakage is equal to or less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail E 101 Reg: 212-N0071820A-M2000013A-0000 Registration Date/Time: 2013/10/29 09:33:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 L-1 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA 92253 (System Enforcement Agency: Permit Number: 5 (HVAC 3, 4 & 5)) City of La Quinta Date Signed: 9/1/2013 Compliance Method This dwelling was: (select one of the following two choices): ® Tested at Final []Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) visual inspection at renal construction stage (IT appucame) After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ® 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 supply and return register boots must be sealed to the drywall ..=�"�..� ...�-+"*'r....C^..---------r aye---'fc^-•+. . ..'„p"fi,.,- ® New ductInstallations cannot,Utilizeibuilding.cavities ashplenums or, platform"returns In lieu of ducts. ® Mastic and draw bands'must bef used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at duct connections ' I .-y. t DECLARATION STATEMENT . I certify under penalty of perjury, Aer 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 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 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 -111 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2000013A-0000 Registration Date/Time: 2013/10/29 09:33:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • • • INSTALLATION CERTIFICATE CF-6R-MECH-22-HERS HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test (Page 1 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta System 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 Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ❑ Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 plenum as shown in the figure in Section RA3.3.1.1. System 2 System 3 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and ❑ PSPP located downstream of the evaporator coil in the supply plenum as shown in the figure in (HVAC 4 (HVAC ) 4 Section RA3.3.1.1. System Name or System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 System 4 (HVAC 3, 4 Identification/Tag SYSTEM 2 SYSTEM 3 & 5) & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Confirm that a HSPP or 350 350 350 Calculate the target minimum airflow for the test by multiplying the PSPP has.been CFM/ton criteria specified on the CF -1R by the nominal cooling installed on the air ; 1750 1400 capacity of the outdoor unit (ton). handler per the PASS PASS PASS PASS requirements of RA3.3.1.1. Enter the diagnostically tested airflow (CFM). 1750 Enter Pass or Fail 1788 1590 Tested (CFM) Cooling Coil Airflow`00Verification When the Certificateof�Compliance indicates Cooling Coif Airflow. verification is required, the procedures+for measuring the{cooling coil aiMow must be'performed as specified in.Reference Residential Appendix,RA3 3. Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Select one method from the three choices below for compliance with the Cooling Coil Airflow test requirement for this dwelling. ❑ Diagnostic Fan Flow Using Plenum Pressure Matching according to the procedures in RA3.3.3.1.1 ® Diagnostic Fan Flow Using Flow Grid Measurement according to the procedures in RA3.3.3.1.2 ❑ Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System 1 System 2 System 3 System 4 System Name or Identification/Tag (HVAC 1) (HVAC 2) (HVAC 4 (HVAC ) 4 & 5)3, , System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Nominal Cooling Capacity (ton) of the outdoor unit. 5 4 5 4 Enter the minimum airflow requirement from the CF -1R (CFM/ton). 350 350 350 350 Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling 1750 1400 1750 1400 capacity of the outdoor unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1750 1576 1788 1590 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS PASS PASS PASS Enter Pass or Fail Reg: 212-N0071820A-M2200008A-0000 Registration Date/Time: 2013/10/29 09:35:23 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • It 5 Reg: 212-N0071820A-M2200008A-0000 Registration Date/Time: 2013/10/29 09:35:23 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • INSTALLATION CERTIFICATE CF-6R-MECH-22-HERS HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta System 4 Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -1R for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 Responsible Person's Signature: System 1 System 2 System 3 System 4 System Name or Identification/Tag (HVAC 1) (HVAC 2) (HVAC 3,4 4 (HVAC 3,4 4 & 5) & 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Enter the air handler Tested (CFM) from the cooling coil airflow 1750 1576 1788 1590 test table above. Enter the fan watt draw requirement from the CF -111 (Watt/CFM). .58 .58 .58 .58 Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -111 by the air 1015 914.08 1037.04 922.2 handler Tested (CFM). Target (CFM) Enter the diagnostically tested Watt draw (Watt). 790 722 788 789 • Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS PASS PASS PASS 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 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 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 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 -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elio CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2200008A-0000 Registration Date/Time: 2013/10/29 09:35:23 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 0- 0 0 1 - . � • r _.� �.. -rte. �. �;�� }�.-''C�`�G'�o Reg: 212-N0071820A-M2200008A-0000 Registration Date/Time: 2013/10/29 09:35:23 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 Cj • INSTALLATION CERTIFICATE CF-6R-MECH-22-HERS HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test (Page 1 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta 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 Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CFIR )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ❑ Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 plenum as shown in the figure in Section RA3.3.1.1. 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and p PSPP located downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. System Name or System 5 (HVAC 3, 4 & System Location or Area Served Identification/Tag 5) Nominal Cooling Capacity (ton) of the outdoor unit. System Location or Area SYSTEM 5 Enter the minimum airflow requirement from the CF -1R (CFM/ton). Served Calculate the target minimum airflow for the test by multiplying the CFM/ton Confirm that a HSPP or criteria specified on the CF -1R by the nominal cooling capacity of the outdoor PSPP has been M unit (ton). installed on the air + Target (CFM) handler per the , PASS Enter the diagnostically tested airflow (CFM). requirements of Tested (CFM) RA3.3.1.1Ente The system complies if Tested (CFM) is equal or greater than Target (CFM). Enr. Pass or, , Enter Pass or Fail i f Cooling Coil Airflow Verification +� 1 `� _ �r When the Certificate of Compliance indicate�Cooling.Coil�Airflow verification is required, the procedures for,' measuring theM,cooling�coil airflow must,be,performed.as,s'pecifred in Reference Residential AppendixpRA3:=3. ' Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires` verification by a HERS rater. j Select one method from the three choices below for compliance with the Cooling Coil Airflow test requirement for this dwelling. ❑ Diagnostic Fan Flow Using Plenum Pressure Matching according to the procedures in RA3.3.3.1.1 ® Diagnostic Fan Flow Using Flow Grid Measurement according to the procedures in RA3.3.3.1.2 ❑ Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System 5 System Name or Identification/Tag (HVAC 3, 4 & 5) System Location or Area Served SYSTEM 5 Nominal Cooling Capacity (ton) of the outdoor unit. 4 Enter the minimum airflow requirement from the CF -1R (CFM/ton). 350 Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of the outdoor 1400 unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1632 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS Enter Pass or Fail Reg: 212-N0071820A-M2200008A-0000 Registration Date/Time: 2013/10/29 09:35:23 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • INSTALLATION CERTIFICATE CF-6R-MECH-22-HERS HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test (Page 2 of 2) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta Date Signed: 9/1/2013 Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -1R for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 Responsible Person's Signature: System 5 James Elia CSLB License: 881926 Date Signed: 9/1/2013 System Name or Identification/Tag (HVAC 3, 4 Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No & 5) System Location or Area Served SYSTEM 5 Enter the air handler Tested (CFM) from the cooling coil airflow test table 1632 above. Enter the fan watt draw requirement from the CF -1R (Watt/CFM). .58 Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -111 by the air handler Tested (CFM). 946.56 Target (CFM) Enter the diagnostically tested Watt draw (Watt). 790 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS Enter Pass or Fail • ff r • 0 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 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 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-lR) 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N007182QA-M2200008A-0000 Registration Date/Time: 2013/10/29 09:35:23 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 • INSTALLATION CERTIFICATE CF-6R-MECH-23-HERS Verification of High EER Equipment (Page 1 of 1) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta Identification/Tag Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, System 4 (HVAC 3, Identification/Tag 4 & 5) 4 & 5) 2 System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Certified EER Rating of 3 the installed equipment 12.7 12.7 12.7 12.5 (Btu/Watt-hr) Make and Model Number YORK YORK YORK YORK 4 of the installed Outdoor Unit CZF06013CA CZF04814CA CZF06013CA CZF04814CA 5 Make and Model Number ADP ADP ADP ADP of the installed Inside Coil CV603C6 CV60OC6 CV603C6 CV60OC6 Make and Model Number YORK YORK YORK YORK 6 of the installed Furnace or Air Handler. TMLXIOOC20MP11C TMLX10OC20MP11C TMLX10OC20MP11C TMLX10OC20MP11C Minimum Equipment EER 7 required for compliance 12.5 12.7 12.5 12.5 as reported on the CF -1R ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation ofspecific matched equipment.is necessary.to achieve a high -EER; installation of1thespecific equipment must be verified for compliance credit. Refer to Reference'Itesidential'Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER'Rating in row'3 is equal to or greater than the required y f 1 r 94 _ J j t -,- J ! � 0 8 minimum EER in -r7 the unit complies'. PASS PASS Y PASS' PASS , r r If the unit complies rJ enter Pass >' 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 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 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) EFFICIENT AIR CONDITIONING 4 Reg: 212-N0071820A-M2300010A-0000 Registration Date/Time: 2013/10/29 09:48:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • Responsible Person's Name: James Elia Responsible Person's Signature: James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No i • Reg: 212-N0071820A-M2300010A-0000 Registration Date/Time: 2013/10/29 09:48:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 f Reg: 212-N0071820A-M2300010A-0000 Registration Date/Time: 2013/10/29 09:48:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • • INSTALLATION CERTIFICATE CF-6R-MECH-23-HERS Verification of High EER Equipment (Page 1 of 1) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA Enforcement Agency: Permit Number: 92253 City of La Quinta Date Signed: 9/1/2013 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag System 5 (HVAC 3, 4 Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 & 5) Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No 2 System Location or Area Served SYSTEM 5 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12.5 4 Make and Model Number of the installed Outdoor Unit YORK CZF04814CA 5 Make and Model Number of the installed Inside Coil ADP CV60OC6 6 Make and Model Number of the installed Furnace or Air Handler. YORK TMLX10OC20MP11C 7 Minimum Equipment EER required for compliance as reported on 12.5 the CF -1R ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than 8 the required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass 77 f � i N 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 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 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 -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 9/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2300010A-0000 Registration Date/Time: 2013/10/29 09:48:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 L J • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 5/16 inchf(8,mm) access hole pstream of e`ve orative coil`in u p .'; 7 r -7 � - .� 1 the return plenum and labeled,l` r` according to Figurefin Section ® Yes r' ❑ No ®Yes'p ❑ No✓ y ®Yes, ❑ No ® Yes ❑ No Or RA3.2.2.2.2. / !r Return side of the duct system is located`enti'rely,within conditioned R e 4 t � Yes`' ❑ Yes ❑Yes ❑ Yes p la space and return airflow temperature to be measured at ❑ No ❑ No ❑ No _r. ❑ No the return"grille. _' 5/16 inch (8 mm) access hole 2 downstream of evaporative coil in the supply plenum and labeled ® Yes ® Yes ® Yes ® Yes according to Figure in Section ❑ No ❑ No ❑ No ❑ No RA3.2.2.2.2. The TMAH Compliance Option should be checked only if it is physically impossible to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3 For more information see http://www.enerov.ca.goy/tetle24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance ® Pass ® Pass ® Pass ® Pass Option, is a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta 2) STMS - Sensor on the Evaporator Coil System Name or System 1 (HVAC System 2 (HVAC System 3 (HVAC System 4 (HVAC Identification/Tag 1) 2) 3, 4 & 5) 3, 4 & 5) 3 e sensor is factory installed, or field installed according to manufacturer's specifications, or is installed r methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No , The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the 7 airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No []Yes ❑ No ❑ Yes ❑ No 5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F 'O Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ® N/A ® N/A ® N/A ® N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name,or System,1,(HVAG> System,2 (HVAC:'Systemr3-(HVAC System 4 (HVAC Identification/Tag ] ( ,t1)' 2) - j I ?3, 41& 5) ''>3, 4 & 5) 6 The sensor is factory,,installed; or field installed according toymanufacturer' specifications, or is installed by methods/specifications approved by the Executivejbirector. `: , ❑ Yes ❑ No.4 ❑ Yes 0,1No , ;,-0. es ❑ No li ) ❑ Yes, ❑ Nod P, The sensorewirelis terminated with a -standard mini:plug suitable for connection to+a•digital thermometer.4 7 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 'O Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F ❑ Yes ❑ No ❑ Yes ❑ No []Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail 10 Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta (HVAC 2) Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems Calibration of Diagnostic Instruments Date of Refrigerant,Gauge Calibration System 1 System 2 System 3 System 4 System Name or Identification/Tag (HVAC 1) (HVAC 2) (HVAC 3, 4 & (HVAC 3, 4 & Supply (evaporator leaving) air 33.8 35.5 5) 5) System Location or Area Served SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 Outdoor Unit Serial # WIH3997705 WIH3974872 WiH3997704 WIH3974876 Outdoor Unit Make YORK YORK YORK YORK Outdoor Unit Model CZF06013CA CZF04814CA CZF06013CA CZF04814CA Liquid Line Temperature (Tliquid) 73 75.1 78 74.8 Nominal Cooling Capacity�f'l S Tons v 4�Tons) 5 Tons 4 Tons temperature (Tcondenser, db) } Date oflVerification F+ 10/1/Z013Z" 10/1/2013J9/1/2013� `` 9/1/.2013 Calibration of Diagnostic Instruments Date of Refrigerant,Gauge Calibration 10/1/2013 (must be re -calibrated monthly) Date of Thermocouple Calibration 0 10/1/2013 (must be re -calibrated monthly) Measured Temperatures (°F) System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & wet -bulb temperature (Treturn wb) 5) 5) Supply (evaporator leaving) air 33.8 35.5 40.5 32.5 dry-bulb temperature (Tsu I db) Return (evaporator entering) air 81.4 81.1 88.1 84.9 dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 33.8 35.5 40.5 32.5 (Teva orator sat) Condensor saturation temperature 81.4 81.1 88.1 84.9 (Tcondensor, sat) Suction line temperature (Tsuction) 55.7 49.8 59.5 56.1 Liquid Line Temperature (Tliquid) 73 75.1 78 74.8 Condenser (entering) air dry-bulb 70 70 70 70 temperature (Tcondenser, db) > 0 Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 l i • r � 1 j i Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • U INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta System 4 (HVAC 3, 4 & 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) Calculate: Actual Temperature Split = Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn, wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and -100°F Enter Pass or Fail s Note: Temperature Split Method, Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflo-w-�measurement,procedure specified`in'Reference:.Resideritial Appendix RA3"3.-If actual cooling coil airflow is measuredjthealue must be equal to or greater than the Calculated Minimum Airflow Requirement in the table,below. f Calculated Minimum Airflow Requirement,(CFM) Cooling =,Nominal aCap acity X 300,/ � �(ton) (cfm /to n) y System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) Calculated Minimum Airflow Requirement (CFM) 1500 1200 1500 1200 Measured Airflow using RA3.3 procedures (CFM) 1750 1576 1788 1590 Measurement Method Flow Grid Flow Grid Flow Grid Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS PASS PASS PASS Enter Pass or Fail O Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) Calculate: Actual Superheat = 8.4 6.0 10.1 10.1 Tsuction - Teva orator sat 9 f ��;' 9 Target Superheat from Table RA3.2-2 .�9 �' using Treturn wb and Tcondenser, db -0.6 yt -3 1.1 '1`.1 Calculate difference: 4-25 4-25 4-25 4-25 Actual Superheat - Target Superheat = System passes if difference is between -5°F and +5°F PASS PASS PASS 1�PASS-`1 Enter Pass or Fail PASS PASS PASS PASS 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) Calculate: Actual Subcooling = Tcondenser, sat - Tli uid } 8.4 6.0 10.1 10.1 Target Subcooling-specified by� 9 f ��;' 9 manufacturer! ! `; .�9 �' Calculate difference: 7' Actual Subcooling - Target Subcooling -0.6 yt -3 1.1 '1`.1 range between 4°F and 25°F if 4-25 4-25 4-25 4-25 manufacturer's specification is not mpasses.ifedifference-is between,,and ' " n-3F+30F ' "` Enter Pass'or Fail PASS PASS PASS 1�PASS-`1 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 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & 5) 5) Calculate: Actual Superheat = 21.9 14.3 19.0 23.6 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range between 4°F and 25°F if 4-25 4-25 4-25 4-25 manufacturer's specification is not available) passes if actual superheat is Ewithhe allowable superheat range PASS PASS PASS PASS Enter Pass or Fail 0 Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta System 3 (HVAC 3, 4 & Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 (HVAC 1) System 2 (HVAC 2) System 3 (HVAC 3, 4 & System 4 (HVAC 3, 4 & Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No 5) 5) System meets all refrigerant charge and airflow requirements. PASS PASS PASS PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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 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,;acti n at`my exT pence: I understand'that,Energy Co mission'and HERS provide^�representatives will alsopdrform'quality assurance checking►of installations, including those approved as part of a sample group but notchecked'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 othe`r,installation`s in that HERS'sample group will be performed at my expense. x . I reviewed a copyjof the?Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specifi2'requirements'for themstallation.'I,certify that the requirements detailed on the,CF-1R,that_apply•to the ,Ur' 1�1O 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elia CSLB License: 881926 Date Signed: 19/1/2013 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta 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 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 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, unless the TMAH Compliance Option is chosen. 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 0 Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 System 5 System Name or Identification/Tag (HVAC 3, 4 & t 5) System Location or Area Served SYSTEM 5 5/16 inch (8mm) access hole 1 upstream`of evaporative coil in theme �__ ® Yes. ❑Yes r❑'Yes ❑Yes return.blenumrand labeled according ❑ No No ❑'No V` ❑ No to Figure in Section•RA3.2i2.2?2. la Return side of the' duct system is located entirely within conditioned J-•� 1 ❑ Yes p ❑Yes '� ❑ Yes ,tom,, ❑ Yes space.and,return airflow;temperaturer ❑ Noy, ❑ No 01,No � ❑ No `? to be measured at the return grille. 5/16 inch (8.mm) access hole 2 downstream of evaporative coil in the ® Yes ❑ Yes ❑ Yes ❑ Yes supply plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2:2.2.2. The TMAH Compliance Option should be checked only if it is physically impossible to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3 For more information see ht:tD://www.energy.ca.aov/title24/2008standards/special case aDDliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is ® Pass ❑ Pass ❑ Pass ❑ Pass a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail 0 Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA City of La Quinta 92253 TT�e .TMS - Senrnr on the Evanorator Coil System Name or System 5 (HVAC -1\ ' Identification/Tag 1 3, 4 & 5) TT�e e sensor is factory installed, or field installed according to manufacturer's specifications, or is installed Tby methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not ® N/A ❑ Pass ❑ N/A ❑ Pass ❑ N/A ❑ Pass ❑ N/A ❑ Pass applicable. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name�or System 5•(HVAC5r-a 17`—� -1\ ' Identification/Tag 13, 4'`&`5) V TT�e sensor is factoryinstalled' or. field installedjaccording to'manWfacturer's specifications, or is installed methods/specifications approved by the Executive,birector. k .0/( ,OK, '.lf❑Yes 0 N9 1 ❑Yes ❑FNo 1 - ❑Yes -❑Non i ❑Yes:❑No',�. The sensor.,wire'is terminated with a"standard mini plug suitable for connection to`a digital thermometer." 7 The sensor mini plug is accessible to"the installing technician and the HERS rater without changing the airflow through.the condenser coil ❑Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8isa pass. Enter N/A if STMS are not ❑ N/A ❑ Pass ❑ N/A ❑ Pass ❑ N/A ❑ Pass ❑ N/A ❑ Pass applicable. Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail h• 0 0 Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • :7 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems Calibration of Diagnostic Instruments Date of Refrigerant Gauge Calibration System 5 (must be re -calibrated monthly) Date of Thermocouple Calibration 9/1/2013 System Name or Identification/Tag (HVAC 3, 4 & Evaporator saturation temperature 5) System Location or Area Served SYSTEM 5 Outdoor Unit Serial # I W1133459848 Outdoor Unit Make YORK dry-bulb temperature (Treturn db) 52.9 Outdoor Unit Modell fi CZF04814CA C/ Condenser (entering) air dry-bulb 70 Nominal Cooling Cafeity / 4 Tons1 .� /.-N fir, I� 1--1--196/1'/2013:"7 [Date ofVerification 17, Calibration of Diagnostic Instruments Date of Refrigerant Gauge Calibration 9/1/2013 (must be re -calibrated monthly) Date of Thermocouple Calibration 9/1/2013 (must be re -calibrated monthly) Measured Temperatures (°F) Return (evaporator entering) air System 5 System Name or Identification/Tag (HVAC 3, 4 & Evaporator saturation temperature 5) Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) 83.4 Return (evaporator entering) air dry-bulb temperature (Treturn db) 52.9 Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 31.6 (Teva orator sat) Condensor saturation temperature 83.4 (Tcondensor, sat) Suction line temperature (Tsuction) 52.9 Liquid Line Temperature (Tliquid) 75.3 Condenser (entering) air dry-bulb 70 temperature (Tcondenser, db) } 0 Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • -. 1 -.rte /. (..1 •�!C � N'. i J Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA , La Quinta CA Enforcement Agency: Permit Number: 92253 City of La Quinta 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 5 (HVAC 3,4&5) Calculate: Actual Temperature Split = Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and -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,l the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. _ Calculated Minimum �Requirement oling pacity-(ton).X Airflow (CFM)=4Nominal C C 300 (cfm/ n),. f ':...el1"`,,s V.� j s w _ a - ri•� s -' • ! ,,,•ter: System Name or Identification/Tag-v' System'S (HVAC!-,':�J� 3,4&5) Calculated Minimum Airflow Requirement 1200 (CFM) Measured Airflow using RA3.3 procedures 1632 (CFM) I Measurement Method Flow Grid Passes if measured airflow is greater than or equal to the calculated minimum airflow PASS requirement. Enter Pass or Fail � n O Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Quinta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta System Name or Identification/Tag 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 5 System Name or Identification/Tag (HVAC 3, 4 & Tcondenser, sat - Tli uid 5) Calculate: Actual Superheat = 9 `r Tsuction - Teva orator sat V Target Superheat from Table RA3.2-2 PASS j using Treturn wb and Tcondenser, db P� rtes tf fi t `�rL Calculate difference: Actual Superheat - Target Superheat = PASS System passes if difference is between -5°F and +5°F Enter Pass or Fail 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 5 (HVAC 3,4&5) Calculate: Actual Subcooling = S.1 Tcondenser, sat - Tli uid Target Subcooling specified by manufacturer, --may ,,. ";-'► 9 `r Calculate(difference:�' f Actual Subcooling - TargetfSubcooling V System passes if difference is between -3°F arid +3°F �, � , '''ti., PASS j P '/( `( Enter ass or. Fail P� rtes tf fi t `�rL 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 5 (HVAC 3,4&5) Calculate: Actual Superheat = 21.3 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range 4-25 between 4°F and 25°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail ? (D 0 Reg: 212-N0071820A-M2500003A-0000 Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 • INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: 53-045 Humboldt Blvd La Quinta CA La Qui nta CA Enforcement Agency: Permit Number: , 92253 City of La Quinta Date Signed: 9/1/2013 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 5 (HVAC 3,4&5) CSLB License: 881926 Date Signed: 9/1/2013 position With Company (Title): System meets all refrigerant charge and Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No airflow requirements. PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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). s • 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 tlie,installationito verif7compliance; aan`dithat;that"if such • checkin6,identifies defects, I am required toltake corrective action at my expense. I understand that Energy Commission and,HERS'provider representatives will also perform quality assurance checking of installations, includirig thosefapproved 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;ithe 'required "e— corrective, action,and?additional checking/testing of other, installations in that HERS+sample group,will,be ` performedat my'expense.''. .~ ' " ` _a _ r " ", •`�: I • 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-iR`th-at 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) EFFICIENT AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: James Elia James Elio CSLB License: 881926 Date Signed: 9/1/2013 position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-N0071820A-M2500003A-0000 2008 Residential Compliance Forms Registration Date/Time: 2013/10/29 10:26:04 HERS Provider: CalCERTS, Inc. March 2013