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BCOM2014-1009 Commissioning ReportCommissioning Report For The Chateau at Lake LaQuinta 78120 Caleo Bay LaQuinta, CA 92253 Project Designer: Sanborn Architecture 71-780 San Jacinto Drive Rancho Mirage, CA 92270 760-423-0600 General Contractor: DW Johnston Construction 1445 N Sunrise Way, Suite 203 Palm Springs, CA 92262 t HVAC Contractor: DEH Mechanical 73700 Highway 111, Suite 8 Palm Desert, CA 92260 THIS IS TO CERTIFY THAT ENERGY MANAGEMENT SERVICES COMPANY HAS PROVIDED THE SYSTEMS INSPECTION DESCRIBED HEREIN FOR THEIR OPTIMUM PERFORMANCE CAPABILITIES, UNLESS OTHERWISE NOTED IN THE PROJECT TEXT LETTER. THE ADJUSTMENTS AND INSTRUMENTS USED TO PERFORM ALL NECESSARY TESTING HAS BEEN PERFORMED IN ACCORDANCE WITH THE STANDARD REQUIREMENTS AND PROCEEDURES OF THE NATIONAL BALANCING COUNCIL ALONG WITH THE STATE OF CALIFORNIA TITLE 24 CERTIFICATIONS LISTED. THE RESULTS OF THESE TESTS ARE HEREIN RECORDED. B #3158 F-1% LaFontaine - Supervisor EMS Energy Management Services 41-485 Adams Street, Unit C — Bermuda Dunes, California 92203 a Phone: 760-360-4631/Fax: 760-360-3074 0 CONTENTSS1 Commissioning Report Data ................ Tab A Jobsite Customer Information ...0000... Tab B, 1-13 Outdoor Air Acceptance ..,NRCH-MCH-02A_Tab B,1-13 Constant Volume Split ....NRCH-MCH-03A_Tab B, 1-13 Exhaust — ASHRAE 62.1-2010 .............. Tab B,14 Equipment Data...... Tab C • Testing Equipment Certificates ......... Tab D Licenses and Certifications......,,,,,**** Tab E 0 L 0 • Building Commissioning Report CEC Approved 2013 Non -Residential re: Building Energy Analysis Report — job # 14021 Title 24 dated 1/05/2015 • Outdoor Air Acceptance - MECH-2A • Certificate of Acceptance - MECH-3A Job Name The Chateau at Lake La Quinta 78120 Caleo Bay La Quinta, CA 92253 Prepared For DW Johnston Construction 1445 N Sunrise way, Suite 203 Palm Springs, CA 92262 Enforcement Agency City of La Quinta Building Department 760-777-7022 Prepared By Jack LaFontaine EMS. Energy Management Services HVAC /Energy Consulting Services 41-485 Adams Street, Unit C — Bermuda Dunes, Ca. 92203 — (760) 360-4631 / Fax (760) 360-3074 C20 C61/1362 License No. 315890 — E-mail: iack.ceal(a)gmail.com T24 Reports -HVAC Mech Design - Ca Certified HERS Rater - NBC Certified AirMater Balance - Cabec Certified Energy Analyst. Jobsite Worksheet HERS VERIFICATION - CUSTOMER INFORMATION Job Name (j _ U )4,(7— Phone Job Address / Z U Ci 6 104 �.I/,I Wviz C.7 Z ? i�l HVAC Contractor ,)6 _ LL i G CSLB# Bldg Dept. Ouuv Air Handler (HP) Permit No.^�J C6 H -ze'1 t1-1Dat e System Number (HVAC ZONE) 6- da G 0 1 z. ZONE Size s ft F Equipment Information 4 Forms for this fob MECH O V tViECH 04 MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 CK applicable boxes *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright ® 2013 Energy Management Services - All Rights Reserved ...c Cond or General & Setup Information Package Unit Air Handler (HP) _ 1. Serial Number L N N0 0-? W da G 0 1 z. F 1 J rJJ"�'s u 2. Brand Name S 3. Model Number t'L ��(�� 2U i2 R,LY 4. Nominal Cooling (btu/hr) & (tons) btu/hr j tons S. Date of Testing Verification v�2 1 C E RT I F I ED 6. Date of Refrig Gauges Calibration Jack LaFontaine Energy 7 Date of Temp Sensors Calibration Management Services #13.250-01 Expires 4/26/2015 N.kTIONAL iiumcllVG Comic S. Metering Device fixed or TXV T-7 1177�/ 9. AHRI Certificate Information Certificate NumberT SEER11 EER'I` Ali--AFb*t or HP: HSPFT l Z D Cb BTUH 10. Cooling Capacity AHRI no comas Refrigerant: _ R410A Forms for this fob MECH O V tViECH 04 MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 CK applicable boxes *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright ® 2013 Energy Management Services - All Rights Reserved • 10 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION v CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City ofLa QUlnta, CA 25309 &EbN 614-1009 Project Address: 78120 Caleo Bay City: La Quinta, CA Zip code: 92253 System Name or Identificationtrag: HVAC -1 System Location or Area Served: Unit One Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date that must demonstrate compliance. Intent:I Verify measured outside airflow reading is within ± 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column 1) or Mechanical Equipment Schedules. Construction Inspection Note: MCH -2A can be performed in conjunction with MCH -7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a' Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). L Method and equipment used:_TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year): 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV CAV a. Check if Variable Air Volume (VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) ❑ Outdoor Air CFM Compensation ❑ Energy Balance Method ❑ Demand Control Ventilation ❑ Return Fan Tracking 0 Injection Fan Method 0 Dedicated Minimum Ventilation Damper with Pressure Control ❑ Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: XIX System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): XX Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): ❑ Within five ft. of the unit. XLX Within 15 ft. of the unit, with the air directed substantially toward the unit. 0 Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1 -hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): a. The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b. 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE Step 1: Disable demand control ventilation (if applicable) NRCA-MCH-02-A Outdoor Air Acceptance ❑ (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City o[ f LaQUlnta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay city: La Quinta,CA zj Wh53 System Name or Identification/Tag: HVAC -1 System Location or Area Served: Unit One b. Measured outdoor airflow reading (cfm) A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). X -N ❑ Note: Shaded boxes do not apply for CAV systems b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N `' t Step 3: CAV and VAV testing at full supply airflow Y / N Determine Percent Outside Air at reduced supply airflow (%OAR,) for Step 3 (VAV only) Adjust supply air to achieve design airflow or maximum airflow at full a. cooling. Record VFD speed (Hz). a. %OAR, = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) Hz b. Measured outdoor airflow reading (cfm) 57 cfm cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column I, or Mechanical Equipment Schedules). 53 cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): min Step 4: VAV testing at reduced supply airflow CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min Step 5: Return to initial conditions (check) XX❑ ❑ B. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) 108 % % b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N c. • Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OAR,) for Step 3 (VAV only) a. %OAR, = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b. %OAR, is within 10% of design Outside Air. (OAR, <_ 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. C. Evaluation YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 El • i STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION 18 CERTIFICATE OF ACCEPTANCE 1. 1 certify that this Certificate of Acceptance documentation is accurate NRCA-MCH-02-A Outdoor Air Acceptance Docunrn I iciF th nature: (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA zi 2Code: 953 System Name or identification/Tag: HVAC -1 System Location or Area Served: Unit One 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate 0, eo plete Documentation Author Name: Jack LaFontaine Docunrn I iciF th nature: Documentation Author Company Name: Energy Management Services Date Si ne : 3/27/2015 Address: 41485 Adams St, Unit C ATT Ce cation Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-3604631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on thi Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or ma ailabl i the building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signature Field Technician company Name: Energy Management Services Position with Company (Tt'14 T chnician Supervisor Address: 41485 Adams Street, Unit ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation the builder o ides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance Perso Si a Responsible Acceptance Person Company Name: Energy Management Servic Smsiti,n with Company (Title): Te hn ian Supervisor Address: 41495 Adams Street, Unit C CSLB License: #3 890 ----C20 C61/D62 Bermuda Dunes, CA 92203 City/State/Zip Phone: 760-360-4631 Date Signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS 0 CEC-NRCA-MCH-03-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA Zip Code: 92253 System Name or Identification/Tag: HVAC - / System Location or Area Served: UNIT,- IJAJ Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): )()( Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): X)(] . Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint _85 F. headband: _3 F. XX] Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XX] Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: XXI Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1/05/2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 c: i STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (Revised 06114) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: Cl of LaQuinta City Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA Zip Code: 92253 System Name or Identificationfrag: HVAC - System Location or Area Served: UNIT- V i1 1f A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a• Supply fan operates continually XX XX XX XX b. Supply fan turns off XX C. Supply fan cycles on and off d• System reverts to "occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f• Gas-fired furnace, heat pump, or electric heater stages on XX 9. No heating is provided by the unit XX XX )(X XX h• No cooling is provided by the unit XX XX XX XX i• Compressor stages on XX XX i• Outside air damper is open to minimum position XX XX XX XX k. Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: I YES Y / N B. Testing Results 8 1 7 1 6 1 5 1 4 1 3 1 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter P P P P P P P C. Evaluation: P-3 I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) 0 F- CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS 0 CEC-NRCA-MCH-03-A (Revised 06114) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta BCONumber:14-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA Zip code: 92253 .J System Name or Identification/Tag: HVAC - system Location or Area Served: UNIT - A) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Aut rSi e Documentation Author Company Name: Energy Management Services Date Signed: 3/ 7/ 015 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been postedor a availabl w' h the building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Si atur : - Field Technician company Name: Energy Management Services Position with Co pang it echnician Supervisor Address: 41485 Adams St, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance sha a post d, r made available with the building permit(s) issued for the building, and made available to the enforcement age c r all pp cable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with h e ation the build r provides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine RespoV Acc ante Person Signature: Responsible Acceptance Person Company Name: Position with Company (Title): Technician Supervisor Energy Management Services Address: 41485 Adams St, Unit C CSLS License: #315890 ----- C20 C61/D62 City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 Z7 Jobsite Worksheet HERS VERIFICATION - CUSTOMER INFORMATION Job Name C, �� l L�� (% �� (i %�1 �� Phone Job Address ici /-o �% HVAC Contractor � � / /�% �% �/� C-,CSLB# \7 2<55-1,C- 11 Bldg Dept. // A L) /.Aj � Li /� C NOV6 /1-/- / b v � Permit o. Date System Number 1 (HVAC ZONE) ,,/ �1 u4j d 1 +� �� 5-} ZONE Size sgft I /Y ?V F Equipment Information 4 General & Setup information Split Cond or Package Unit Air Handq(HP)1. Serial Number LNo63q 36 oo as 2. Brand Name 1 +� �� 5-} r u l ; t su 3. Model Number AOV i$ n L FG A AU I b " 4. Nominal Cooling (btu/hr) & (tons) i -T f - K btu/hr z� tons /f �ERl'IFIED AA Jack LaFontaine Energy Management Services #13.250.01 Expires4/28/2015 ;'�.1TtOMAt. it.�UWCi�1G COUNCi S. Date of Testing Verification 6. Date of Refrig Gauges Calibration 7 Date of Temp Sensors Calibration 8. Metering Device fixed or TXV 9. AHRI Certificate information q8 ?qi `i 7 /!1,,.-7 /Z G % Certificate aumberT SEERf EERt .—FAM --Affil (` or HP: HSPF*t 10. CoolingCa aci AHRI BTUH / 8 6 b U no comas � Refrigerant: _ R410A f A 03A Forms for this Job IMECH W MECH 2A-"MECH 21 MECH 22 MECH 23 MECH 24 "MECH 25 MECH 26 CK aoolicabie boxes I 1 1 1 I *MUST SIGN *TECH `DATE HOURS 2/15/2013 revised Copyright © 2013 Energy Management services - All Rights Reserved • STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A Revised 06/14 CALIFORNIA ENERGY COMMISSION 18 CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQUinta, CA 25309 9680614-1009 Project Address: 78120 Caleo Bay City: La Quinta, CA zip code: 92253 System Name or Identiricetionfrag: HVAC- -Z System Location or Area Served: Unit Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date that must demonstrate compliance. Intent:I Verify measured outside airflow reading is within ± 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column 1) or Mechanical Eauipment Schedules. Construction I Note: MCH -2A can be performed in conjunction with MCH -7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a' Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:_TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year): 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV IXX CAV a. Check if Variable Air Volume (VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) ❑ Outdoor Air CFM Compensation ❑ Energy Balance Method ❑ Demand Control Ventilation ❑ Return Fan Tracking ❑ Injection Fan Method ❑ Dedicated Minimum Ventilation Damper with Pressure Control ❑ Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: XIX System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): MOutside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): XX ❑ Within five ft. of the unit. XIX Within 15 ft. of the unit, with the air directed substantially toward the unit. ❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1 -hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): a. The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b• 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06/141 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE Step 1: Disable demand control ventilation (if applicable) NRCA-MCH-02-A Outdoor Air Acceptance ❑ (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: of LaQuinta Permit Permit Number: BCOM-2014-1009 Project Address: 78120 CaleO Bay c'": La Quinta,CA Zip 9253 System Name or Identifiration/Tag: HVAC- System Location or Area Served: unit b. Measured outdoor airflow reading (cfm) A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). XK ❑ Note: Shaded boxes do not apply for CAV systems b. %OAFA is within 10% of design Outside Air. (%OAFA 5110%) YES Y / N Y / N Step 3: CAV and VAV testing at full supply airflow Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) Adjust supply air to achieve design airflow or maximum airflow at full a. cooling. Record VFD speed (Hz). a. %OAR, = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) Hz b. Measured outdoor airflow reading (cfm) cfm cfm Required outdoor airflow (cfm) (from MECH-3C, Column 1, or C. Mechanical Equipment Schedules). -71 cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): min Step 4: VAV testing at reduced supply airflow CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min Step 5: Return to initial conditions (check) XX❑ ❑ B. Testing Calculations & Results Evaluation Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) % % b. %OAFA is within 10% of design Outside Air. (%OAFA 5110%) YES Y / N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) a. %OAR, = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b. %OARA is within 10% of design Outside Air. (OAR, <_ 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. C. Evaluation YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06/141 CALIFORNIA ENERGY COMMISSION 16 CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City:LaQUlnta CA 2i Code: 9253 System Name or Identificationfrag: HVAC- —,,7 / L System Location or Area Served: Unit 7 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Sig t Documentation Author Company Name: Energy Management Services Date Signed: 3/27/2 15 Address: 41485 Adams St, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted orm vailabl w h the building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signa re: Field Technician Company Name: Energy Management Services Position with Compan NY: Technician Supervisor Address: 41485 Adams Street, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentatio abuild p ovides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance P r n - Responsible Acceptance Person Company Name: Energy Management ServiC ,Position with Company ( itle Technician Supervisor Address: 41495 Adams Street, Unit C CSLB License: #315890 ----C20 C61/D62 City/State/zip Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date Signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 0 U • STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA zip Code. 92253 System Name or Identification/Tag: HVAC ' 2 System Location or Area Served: UNIT - Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): ( Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): )Q(7 Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint _85 F. headband: _3 Fo XXl Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XX] Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: XXI Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1/05/2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • r • STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency *City of LaQuinta Permit Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA zip code: 92253 System Name or Identification/rag: HVAC - -Z_ System Location or Area served: UNIT -,_) A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a• Supply fan operates continually XX XX XX XX b. Supply fan turns off XX C. Supply fan cycles on and off d• System reverts to "occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f• Gas-fired furnace, heat pump, or electric heater stages on 0 XX g• No heating is provided by the unit XX XX )(,)( XX h• No cooling is provided by the unit XX XX XX XX i• Compressor stages on XX XX 1• Outside air damper is open to minimum position XX XX XX XX k. Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N B. Testing Results 1 8 1 7 1 6 1 5 1 4 1 3 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter P P P P P P P C. Evaluation: P-3 I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) ! CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 r • STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC•NRCA-MCH-03-A (Revised 06/141 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A DOCUMENTATION Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Protect Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit BCOM 20x14-1009 Project Address: 78120 Caleo Bay city LaQuinta, CA Zip Code: 92253 System Name or Identification/Tag: HVAC - -2- System Location or Area Served: UNIT- NIT- DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Signatur Documentation Author Company Name: Energy Management Services Date Signed: 3/27/2015 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with a building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signatur Field Technician company Name: Energy Management Services Position with Company itl - Te nician Supervisor Address: 41485 Adams St, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be.included with the documentation the builder provA to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance Perso Si t Responsible Acceptance Person Company Name: Position with Company (Titl : chni ' n Supervisor Ener Management Services T Address: 41485 Adams St, Unit C CSLB License: #315890 ----- C20 C61/D62 City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 _• Jobsite Worksheet HERS VERIFICATION - CUSTOMER INFORMATION Job Name Split Cond or Package Unit Job Address Z'A C) / "\I 1. Serial Number HVAC Contractor/), tom' ��?' kl e—A L--- CSLB#'2 fir Bldg Dept. l�� �C)�� �/� P mit No.'/��� 6 (i ` Date System Number (HVAC ZONE) 3. Model Number hbo I1ZLFG ZONE Size sgft V2'� L% E Equipment Information 4 General & Setup Information Split Cond or Package Unit Air Handler (HP) 1. Serial Number LNC 003016-0 00085/ 2. Brand Name 5 ;Lf 3. Model Number hbo I1ZLFG ARU I I RAF 4. Nominal Cooling (btu/hr) & (tons) 2 'K btu/hr' / tons V -Z -)/N F� I F D f'►'i Jack LaFontaine Enorgy !44aneCsment 9srvlcas � x+13.250.01 Explrsa 4/26/2015 NATIONAL IMMCING COUNCIL S. Date of Testing Verification 6. Date of Refrig Gauges Calibration 7 Date of Temp Sensors Calibration 8. Metering Device fixed or TXV 9. AHRI Certificate Information Certificate NumberT SEER'P I EERt FkU:-A JJ&+ or: HSPFt ` 10. Cooling Capacity AHRI 9TUH no comas Refrigerant: _ R410A (),L. A . u?A Forms for this Job MECHDit- MECH •20'- MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 CK applicable boxes *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright © 2013 Energy Management Services - All Rights Reserved • • • STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION 4 CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta, CA 25309 6680614-1009 Project Address: 78120 Caleo Bay G": La Quinta, CA %j , System Location or Area Served: Unit -� zip code: 92253 System Name or Identification rag: HVAC- Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date that must demonstrate compliance. Intent:I Verify measured outside airflow reading is within t 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column 1) or Mechanical Equipment Schedules. Construction Note: MCH -2A can be performed in conjunction with MCH -7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a. Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:_TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year): 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV IXX CAV a. Check if Variable Air Volume (VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) ❑ Outdoor Air CFM Compensation ❑ Energy Balance Method ❑ Demand Control Ventilation ❑ Return Fan Tracking ❑ Injection Fan Method 0 Dedicated Minimum Ventilation Damper with Pressure Control ❑ Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: xL�X System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): XX Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): 0 Within five ft. of the unit. XLX Within 15 ft. of the unit, with the air directed substantially toward the unit. 0 Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1 -hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): a. The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b• 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • • STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION .18 CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQulnta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay c'": La Quinta,CA zip V�i53 System Name or Identification/Tag: HVAC- If System Location or Area Served: Unit A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). X�; ❑ Note: Shaded boxes do not apply for CAV systems b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N Step 3: CAV and VAV testing at full supply airflow Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) Adjust supply air to achieve design airflow or maximum airflow at full a' cooling. Record VFD speed (Hz). a. %OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) Hz b. Measured outdoor airflow reading (cfm) cfm cfm Required outdoor airflow (cfm) (from MECH-3C, Column 1, or C. Mechanical Equipment Schedules). v` V cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): min Step 4: VAV testing at reduced supply airflow CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min Step 5: Return to initial conditions (check) XX❑ ❑ B. Testing Calculations & Results Evaluation Determine Percent Outside Air at full supply airflow, (%OAFA) for Step 2 PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) /06% % b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) a. %OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b. %OARA is within 10% of design Outside Air. (OAR, <_ 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. C. Evaluation YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • is :7 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06/141 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City'LaQUlnta CA r 2i Code: 9253 System Name or Identification/Tag: .!J HVAC- ♦V/ System location or Area Served: Unit DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify °that this Certificate of Acceptance documentation is accurate and complete. . Documentation Author Name: Jack LaFontaine Documentation Author Stat Documentation Author Company Name: Energy Management Services Date Signed: 3/27/2 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or ma a ilablej the building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signat e: Field Technician Company Name: Energy Management Services Position with Compan (Title): a nician Supervisor Address: 41485 Adams Street, Unit C ATT Certification Identifi on (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-3604631 Date signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 ins pect'ons. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documen,katpn the bu' de provides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Accept c n igna r Responsible Acceptance Person Company Name: Energy Management Servic SPo,ition with CorntnJitlef—'TWchnician Supervisor Address: 41495 Adams Street, Unit C CSLB License: ,x315890 ----C20 C61/D62 Bermuda Dunes, CA 92203 Phone: City/State/Zip 760-360-4631 Date Signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 0 • STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CFC-NRCA-MCH-03-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA Zip Code. 92253 System Name or Identification/Tag: HVAC ' System Location or Area Served: UNIT - _IrVIL42�� Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): XX Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): XXD Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint _85 F. headband: _3_ F. XX] Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XXI Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: XX) Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. 0 3 complete air changes. Notes: Reference Title 24 dated 1/05/2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • • STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (Revised 06114) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Project Name' Chateau at Lake LaQuinta Enforcement Agency: Cl of LaQuinta City La Q Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA zip code: 92253 /) System Name or Identification/Tag: HVAC - system Location or Area served: UNIT- A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a• Supply fan operates continually XX XX 0 XX b. Supply fan turns off XX C. Supply fan cycles on and off d• System reverts to "occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f. Gas-fired furnace, heat pump, or electric heater stages on a XX 9. No heating is provided by the unit XX XX XX XX h• No cooling is provided by the unit XX XX XX XX i• Compressor stages on XX XX 1• Outside air damper is open to minimum position XX XX XX XX k. Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N B. Testing Results 8 1 7 1 6 1 5 1 4 1 3 1 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter P P P P P P P C. Evaluation: 10 1 PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 0 11 • STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Project Name: Chateau at Lake LaQulnta Enforcement Agency: CI ty of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay city` LaQuinta, CA ZPCode: 92253 System Name or Identification/Tag: HVAC - System Location or Area Served: UNIT - W DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Signatur Documentation Author Company Name: Energy Management Services Date Signed: 3/27/201 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certi nate of Acceptance has been completed and signed by the responsible builder/installer and has been posted ormad v 'lable wit a uilding permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signatu Field Technician company Name: Energy Management Services Position with Compan .(Title Tec nician Supervisor Address: 41485 Adams St, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentatio a builder des to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance e n e: - Responsible Acceptance Person Company Name: Position with Compa (Tit ): nician Supervisor Energy Management Services Address: 41485 Adams St, Unit C CSLB License: #315890 ----- C20 C61/D62 City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 Jobsite Worksheet -� HERS VERIFICATION - CUSTOMER INFORMATION Job Name �' %% CIZZ &IA)rJ111 Phone Job Address U C,`Ug/ HVAC Contractor 'J� /tiL��� /�f�C. !dam CSLB# 7 � -Z / Bid De t.Zj �(l / �1 g p /�% �I � Clr'J"Zf�l�' —/it" � Permit No. Date System Number (HVAC ZONE) rf� r6 V (� L M 06 31 l 16 ZONE Size s ft 117 Z V F Equipment Information 4 _ MA U2-4 Forms for this Job MECH W MECH ZV MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 CK applicable boxes *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright © 2013 Energy Management Services - All Rights Reserved Split Cond or General & Setup Information Package Unit Air Handier (HP) 1. Serial Number L M 06 31 l 16 oo e a$ ib 2. Brand Name �UASO f:U3 �Yzu A PZ (,I 12. RLQ 3. Model Number AV O( -L 4. Nominal Cooling (btu/hr) & (tons) -RL(--(/ Z' K btu/hr tons '✓ " 2 ?-/� C E R --T I F I 5. Date of Testing Verification 6. Date of Refrig Gauges Calibration AJA '�qk Jack LaFontelne 7 Date of Tem Sensors Calibration p Energy Maragement Services #13.250.01 Expires 4/26/2015 ./ NATIONAL ULANayc COU14CIL (/ 8. Metering Device fixed or TXV / J1zi?•U 1-Z, � , Certificate Numbert SEERt EERY` FAU: AFUEt or HP: HSPFt 9. AHRI Certificate Information I ` � C �-� STUN 10. Cooling CapacityZ AHRI ( no comas Refrigerant.. _ R410A _ MA U2-4 Forms for this Job MECH W MECH ZV MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 CK applicable boxes *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright © 2013 Energy Management Services - All Rights Reserved CJ 16 C: STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQUlnta, CA 25309 9660614-11009 Project Address. 78120 Caleo Bay G": La Quinta, CA zip code: 92253 System Name or Identification/Tag: HVAC - System Location or Area Served: Unit d L)el., Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date that must demonstrate compliance. Intent: Verify measured outside airflow reading is within ± 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column I) or Mechanical Equipment Schedules. Construction Note: MCH -2A can be performed in conjunction with MCH -7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a' Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.S.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.S.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year): 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV IXX CAV a. Check if Variable Air Volume (VAV) and complete the following: L Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. 0 Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) ❑ Outdoor Air CFM Compensation 0 Energy Balance Method 0 Demand Control Ventilation 0 Return Fan Tracking 0 Injection Fan Method ❑ Dedicated Minimum Ventilation Damper with Pressure Control 0 Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: XIX System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): XX Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): 0 Within five ft. of the unit. X,X Within 15 ft. of the unit, with the air directed substantially toward the unit. 0 Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. Pre -occupancy purge has been programmed for the 1 -hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b• 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • Is STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE Ir CFC-NRCA-MCH-02-A (Revised 06/141 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE Step 1: Disable demand control ventilation (if applicable) NRCA-MCH-02-A Outdoor Air Acceptance ❑ (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 CaleO Bay "" La Quinta,CA 'Ip9 253 System Name or Identiricetionfrag: HVAC- /J System Location or Area Served: Unit b. Measured outdoor airflow reading (cfm) A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). XIS ❑ Note: Shaded boxes do not apply for CAV systems b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N Step 3: CAV and VAV testing at full supply airflow Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) Adjust supply air to achieve design airflow or maximum airflow at full a. cooling. Record VFD speed (Hz). a. %OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) Hz b. Measured outdoor airflow reading (cfm) V7 cfm cfm Required outdoor airflow (cfm) (from MECH-3C, Column 1, or C. Mechanical Equipment Schedules). / cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): - - ----- ---- -- ---- --- - min Step 4: VAV testing at reduced supply airflow CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column I, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min Step 5: Return to initial conditions (check) XX❑ ❑ B. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) //0% % b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) a. %OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b. %OARA is within 10% of design Outside Air. (OAR, <_ 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. C. Evaluation YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • • STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06114) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name` Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA 9253 System Name or Identificetionfrag: HVAC- System Location or Area Served: Unit DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author gnat r Documentation Author Company Name: Energy Management Services Date Signed: 3/27/ 01 Address: 41485 Adams St, Unit C ATT Certification ldentification(if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on thi Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or a availabl wi h the building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Sig atur Field Technician Company Name: Energy Management Services Position with Com any (T lel: chnician Supervisor Address: 41485 Adams Street, Unit C ATT Certification lde ' ication(ifapplicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation thuilder pr es to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance Pers S na r Responsible Acceptance Person Company Name: Energy Management Servic go,ition with Company (Tit l ): echnlCian Supervisor Address: 41495 Adams Street, Unit C CSLBLiicense: 415890 ----C20 C61/D62 City/state/zip Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • 17_� P� STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address. 78120 Caleo Bay City. LaQuinta, CA Zip Code. 92253 System Name or Identification rag: HVAC - System Location or Area Served: UNIT - Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): )()( Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): X(J Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint _85 F. headband: _3 Fo XXl Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XX] Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: XXI Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1/05/2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 E • STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A A. Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency'City, of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA Zip Code: 92253 System Name or Identification rag: HVAC - _ A System Location or Area Served: UNIT- NIT- A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a• Supply fan operates continually XX XX XX XX b. Supply fan turns off XX C. Supply fan cycles on and off d• System reverts to "occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f• Gas-fired furnace, heat pump, or electric heater stages on 0 XX g• No heating is provided by the unit XX XX )(,)( XX h• No cooling is provided by the unit i XX XX XX XX i• Compressor stages on XX XX 1• Outside air damper is open to minimum position XX XX XX XX k. Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N B. Testing Results 8 1 7 1 6 1 5 1 4 3 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter :::dp P P P P P P C. Evaluation: P-3 I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • • STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Project Name: Chateau at Lake La Quinta Enforcement Agency: City Of LaQUlnta Permit Number: BCOtN 2014-1009 Project Address: 78120 Caleo Bay city` LaQuinta, CA Zip code: 92253 System Name or Identification/Tag: HVAC - System Location or Area Served: UNIT - d 61/L_ `_ DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Sig t fy Documentation Author Company Name: Energy Management Services Date Signed: 3/27/W Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has ilable wit building permit(s) been completed and signed by the responsible builder/installer and has been posted orm;T) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signatu Field Technician Company Name: Energy Management Services Position with Compan (Till : Tec nicianSupervisor Address: 41485 Adams St, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation the builder pro es to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance Per on re: Responsible Acceptance Person Company Name: Position with CompanyT tlyTe6niWian Supervisor Energy Management Services Address: 41485 Adams St, Unit C CSLB License: #315890 ----- C20 C61/D62 City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 Jobsite Worksheet -40 HERS VERIFICATION - CUSTOMER INFORMATION • Job Name G- / Z v io OUIA) A Phone Job Address G- 001AJC �% C HVAC ContractodN�M L4�J ti 1 C 4L, CSLB# Bldg Dept./4 ..� l.�%'L� / eV C ori cr /i' Permit No. b Date " System Number 3. Model Number OU ( Z 17-L rc AR U IZ ?, L IF (HVAC ZONE) 4. Nominal Cooling (btu/hr) & (tons) L "K btu/hr / tons � E RT I F I E D /��1 Jack LaFontaine Energy /�% Managemsn# Senacss #13.250.01 Expires 4/2612015 _ / j NATIONAL BALANCING COUNCIL �( S. Date of Testing Verification ZONE Size s ft V G 8. Metering Device fixed or TXV F Equipment Information 4 General & Setup Information Split Cond or Package Unit d 4A:��4' 1. Serial Number L W 0QQZ 9 0e 1y 31 2. Brand Name �J ' SU F�� `} S tA 3. Model Number OU ( Z 17-L rc AR U IZ ?, L IF 4. Nominal Cooling (btu/hr) & (tons) L "K btu/hr / tons � E RT I F I E D /��1 Jack LaFontaine Energy /�% Managemsn# Senacss #13.250.01 Expires 4/2612015 _ / j NATIONAL BALANCING COUNCIL �( S. Date of Testing Verification 6. Date of Refrig Gauges Calibration 7 Date of Temp Sensors Calibration 8. Metering Device fixed or TXV 9. AHRI Certificate Information 2G. - S- 8 Certificate Numbert SEER'P' EERt FAU: AFUE J1 or HP: HSPFt 10. Cooling Capacity AHRI / G v Q ono comm Refri Brant:_ [R410A by aA Forms for this Job MECH ga MECWW MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 CK applicable boxes I p *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright © 2013 Energy Management Services - All Rights Reserved • 0 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CFC-NBCA-MCH_A9_A Mpvisprl OR1141 CAI IFORNIA FNFRGY COMMISSION 0 CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Project Name; Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta, CA 25309 9660614-1009 Project Address: 78120 Caieo Bay City: La Quinta, CA zip Code: 92253 yi- System Name or Identification/Tag: HVAC- V System Location or Area Served: Unit L , Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date that must demonstrate compliance. Verify measured outside airflow reading is within t 10% of the total required outside airflow. Required for all newly installed HVAC Intent: units. Reference MECH-3C (Column H or Column 1) or Mechanical Equipment Schedules. Construction Note: MCH -2A can be performed in conjunction with MCH -7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a' Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year): 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV IXX CAV a. Check if Variable Air Volume (VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) ❑ Outdoor Air CFM Compensation ❑ Energy Balance Method ❑ Demand Control Ventilation ❑ Return Fan Tracking ❑ Injection Fan Method ❑ Dedicated Minimum Ventilation Damper with Pressure Control ❑ Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: X8X System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): M Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): ❑ Within five ft. of the unit. XX Within 15 ft. of the unit, with the air directed substantially toward the unit. ❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1 -hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): a. The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b• 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • • STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION 0 CERTIFICATE OF ACCEPTANCE Step 1: Disable demand control ventilation (if applicable) NRCA-MCH-02-A Outdoor Air Acceptance o (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of f LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay c'": La Quinta,CA Zip 9253 System Name or Identification/Tag: HVAC- �,// V A System Location or Area Served: unit /e / V b. Measured outdoor airflow reading (cfm) A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ Cl Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). XN o Note: Shaded boxes do not apply for CAV systems b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N Step 3: CAV and VAV testing at full supply airflow Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) Adjust supply air to achieve design airflow or maximum airflow at full a. cooling. Record VFD speed (Hz). a. %OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) Hz b. Measured outdoor airflow reading (cfm) cfm cfm Required outdoor airflow (cfm) (from MECH-3C, Column 1, or C. Mechanical Equipment Schedules). ZM cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): min Step 4: VAV testing at reduced supply airflow, CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min Step 5: Return to initial conditions (check) XXo ❑ B. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) % % b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) a. %OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b. %OAR„ is within 10% of design Outside Air. (OAR„ <_ 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. C. Evaluation YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • • STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06/141 CALIFORNIA ENERGY COMMISSION 0 CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) °`o,ectName: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City.Zi LaQUlnta , CA Code: 9253 System Name or Identification/Tag: HVAC- � System Location or Area Served: Unit DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and coVfletk. Documentation Author Name: Jack LaFontaine Documentatio Au S' ur Documentation Author Company Name: Energy Management Services Date Signed: 3/ 7/201 Address: 41485 Adams St, Unit C ATT Certificatiodentification(Ifapplicable); City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on is Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or de avail le yrith the building permit(s) issued for the building. // Field Technician Name: Jack LaFontaine Field Technician Si at Field Technician Company Name: Energy Management Services Position with Comany ills) Technician Supervisor Address: 41485 Adams Street, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date Signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentat' n the buil r rovides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptanc Per ' at e: Responsible Acceptance Person Company Name: Energy Management Servi SPosition with Compan I(Tit ): —Tikhnician Supervisor Address: 41495 Adams Street, Unit C CSLB License: #315890 ----C20 C61/D62 Bermuda Dunes, CA 92203 City/State/Zip Phone: 760-360-4631 Date Signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 L-1 C, STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (Revised 06/141 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City. LaQuinta, CA Zip Code. 92253 System Name or Identification/rag: HVAC - System Location or Area Served: UNIT - Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NAZ5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): )L( Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): )Q(] Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint _85 F. headband: _3_ Fo XXi Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XX] Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: XXI Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1/05/2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • i STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Project Name: Chateau at Lake La Uinta Q Enforcement Agency: Cl of La ulnta City Q Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay °ty` LaQuinta, CA Zip Code: 92253 System Name or Identificationfrag: HVAC - /J System Location or Area Served: UNIT- :51 (,IL A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a• Supply fan operates continually XX XX XX XX b. Supply fan turns off XX C. Supply fan cycles on and off d• System reverts to "occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f• Gas-fired furnace, heat pump, or electric heater stages on ❑ XX g• No heating is provided by the unit XX XX xx 1XX h• No cooling is provided by the unit XX XX XX XX i• Compressor stages on XX XX J• Outside air damper is open to minimum position XX XX XX XX k• I Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N B. Testing Results 1 8 1 7 1 6 1 5 1 4 1 3 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter P P P P P P P C. Evaluation: P] I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 • • • STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA Zip Code: 92253 : System Name or Identificationfrag: HVAC - `11-` system Location or Area served: UNIT- /v� DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Signa re: Documentation Author Company Name: Energy Management Services Date Signed: 3/27/20 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or ma ilable with t uilding permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signatu 00-1 Field Technician company Name: Energy Management Services Position with Compan Tech (Tits) an Supervisor Address: 41485 Adams St, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentat' n the build:rrides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance P rs S' atur . Responsible Acceptance Person Company Name: Position with Company Title WcVician Supervisor Energy Management Services Address: 41485 Adams St, Unit C CSLB License: #315890 ----- C20 C61/D62 City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 Jobsite Worksheet ' HERS VERIFICATION - CUSTOMER INFORMATION Job Name . - - i : ! Phone Job Address ,�14 „' 0 HVAC Contractor f l Bldg Dept. c 'I t j' Permit No. U /y % System Number Date (HVAC ZONE) ZONE Size sqft G U F Equipment Information General & Setup Information 1. Serial Number 12. Brand Name 3. Model Number 4. Nominal Cooling (btu/hr) & (tons S. Date of Testing Verification 6. Date of Refrig Gauges Calibration 7 Date of Temp Sensors Calibration Metering Device fixed or TXV AHRI Certificate Information 10. Cooling Capacity AHRI Forms for this Job MECH 04< MECH CK applicable boxes Nk I s►-- Split Cond or Package Unit Air Handler (HP L K'N001bq mi(PF l�SU Fus,T5U AQ0 tZ RLFG A2u ►Z(ZLr 4-' btu/hr tons AM A � ! �d J a ! Man Certificate Number'r SEER'I` EERT / L L1 v &,BTUH nocomas Refrieerant T 1 F I E D �ckLaFontaine BQement Se rvice6 01 Expires 4/26;2015 FAU: AFUE-t arkHP: HSPF'I` R410A lw'• MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright 0 2013 Energy Management Services - All Rights Reserved STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name; Chateau at Lake LaQuinta Project Address: 78120 Caieo Bay System Name or Identitication/rag: HVAC- NRCA-MCH-02-A (Page 1 of 3) Enforcement Agency: City of LaQuinta, CA 25309 9680614-1009 City: Zip Code: La Quinta, CA 92253 System Location or Area Served: Unit Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date that must demonstrate compliance. Intent: Verify measured outside airflow reading is within ± 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column 1) or Mechanical Equipment Schedules. Construction Inspection Note: MCH-2A can be performed in conjunction with MCH-7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a' Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used: TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year): 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV XX CAV a. Check if Variable Air Volume (VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) Outdoor Air CFM Compensation Energy Balance Method Demand Control Ventilation Return Fan Tracking Injection Fan Method Dedicated Minimum Ventilation Damper with Pressure Control Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): Rx Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): ❑ Within five ft. of the unit. X(X Within 15 ft. of the unit, with the air directed substantially toward the unit. ❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b• 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE t.ct.-I�r��,rktvrc.n-uc-r� �rcevesea uoi Iv � CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Chateau at Lake LaQuinta Project Address: 78120 Caleo Bay System Name or IdentiNcationfrag: HVAC- Enforcement Agency: City of LaQuinta c' - La Quinta,CA System Location or Area Served: Unit LNLKUY UUMMI55IUN - NRCA-MCH-02-A (Page 2 of 3) Permit Number: BCOM-2014-1009 ziP 9o2253 A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). XY5 ❑ Note: Shaded boxes do not apply for W systems Step 3: CAV and VAV testing at full supply airflow Adjust supply air to achieve design airflow or maximum airflow at full e3 cooling. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) `f cfm cfm Required outdoor airflow (cfm) (from MECH-3C, Column 1, or C. Mechanical Equipment Schedules). G1� cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): CAV min VAV Step 4: VAV testing at reduced supply airflow a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min Step 5: Return to initial conditions (check) XX❑ ❑ B. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) % % b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) a. %OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b. %OARA is within 10% of design Outside Air. (OARA < 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. Evaluation : �C7. YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE F1; Utt:-INKUA-MUH-UL-A[K@VISea VW14) CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Chateau at Lake LaQuinta Project Address: 78120 Caleo Bay System Name or Identification/Tag: i HVAC- c//e Enforcement Agency: City of LaQuinta City: LaQuinta, CA System Location or Area Served: _ // Unit Y UALWUKNIA tNtKUY UUMM16,'AUN N RCA-MCH-02-A (Page 3 of 3) Permit Number: IBCOM-2014-1009 9253 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. _ Documentation Author Name: Jack LaFontaine Documentation Author Sl atu Documentation Author Company Name: Energy Management Services Date Signed: 3/27�2 1 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/state/zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificates) of Installation for the construction a installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted ar a availabl h the building permits) issued for the building. f Field Technician Name: Jack LaFontaine Field Technician 51Atur . Field Technician company Name: Energy Management Services Position with Com ty/It"rYechnician Supervisor Address: 41485 Adams Street, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date Signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation th ullder provides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsibleoicc c Pers 5i ture: Responsible Acceptance Person Company Name: Energy Management ServiC s""S 6" w h Cn pang (T ei: Technician Supervisor Address: 41495 Adams Street, Unit C CSLB Licen . #315890----C20 C61/D62 Bermuda Dunes CA 92203 City/State/Zip � Phone: 760-360-4631 Date signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS 0 CEC-NRCA-MCH-03-A (Revised 06114) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City. LaQuinta, CA Zip Code: 92253 System Name or WentlNutinnjTag: HVAC - System Locatieri or Area Served: UNIT' !][ Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): XX Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): X)U Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint_85 F. headband: ^3� F. XX7 Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XX] Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: XX-1 Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1 05 2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS 0 CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Project Name: Chateau at Lake LdQUlnta Enforcement Agency: City Of La Uinta Permit Number: Y Q BCOM-2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA Zip Code: 92253 System Name or Identification/Tag: HVAC - System Location or Area Served: UNIT - I /"' / A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a• Supply fan operates continually XX XX 0 XX b. Supply fan turns off XX C. Supply fan cycles on and off d• System reverts to 'occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f• Gas -fired furnace, heat pump, or electric heater stages on XX g• No heating is provided by the unit XX XX XX h• No cooling is provided by the unit XX XX XX XX i• Compressor stages on XX XX 1• Outside air damper is open to minimum position XX XX XX XX k• Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N B. Testing Results 8 7 6 1 5 1 4 1 3 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter P P P P P P P C. Evaluation: III I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised 06114 CALIFORNIA ENERGY COMMISSION 40 CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City Of LaQuinta BCONumb 20r14-1009 Project Address: 78120 Caleo Bay °ty` LaQuinta, CA zip Code: 92253 System Name or Identification/Tag: HVAC - System Location or Area Served: UNIT- j DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Sign tur : Documentation Author Company Name: Energy Management Services Date Signed: 3/27/2 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or va€lable w' the building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Sign ure: Field Technician Company Name: Energy Management Services Position with Cam.11rry IT' le . ChnlClan Supervisor Address: 41485 Adams St, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the document ides to the building M'hebuilder owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance rso ' atu Responsible Acceptance Person Company Name: Position with Carnpany t€e �Knlctin Supervisor Energy Management Services Address: 41485 Adams St, Unit C CSLe License: #315890 ----- C20 C61/D62 city/state/zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date Signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 Johsite Worksheet ' HERS VERIFICATION - CUSTOMER INFORMATION a Job NameC1 ��:r �I k-t,j !7 Phone Job Address 4! (� /,nJ ,•. HVAC Contractor ! J f. - �,�� �r�/'��![', V &-� CSLB# 7 / �} Bldg Dept C ' 0i %�,1- �- Date Permit No. System Number _ (HVAC ZONE)��/LJ ZONE Size soft C) General & Setup Information 1. Serial Number 2. Brand Name 3. Model Number 4. Nominal Cooling (btu/hr) & (tons) S. Date of Testing Verification 6. Date of Refrig Gauges Calibration 7 Date of Temp Sensors Calibration S. Metering Device fixed or TXV 9. AHRI Certificate Information 10. Cooling Capacity AHRI UZ A rJ Forms for this Job MECH ,04' MECH CK applicable boxes ^� *MUST SIGN *TECH 2/15/2013 revised F Equipment Information 4 Split Cond or Package Unit Air Handler (HP) I.PA,r �O'iy 0E Do35►L Fv Fu �TsLL ky u R IS AKu►�14�t= K btu/hr / O !/itons ID .iacx La Forawn, I l ! v y 1 En,e?A � Mn�a�es:eni 5ervlcea �I ! j ri3• 50 01 Expire$ 4r26!2015 !` NATiO!iA! lkiANCINGCOUNCIL Certificate Numberlp SEER-t EER'P FAU: AFUE-t oc HP: HSPF*t J� BTUH f no comas I R410A > MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 *DATE HOURS Copyright 0 2013 Energy Management Services - All Rights Reserved STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A Revised 06I14) CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance �) Project Name: Chateau at Lake LaQuinta Project Address: 78120 Caleo Bay System Name or Identification/Tag: / HVAC- / CALIFORNIA ENERGY COMMISSION NRCA-MCH-02-A (Page 1 of 3) Enforcement Agency: City of LaQuinta, CA 25309 9680614-1009 City: La Quinta, CA zip code:92253 ' System Location or Area Served: Unit ;%L� Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date Intent: I Verify measured outside airflow reading is within ± 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column IJ or Mechanical Equipment Schedules. Construction Inspection Note: MCH-2A can be performed in conjunction with MCH-7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a. Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year): 11-20-2014 _ 3. System type (check either VAV or CAV): ❑ VAV IXX CAV a. Check if Variable Air Volume (VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) ❑ Outdoor Air CFM Compensation ❑ Energy Balance Method ❑ Demand Control Ventilation ❑ Return Fan Tracking ❑ Injection Fan Method ❑ Dedicated Minimum Ventilation Damper with Pressure Control ❑ Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): Rx Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): ❑ Within five ft. of the unit. XX' Within 15 ft. of the unit, with the air directed substantially toward the unit. ❑ Return air plenum is NOT used to distribute outside air to the unit. I.e. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): a. The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b• 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A Revised 06114 CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Chateau at Lake LaQuinta Project Address: 78120 Caleo Bay System Name or Identification/Tag: HVAC- Enforcement Agency: City of LaQuinta `"': La Quinta,CA / t System Location or Area Served: Unit CALIFORNIA ENERGY COMMISSION r IJL•' NRCA-MCH-02-A (Page 2 of 3) Permit Number: BCOM-2014-1009 ' 9653 A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ Step 1: Disable demand control ventilation (if applicable) I -AV VAV Step 2: Verify unit is not in economizer mode during test (economizer disabled). ❑ Note: Shaded boxes do not apply for CAV systems Step 3: CAV and VAV testing at full supply airflow Adjust supply air to achieve design airflow or maximum airflow at full cooling. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm cfm Required outdoor airflow (cfm) (from MECH-3C, Column ), or C. Mechanical Equipment Schedules). Z cfm cfm Time for outside air damper to stabilize after full supply airflow is achieved d (minutes): Step 4: VAV testing at reduced supply airflow min VAV CAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): XX❑ min ❑ Step 5: Return to initial conditions (check) B. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) L % % b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) a. %OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b, %OARA is within 10% of design Outside Air. (OARA <_ 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. Evaluation : 1C7. YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A(Revlsed 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency. City of LaQuinta IBCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA Zi Code: 9!253 System Name or Identification/Tag: HVAC- System Location or Area Served: ff Unit 4 �V DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Signat re: Documentation Author Company Name: Energy Management Services Date Signed: 3/27�201 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of [nstaIIation for the construction or installation identified on this rtificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available it the building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Reid TechnWanSigna re: Field Technician company Name: Energy Management Services Position with Compan (Tlr ): Technician Supervisor Address: 41485 Adams Street, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date Signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the document tion the b Qer provides to the building owner at occupancy. r Responsible Acceptance Person Name: Jack LaFontaine Responsible Aecep¢a c s 1 fiW6: ?""ion with Co pa (Title): Technlciatti Supervisor Responsible Acceptance Person Company Name: Energy Management ServiC Address: 41495 Adams Street, Unit C CSu3 License: #315890----C20 C61ID62 Bermuda Dunes CA 92203 City/State/Zip � Phone: 760-360-4631 Date Signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS ti CEC-NRCA-MCH-o3-A [Revised OV14} CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA Zip Code: 92253 System Name or Identification/Tag: HVAC- 777 System Lora tiori or Area Served�, UNIT. L// :5p,�, Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): )(X Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): X)U Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint _85 F. headband:-3 Fo XX7 Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XX Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: X)(( Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1 05 2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS GEC-NRCA-MCH-03-A (Revised 06114) CAiIFOF CERTIFICATE OF ACCEPTANCE Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems Project Name: Chateau at Lake i Q ; t Enforcement Agency: Pei ENERGY COMMISSION 0 NRCA-MCH-03-A (Page 2 of 3) a wn a City of LaQumta BCOM-2014-1009 Project Address: 78120 Caleo Bay City` LaQuinta, CA % Zip Code: 92253 System Name or Identiflcation/rag: HVAC- System Location or Area Served: UNIT-72 A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a. Supply fan operates continually XX XX XX XX b. Supply fan turns off XX C. Supply fan cycles on and off d• System reverts to "occupied" mode to satisfy any condition XX e. System turns off when manual override time period expires f• Gas -fired furnace, heat pump, or electric heater stages on ❑ XX g• No heating is provided by the unit XX XX )(,)( XX h• No cooling is provided by the unit XX XX XX XX i Compressor stages on XX XX J. I Outside air damper is open to minimum position XX XX XX XX k Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N B. Testing Results 8 7 6 5 3 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter El P P P P]�Pq P P C. Evaluation: PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised 06114). CALIFOR I CERTIFICATE OF ACCEPTANCE Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems Pro'ect Name: ENERGY COMMISSION N RCA-MCH-03-A (Page 3 of 3) ' Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA 2iP code 92253 System Name or ldentificationfrag: HVAC- Systemor Area Served: UNIT— C� DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and cam plete. Documentation Author Name: Jack LaFontaine Documentation Author ig t e: <- Date Signed: 3/2 / 15 ATT Certification Identification (If applicable): Documentation Author Company Name: Energy Management Services Address: 41485 Adams St, Unit C City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on t ertificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or d availab wh the building permit(s) issued for the building. /N-7.111 Field Technician Name: Jack LaFontaine Field Technician Si ture. Field Technician Company Name: EnergyManagement Services g Posltlan with Cam ny {Tit echnician Supervisor Address: 41485 Adams St, Unit C ATTCertification Iclation (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3, The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with he building permit(s) issued for the building, and made available to the enforcement agency for all appiicab spections. I n erstand that a signed copy of this Certificate of Acceptance is required to be included with the documental' th builder pr vi s to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance rson iVc Responsible Acceptance Person Company Name: Ener Management Services Position with Company{ t3el: Supervisor Address: 41485 Adams St, Unit C csL6 License: #3158 ----- C20 C61/D62 City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 Jobsite Worksheet HERS VERIFICATION - CUSTOMER INFORMATION ob Name 471,E ] Tr (, Job Address t1d M-) -f HVAC Contractor Bldg Dept. /,/ 4 [ �� System Number (HVAC ZONE)�� J ZONE Size sqft U General & 1. Serial Number ' 12- Brand Name 3. Model Number 4. Nominal Cooli LS Tom► Phone A CSLB#-"2 �j / 5� 6C'C)r'I— U#-1 —16 6 � Permit No. Date 11- Z1:7�-11 F Equipment Information 4 Split Cond or Information Package Unit Air Handler (H L IV N 009,9 It, o0 8 3,-t a r) & (ton S. Date of Testing Verification 6. Date of Refrig Gauges Calibration 7 Date of Temp Sensors Calibration S. Metering Device fixed or TXV AO U t 7-EL r-c A P.0 ► 2 L ' btu/hr tons T' T-�- .iL Sti i i z P- Dank � ���..►.��� Yt)n Energy + l vanagemeni Servicea i N�krl A 0 A o� r i�rnrktr�('nr nrnrr 9. AHRI Certificate Information Certificate NumberT SE��EE�Rt FAu: AFUET or HP: HSPFt li(,! 10. CoolingCapacity AHRI BTUH no comas Refrigerant: R410A Forms for this Job MECH))4 MEC9,20 MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 : aDPlicable bo,.:s f,cr *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright ® 2013 Energy Management Services - All Rights Reserved STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance i Project Name: Chateau at Lake LaQuinta Project Address: 78120 Caieo Bay System Name or Identification/rag: HVAC- IA ENERGY COMMISSION NRCA-MCH-02-A (Page 1 of 3) Enforcement Agency: City of LaQuinta, CA 25309 920 68914-1009 City: Zip Code: La Quinta, CA 92253 System Location or Area Served: Unit Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date Intent: Verify measured outside airflow reading is within ± 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column I) or Mechanical Equipment Schedules. Construction Inspection Note: MCH-2A can be performed in conjunction with MCH-7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes; As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a. Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year): 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV IXX CAV a. Check if Variable Air Volume (VAV) and complete the following: L Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) I Outdoor Air CFM Compensation —I Energy Balance Method Demand Control Ventilation Return Fan Tracking Injection Fan Method Dedicated Minimum Ventilation Damper with Pressure Control Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: )�X System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): ❑ Within five ft. of the unit. XX Within 15 ft. of the unit, with the air directed substantially toward the unit. ❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): a. The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b• 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A Revised 06114 UALIi-UKNIA tlNtKUY UUMMIZIZOUIN CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay La Quinta,CA zip9�253 System Name or Identification/iag: HVAC- t System Location or Area Served: Unit �� / //_% v , S/ G A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ VAV Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). ❑ Note: Shaded boxes do not apply for C4V systems Step 3: CAV and VAV testing at full supply airflow Adjust supply air to achieve design airflow or maximum airflow at full a' cooling. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) '✓ cfm cfm Required outdoor airflow (cfm) (from MECH-3C, Column 1, or C. Mechanical Equipment Schedules). \/ Y cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): min Step 4: VAV testing at reduced supply airflow CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min Step 5: Return to initial conditions (check) XX❑ Cl B. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) % % b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) a. %OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b. %OARA is within 10% of design Outside Air. (OARA <_ 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. C. Evaluation YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A(Revised 06/1,1 ) CALIFORNIAENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) \ Project Name: Enforcement Agency: P�rnilt Number: 1 Chateau at Lake LaQuinta City of LaQuinta BCOM-2014-1009 ProjectAddress CRY: Zi Code: 78120 Caleo Bay LaQuinta, CA 9�253 System Name or System Location or Area Served: r HVAC- Unit DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author natu Documentation Author Company Name: Date Signed: 3l27! 15 Energy Management Services Address: 41485 Adams St, Unit C ATTCertification identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available�ith the building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field TechnicianSigna re: Field Technician company Name: Energy Management Services Position with Compa (T' le): Technician Supervisor Address: 41485 Adams Street, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date Signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance Is required to be included with the documentation the -Ider provides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance Person Company Name: Energy Management I Address: City/State/Zip 41495 Adams Street, Unit C CSLB License: Technician Supervisor #315890----C20 C61/D62 Bermuda Dunes, CA 92203 1 Phone: 760-360-4631 Dateslgned: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay aty! LaQuinta, CA Zip Code. 92253 5y3Nam e me or I dentifcationrragl HVAC- / System Location or Area Served: UNIT',/ 1 Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): )(X Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): X)U Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint _85 F. beadband:_3 F. XX] Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. M Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: XK Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1 05/2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS [ l.tl.-IVKI..H-IVIl.F1-UJ-H K0VI5L-C U07'I4lMLIF- IVIH CINCnvI �VIIVllJJI VIV CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Project Name: Chateau at Lake LaQUlntd Enforcement Agency: Cit of La Uinta Permit Number: Y Q BCOM-2014-1009 Project Address: 78120 Caleo Bay c'ty` LaQuinta, CA / zip code: 92253 System Name or Identification/Tag: HVAC - System Location orArea Served: UNIT - A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a. Supply fan operates continually XX XX XX XX b. Supply fan turns off XX C. Supply fan cycles on and off d• System reverts to "occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f• Gas -fired furnace, heat pump, or electric heater stages on El XX 9. No heating is provided by the unit XX XX XX XX h• No cooling is provided by the unit I XX XX 1XX XX i• Compressor stages on XX XX i, Outside air damper is open to minimum position XX XX k. Outside air damper closes completely IL Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N B. Testing Results 1 8 1 7 1 6 1 5 1 4 1 3 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter P P P P P P P C. Evaluation: Ifl I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS i'Fr:-NR(A-MrH-W-A (Remised 06/14$ CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta BCOM 2014-1009 Project Address: 78120 Caleo Bay city` LaQuinta, CA Zip code: 92253 �` System Name or Identification/Tag: HVAC - System Location or Area Served: UNIT - , /� J (J DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 Certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Signa e: Documentation Author Company Name: Energy Management Services Date Signed: 3/27/201 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation far the construction or installation identified on this Certifcate of Acceptance has been completed and signed by the responsible b u i I de r/i nsta I I er and has been posted a made jk4r5ple with t uilding permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signature: Field Technician Company Name: Energy Management Services Position with Company (Ti t 1= echnicianSupervisor Address: 41485 Adams St, Unit C ATT Certification IdentificatWif applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance 1s required to be Included with the documentation the builder pra s to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance Per n i n Responsible Acceptance Person Company Name: Position with Company JTt1e`cWnWn Supervisor Energy Management Services Address: 41485 Adams St, Unit C CSLB License: #315890 ----- C20 C61/D62 City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 Jobsite Worksheet HERS VERIFICATION - CUSTOMER INFORMATION Job NameLie U /hb ' 11 Phone Job Address HVAC Contractor 4;d4k I e/,J (_ CSLB# �' C PSco-7'26,/y .���, 0� Bldg Dept. 'r (,i L J/i Permit No. Date System Number (HVAC ZONE) 1 j //i)k ZONE Size sqft I `ro F Equipment Information 4 Split Cond or General & Setup Information Package Unit Air Handler (HP) 1. Serial Number LPIV 10- i q'i coo ia- ? e 2. Brand Name v ri..i j 1 TS u 3. Model Number 1� 00 RLP A Ku i KL V 4. Nominal Cooling (btu/hr) & (tons) 4S /� bt„/hr ";� tons S. Date of Testing Verification 6. Date of Refrig Gauges Calibration AJ I Jack LQFomainc� s I 7 Date of Temp Sensors Calibration n; A energy :;6(vice J 13.250.01 Exoirfa 4!2FI,2075 NATIONAL $U�INCivO C4#�gC?�. 8. Metering Device or 9. AHRI Certificate Information Certificate NumberT SEERA EER-t FAU: AFUEt or. HP: 14SPFt 10. CoolingCa % 6 b G uRefrigerant. acit AHRI Y no comas R410A Forms for this Job MECH.04-- MECHL20 MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 CK applicable boxes I *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright ® 2013 Energy Management Services - All Rights Reserved STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 0,61141 CAUFORNIA ENERGY COMMISSION 0. CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta, CA 25309 96bN0614-1009 Project Address: 78120 Caleo Bay City: La Quinta, CA zip code: 922S3 System Name or Identification/Tag: HVAC- System Location or Area Served: Unit - r AJ Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. Enforcement Agency Use: Checked by/Date Intent: Verify measured outside airflow reading is within + 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column 1) or Mechanical Equipment Schedules. Construction Inspection Note: MCH-2A can be performed in conjunction with MCH-7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a. Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:TESTO_417 Vane Anemometer_ ii. Equipment calibration date (must be within one year):_ 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV XX CAV a. Check if Variable Air Volume (VAV) and complete the following: L Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) Outdoor Air CFM Compensation Energy Balance Method 11 Demand Control Ventilation El Return Fan Tracking ❑ Injection Fan Method El Dedicated Minimum Ventilation Damper with Pressure Control - Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: XuX System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): KX Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): ❑ Within five ft. of the unit. XY Within 15 ft. of the unit, with the air directed substantially toward the unit. ❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): a. The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b• 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06114) CALIFORNIA FNERGY COMMISSION 0 CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQUlnta Permit Number: BCOM-2014-1009 Protect Address: 78120 Caleo Bay city: La Quinta,CA zip 92253 System Name or Identificetion/Tag: HVAC- System Location or Area Served: Unit A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). X ❑ Note: Shaded boxes do not apply for CAV systems Step 3: CAV and VAV testing at full supply airflow Adjust supply air to achieve design airflow or maximum airflow at full a. cooling. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) d cfm cfm Required outdoor airflow (cfm) (from MECH-3C, Column 1, or C. Mechanical Equipment Schedules). Y cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): min Step 4: VAV testing at reduced supply airflow CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min Step 5: Return to initial conditions (check) XX❑ ❑ B. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) % % b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OAR,) for Step 3 (VAV only) a. %OAR, =Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % L %OAR, is within 10% of design Outside Air. (OARAA <_ 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. Evaluation! YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH.07-A fRiwigM 061141 rol 1r`nPM1A r!MrPry rnnnnroccrnnr CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta y Permit Number: BCOM-2014-1009 Project Address: 78120 CalBay City: LaQuinta, CA Code: Zieo 9�253 System Name or Identificationjfag: HVAC- System Location or Area Served: Unit /tJ/"'o z 2<" DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete Documentation Author Name: Jack LaFontaine Documentation Author Documentation Author Company Name: Energy Management Services Date Signed: 3/27/ 0 Address: 41485 Adams St, Unit C ATT Certification Identi n (If applicable); City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available vri the building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signature Field Technician company Name: Energy Management Services Position with Company le] Technician Supervisor Address: 41485 Adams Street, Unit C ATT Certification Identification (ifapplicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation the bu(lder provides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Ac p rson re: Responsible Acceptance Person Company Name: Energy Management ServiC ;SFosition with m itle : Technician Supervisor Address: 41495 Adams Street, Unit C CSLB License: #315890----C20 C61/D62 Bermuda Dunes CA 92203 City/State/Zip � Phone: 760-360-4631 Date Signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (RevlSO 06114) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay catv. LaQuinta, CA Zip Code. 92253 System Name or Identification rag: HVAC ' System Location or Area Served: UNIT ' / , Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): XX Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): X)C Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. M8ximum cooling setpoint _85 F. headband: _3_ Fo XXI Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XX] Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: Xk Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1 05 2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC•NRCA-MCI 0-A {Revised D041 CALIFORNIA FNFRC'Y C OMMIRSInN CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Project Name: Chateau at Lake LaQUlnta Enforcement Agency: City of La Ulntd Y Q Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA zip code: 92253 System Name or Identification/Tag: HVAC - System Location or Area Served: UNIT - A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a• Supply fan operates continually XX XX XX XX b• Supply fan turns off XX C. Supply fan cycles on and off d. System reverts to "occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f• Gas -fired furnace, heat pump, or electric heater stages on ❑ 1 XX g• No heating is provided by the unit XX XX )o( XX h No cooling is provided by the unit XX XX XX XX i Compressor stages on XX XX j• Outside air damper is open to minimum position XX XX XX XX k• Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N Ll B. Testing Results 8 7 6 5 4 3 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter El P P PP P IP p C. Evaluation: IID I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) I CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised 06114Y CALIFORNIA ENERGY COMMISSION 01 CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Project Name: Chateau at Lake La Quinta Enforcement Agency: City Of LaQUlnta BPermit Number: COtN 2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA Zip code: 92253 System Name or Identification/Tag: HVAC- System Location or Area Served: UNIT • ) / DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Authorsi atur . Documentation Author Company Name: Energy Management Services Date Signed: 3/27/2 1 Address: 41485 Adams St, Unit C ATTCertification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on thi ertificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or ailabi i the building permit(s) issued for the building. M Field Technician Name: Jack LaFontaine Field Technician Signat re: Position with Compa . {Tit j: Technician Supervisor ATT Certification Identi ication (if applicable): Field Technician Company Name: EnergyManagement Services g Address: 41485 Adams St, Unit C City/State/zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documenta builder p ides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance rso i tur Responsible Acceptance Person Company Name: Position with Compan (Title) ec ician Supervisor Energy Management Services Address: 41485 Adams St, Unit C CSLB License: #315890 ----- C20 C61/D62 City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 Jobsite Worksheet HERS VERIFICATION - CUSTOMER INFORMATION Name L `J ���g z) L-l1 W 0 / hone Job Address L HVAC Contractor>/� / ']U���n)lC� L CSLB# Bldg Dept. G1� t.I t Permit No. C]�`7-1 Date / - System Number (HVAC ZONE)-� ZONE Size saft I ! /' Z, O 4— Fnl,imm.n4 lnfnrr.a�hln.a Split Cond or General & Setup Information Package Unit Air Handler (HP) 1. Serial Number b O 305'6 00 to 4vo Z. Brand Name u `) t;k ru s i TS q 3. Model Number hou IZ RFL.C, AkulZ,RLF 4. Nominal Cooling (btu/hr) & (tons) 'K btu/hr 'c7 tons " v T, -T~ s r T T1 S. Date of Testing Verification i�r 6. Date of Refrig Gauges Calibration 7 Date of Temp Sensors Calibration QQ k, ^Tc f'@i4.1V 8. Metering Device fixed or TXV L�- - -- --� 1Z t3 ., 7- 9. AHRI Certificate Information Certificate Numbert SEERT EERt FAu: AFUEt 'ev HP:HSPFt 10. Cooling Capacity AHRI 2 V 6 v BTUHno comas Refrigerant: R410A--------------- 1) 7,/1 r,�_?A i *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright ® 2013 Energy Management Services - All Rights Reserved STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A Revised 06114 CALIFORNIA ENERGY COMMISSION 0 CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQulnta, CA 25309 9d8Wb14-1009 Project Address: 78120 Caleo Bay `I". La Quinta, CA zip code: 92253 System Name or Identification/Tag: HVAC- System Location or Area Served: Unit Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date that must demonstrate compliance. Intent: Verify measured outside airflow reading is within + 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column 1) or Mechanical Equipment Schedules. Construction Inspection Note: MCH-2A can be performed in conjunction with MCH-7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a. Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc,). i. Method and equipment used:TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year):_ 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV IXX CAV a. Check if Variable Air Volume (VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) ❑ Outdoor Air CFM Compensation ❑ Energy Balance Method ❑ Demand Control Ventilation ❑ Return Fan Tracking ❑ Injection Fan Method ❑ Dedicated Minimum Ventilation Damper with Pressure Control ❑ Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): RX Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): ❑ Within five ft. of the unit. XJX Within 15 ft. of the unit, with the air directed substantially toward the unit. ❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): a. The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b• 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Chateau at Lake LaQuinta Project Address: 78120 Caieo Bay System Name or Identification/Tag: HVAC- Enforcement Agency: City of LaQuinta `i" La Quinta,CA System Location or Area Served: Unit NRCA-MCH-02-A (Page 2 of 3) Permit Number: BCOM-2014-1009 ziP ViS3 A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). XN ❑ Note: Shaded boxes do not apply for CAV systems Step 3: CAV and VAV testing at full supply airflow Adjust supply air to achieve design airflow or maximum airflow at full a. cooling. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) r� cfm cfm Required outdoor airflow (cfm) (from MECH-3C, Column 1, or C. Mechanical Equipment Schedules). , cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): min Step 4: VAV testing at reduced supply airflow CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min_ Step 5: Return to initial conditions (check) XX❑ ❑ B. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) % °% b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) a. %OAm = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b. %OARA is within 10% of design Outside Air. (OARA <_ 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. C. Evaluation : YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CFO-NRCA-MCH-n9-A fRAvisnd 0131141 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: IBCOM-2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA 9253 System Name or Identification/Tag: HVAC- 0 System Location or Area Served: Unit ice}mf DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Slg t e• Documentation Author Company Name: Energy Management Services Date Signed: 3/27/20 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signature: Field Technician Company Name: Energy Management Services Position with Company (Title echnician Supervisor Address: 41485 Adams Street, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acre a rsa na re: Responsible Acceptance Person Company Name: Energy Management Servici dositiontwith C pa (Title): Te-cTWiean Supervisor Address: 41495 Adams Street, Unit C CSLB License: #315890----C20 C61/D62 Bermuda Dunes, CA 92203 City/State/Zip Phone: 760-360-4631 Date Signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 1100 ■ 1 ■ ro ....... • r 1 1 ~ r=1 r s� I to I r r 1 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCAWCH-03-A [Revised 061W CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay aty; LaQuinta, CA Zip Code. 92253 System Name or Identification/Tag: HVAC - System Location or Area Served: UNIT N Ir - Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NAZ5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): X.X Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): X)J Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint ..85 F. headband: _3 Fo XXI Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XXI Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: XJV Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1 05/2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 i STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) �y AIR CONDITIONER AND HEAT PUMP SYSTEMS i IVnWi-fY1LM-ua-M tntrvlseu Uuf i 4] CINC I VVIVIIVIIJJI VIV CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City Permit Number: of LaQuinta BCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA zip Code: 92253 System Name or Identification/Tag: HVAC - /1 System Location or Area Served: UNIT - T A 1 A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 413 2 Step 2 — 8: Check and verify the following for each simulation mode required a• Supply fan operates continually XX XX 0 XX b. Supply fan turns off XX C. Supply fan cycles on and off d• System reverts to 'occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f• Gas -fired furnace, heat pump, or electric heater stages on 0 XX 9. No heating is provided by the unit XX XX X>X XX h• No cooling is provided by the unit XX XX XX XX i Compressor stages on XX:; XX 1- Outside air damper is open to minimum position XX XX XX XX k. Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N B. Testing Results 8 1 7 1 6 1 5 1 4 1 3 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter P P P P P P P C. Evaluation: ID I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised M14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City Of LaQuinta Permit Number: BCOtN 2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA zip Code: 92253 System Name or Identification/Tag: HVAC- /, System Location or Area Served: UNIT- „ J DOCUMENTATION AUTHOR'S DECLARATION STATEMENT In 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Sign ture: -..,,,. Documentation Author Company Name: Energy Management Services Date Signed: 3/27/20 S Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder installer and has been posted or made a noble with a building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signatur Field Technician Company Name: Energy Management Services Position with Company fie): Technician Supervisor Address: 41485 Adams St, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentatlon th builder prov to the building owner at occupancy, Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance Perso Ign u Responsible Acceptance Person Company Name: Position with Company (Title . T C n Supervisor Energy Management Services Address: 41485 Adams St, Unit C CSLB License: #315890 ----- C20 C61/D62 City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date Signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 Jobsite Worksheet HERS VERIFICATION - CUSTOMER INFORMATION Job Name l , `� Phone Job Address HVAC Contractor/� �.�L �fj,d,�;/C�� CSLB# / Y 2 Bldg Dept. /4) 'j- Per t No. Z U/L � L' 6 9 Dat System Number e / (HVAC ZONE) ZONE Size sqft ` L% General & Setup Information 1. Serial Number 2. Brand Name 3. Model Number .4. Nominal Cooling (btu/hr) & S. Date of Testine Verification Split Cond or Package Unit 0 0 Z I Sq � S,,k (\ 0 u ► 2 IR.FL S) x btu/hr 6. Date of Refrie Gauges Calibration 7 Date of Temp Sensors Calibration &A 8. Metering Device fixed or TXV� E- Equipment Information 4 Air Handler (HP) rJvb3 jCj TsN 14RU IL AL tons 1 L 17 1 R L i L ii 11 v At, i t t i i 3_ 8;. Iv r lank I.n 'nni"Inn En+r�,, roanageman; �uivlC®e i IJITMNli Q�i IAIf tU( ('nitum 19. AHRI Certificate Information Certificate Numbert SEER' 'j` / EERt FAU: AFUEli or HP: HSPFt 10. Cooling Capa BTUH AHRI U no comas Refrigerant;. R410A *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright 0 2013 Energy Management Services - All Rights Reserved STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Chateau at Lake LaQuinta Project Address: 78120 Caieo Bay System Name or Identificationtrag: HVAC- / / CALIFORNIA ENERGY COMMISSION N RCA-MCH-02-A (Pagel of 3) Age"': City of LaQuinta, CA 25309 City: La Quinta, CA System Location or Area Served: unit /'zl > � // fj Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date that must demonstrate compliance. 968KW12014-1009 Zip code: 92253 ` Intent: Verify measured outside airflow reading is within ± 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column IJ or Mechanical Equipment Schedules. Construction Inspection Note: MCH-2A can be performed in conjunction with MCH-7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a' Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year):_ 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV IXX CAV a. Check if Variable Air Volume (VAV) and complete the following: I. Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) ❑ Outdoor Air CFM Compensation ❑ Energy Balance Method ❑ Demand Control Ventilation ❑ Return Fan Tracking ❑ Injection Fan Method ❑ Dedicated Minimum Ventilation Damper with Pressure Control ❑ Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: XIX System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): Rx Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): ❑ Within five ft. of the unit. X,X Within 15 ft. of the unit, with the air directed substantially toward the unit. ❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): a. The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b• 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 06114) CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Chateau at Lake LaQuinta Project Address: 78120 Caleo Bay System Name or Identification/Tag: HVAC- Enforcement Agency: City of LaQuinta City: La Quinta,CA System Location or Area Served: Unit CALIFORNIA ENERGY COMMISSION N RCA-MCH-02-A (Page 2 of 3) Permit Number: BCOM-2014-1009 Zip 92253 A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). XY3 ❑ Note: Shaded boxes do not apply for CAV systems Step 3: CAV and VAV testing at full supply airflow Adjust supply air to achieve design airflow or maximum airflow at full a. cooling. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm cfm Required outdoor airflow (cfm) (from MECH-3C, Column 1, or C. Mechanical Equipment Schedules). cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): min Step 4: VAV testing at reduced supply airflow, CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min Step 5: Return to initial conditions (check) XX❑ ❑ B. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) `��°� % b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OAR,) for Step 3 (VAV only) a. %OAR, = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b. %OAR, is within 10% of design Outside Air. (OARA <_ 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. C. Evaluation YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE UtL,-NK( �A-MUM-UL-A LI'CQViSeO CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Chateau at Lake LaQuinta Project Address: 78120 Caleo Bay System Name or Identification/rag: H VAC - Enforcement Agency: City of LaQuinta City: LaQuinta, CA System Location or Area Served: Unit VHLIf-VRIVIM CIVCRVI VVIVIIVIIJJIVIV NRCA-MCH-02-A (Page 3 of 3) Permit Number: 1BCOM-2014-1009 9253 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Slgna[u —tea Documentation Author Company Name: Energy Management Services Date Signed: 3�27�2015 kj Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible buiider/installer and has been pasted or made available w' the building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signatur Field Technician company Name: Energy Management Services Position with Company �t Technician Supervisor Address: 41485 Adams Street, Unit C ATT Certification Identification (if applicable): City/state/zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Cie rtlficate of Acceptance is required to be included with the documentation builder ovides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible AcceptancePe t r Responsible Acceptance Person Company Name: Energy Management Servic eSPosition with Company (Ti "ectWician Supervisor Address: 41495 Adams Street, Unit C CSLB License: #315890----C20 C61/D62 Bermuda Dunes, CA 92203 City/State/Zip Phone: 760-360-4631 Date signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 _r _ — J .......� _ ■ z . !9107 , Won � -1. VU4_ 1 ■ ■ m — Z C _f V S1 _ : _ _ r r _ = _- I A:p- w �Wfi RL•0 F ■ 1 =sf- — _ ■ � � � � � _ 1 � ' � ■III II — I I =In I 1 I I 1 I II �r 1 _ I — I I I I I I _ _ I I . II II l I Mai :Air fAL — — �= — �_ ■III ,k ■ STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS F:Ct:+3V KGH-MGYI-UJ-H SKaylsea U0/"14] _ �, u..irvr:rvin Ervo=rwr s.vrvnvuoaviv CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: Permit Number: City of LaQuinta BCOM-2014-1009 Project Address: 78120 Caleo Bay city LaQuinta, CA Zip Code: 92253 System Name or Identification rag: HVAC - / / System Location or Area Served: UNIT - � � J L�LI Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): XX Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): XXI Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint _85 F. headband: `3� Fo XXI Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XX] Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: Xk( Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1 05 2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised 06114GALINUKNIA ENERGY GUMMI7SiUFQ CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Protect Name: Chateau at Lake La uinta Enforcement Agency: City of Ld uinta Permit Number: -2 Q Y Q BCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA zip code: 92253 System Name or Identification/Tag: HVAC - System Location or Area Served: UNIT - l S A. Functional Testing Requirements I Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a• Supply fan operates continually XX XX XX XX b- Supply fan turns off XX C. Supply fan cycles on and off d• System reverts to "occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f• Gas -fired furnace, heat pump, or electric heater stages on 0 XX 9. No heating is provided by the unit XX XX )(X XX h• No cooling is provided by the unit XX XX XX XX i• Compressor stages on XX XX 1 Outside air damper is open to minimum position I XX XX XX k. Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N B. Testing Results 1 8 1 7 1 6 1 5 1 4 1 3 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter PIP P P P P p C. Evaluation: 111 1 PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS is CEC-NRCA-MCK03-A 1Revised 061141 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Protect Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta BCOM 2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA zip code: 92253 System Name or Identification/Tag: HVAC- System Location or Area Seived: UNIT- r DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Si Lure: Documentation Author Company Name: Energy Management Services Date Signed: 3/27/2 5 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician), 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificates) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder installer and has been posted or made a ' a with t uilding permit(s) Issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signature: �-�- Field Technician Company Name: Energy Management Services Position with Company (Titl = echnl ian Supervisor Address: 41485 Adams St, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation the". er prnvi to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance Perso Signa re. Responsible Acceptance Person Company Name: Position with Company (TItle : T h Supervisor EnergyManagement Services Address: 41485 Adams St, Unit C CSLB License: #315890 ----- C20 C61/D62 City/state/zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 Jobsite Worksheet HERS VERIFICATION - CUSTOMER INFORMATION Job Name r l;.. 41) f Phone Job Address 4 HVAC Contractor CSLB# AA ul� bILI-/bog Bldg Dept. 4 Permit No. Date System Number (HVAC ZONE) ZONE Size sqft General & ! 1. Serial Number 2. Brand Name 3. Model Number Information 4. Nominal Cooling (btu/hr) & (tons) 5. Date of Testing Verification 6. Date of Refrig Gauges Calibration 7 Date of Temp Sensors Calibration 8. Metering Device fixed or TXV F Equipment Information -* Split Cond or Package Unit Air Handler (H vv 3c)5 00(63cii f u,v1( T 51,E FU J-1 Ts" AOu V-4 RriLC- Aeu I L RLr' G — K btu/hr tons n 11 , /) .J 7iCK LgrOrTfpjnn � � �•J JJ I'.; .1ioC�cff1@71i JdiYI Cie c /A�� 1` Ni.TIf1N.P FAI �.ni'r^wr_ fY�il�ir�r 9. AHRI Certificate Information Certificate Numbert SEER-f ' EERt FAU: AFUEJ, or P HSPF'p BTUH 10. Cooling capacity AHRI . 6 66 nocomas Refrigerant: RazoA ' 0tR ep, Forms for this Job MECHS34— MECH2e'MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 CK applicable boy- I �) *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright ® 2013 Energy Management Services - All Rights Reserved STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A Revised D8144 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Project Name; Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta, CA 25309 �e"I 2014-1009 Project Address:78120 Caleo Bay City: La Quinta, CA zip Code:92253 System Name or Identificationfrag: HVAC- 2 System Location or Area Served: Unit V ment Agency Use: Checked by/Date that must demonstrate compliance. Note: Submit one Certificate of Acceptance for each system Enforce Intent: I Verify measured outside airflow reading is within ± 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column I) or Mechanical Equipment Schedules. Construction I Note: MCH-2A can be performed in conjunction with MCH-7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a' Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year): 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV XX CAV a. Check if Variable Air Volume (VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) E Outdoor Air CFM Compensation Energy Balance Method El Demand Control Ventilation i Return Fan Tracking I -I Injection Fan Method -i Dedicated Minimum Ventilation Damper with Pressure Control Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: M System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): RX Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): ❑ Within five ft. of the unit. XJX Within 15 ft. of the unit, with the air directed substantially toward the unit. ❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): a: The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b. 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A Revised 06114 CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance ° Project Name: Chateau at Lake LaQuinta Project Address: 78120 Caleo Bay System Name or Identification/Tag: HVAC- Enforcement Agency: City of LaQuinta `i": La Quinta,CA System _::ito-, or Area Unit �11-2 LF & N RCA-MCH-02-A (Page 2 of 3) Permit Number: BCOM-2014-1009 Zip 92253 A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ my VAT - Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). Y-4 ❑ Note: Shaded boxes do not apply for CAV systems Step 3: CAV and VAV testing at full supply airflow Adjust supply air to achieve design airflow or maximum airflow at full a. cooling. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) V cfm cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or Mechanical Equipment Schedules). / cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): min Step 4: VAV testing at reduced supply airflow CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min Step 5: Return to initial conditions (check) XX❑ ❑ B. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) % % b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 3 (VAV only) a. %OARA = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b. %OARA is within 10% of design Outside Air. (OAR„ <_ 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. Evaluation : lC�. YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CFC-NRCA-MCH-09-A fRAvicznrl 06)141 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: IBCOM-2014-1009 Project Address. 78120 Caleo Bay `sty' LaQuinta, CA d2c53 System Name or Identification/Tag: HVAC- Z System Location or Area Served: Unit DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author Signat Documentation Author Company Name: Energy Management Services Date Signed: 3/27120 5 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and Signed by the responsible builder/installer and has been posted or madee0lable with a building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field TechnicianSignatur Field Technician company Name: Energy Management Services Position with Company etl ' TecKniclian Supervisor Address: 41485 Adams Street, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date Signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Accepta e r 1 e' g"'tlon with Com n Ttle . 1 ch nician Supervisor CSLB License: #315890----C20 C61/D62 Responsible Acceptance Person Company Name: Energy Management ServiC Address: 41495 Adams Street, Unit C City/State/Zip Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS 06 CFC-NRCA-MCH-03-A I Revised MV141 CALIFORNIA ENERGY COMMiSSfON CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City. LaQuinta, CA Zip Code. 92253 System Name or Identification/Tag: HVAC System Location or Area Served: UNIT' l_-S fNote: Submit one Certificate of Acceptance for each system that must 1 Enforcement Agency Use: Checked by/Date demonstrate compliance. I` Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): U Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): )Q(❑ Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint _85 F. headband: _3 F. XX] Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XX] Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: X)f Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1 05 2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A RLvisad 06/14) CALIFORNIA ENERGY COMMISSION � CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement AgencyPermit of LaQuinta Permit Number: Y La Q BCOM-2014-1009 Project Address: 78120 Caleo Bay ` ,/7 City` LaQuinta, CA Zip code: 92.2/53 System Name or Identification/Tag: HVAC- / System Location Sen or Aria d: UNIT- / // J� G� a� l� VVV L� A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a• Supply fan operates continually XX XX XX XX b. Supply fan turns off XX C. Supply fan cycles on and off d• System reverts to "occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f• Gas -fired furnace, heat pump, or electric heater stages on 0 XX 9. No heating is provided by the unit XX XX X ( XX h• No cooling is provided by the unit XX XX XX XX i• Compressor stages on XX XX J• Outside air damper is open to minimum position XX )(X XX XX k. Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N B. Testing Results 8 7 6 5 4 3 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter P P P P 1P 1P P C. Evaluation: IE I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A (Revised 06114) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City Of LaQuinta BOOM 20r14-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA Zip code: 92253 ��77 System Name or Identification/Tag: HVAC - / System Location or Area Served: U NIT - / L V LS DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author 5-m Documentation Author Company Name: Energy Management Services Date signed: 3/27 5 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible bu I Ider/insta I ler and has been posted or made a Ie with building permits) issued for the building. Field Technician Name: Jack LaFontaine Field Technician signature: Field Technician Company Name: EnergyManagement Services g Position with Company { lei: Tec ician Supervisor Address: 41485 Adams St, Unit C ATT Certification Identification (if applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation PT4uiIder pro ' s to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Responsible Acceptance Pe n e: Responsible Acceptance Person Company Name: Position with company t1e): echnl an Supervisor Energy Management Services Address: 41485 Adams St, Unit C CSLB License: #3158 0 ----- C20 C61/D62 City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 lobsite Worksheet HERS VERIFICATION - CUSTOMER INFORMATION ob Name Job Address _ r HVAC Contractor Bldg Dept. �) /) System Number (HVAC ZONE)//ram r ZONE Size sqft i � G V General & Setup Information 1. Serial Number 2. Brand Name Model Number 4. Nominal Cooling (btu/hr) & (tons 5. Date of Testing Verification 6. Date of Refrig Gauges Calibration 7 Date of Temp Sensors Calibration 8. Metering Device fixed or TXV N if. Phone CSLB# 7(fZ�� 9 ,qcu/ — Zv" -/ b c' Y Permit No. Date / /.;z-L/ /t/ F Equipment Information 4 Split Cond or — Package Unit Air Handier (HP) C�c�3C57 00g392 rci j i 1" S �,t FU J I T S u /�tl u l 2 �>✓C. � � Q U i 2 R L i= / I\ btu/hr tons !) Jack LaFon;alno ,r Energy � 1A. n. n.... A.H _ #13.234 Gi Exp�ras s/26;2015 NVIONPw 9.l ANCING COUNCIL j-7• /%ye 2'': 2, 9. AHRI Certificate Information Certificate Numbert SEERt ' EERt FAU: AFUEt or p: HSPF-T 10. Cooling Capacity AHRI G U 6- Q no comas Refrigerant R410A A r4 Forms for this Job MECI lCF4- MECH 29' MECH 21 MECH 22 MECH 23 MECH 24 MECH 25 MECH 26 CK applicable t-- -- 4- *MUST SIGN *TECH *DATE HOURS 2/15/2013 revised Copyright m 2013 Energy Management Services - All Rights Reserved STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised OW14) CALIFORNIA ENERGY COMMISSION 0 CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta, CA 25309 68914-1009 920 Project Address: 78120 Caleo Bay `I": La Quinta, CA zip code: 92253 System Name or Identification/Tag: HVAC- i^ f System LqLaGon or Area Served: Unit '7 /./J , Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date that must demonstrate compliance. Intent: Verify measured outside airflow reading is within ± 10% of the total required outside airflow. Required for all newly installed HVAC units. Reference MECH-3C (Column H or Column I) or Mechanical Equipment Schedules. Construction Inspection Note: MCH-2A can be performed in conjunction with MCH-7A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes: As -built and/or design documents (for example, Mechanical Equipment Schedules, Equipment a' Start -Up Sheets or Balancing Reports). b. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.1.1 Ventilation Systems: Variable Air Systems At -A -Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At -A -Glance). C. 2013 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:TESTO_417 Vane Anemometer ii. Equipment calibration date (must be within one year): 11-20-2014 3. System type (check either VAV or CAV): ❑ VAV IXX CAV a. Check if Variable Air Volume (VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. ❑ Check if factory calibrated and attach calibration certification. ❑ Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): ❑ Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) ❑ Outdoor Air CFM Compensation ❑ Energy Balance Method ❑ Demand Control Ventilation ❑ Return Fan Tracking ❑ Injection Fan Method ❑ Dedicated Minimum Ventilation Damper with Pressure Control ❑ Other Active Control, Describe: b. Check if Constant Air Volume (CAV) and verify the following: *X System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): RX Outside air is ducted to the return air plenum. Confirm that outside air is ducted to either (check one of the following): ❑ Within five ft. of the unit. XX Within 15 ft. of the unit, with the air directed substantially toward the unit. ❑ Return air plenum is NOT used to distribute outside air to the unit. Le. outside air is ducted directly to the unit or outside air is provided independent of the unit. 5. Pre -occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): a. The conditioned floor area times the ventilation rate from the 2013 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is less. b• 3 complete air changes to the zone served by the air handler. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 061141 CALIFORNIA ENERGY COMMISSION 10 CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of f LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay city: La Quinta,CA zip 9°Z253 System Name or Identification/Tag: HVAC- System Location or Area Served: unit A. NA7.5.1.1 Outdoor Air Acceptance Functional Testing XX❑ ❑ Step 1: Disable demand control ventilation (if applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled). XY5 ❑ Note: Shaded boxes do not apply for CAV systems Step 3: CAV and VAV testing at full supply airflow Adjust supply air to achieve design airflow or maximum airflow at full a. cooling. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) % cfm cfm Required outdoor airflow (cfm) (from MECH-3C, Column 1, or C. Mechanical Equipment Schedules). (� O cfm cfm d Time for outside air damper to stabilize after full supply airflow is achieved (minutes): Step 4: VAV testing at reduced supply airflow min CAV VAV a. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Hz b. Measured outdoor airflow reading (cfm) cfm C. Required outdoor airflow (cfm) (from MECH-3C, Column 1, or mechanical equipment schedules). cfm d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): min Step 5: Return to initial conditions (check) XX❑ ❑ B. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFA) for Step 2 a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow (Step2b/Step2c) 6 -L— % % b. %OAFA is within 10% of design Outside Air. (%OAFA <_ 110%) YES Y / N Y / N C. Outside air damper position stabilizes within 5 minutes (Step 2d < 5 minutes) Y / N Determine Percent Outside Air at reduced supply airflow (%OAR,) for Step 3 (VAV only) a. %OARt = Measured outdoor airflow reading /Required outdoor airflow reading (Step3b/Step3c) % b. %OAR, is within 10% of design Outside Air. (OAR, < 110%) Y / N C. Outside air damper position stabilizes within 5 minutes (Step 3d < 5 minutes) Y / N Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. I Evaluation : 1C7. YES PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive (Y - yes) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE rFC:-NRC:A-MC:H-ro-A Mnvitarf M41141 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: IBCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA 9�253 System Name or Identification/Tag: HVAC- �' � System Location or Area Served: Unit DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 cartify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Jack LaFontaine Documentation Author signatur . Documentation Author Company Name: Energy Management Services Date Signed: 3/27/2015 Address: 41485 Adams St, Unit C ATTCertification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed bythe responsible builder/installer and has been posted or made available with a building permit(s) issued for the building. Field Technician Name: Jack LaFontaine Field Technician Signature: — Field Technician Company Name: Energy Management Services Position with Company tie TeC nician Supervisor Address: 41485 Adams Street, Unit C ATTCertification Identification (if applicable): city/state/zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date Signed: 3-27-2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NAT 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance 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 Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine ResponsibleAc nc erson Lure: Responsible Acceptance Person Company Name: Energy Management Servic SPasition wit Ca any { t : Technician Supervisor Address: 41495 Adams Street, Unit C CSLs License: #315890----C20 C61/D62 Bermuda Dunes, CA 92203 City/State/Zip Phone: 760-360-4631 Date signed: 3-27-2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) �a�. AIR CONDITIONER AND HEAT PUMP SYSTEMS 0) CEC-NRCA-MCH-03-AlRevised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 1 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: City of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay City: LaQuinta, CA Zip Code. 92253 System Name or identificationlrag: HVAC - System Loca ti on or Area =Ned UNIT - ,7 --- —Z 5 Note: Submit one Certificate of Acceptance for each system that must Enforcement Agency Use: Checked by/Date demonstrate compliance. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: a. 2013 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.2 Constant Volume, Single -zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At -A -Glance). b. 2013 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test includes, but not limited to: a. Temperature Meter b. Amp Meter 3. Installation (check if applies): XX Thermostat is located within the space -conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): X)C Thermostat meets the temperature adjustment and dead band requirements of 2013 Building Energy Efficiency Standards Manual section 120.2(b). Minimum heating setpoint: 55 F. Maximum cooling setpoint_85 F. headband: _3 F. XX1 Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. XX] Pre -occupancy purge has been programmed to meet the requirements of 2013 Building Energy Efficiency Standards Manual section 120.1(c)2. 1. Check method used to determine pre -occupancy purge: XXI Lesser of: conditioned floor area times ventilation rate from 2013 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. ❑ 3 complete air changes. Notes: Reference Title 24 dated 1 05 2015 NRCC-MCH-03-E, page 1 of 2. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS 0; CEC-NRCA-MCH-03-A [Revised 061141 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 2 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency* Y of LaQuinta Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay c'ty` LaQuinta, CA zip Code: 92253 f systemam Ne or I dentificatiuWag: HVAC - j:P/ system Location or Area served: UNIT - •% � A. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand -controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2 — 8: Check and verify the following for each simulation mode required a• Supply fan operates continually XX XX XX XX b. Supply fan turns off XX C. Supply fan cycles on and off d. System reverts to "occupied" mode to satisfy any condition e. System turns off when manual override time period expires XX f• Gas -fired furnace, heat pump, or electric heater stages on XX 9. No heating is provided by the unit XX XX XX XX h. No cooling is provided by the unit XX XX XX XX i Compressor stages on XX XX 1 Outside air damper is open to minimum position XX XX XX XX k Outside air damper closes completely Step 9: System returned to initial operating conditions after all tests have been completed: YES Y / N B. Testing Results 8 7 6 5 4 3 2 Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter P P P P 1P 1p, P C. Evaluation: IE I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS C.Fr VRf A_NSrH_n i_A rRcvicr i Mid% C:AI..IPC)RNIA i=NFRrV r.OMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume Single Zone Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems (Page 3 of 3) Project Name: Chateau at Lake LaQuinta Enforcement Agency: Clt of LaQuinta y Permit Number: BCOM-2014-1009 Project Address: 78120 Caleo Bay city: LaQuinta, CA Zip code: 92253 System Name or Identification/Tag: HVAC - j f System Location or Area Served: UNIT - ~J DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation is accurate and complete. / Documentation Author Name: Jack LaFontaine Documentation AuthorSignatu ; Documentation Author Company Name: Energy Management Services Date Signed: 3/27/201 Address: 41485 Adams St, Unit C ATT Certification Identification (If applicable): City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. 1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Ce rt if cate(s) of Installation for the construction or installation identified on this C . Icate of Acceptance has been completed and signed by the responsible buiIder/instaIler and has been pasted or e av liable wi t building permits) issued for the building. mr Field Technician Name: Jack LaFontaine Field Technician Signat e: Field Technician Company Name: Energy Management Services Position with Compan (7itl nician Supervisor ATT Certification Identification (if applicable): Address: 41485 Adams St, Unit C City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date Signed: 3/27/2015 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance shall be sted, or d available with the building permit(s) issued for the building, and made available to the enforcement agency r a appli le ' spections. I understand that a signed copy of this Certificate of Acceptance is required to be included with t e ion a builder provides to the building owner at occupancy. Responsible Acceptance Person Name: Jack LaFontaine Res}7on ! cce a Person Signature: Responsible Acceptance Person Company Name: Position with Company (Title): Technician Supervisor Energy Management Services Address: 41485 Adams St, Unit C CSLB License: #315890 ----- C20 C61/D62 City/State/Zip: Bermuda Dunes, CA 92203 Phone: 760-360-4631 Date Signed: 3/27/2015 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 i REPORT i • i DATE PROJECT AN NAMEPLATE DATA 4: 7-,4 v ANUFACTURER_ ` _ if FAN DESIGNG °/,J� . !ODEL jaT X 9 11 C-QEXHAUST AIR CFM TOTAL /00 SYSTEM ERIAL NUMBER VOLTS/PHASE 1 ZO 1 YPE l 'f N A FULL LOAD AMPS IZE KISTING or NEW ( Ir 1.v = a •� LJ�P�_ READINGS Jack LaFontaine Supervisor .. Johnny LaFontaine Technician JOB NUMBER EXHAUST GRILLE REPORT I) i f z V -7Z • Room .. E FLTIFIE �� �lrr•V /3-cL � �.� Gce Gi rsic'V'- .., ?� ��'`I'�'�`2� �Q'��P m C1 NCN O esign _ U�i; U v; C) C c o 0 M 0 to Co E �x� mtiU N Ucm mw mm1w" m9m,73 0 �(CODcg NUM, ao 18 — �tir? E r i N (0,C) :Oa a Uj Q U J ado � U T mvgm mm�mm rmmff fflm■ mp—Mm = E FLTIFIE �� �lrr•V /3-cL � �.� Gce Gi rsic'V'- .., ?� ��'`I'�'�`2� �Q'��P m C1 NCN O U�i; U v; C) C c o 0 M 0 to Co E �x� mtiU N Ucm 0 �(CODcg (� ao 18 — �tir? E r i N (0,C) :Oa a Uj Q U J ado � U T E FLTIFIE �� �lrr•V /3-cL � �.� Gce Gi rsic'V'- .., ?� ��'`I'�'�`2� �Q'��P 11 0 Ceiling Cassette Systems — Fujitsu Ductless Mini -Splits co UJmxSU FU".TSUGENERAL Home pmuucm Find Contractor Learn About It Page I of 2 Worldwide United States & Canada Service & Support Products Products = Slim Duct ��' Slim Duct -------------------------------------- -WaUMounteu --------------------------------------- ' Universal Floor /Ceiling --------------------------------------- ' Large Ceiling --------------------------------------- Floor Mounted --------------------------------------- - Slim Duct ____'mxmouux --------------------------------------- - -Cassette Slim ducts provide comfort cooling mheating for small room ------- app|icononv. Features include high efficiency upmu1.5SEER, heating at/mwtempmramreoumwnm-50p. compact design, quiet operation, a --------'—'-----'---' standard wired remote control, and the ability mbring infresh air. Multi Zone (2to4Zones) Outdoor Unit: Aou9eeu,*uu1enLFo. xoumnLpo 2�� Ask Fujitsu Need Pricing? Contact alocal omntmom, Flex Zone (2 to 8Zonos) Inverter Technology Locate AContractor Through new, advanced technology, Inverter air conditioners are more economical to operate and quieter to run than conventional units. They can handle greater extremes in temperature, are smoother and more stable inoperation, and reach the desired temperature faster than conventional air conditioners. High Performance Heating Heating capacity at low outdoor temperatures is achieved by adopting a large heat exchanger and a high capacity compressor. Systems operate down to -50F. Wired Remote Controller Features ofthe standard wired remote controller include: Weekly timer Set different on-off time by day Set on-off time twice aday Set time in5minute intervals - Child lock capable - Remote temperature sensor Set different temperatures throughout the day. Flexible Installation Unit can beinstalled vertically o' horizontally. ..46MA L too Slim Duct Built-in drain pump allows for .3/27/2015 0 0 Ceiling Cassette Systems —FujitsuDudcss Mini -Splits Page 2 of 2 installation ofslim duct unit m smaller spaces than traditional un/s. nadatioml Smart System: Auto Mode When the system ioinitially turned on, the fan speed mHIGH onreach the set temperature asquickly as possible. The fan speed will automatically adjust downward asthe room begins to reach the set Humidity Control This system features Dry Mode, which helps mcontrol humidity levels, even when cooling may not uo needed. Other Standard Features Include: Low Ambient Weekly Timer Auto Restart/Reset Terms of Use I Privacy Auto Changeover Cold Prevention Economy Mode COPYRIGHT wnu/rauGENERAL AMERICA, /wc`cow 3/27/2015 Ceiling Cassette Systems — Fujitsu Ductless Mini -Splits CP FUJITSU FUJITSU GENERAL I mom Products Find a Contractor Learn About It Page I of 2 Worldwide United States & Canada Service & Support Products - Wall Mounted ------------------------------------ - Universal Floor / Ceiling ----------------------------------- - Large Ceiling ------------------------------------ - Floor Mounted ------------------------------------ - Slim Duct ------------------------------------ Compact Cassette Cassette - Multi Zone (2 to 4 Zones) ----------------------------------- - Flex Zone (2 to 8 Zones) Locate A Contractor I a Products > Slim Duct Slim Duct 1MIlA�Mi IM Indoor Unit: ARU9RLF, ARU12RLF, ARU18RLF Slim ducts provide comfort cooling or heating for small room applications. Features include high efficiency up to 21.5 SEER, heating at low temperatures down to -5°F, compact design, quiet operation, a standard wired remote control, and the ability to bring in fresh air. Ha—kyon * Outdoor Unit: AOU9RLFC, AOU12RLFC, AOU18RLFC Ask Fujitsu Need Pricing? Contact a local contractor SYSTEM 9RLFCD 12RLFCD 18RLFCD CAPACITIES: 12.2 11 5 Cooling BTU/h 9T000 12,000 18,000 Outdoor Design Temp FO DB/WB 95/75 95/75 95/75 Heating BTU/h 12,000 16,000 21,600 Outdoor Design Temp FO DB/WB 47/43 47!43 47/43 SEER 21.5 20.0 19.7 EER Clg/Htg 14.5/14,1 12,8/12.3 12.0/129 HSPF 12.2 11 5 11.3 Power Supply (V) 208-230 208-230 208-230 INDOOR UNIT: Noise Level db (A) Cooling 28 29 32 Hi 27 28 30 Med 26 27 29 Lo 25 26 27 Noise Level db (A) Heating 28 29 32 Hi 26 28 30 Med 25 27 29 Lo 24 24 27 Weight (tbs.) 41 41 50 OUTDOOR UNIT: Max Fuse Size (A) 15 15 20 Running Current C1g (A) Ratted 3.0 4.4 6,6 http://www.fujitsugeneral.com/duct—Specs.htm 3/27/2015 Ceiling Cassette Systems —Fujitsu Ductless Mini -Splits Page 2 of 2 Runninq Current Htq (A) Rated 3.9 6.0 7.3 Weight (Ibs.) 84 84 86 REFRIGERANT PIPING: Max Ht. Difference (ft.) 49 49 49 Max Total or Combined 66 66 66 Length (ft.) Discharge Vapor Line 1/4 1/4 1/4 (O.D.) inches - Suction (O.D.) inches 3/8 3/8 1/2 Terms of Use I Privacy COPYRIGHT© FUJITSU GENERAL AMERICA, INC., 2014 HALCYON IS A TRADEMARK OF FUJITSU GENERAL LIMITED is http://vAm.fiiiitsugeneral.com/ductsp 3/27/2015 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. Certificate of Product Ratings AHRI Certified Reference Number: 5751314 Date: 3/27/2015 Product: Variable Speed Mini -Split System: Heat Pump with Outdoor Unit -Air -Source, Ducted Outdoor Unit Model Number: AOU12RLFC Indoor Unit Model Number: ARU12RLF Manufacturer: FUJITSU GENERAL AMERICA, INC. Trade/Brand name: FUJITSU Series name: Manufacturer responsible for the rating of this system combination is FUJITSU GENERAL AMERICA, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 12000 EER Rating (Coolinlg): D 12180 'JDSEE R_ (C�oling):� 20.00 Heating Capacity(Btuh)�Ca 47 F: 16000 [� R Region IV HSPF Rating (Heating): 11.50 ul vl WocJtlfli��Uu ���V©�o VU Heating Capacity(Btuh) @ 17 F: 9500 CERTIFIED RATINGS FOR VARIABLE -SPEED, MINI- AND MULTI -SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES) WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT. VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON T) I4S CERTIFICATE IS ACCI�RATE. SEARCH ON THE AHRI RFbFF�R�NCE # TO QUICKLY L�C/FSTHJC�?MBINATION IN THE DIRECTORY. abngs followed by an astensk ( indicate a voluntary rerate of previously pu lis a data, unless accompanied wit a A , whit in icates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AM personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verity Certificate" link we make life better - and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. 130719604673284739 ©2014 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: a System 12RLFCD Submittal SHF/ AOU12RLFC, ARU12RLF kFcy:0:1 ybrld Fler Inverter Compact Duct Job Name: Location: Engineer: Submitted to:_ Submitted by:_ Approval:_ Construction: Unit #: Drawing #: Reference: Outdoor Unit Power 208-230/VAC-1 Ph-60Hz Available Voltage Range 187-253VAC Fuse Size, Max. 15A MCA 13.4A Compressor Inverter Driven Variable Speed DC Rotary No. used 1 Output 850W Lubrican Oil POE (R668) Fan type Propeller Motor Output 115W Airflow Rate Cooling/Heating (High) 1206 / 1083CFM Refrigerant 410A Outdoor Unit 2lbs 10oz Contrlol Electronic Expansion Valve O.D. Discharge (in) 1/4"(Flare) O.D Suction (in) 3/8"(Flare) Dimensions H x W x D Uncrated (in) 24-1/2 x 31-3/32 x 11-11/32 (mm) (620 x 790 x 290) Crated (in) 28-1/16 x 37-7/32 x 15-9/16 (mm) (713 x 945 x 395) Weight Outdoor Net 84lbs (381,g) Gross Shipping 93lbs (42kg) Cooling Rated Capacity 12,00013TU/h Min -Max Capacity 3,100-13,600BTU/h Rated Power Input 0.94kw Max. Power Input 1.45kw SEER 20.0 Outdoor Sound Rating 49dB Heating Rated Capacity 16,00013TU/h Min -Max Capacity 3,100-19,400BTU/h Rated Power Input 1.30kw Max. Power Input 2.00kw HSPF 11.5 Outdoor Sound Ratinq 50dB Piping Lengths Max. Piping Length (Total) 66ft Max. Pipe Height Difference 49ft Connection method (Flared) Operating Range Cooling 14°F -115°F DB Heating -5°F -75°F DB Fujitsu General America, Inc. Fairfield, NJ 07004 Toll Free: 1-888-888-3424 Fax: (973) 836-0447 www.fujitsugeneral.com co FUJITSU Date: Top view Front view Bottam view Side vin EUL Fujitsu products are subject to continuous improvements. Fujitsu reserves the right to modify product design, specifications and information in this data sheet without notice and without incuring any obligations. WARRANTY Power V/Hz/P 230/60/1 Cooling Capacity (BTU/h) 12,000 Moisture Removal pt/h (1/h) 2.7 0.3) Fan type Sirocco No. Motors (W) 2 (81) Heating Capacity (BTU/h) 13,500 CFM [.10 in.WG] (Hi 383/353/324/283 Temperature Setting Range Sound Pressure Level iMe,Lo,Qu) db (H,Me,Lo,Qu) 29/28/27/26 F. L. A. (A) .37 Cooling °F(°C) 64-90(18-32) Refrigerant f •till `�.� 410A Heating °F('C) 60-88(16-31) O.D. Discharge in (mm) 01/4" (6.35) Drain Pipe Size" OD in 01-1/16 O.D. Suction in (mm) 03/8" (9.52) ID in 03/4 Dimensions Uncrated H x W x D Remote Control Type (in) 7-25/32 x 27-9/16 x 24-13/32 Wired (mm) (198 x 700 x 620) Electrical Connection' AWG 14/3 with ground Crated (in) (mm) 10-7/8 x 38-1/8 x 29-3/4 .Power and communication are fed from the outdoor unit. (276 x 968 x 756) Weight ""Adapter to 3/4" PVC included with unit. Net lbs. (kg) 41 (19) Gross Shipping lbs. (kq) 55 (25) 0,A4 (i l0) 0.40 (100) W .36(90) 0.32 (80) 0.28 (Q70) T 0.24 (60) a 0.20 (50) •� 0.16 (40) N 0.12 (30) 6 0.08 (20) w 0.04 (10) 0 (0) 177 (300) 235 294 353 412 471 (400) (500) (600) (700) (800) Air Flow (CFM (m'Jh)) 0.44 (110) 0.40 (100) '0.36(90) 0.32 (80) S 0.28(70) B 0.24 (60) a a o.zo (So) 0.18 (40) y 0.12 (3a) b 0.08 (20) V W 0.04 (10) 0 (0) AvaiWe ok flaw mate rmgo (H4h lavW) to 238 294 353 412 471 (300) (000) (500) (600) (70D) (600) Ai Row [CFM Win] Note: Specifications are based on the following conditions. Power source of specifications : 230V Cooling: Indoor temperature of 80°F(26.67°C)DB 167°F(19.44°C)WB, and outdoor temperature of 95°F(35°C)DB/75°F(23.89°C)wB. Heating: Indoor temperature of 70°F(21.11°C)DB / 60°F(15.56°C)WB, and outdoor temperature of 47°F(8.33°C)DB/43°F(6.11°C)wB. Standard Static Pressure: 0.10in.WG (25Pa) Pipe length : 16.4ft. (5m) [Outdoor unit - Branch box], 9.8ft. (3m) (Branch box - Indoor unit] Height difference : 0 ft.(Om) [Outdoor unit - Indoor unit] 49 Fujitsu General America, Inc. Fairfield, NJ 07004 Toll Free: 1-888-888-3424 Fax: (973) 836-0447 Fujitsu products are subject to continuous improvements. Fujitsu reserves the right to modify product design, specifications www.fujitsugeneral.com and information in this data sheet without notice and without incuring any obligations. /Year wanq�xrr f •till `�.� ��` -� 235 294 353 412 471 (400) (500) (600) (700) (800) Air Flow (CFM (m'Jh)) 0.44 (110) 0.40 (100) '0.36(90) 0.32 (80) S 0.28(70) B 0.24 (60) a a o.zo (So) 0.18 (40) y 0.12 (3a) b 0.08 (20) V W 0.04 (10) 0 (0) AvaiWe ok flaw mate rmgo (H4h lavW) to 238 294 353 412 471 (300) (000) (500) (600) (70D) (600) Ai Row [CFM Win] Note: Specifications are based on the following conditions. Power source of specifications : 230V Cooling: Indoor temperature of 80°F(26.67°C)DB 167°F(19.44°C)WB, and outdoor temperature of 95°F(35°C)DB/75°F(23.89°C)wB. Heating: Indoor temperature of 70°F(21.11°C)DB / 60°F(15.56°C)WB, and outdoor temperature of 47°F(8.33°C)DB/43°F(6.11°C)wB. Standard Static Pressure: 0.10in.WG (25Pa) Pipe length : 16.4ft. (5m) [Outdoor unit - Branch box], 9.8ft. (3m) (Branch box - Indoor unit] Height difference : 0 ft.(Om) [Outdoor unit - Indoor unit] 49 Fujitsu General America, Inc. Fairfield, NJ 07004 Toll Free: 1-888-888-3424 Fax: (973) 836-0447 Fujitsu products are subject to continuous improvements. Fujitsu reserves the right to modify product design, specifications www.fujitsugeneral.com and information in this data sheet without notice and without incuring any obligations. /Year wanq�xrr Certificate of Product Ratin AHRI Certified Reference Number: 5839957 Date: 3/27/2015 Product: Variable Speed Mini -Split System: Heat Pump with Outdoor Unit -Air -Source, Ducted Outdoor Unit Model Number: AOU18RLFC Indoor Unit Model Number: ARU18RLF Manufacturer: FUJITSU GENERAL AMERICA, INC. Trade/Brand name: FUJITSU Series name - Manufacturer responsible for the rating of this system combination is FUJITSU GENERAL AMERICA, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 18000 EER Rating (Cooling): D 12.00 SEER Rating(Cooling): 19:70 U Heating Capacity(Btuh) @47 F: 21600 �mtrn Region IV HSPF Rating (Heating): 11.30 iul Wo]�d�P����P]❑ oQQQ Heating Capacity(Btuh) @ 17 F: 13600 CERTIFIED RATINGS FOR VARIABLE -SPEED, MINI- AND MULTI -SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES) WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT. VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON T04S CERTIFICATE IS ACC RATE. SEARCH ON THE AHRI REF�R�NCE # TO QUICKLY L�C�ESTHJS� C�?MBINATION IN THF DIRECTORY. atings followed by an asterisk (� indicate a voluntary rerate of previously pu lis a data, unless accompanied wi a A , whic in icates an involuntary rera e. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AM personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridlrectory.org, click on "Verify Certificate" link we make life better - and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. @2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130719605338325528 System 18RLFCD Submittal co FU 0 AOU18RLFC, ARU 18RLF J d/C' Of17 Y jibrfd Ffer lnvorfor IT U ComtDuc t pac Job Name: Location: Engineer: Submitted to: Approval: Construction: Unit #: Drawing #: Submitted by: Reference: Outdoor Unit Power 208-230/VAC-1Ph-60Hz Available Voltage Range 187-253VAC Fuse Size, Max. 20A MCA 17.3.A Compressor Inverter Driven Variable Speed DC Rotary No. used 1 Output 1000W Lubrican Oil POE (RB68) Fan type Propeller Motor Output 115W Airflow Rate Cooling/Heating (High) 1457 / 1407CFM Refrigerant 410A Outdoor Unit 2lbs 14oz Contrlol Electronic Expansion Valve O.D. Discharge (in) 1/4"(Flare) O.D Suction (in) 1/2"(Flare) Dimensions H x W x D Uncrated (in) 24-1/2 x 31-3/32 x 11-11/32 (mm) • (620 x 790 x 290) Crated (in) 28-1/16 x 37-7/32 x 15-9/16 (mm) (713 x 945 x 395) Weight Outdoor Net 86lbs (39kg) Gross Shipping 93lbs (42kg) Cooling Rated Capacity 18,00013TU/h Min -Max Capacity 3,100-20,100BTU/h Rated Power Input 1.50kw Max. Power Input 2.15kw SEER 19.7 Outdoor Sound Rating 54dB Heating Rated Capacity 21,600BTU/h Min -Max Capacity 3,100-25,600BTU/h Rated Power Input 1.67kw Max. Power Input 2.60kw HSPF 11.3 Outdoor Sound Rating 55dB Piping Lengths Max. Piping Length (Total) 66ft Max. Pipe Height Difference Connection method 49ft Operating Range (Flared) Cooling 14°F -115°F DB Heating -5°F -75°F DB •Fujitsu General America, Inc. Fairfield, NJ 07004 Toll Free: 1-888-888-3424 Fax: (973) 836-0447 www.fujitsugeneral.com Date: FU) TSU Fop via Front via Side vin p2 e zvrez rxoof Fujitsu products are subject to continuous improvements. Fujitsu reserves the right to modify product design, specifications and information in this data sheet without notice and without incuring any obligations. Power V/Hz/P 230/60/1 Cooling Capacity (BTU/h) 18,000 Fan type Moisture Removal Sirocco t/hh (1/h) 4.2(2.0) No. Motors (W) 3 (96) HeatinaCapacity (BTU/h) 20.000 CFM [10 in.WG]Hi,Me,Lo,Qu 554/518/483/442 Temperature Setting Range Sound Pressure Level db((Hi,Me,Lo,Qu) 32/31/30/29 F.L. A. (A) .47 Cooling °F(°C) 64-90(18-32) Refrigerant 410A Heating °F(°C) 60-88(16-3-1) Discharge in (mrn 01/4„ Pipe Size** 5� OD in 01-1/16 O.D. SuctID in m� DDrain L2 in 03/4 Dimensions Uncrated H x W x D (in) 7-25/32 x 35-7/16 x 24-13/32 Remote Control Type Wired (mm) (198 x 900 x 620) Electrical Connection* AWG 14/3 with ground Crated (in) (mm) 10-7/8 x 46 x 29-3/4 *Power and communication are fed from the outdoor unit. (276 x 1168 x 756) Weight **Adapter to 3/4" PVC included with unit. Net lbs. (kg) 50 (23) Gross Shipping lbs. (kg) 63 (29) 0,44 (110) 0.40 (100) a" 0.36 (90) 3 0,32 (80) 0.28 (70) H 0.24 (60) is 0.20 (50) .� 0.16 (40) to 012 (30) ffi0.08 (20) w 0.04 (10) 0 (a1 353 412 (600) (700) •Fujitsu General America, Inc. Fairfield, NJ 07004 Toll Free: 1-888-888-3424 Fax: (973) 836-0447 www.fujitsugeneral.com 471 530 569 647 706 (800) (900) (1000) (1100) (1200) Alr Flow [CFM (01h)) 0.44 (110j 0.40 (100) a 0.36 (90) 0-32(80) G 0.28 (7) ` 0.24 (60) }� 0.20 (50) LL 0.16 (40) `) 0.12(-30) 0.08 (20) W 0.04 (10) 0 (0) Ava12bN ail Maw rmo Congo Nigh IM9 M...IM-M-.010M ■EEMION NNI7C11"ONN1ME OOMIEN N 10� OS NIM, MOO moo ■ ,MOO M I. , S ;�-' ,moo IEZR► SM2= 353 412 471 530 589 647 706 (600) (700) low) (900) (1000) (1100) (1200) Alr Flow [CFM (m'/h}]. Note: Specifications are based on the following conditions. Power source of specifications : 230V Cooling: Indoor temperature of 80°F(26.67°C)DB / 67°F(19.44°C)WB, and outdoor temperature of 95°F(35"C)DB/75°F(23.89°C)WB. Heating: Indoor temperature of 70°F(21.11°C)DB / 60°F(15.56°C)WB, and outdoor temperature of 47°F(8.33"C)DB/43'F(6.11°C)WB. Standard Static Pressure: 0.10in.WG (25Pa) Pipe length : 16.4ft. (5m) [Outdoor unit - Branch box], 9.8ft. (3m) [Branch box - Indoor unit] Height difference : 0 ft.(Om) [Outdoor unit - Indoor unit] Fujitsu products are subject to continuous improvements. Fujitsu reserves the right to modify product design, specifications and information in this data sheet without notice and without incuring any obligations. Noll • Co F.UJITSU- ha'-I�cyo�n *- THE POWER TO CALM THE WIND - AIR CONDITIONER Duct Type OPERATING MANUAL MODE D'EMPLOI INVERTER MANUAL DE FUNCIONAMIENTO KEEP THIS OPERATING MANUAL FOR FUTURE REFERENCE CONSERVEZ CE MODE D'EMPLOI AFIN DE POUVOIR VOUS Y REFERER ULTERIEUREMENT GUARDE ESTE MANUAL DE FUNCIONAMIENTO PARA FUTURAS CONSULTAS FUJITSU GENERAL LIMITED • 9374343072-04_OM.indb 1 /\ L'J PART NO.9374343072-04 9/212010 2:59:42 PM �i 0 CONTENTS SAFETY PRECAUTIONS........................................1 This mark indicates procedures which, if improperly performed, are most likely to result in the death or serious injury to the user or service personnel. WEEKLYTIMER....................................................... 8 FEATURES AND FUNCTIONS...............................2 TEMPERATURE SET BACKTIMER...................... 10 NAME OF PARTS ................................................... 3 ECONOMY OPERATION.......................................11 PREPARATORY OPERATION.................................4 CLEANING AND CARE.........................................11 OPERATION...........................................................5 TROUBLESHOOTING .......................................... 12 TIMER FUNCTIONS...............................................7 OPERATINGTIPS .................................................. 14 ON/OFFTIMER........................................................7 SELF-DIAGNOSIS ................................................. 16 SAFETY PRECAUTIONS • Before using the appliance, read these "SAFETY PRECAUTIONS" thoroughly and operate in the correct way. • The instructions in this section all relate to safety; be sure to maintain safe operating conditions. • ,DANGER", "WARNING" and "CAUTION" have the following meanings in these instructions: 0 DANGER! This mark indicates procedures which, if improperly performed, are most likely to result in the death or serious injury to the user or service personnel. 0 WARNING! This mark indicates procedures which, if improperly performed, might lead to the death or serious injury of the user or service personnel. Q CAUTION! This mark indicates procedures which, if improperly performed, might possibly result in personal harm to the user, or damage to property. Q• Do not attempt to install this air conditioner by yourself. f DANGER! • This unit contains no user -serviceable parts. Always consult authorized service person- nel for repairs. • When moving, consult authorized service personnel for disconnection and installation of the air conditioner. • Do not become excessively chilled by staying for many hours in the direct cooling airflow. • Do not insert fingers or objects into the outlet port or intake grilles. • Do not start and stop air conditioner operation by turning off the electrical breaker and so on. • In the event of a malfunction (burning smell, etc.), immediately stop operation, tum off the electrical breaker, and consult authorized service personnel. • In the event of refrigerant leakage , be sure to keep away from fire or any flammables. (consult an authorized service personnel) Q• Provide occasional ventilation during use. f CAUTION! • Do not direct air flow at fireplaces or heating apparatus. • Do not climb on, or place objects on, the air conditioner. • Do not hang objects from the indoor unit. • Do not set flower vases or water containers on top of air conditioners. • Do not expose the air conditioner directly to water. • Do not operate the air conditioner with wet hands. • Do not touch the switches with sharp objects. • Tum off power source when not using the unit for extended periods. • Always tum off the electrical breaker whenever cleaning the air conditioner or changing the air filter. • Connection valves become hot during Heating; handle with care. • Check the condition of the installation stand for damage. • Do not place animals or plants in the direct path of the air flow. • When restarting after a long period of disuse in the winter, tum the power switch on at least 12 hours before starting the unit. • Do not drink the water drained from the air conditioner. • Do not use in applications involving the storage of foods, plants or animals, precision equipment, or art works. • Do not apply any heavy pressure to radiator fins. • Operate only with air filters installed. • Do not block or cover the intake grille and outlet port. • Ensure that any electronic equipment is at least 40 in. (1m) away from either the indoor or outdoor units. • Avoid installing the air conditioner near a fireplace or other heating apparatus. • When installing the indoor and outdoor units, take precautions to prevent access by infants. • Do not use inflammable gases near the air conditioner. • Install the drain hose so that it drains water properly. • This appliance is not intended for use by persons (including children) with reduced physical, sensory or mental capabilities, or lack of experience and knowledge, unless they have been given supervision or instruction concerning use of the appliance by a person responsible for En -1 their safety. Children should be supervised to ensure that they do not play with the appliance. 9374343072.04_OM.indb Sec1:1 \rJ 922010 2:58:58 PM • • ►. • FEATURES AND FUNCTIONS ■ Energy saving and Comfortable function INVERTER At the start of operation, large amount of power is used to bring the room quickly to the desired temperature. After- wards, the unit automatically switches to a low power setting for economic and comfortable operation. ECONOMY OPERATION When ECONOMY operation mode is operated, the room temperature will be little higher than the set -temp under cooling mode and lower than set -temp under heating mode. Therefore, the ECONOMY mode is able to save more energy than other normal mode. SUPER QUIET OPERATION When the FAN button is used to select QUIET, the indoor unit begins super -quiet operation; the indoor unit's airflow is reduced to produce quieter operation. AUTO CHANGEOVER The operation mode (cooling, dry, heating) is switched automatically to maintain the set temperature, and the temperature is kept constant at all times. ■ Convenient function WEEKLYTIMER Use this timer function to set operating times for each day of the week. Use the DAY OFF setting to switch off timed operation for a selected day in the coming week. Because all days can be set together, the weekly timer can be used to repeat the timer settings for all of the days. TEMPERATURE SET BACKTIMER Use. this timer function to change the set temperature in the operation times set for each day of the week.This can be used together with other timer settings. 9374343072-04_OM.indb Sec1:2 0 ■ Clean function REMOVABLE AIR FILTER The indoor unit's air filter can be removed for easy cleaning and maintenance. MILDEW -RESISTANT FILTER The AIR FILTER has been treated to resist mildew growth,thus allowing,cleaner use and easier care. ■ Remote controller WIRED REMOTE CONTROLLER The wired remote controller allows convenient control of indoor unit operation. WIRELESS REMOTE CONTROLLER (OPTION) The optional wireless remote controller can be used.When you use remote controller, there are following different points as compared with using wired remote controller. [The additional function for wireless ones I • SLEEP -TIMER • MINIMUM HEAT And you can use both wireless and wired remote controller simultaneously. (But function is limited.) [The restricted functions for wired ones I *Weekly timer -Temperature set back timer En -2 9/MO10 2:58:59 PM t+i C) NAME OF PARTS Remote controller tQ START/STOP Button Q2 SET TEMP. (Temperature) Button Q MODE Button ® FAN Button Q ECONOMY Button © TIMER MODE (CLOCKAD- JUST)Button Q DAY (DAY OFF) Button ® SET BACK Button Q SET TIME ( <>) Button to TIMER DELETE Button tt TIMER SET Button Q Vertical Airflow Direction and Swing Button' En -3 I9374343072-04_OM.indb Sec1:3 t3 Horizontal Airflow Direction and Swing Button *2 to MAINTENANCE(FILTER RESET) Button"' Q Operation Lamp is Timer and Clock Display Q Operation Mode Display to Fan Speed Display is Operation Lock Display ® Temperature Display Q Function Display In Defrost Display 'p Thermo Sensor Display ECONOMY Display t; Vertical Swing Display"3 ® Filter Display' *'1-3 These functions cannot be used. (Please also see the operating manual of the option when using it with options, etc.) #1 Can be used if set correctly during installation. Please consult authorized serviceman when using this function. 11 • • 902010 2:58:59 PM I 0 • "4,, A PREPARATORY OPERATION 9374343072.04_OM.indb Sec1:4 En -4 1 9IM010 2:59:00 PM 0 Set the current day and time 1 OTIMER MODE CLOCK A0.1U5 2 DAY Press the DAY button and select the current day. DAYOFF A O appears around the selected day. Press theTIMER MODE (CLOCK SU — MO —TU — WE —TH FR SA ADJUST) button for 2 seconds . or more.The time display on the remote controller will flash. Press the SET TIME (< >) buttons to set the current time. Press repeatedly to adjust the current time in 1 -minute 3 increments. Press and hold to adjust the current time in 10 -minute increments. ©O 9 su®rvvfnimsn \PM 1 QU/ ex. Monday PM11:00 4 09 SET BACK Press the SET BACK button to switch between the 12- and 24-hour time displays. SU ® TU VE TH FR SA su ® Tu HE TH FR SA _PM U_�7'U® _ 5QTIMMODE CLOCK Press again to end. 9374343072.04_OM.indb Sec1:4 En -4 1 9IM010 2:59:00 PM 0 `i� OPERATION Instructions relating to heating (*) are applicable only to "HEAT & COOL MODEL" (Reverse Cycle). Press the START/STOP button. START/STOP= Operation lamp ° Air conditioner ON: Lit brightly Air conditioner OFF: Not lit • Operation mode setting Press the MODE button to set the operation mode. e1a00 MODE If DRY is selected, the fan speed will be set to AUTO. J AUTO COOL DRY FAN *HEAT • Room temperature setting Press the SET TEMP. buttons to set the room temperature. rgSETTEMR-� LAUTO ure setting range 1� * ............................................. 64 to 88 °F DRY....................................... 64 to 88 °F ............................................. 60 to 88 °F Lower Rise • Fan speed setting Press the FAN button to set the fan speed. �Q FAN - AUTO HIGH MED LOW QUIET ECONOMY �THEflMOS En -5 9374343072-04_OM.indb Sec1:5 Press the ECONOMY button to start or stop ECONOMY OPERATION. For details on the function, refer to page 11. 5 • W; 1 • 91=010 2:59:01 PM ^F J Press the ECONOMY button to start or stop ECONOMY OPERATION. For details on the function, refer to page 11. 5 • W; 1 • 91=010 2:59:01 PM • • "FIN OPERATION • This function is locked at the factory. In order to detect the room temperature correctly, consult authorized service personnel when using this function. ECONOMY 6OSE Press the ECONOMY button for more than 2 seconds to select whether the room temperature is detected at the indoor unit or the remote controller. When the rEj thermo sensor display appears, the room temperature is detected at the remote controller. B NOTES 1 • If this function is locked, the location where the room temperature is detected cannot be changed and the 0 mark flashes when the ECONOMY button is pushed for 2 seconds or more. QTIMER MODE DAY im 1 / Press the DAY (DAY OFF) button and TIMER SET button CLOCK ADJLV J aOFFsimultaneously UBSETBACKlock function and lock all of the buttons on the remote con- - Press the ECONOMY button for more than 2 seconds to select whether the room temperature is detected at the indoor unit or the remote controller. When the rEj thermo sensor display appears, the room temperature is detected at the remote controller. B NOTES 1 • If this function is locked, the location where the room temperature is detected cannot be changed and the 0 mark flashes when the ECONOMY button is pushed for 2 seconds or more. QTIMER MODE DAY im 1 / Press the DAY (DAY OFF) button and TIMER SET button CLOCK ADJLV for 2 seconds or more to activate the part aOFFsimultaneously UBSETBACKlock function and lock all of the buttons on the remote con- - troller except the START/STOP button, SET TEMP. buttons, MODE button, and FAN button. Press the buttons again for TIMER DELETE TIMER SET 2 seconds or more to deactivate the part lock function. When the part lock function is activated, the 0 mark appears. If any button is pressed during the part lock, the 9� PL display flashes. 9374343072-04 OM.indb Sect:6 11 En -6 9/2/2010 2:59:01 PM im 1 / X �/ I \\ En -6 9/2/2010 2:59:01 PM -73 - 1) TIMER FUNCTIONS F(DT0 OFF timer (See page 7.) Use this timer function to stop air conditioner operation. The timer operates and air conditioner operation stops after the set time has passed.The timer can be set up to 24 hours in advance. E ON timer (See page 7.) Use this timer function to start air conditioner operation.The timer operates and air conditioner operation starts after the set time has passed.The timer can be set up to 24 hours in advance. FOU-1 WEEKLY timer (See page 8.) Use this timer function to set operating times for each day of the week. Use the DAY OFF setting to switch off timed operation for a selected day in the coming week. Because all days can be set together, the weekly timer can be used to repeat the timer settings for all of the days. ® Temperature SET BACK timer (See page 10.) Use this timer function to change the set temperature in the operation times set for each day of the week. This can be used together with other timer settings. ON/OFFTIMER 1QTIMER MODE Press the TIMER MODE button to aocK Sb select the ON timer or OFF timer. No displayer Q►i� � ► — U 7 NON OFF ON WEEKLY STOP TIMER TIMER TIMER • To cancel En -7 2 ©0 907-01 su®iuvFTMSu S hr From 1 to 24 hours ex. OFF timer set for 6 hours Press the SET TIME (<>) buttons to set the time. After the time is set, the timer will start automatically. The amount of time until the OFF timer operates that is displayed on the timer display decreases as time passes. TIMER DELETE • Press the TIMER DELETE button to cancel the timer mode. • The timer mode can also be canceled by changing the timer mode using theTIMER MODE button. 9374343072-04_OM.indb Sec1:7 9/2/2010 2:59:01 PM • M] • v • LJ WEEKLYTIMER B NOTES • The operating time can be set in 30 -minute increments only. • The OFF time can be carried over to the next day. • The ON timer and the OFF timer functions cannot be set using the weekly timer. Both an ON and OFF time must be set. 9374343072-04_OM.indb Sec1:8 \�J En -8 9/W010 2:59:01 PM \J Weekly timer setting 1OTIMER MODE aaacawus su 0 T WE 1x FR sa TIMER SET 2 U7 ► IIJU•JU IG— 3 6 9 t2 15 19 21 Press theTIMER MODE button to select the weekly timer. Press theTIMER SET button for 2 seconds or more. 3 • Day of the week setting ALL — SU � MO — TU � WE STH � FR � SA DAY TIMER SET DAY OFF 1 2 sulory®rvmsa Press the DAY button to select the day of the week, and then press the 7 ► _ _ _ _ FI TIMER SET button to confirm the setting. * ForALL, all of the days can be set together when a =appears around 3 8 9 Tt 1519 21 each day. 4 •Time setting TIMER SET DAY When the operating time is set, the ©O 9 , mark appears. DAY OFF 1 23 sulcry®rvm U7 / ICI sa Liu IG FIS I® ON -1 OFF -1 , ON -2 , OFF -2 11111111111 0 • Q • 3 8 1519 ex.The timer is set for 7:00-18:00. Press the SET TIME I<>) buttons to set the time, and then press the TIMER SET button to confirm the setting and proceed to the next ON or OFF time setting. Up to 2 times ON and OFF times can be set per day. Press the DAY button to complete the time setting and return to the day of the week setting. 5 TIMER SET • To delete the operating time TIMER DELETE If theTIMER DELETE button is pressed during steps 3 or 4, the operating time for the selected day will be deleted. If all the days are selected, the operating times for all of the days will be deleted. Repeat steps 3 and 4. To complete the weekly timer settings, press the TIMER SET button for 2 seconds or more. B NOTES • The operating time can be set in 30 -minute increments only. • The OFF time can be carried over to the next day. • The ON timer and the OFF timer functions cannot be set using the weekly timer. Both an ON and OFF time must be set. 9374343072-04_OM.indb Sec1:8 \�J En -8 9/W010 2:59:01 PM \J [21 WEEKLYTIMER 0 T start QTIMER MODE e1®a!Z.: 1A O7 ► IU UU aocKnwus •3h 1 nnunm 9tt151821 When the weekly timer is selected, the timer starts automatically. 1 TIMER SET During the weekly timer, press the TIMER SET button for 2 seconds or more to set the day. SU ® TU M TH FR SA mmmmm IIIIIIIIIII • 3 6 9 12 15 19 21 1111'111111 • 3 6 9 12 15 18 21 ex. Operating time 7:00-18:00 The operating time for the current day is displayed. 2DAY ,;;b AY OFF Select the day to set the DAY OFF. • To cancel TIMER DELETE • Press theTIMER DELETE button to cancel the timer mode. • The timer mode can also be canceled by changing the timer mode using theTIMER MODE button. 3DAY DAY OFF Press the DAY (DAY OFF) button for 2 seconds or more to set the DAY OFF. 4 TIMER SET Press the TIMER SET but- ton for 2 seconds or more to complete the DAY OFF setting. SU f, TU VETI1 FA SA The = mark flashes under a day of the week. 11114 U 7 ► in.nn IIIIIIIIIII • To cancel 3 6 9 12 15 M21 • Follow the same procedures as ex.The DAY OFF is set for Monday. those for setup. 8 NOTES • The DAY OFF setting is only available for days for which weekly settings already exist. • If the operating time carries over to the next day (during a next day setting), the effective DAY OFF range will be set as shown below. • Normal • Next day setting DAY OFF DAY OFF ON OFF ON OFF ' ON OFF ON OFF �EEKL� LWEEKLY _ �EEKLY [WEEKLY Preceding day Setting day Next day Preceding day Setting day Next day • The DAY OFF setting can only be set 1 time.The DAY OFF setting is cancelled automatically after the set day has passed. En -9 9374343072.04_OM.indb Sec1:9 • 9/W010 2:59:02 PM I V /31 A TEMPERATURE SET BACKTIMER Temperature SET BACK timer setting UB SET BACK ©®®®®®® existing TIMER SET 2 mpe�a- Iu•uu setting, "- -" will In nn — ."I IJ7= ®� 5 e 9 12 1518 n • for the Press the SET BACK button to change to the SET BACK con- Press theTIMER SET button firmation display. for 2 seconds or more. The SET BACK operating time and the set temperature will be displayed. 3 • Day setting • Operating time setting n — P DAY TIME SET TIMER SET„•no• ©O 9 ® CC•UU y � 1111111 3 6 9 12 15 18 21 OAYO 1 2 3 4 ex. When setting all days together Follow the same procedures to set the operating time as those for the weekly timer. The TIMER DELETE button is also used as described in the procedures for the weekly timer. • Temperature setting Press the SET TEMP. buttons to set the TIMER SET 4 temperature. (The temperature setting 5 range is the same as the range for the operation mode.) r�l SETTEMP., ®®®®®®® 1S-UU o�1°FI ®� 1111111 •ass12u1ea• ex. Operating time 15:00-22:00 Repeat steps 3 and 4. Press theTIMER SET button for 2 seconds or more to complete ON 84°F OFF mperature ------ - - - -L the temperature SET BACK 76°F ENormal timer settings. mperature _ Temperatureoperation • To start • To cancel U8 SEf BACK W ® 10 VE 1H M sA D80 BACK TIMER DELETE on -nn �► •F lu•uu f �� ® 1 2 ex. Display during SET BACK timer operation Press the SET BACK button, and then (The operating time will not be displayed.) press the TIMER DELETE button while the SET BACK confirmation display is Press the SET BACK button.The SET BACK confirmation display appears displayed. Even if the SETBACK but - for 5 seconds, and then the timer starts automatically. ton is pressed again, the SET BACK timer will be cancelled. 8 NOTES • The SET BACK timer only changes the set temperature, it cannot be used to start or stop air conditioner operation. • The SET BACK timer can be set to operate up to 2 times per day but only 1 temperature setting can be used. • The SET BACK timer can be used together with the ON, OFF, and weekly timer functions. • The SET BACK operating time is displayed only in the SET BACK confirmation display. (Refer to step 1 for the SET • BACK confirmation display.) En -10 1 9374343072-04_OM.indb Secl:10 9/2/2010 2:59:02 PM t/ &i ECONOMY OPERATION Begin Air Conditioner operation before performing this procedure. To Use the ECONOMY Operation ECONOMY Press the ECONOMY button. The ECONOMY display will light. ECONOMY operation begins. To Stop the ECONOMY Operation ECONOMY Press the ECONOMY button again. The ECONOMY display will go out. Normal operation begins. About ECONOMY Operation At the maximum output, ECONOMY Operation is approximately 70% of normal air conditioner operation for cooling and heating. • If the room is not cooled (or heated) well during ECONOMY operation, select normal operation. • During the monitor period in the AUTO mode, the air conditioner operation will not change to ECONOMY operation even if ECONOMY operation is selected by pressing the ECONOMY operation button. • When ECONOMY operation mode is operated, the room temperature will be little higher than the set -temp under cool- ing mode and lower than set -temp under heating mode.Therefore, the ECONOMY mode is able to save more energy than other normal mode. • In case of multi -type air conditioner, the ECONOMY operation mode is only available for the set indoor unit. CLEANING AND CARE 0 CAUTION! • Before cleaning the unit, be sure to stop the unit and disconnect the power supply. • Turnoff the electrical breaker. • A fan operates at high speed inside the unit, and personal injury could result. • When used for extended periods, the unit may accumulate dirt inside, reducing its performance. We recommend that the unit be inspected regularly, in addition to your own cleaning and care. For more information, consult authorized service personnel. • When cleaning the unit's body, do not use water hotter than 104 •F, harsh abrasive cleansers, or volatile agents like benzene or thinner. • Do not expose the unit body to liquid insecticides or hairsprays. • If the unit will not be operated for a period of 1 month or more, be sure to allow the inner parts of the unit to dry thor- oughly, in advance, by operating the unit in fan mode for half a day. Cleaning the Air Filter • Remove the dust from the air filters by vacuuming or washing them. After washing, allow the air filters to dry thoroughly in an area protected from sunlight. • Dust can be cleaned from the air filter either with a vacuum cleaner, or by washing the filter in a solution of mild deter- gent and warm water. If you wash the filter, be sure to allow it to dry thoroughly in a shady place before reinstalling. • If dirt is allowed to accumulate on the air filter, air flow will be reduced, lowering operating efficiency and increasing noise. indicatorFilter special• Can be used if set correctly during installation. Please consult authorized serviceman when using this function. • It lights on when it is time to clean the air filters. ®IwMelaticE After turning the power ®� Press the MAINTENANCE button for nu¢n�s 2 seconds or more on the remote control. The filter display will disappear. En -11 9374343072-04_OM.indb Sec1:11 111FRI M010 2:59:03 PM • • II •F F • In case of multi -type air conditioner, the ECONOMY operation mode is only available for the set indoor unit. CLEANING AND CARE 0 CAUTION! • Before cleaning the unit, be sure to stop the unit and disconnect the power supply. • Turnoff the electrical breaker. • A fan operates at high speed inside the unit, and personal injury could result. • When used for extended periods, the unit may accumulate dirt inside, reducing its performance. We recommend that the unit be inspected regularly, in addition to your own cleaning and care. For more information, consult authorized service personnel. • When cleaning the unit's body, do not use water hotter than 104 •F, harsh abrasive cleansers, or volatile agents like benzene or thinner. • Do not expose the unit body to liquid insecticides or hairsprays. • If the unit will not be operated for a period of 1 month or more, be sure to allow the inner parts of the unit to dry thor- oughly, in advance, by operating the unit in fan mode for half a day. Cleaning the Air Filter • Remove the dust from the air filters by vacuuming or washing them. After washing, allow the air filters to dry thoroughly in an area protected from sunlight. • Dust can be cleaned from the air filter either with a vacuum cleaner, or by washing the filter in a solution of mild deter- gent and warm water. If you wash the filter, be sure to allow it to dry thoroughly in a shady place before reinstalling. • If dirt is allowed to accumulate on the air filter, air flow will be reduced, lowering operating efficiency and increasing noise. indicatorFilter special• Can be used if set correctly during installation. Please consult authorized serviceman when using this function. • It lights on when it is time to clean the air filters. ®IwMelaticE After turning the power ®� Press the MAINTENANCE button for nu¢n�s 2 seconds or more on the remote control. The filter display will disappear. En -11 9374343072-04_OM.indb Sec1:11 111FRI M010 2:59:03 PM • • • M TROUBLESHOOTING Instructions relating to heating (*) are applicable only to "HEAT & COOL MODEL' (Reverse Cycle). In the event of a malfunction (burning smell, etc.), immediately stop operation, turn off the QWARNING! electrical breaker, and consult authorized service personnel. Merely turning off the unit's power switch will not completely disconnect the unit from the power source. Always be sure to turn off the electrical breaker to ensure that power is com- pletely off. Before requesting service, perform the following checks: 9374343072-04_OM.indb Sec1:12 En -12 9/2/2010 2:59:03 PM t.1 w Symptom Problem See Page NORMAL Doesn't operate immedi- • If the unit is stopped and then immediately started again, the FUNCTION ately: compressor will not operate for about 3 minutes, in order to prevent fuse blowouts. • Whenever the electrical breaker is turned off then on again, the _ protection circuit will operate for about 3 minutes, preventing unit operation during that period. Noise is heard: • During operation and immediately after stopping the unit, the sound of water flowing in the air conditioner's piping may be _ heard. Also, noise may be particularly noticeable for about 2 to 3 minutes after starting operation (sound of coolant flowing). *• During Heating operation, a sizzling sound may be heard occasionally. This sound is produced by the Automatic 14 Defrosting operation. Smells: • Some smell may be emitted from the indoor unit.This smell is the result of room smells (furniture, tobacco, etc.) which have — been taken into the air conditioner. Mist or steam are • During Cooling or Dry operation, a thin mist may be seen emit - emitted: ted from the indoor unit.This results from the sudden Cooling of room air by the air emitted from the air conditioner, resulting _ in condensation and misting. *• During Heating operation, the outdoor unit's fan may stop, and steam may be seen rising from the unit. This is due to the Auto- 14 matic Defrosting operation. Airflow is weak or stops: *• When Heating operation is started, fan speed is temporarily very low, to allow internal parts to warm up. *• During Heating operation, if the room temperature rises above the thermostat setting, the outdoor unit will stop, and the indoor _ unit will operate at very low fan speed. If you wish to warm the room further, set the thermostat to a higher setting. *• During Heating operation, the unit will temporarily stop opera- tion (between 4 and 15 minutes) as the Automatic Defrosting mode operates. During the Automatic Defrosting operation, 14 *® will be shown on the remote controller display. • The fan may operate at very low speed during Dry operation or when the unit is monitoring the room's temperature. _ -• In case of Multi -type unit, if multiple units are operated in different operation modes as shown below, the units operated afterward will stop and M will be shown on the remote controller display of the stopped indoor units. 16 Heating mode and cooling mode (or dry mode) Heating mode and fan mode • During QUIET operation, the fan will operate at very low speed. — • In the monitor AUTO operation, the fan will operate at very low speed. — Water is produced from the outdoor unit: *• During Heating operation, water may be produced from the outdoor unit due to the Automatic Defrosting operation. 14 thermo sensor • The room temperature sensor may be malfunctioning. Please display on the remote consult authorized service personnel. — controller is flashing: 9374343072-04_OM.indb Sec1:12 En -12 9/2/2010 2:59:03 PM t.1 w �*i TROUBLESHOOTING • If the problem persists after performing these checks, or if you notice burning smells, stop operation immediately, turn off electric breaker, and consult with authorized service personnel. En -13 9374343072-04_OM.indb Sec1:13 9=010 2:59:03 PM W] • Symptom Problem See Page CHECK ONCE Doesn't operate at all: • Has the circuit breaker been turned off? MORE • Has there been a power failure? — • Has a fuse blown out, or a circuit breaker been tripped? • Is the timer operating? 7 to 9 Poor Cooling (or *Heating) • Is the air filter dirty? performance: • Are the air conditioner's intake grille or outlet port blocked? • Did you adjust the room temperature settings (thermostat) correctly? • Is there a window or door open? — • In the case of Cooling operation, is a window allowing bright sunlight to enter? (Close the curtains.) • In the case of Cooling operation, are there heating apparatus and computers inside the room, or are there too many people in the room? • Is the unit set for QUIET operation? — If the problem persists after performing these checks, or if you notice burning smells, stop operation immediately, turn off electric breaker, and consult with authorized service personnel. En -13 9374343072-04_OM.indb Sec1:13 9=010 2:59:03 PM W] • • • \J OPERATING TIPS Instructions relating to heating (*) are applicable only to "HEAT & COOL MODEL" (Reverse Cycle). *Heating Performance • This air conditioner operates on the heat -pump principle, absorbing heat from outdoor air and transferring that heat indoors. As a result, the operating performance is reduced as outdoor air temperature drops. If you feel that insufficient heating performance is being produced, we recommend you use this air conditioner in conjunction with another type of heating appliance. • Heat -pump air conditioners heat your entire room by recirculating air throughout the room, with the result that some time may be required after first starting the air conditioner until the room is heated. *When Indoor and OutdoorTemperature are High • When both indoor and outdoor temperatures are high during use of the heating mode, the outdoor unit's fan may stop at times. *Microcomputer -controlled Automatic Defrosting • When using the Heating mode under conditions of low outdoor temperature and high humidity, frost may form on the outdoor unit, resulting in reduced operating per- formance. In order to prevent this kind of reduced performance, this unit is equipped with a Microcomputer -controlled Automatic Defrosting function. During the defrost cycle, the indoor fan will shutdown and *® will be displayed on the remote controller. It will take anywhere from 4 to 15 minutes before the air conditioner starts up again. • After heating operation stops, if frost forms on the outdoor unit, the unit will start Automatic Defrosting operation. At this time, the outdoor unit will automatically stop after operating for a few minutes. 9374343072-04_OM.indb Sec1:14 Low Ambient Cooling • When the outdoor temperature drops, the outdoor unit's fans may switch to Low Speed, or 1 of the fans may stop intermittently. Dual Remote Controllers (optional) An additional remote controller can be added up to the maximum of 2 remote controllers. Either remote controller can control the air conditioner. However, the timer functions cannot be used at the secondary unit. Group Control 1 remote controller can control up to 16 air conditioners. All of the air conditioners will be operated with the same settings. Group control cannot be used when using it by the multi type. En -14 9/2/2010 2:59:03 PM ti OPERATINGTIPS Mode operation: AUTO COOLING MODEL • When the room temperature is 4 °F higher than the set • During the Drying mode operation, the FAN setting temperature, the mode will switch between Cooling and should be switched to LOW for a gently cooling effect Drying. during which the fan may temporarily stop rotating. HEAT & COOL MODEL (Reverse Cycle) Auto changeover function • When AUTO CHANGEOVER is selected, the air condi- tioner selects the appropriate operation mode (Cooling or Heating) according to your room's present tempera- ture. • When AUTO CHANGEOVER is first selected, the fan will operate at a very low speed for about a few minutes while the unit determines the current conditions of the room and selects the proper operation mode. If the difference between thermostat setting and actual room temperature is more than +4 °F -� Cooling operation If the difference between thermostat setting and actual room temperature is within t4 °F -> Determined by outdoor temperature If the difference between thermostat setting and actual room temperature is more than -4 °F -� Heating operation About Mode Operation W"Heating: • Use to warm your room. Cooling Dry: Fan: En -15 • When the room temperature is near the thermostat set- ting, the air conditioner will begin monitor operation. In the monitor operation mode, the fan will operate at a very low speed. If the room temperature subsequently changes, the air conditioner will once again select the appropriate operation (Heating or Cooling) to adjust the temperature to the value set in the thermostat. • When Heating mode is selected, the air conditioner will operate at very low fan speed for about 3 to 5 minutes, after which it will switch to the selected fan setting.This period of time is provided to allow the indoor unit to warm up before beginning full operation. • When the room temperature is very low, frost may form on the out- side unit, and its performance may be reduced. In order to remove such frost, the unit will automatically enter the defrost cycle from time to time. During Automatic Defrosting operation, the heat opera- tion will be interrupted. • After the start of heating operation, it takes sometime before the room gets warmer. • Use to cool your room. • Use for gently cooling while dehumidifying your room. • You cannot heat the room during Dry mode. • During Dry mode, the unit will operate at low speed; in order to adjust room humidity, the indoor unit's fan may stop from time to time. Also, the fan may operate at very low speed when adjusting room humidity. • The fan speed cannot be changed manually when Dry mode has been selected. • Use to circulate the air throughout your room. During Heating mode: Set the thermostat to a temperature set- ting that is higher than the current room temperature. The Heating mode will not operate if the thermostat is set lower than the actual room temperature. During Cooling/Dry mode: Set the thermostat to a temperature set- ting that is lower than the current room temperature.The Cooling and Dry modes will not operate if the thermostat is set higher than the actual room temperature lin Cooling mode, the fan alone will ope- rate). During Fan mode: You can not use the unit to heat and cool your room. 9374343072-04_OM.indb Secl:15 � 9/2/2010 2:59:03 PM KI 1r u • • BRaN' QTXE SERIES FANS MODELS QTXE050, QTXE080, QTXE110, GlTXE150 Ultra -quiet, high performance bath fan with a modern -styled grille. FEATURES BLOWER: • Plug-in, permanently lubricated motor - engineered for continuous operation • Dynamically balanced centrifugal blower wheel for quiet, efficient performance • Maintains a high percentage of rated CFM in less than ideal installations • Low RPM for quiet operation • Resilient anti -vibration motor mounts (QTXE150 only) HOUSING: • Rugged, 26 gauge, galvanized steel construction • 6" round ducting for superior performance • Polymeric duct connector with tapered sleeve and no metallic clatter • 7-5/8" height allows for 2" x 8" (nominal) joist installations • Sturdy, easy, four -point mounting directly to joist • Includes unique spacer (patent pending) for mounting to engineered "I" joists • Includes hanger bars to position housing anywhere between 16" to 24" -on -center joists • Two sets of mounting holes for hanger bars allow flush installation with bottom or top of drywall • Can be mounted in ceilings up to 12/12 pitch GRILLE: • Polymeric construction • Innovative design - the result of extensive research with designers and consumers CONTROLS (Purchase separately): • Model 69VL (Ivory) / 69WL (White) - One rocker switch with "on" indicator light • Other controls available from Broan-NuTone U.L. Listed for use over bathtubs and showers when connected to a GFCI protected branch circuit (ceiling mount only). 3 -Year Warranty SPECIFICATION SHEET TYPICAL SPECIFICATION Ceiling Ventilator shall be Broan Model QTXE050 (QTXE080) (QTXE110) (QTXE150). Ceiling Ventilator shall have corrosion resistant galvanized steel housing with four -point mounting capability. It shall be ducted to a roof or wall cap using 6" round ductwork. Blower assembly shall be removable, have a centrifugal -type blower wheel and a permanently lubricated motor designed for continuous operation. Non-metallic damper/duct connector shall be included. Air delivery shall be no less than 50 (80) (110) (150) CFM and sound level no greater than <0.3 (0.3) (0.7) (1.4) Sones. All air and sound ratings shall be certified by HVI. Ceiling ventilator shall be Energy Star® qualified and have an energy efficient permanent split capacitor motor. Ceiling Ventilator shall be U.L. Listed for use over bathtubs and showers when connected to a GFCI protected branch circuit. HV1 0 CERTIFIED Broan-NuTone LLC Hartford, Wisconsin www.broan.com 800-558-1711 I REFERENCE I QTY. I REMARKS I Proiect I Location Architect Engineer Contractor Submitted by Date 90D 99044085B 100 ENERGY STAR 12.4 Ibs. C711CK MU ISI i� OMfs►ANY isc LIQUID S. Gera FlrOW CALIBRATION '711 1. CL-122 CERTIFICATE OF CALIBRATION Customer Name: ENERGY MANAGEMENT SERV. Calibration Date: Address: BERMUDA DUNES, CA Calibration Due: PO Number: 32 TO 122 Calibration Fluid: Instrument Manufacturer: TESTO Standard(s) Used: Instrument Description: VANE ANEMOMETER MST Traceability Per: Model Number: TESTO 417 Ambient Conditions: Serial Number: 01425883 Procedure Number: Rated Accuracy: + / - 1.5% RD . ; + / - . 9 ° F Certificate/File Number: Accuracy Given: +/- .17% RD.; K=2 AS REC./AS LEFT WITHIN SPECS. INDICATED UUT FPM ACTUAL DM.STD. FPM INDICATED UUT OF ACTUAL DM.STD. OF 99 100 32 TO 122 32 TO 122 196 200 38.9 39.1 495 500 68.0 68.3 791 800 90.1 90.4 990 1000 1485 1500 1982 2000 2980 3000 3965 4000 11-20-2014 11-20-2015 AIR @ 14.7PSIA 70F A220 DUE 2-20.5 1361269184,13 9407628 758 mtnHGA, 58 RH, 68F T.0.33K6-4-17 i9-1 455308.2014 All instruments used in the performance of the shown calibration have traceability to the National Institute of Standt rds and Technology (NIST'). The uncertainty ratio between the calibration standards (DM.STD.) used and the unit under test (UUT) is a miYYimum of 4:1. unless otherwise noted. Calibration has been performed per the shown procedure number. in accordance with ISO 10012:2013. ISO 17025:2005, ANSI/NCSL-7_-540.3. and/or MIL -STD -45662A. Test methods: AP12530-92 & ASME MFC -3M-1989. Date: Dick Munns Company - 10572 Calle Lee #130 - Los Alamitos, CA 90720 Phone (714) 827-1215 - Fax (714) 827-0823 Th., Cutihrmimt cemriwe .hall Mt be rer-j J hwM, in ILII. wnh.wt Vpw"O M DICK W INNS Ct IMPANY The Jai—h,%— appho,mh to the -twhmt being cahhni d wnl unM the Approved By: Calibration Technician: g IffennT'>ffiil Page I of R DICK MlJlVIV10, COMPANY �► LIQUID 6 GA$ PIrOV1! CALIBRATION jgSa � �"ACCKDIM CERTIFICATE OF CALIBRATION Customer Name: ENERGY MANAGEMENT SERV. PO Number: Instrument Manufacturer: COOPER Instrument Description: DIGITAL THERMOMETER Model Number: SH66A Serial Number: C460180 Rated Uncertainty: +/- 1°F Uncertainty Given: AS REC . /AS LEFT Calibration Date: Calibration Due: Calibration Fluid: Standard(s) Used: NIST Traceability Per: Ambient Conditions: Procedure Number: Certificate/File Number: WITHIN SPECS. REFERENCE CONDITIONS ARE: 760mmHGA 70F. INDICATED ACTUAL UUT DM.STD. OF OF 1075 PUNCTURE PROBE -40 TO 300 -40 TO 300 70.1 69.8 2010 AIR PROBE -40 TO 300 -40 TO 300 70.2 70.1 4011 SURFACE PROBE -40 TO 300 -40 TO 300 70.5 70.4 05-14-2013 05-14-2014 AIR @ 70F A24 DUE 2-2014 1339407628 762 mmHGA 40% RH 72F NAVAIR-17-20ST-104 455315 All instruments used in the performance of the shown calibration have traceability to the National Institute of Standards and Technology (MST). The uncertainty ratio between the calibration standards (DM. STD.) used and the unit under test (UUT) is a minimum of 4:1, unless otherwise noted. Calibration has been performed per the shown procedure number, in accordance with ISO 10012:2003, ISO 17025:2005, ANSI/NCSL-Z-540.3, and/or MIL -STD -45662A. Test methods: AP12530-92 & ASME MFC -3M-1989. Dick Munns Company - 10572 Calle Lee #138 - Los Alamitos, CA 90720 Phone (714) 827-1215 - Fax (714) 827-0823 This Celibntim CeniPum %hill not be reptoduced nuµ in Pill, widow appm%W by DICK MUNNS COMPANY. The data shown applin mly to the in%tnmew being mgbnmd and undo the %uteri oondiiimu of W ibmtion. Date: ` Approved By: Calibration Technician: S- ty - 3Q( 5 ^a__ Page 1 of w. ©ICKMVN1 �Ci7MPA1VY ILS)LIQUID S GAi� CALIBRATION � _ ACCCRE ffM -_ 1 Ct.-122 CERTIFICATE OF CALIBRATION Customer Name: ENERGY MANAGEMENT SERV. Calibration Date: Address: BERMUDA DUNES, CA Calibration Due: PO Number: 503 Calibration Fluid: Instrument Manufacturer: TSI Standard(s) Used: Instrument Description: FLOWHOOD NIST Traceability Per: Model Number: ACCUBALANCE 8373 Ambient Conditions: Serial Number: 01020244 Procedure Number: Rated Uncertainty: +/- 5% RD. Certificate/File Number Uncertainty Given: + / — .79% RD . ; K=2 AS REC./AS LEFT WITHIN SPECS. 11-20-2014 11-20-2015 AIR @ 70F A220 DUE 2-2OL5 1361269184,13.9407628 758 mmHGA, 58RH, 68F T.0.33K6-4-1739-1 455314.2014 REFERENCE CONDITIONS ARE:760mmHGA 70 DEG.F. INDICATED UUT CFM ACTUAL DM.STD. CFM 99 100 298 301 497 503 595 602 792 801 1188 1202 1482 1505 1970 1990' All instruments used in the performance of the shown calibration have traceability to the National Institute of Stand trds and Technology (NIST). The uncertainty ratio between the calibration standards (DM.STD.) used and the unit under test (UUf) is a mi iimum of 4:1. unless otherwise noted. Calibration has been performed per the shown procedure number, in accordance with ISO 10012:20 3, ISO 17025:2005. ANSI/NCSL-7_-540.3. and/or MIL -STD -45662A. Test methods: A1312530-92 & ASME MFC -3M-1989. Dick Munns Company • 10572 Calle Lee #130 • Los Alamitos, CA 90720 Phone (714) 827-1215 • Fax (714) 827-0823 I h" CANuium Cundnatr dell mn n mV-j—J —pL in full-oh.nn o M-1 h. DICK MI INNS CnMPAN1' '1 Jaw 4 ..n applis adh w ih, -truant htnp vdihraw d and un&thr am,d Date: Approved Qyi Calibration Technician: `l t I Page 1 of �IG1K MtJf1�4�1�1>�'CC>fMPANY TSC LIQUID 6 GQ RtbVV CALIBRATION ACCREDIiEt1 CL -122 , CERTIFICATE OF CALIBRATION -0.250- 0. 2D)D 0.2500.200 0A SO 0.100 O o: w 0. -2.ODU -6.000 -4.000 0.05(t).000 2.000 4.000 6.000 -0.100 -0.150 -0.200 "H2O -6.000 X000 -2OOD A.00k 2.000 0 YY -0.100 O M w -0.150 0 ---0.200 -... _ ---0:250 -- - "H2O All instruments used in the performance of the shown calibration have traceability to the National Institute of Stan( (NIST). The uncertainty ratio between the calibration standards (DM.STD.) used and the unit under test (UUT) is a m otherwise noted. Calibration has been performed per the shown procedure number. in accordance with ISO 10012:21 ANSI/NCSL /_-540.3. and/or MIL -STD -45662A. "fest methods: AP12530-92 & ASME MFC -3M-1989. Dick Munns Company • 10572 Calle Lee #130 • Los Alamitos, CA 90720 Phone (714) 827-1215 • Fax (714) 827-0823 III: CUIIhfJth�ll l'Crllfiu' Ia' .hull NU h f Tf11114Y� C\CCIN,111 IYII, \\ IIhWI Urllf\n UI h\ DICK iYil1N1\ C11,MPANY '1 hi �a1Y.iUl\\ II UDrlia\ full\ 4\IAC IU+IIIN TI IRIUII CUIIhlf111111111 UTAIaT 114• .YUI\M1I Date: Approved By: Calibration Technician: ZO (u -- ,t 6.000 and Technology um of 4:1. unless ISO 17025:2005. Page I of l CUSTOMER: ENERGY MANAGEMENT SERVICES; BERMUDA DUNES. CA CALIBRATION DATE: 11/20/2014 PO NUMBER: CALIBRATION DUE: 11/20/2015 INST. MANUFACTURER: THE ENERGY CONSERVATORY PROCEDURE: NAVAIR-17-20MP-0 1 INST. DESCRIPTION: PRESSURE & FLOW GAUGE CALIBRATION FLUID: AIR, GN2 MODEL NUMBER: OG -700 STANDARD(S) USED: A321 DUE 2-2015 11H, SERIAL NUMBER: - 6621-7-700 NIST TRACE #1 5: 1236086968 RATED UNCERTAINTY: +/- 1% RD. AMBIENT CONDITIONS: 758 mmHGA, 58% 68F UNCERTAINTY GIVEN: +/-.027% RD..; K=2 CERTIFICATE FILE #: 462658 NOTES: AS RECEIVED / AS LEFT WITHIN SPECS. INPUT A .TEST I INPUT B POINT UUT DM.STD. TEST POINT UUT DM.STD. 1 NUMBER INDICATED f ACTUAL % RD. I I NUMBER INDICATED ACTUAL °/ RD. "H20 "H2O ERROR "H2O "H2O El AOR 1 1 -4.997 -5.0073 0.206 i 1 -4.997 -4.9970 0,000 2 -2.498 -2.5009 0.115 i 1 2 -2.506 -2.5034 - .103 I 3 -1.253' -1.25360.048 -4 3 -0.9911 -0.9905 -(.057 _ -000&F .00 0.0000 .. 0.000 4 0.0000 0.0000 0,000 5 0.7478• 0.7482 0.052 I 5 0.75431 0.7539 -(.048 6 1.251, 1.2520 6 1.24151 1.2402 -(.103 _ - 2.514' 2.5147 _ _0.0_8_1 0.026 _ ; 7 2.5061 2.5009 .204 8 3.7471 3.7431 - 9 4.9991 4.9914 -0.104 0.152 1 8 3.7481 ;-! 9 4.9951 3.7411 -(.185 4.9842 -(1.216 -0.250- 0. 2D)D 0.2500.200 0A SO 0.100 O o: w 0. -2.ODU -6.000 -4.000 0.05(t).000 2.000 4.000 6.000 -0.100 -0.150 -0.200 "H2O -6.000 X000 -2OOD A.00k 2.000 0 YY -0.100 O M w -0.150 0 ---0.200 -... _ ---0:250 -- - "H2O All instruments used in the performance of the shown calibration have traceability to the National Institute of Stan( (NIST). The uncertainty ratio between the calibration standards (DM.STD.) used and the unit under test (UUT) is a m otherwise noted. Calibration has been performed per the shown procedure number. in accordance with ISO 10012:21 ANSI/NCSL /_-540.3. and/or MIL -STD -45662A. "fest methods: AP12530-92 & ASME MFC -3M-1989. Dick Munns Company • 10572 Calle Lee #130 • Los Alamitos, CA 90720 Phone (714) 827-1215 • Fax (714) 827-0823 III: CUIIhfJth�ll l'Crllfiu' Ia' .hull NU h f Tf11114Y� C\CCIN,111 IYII, \\ IIhWI Urllf\n UI h\ DICK iYil1N1\ C11,MPANY '1 hi �a1Y.iUl\\ II UDrlia\ full\ 4\IAC IU+IIIN TI IRIUII CUIIhlf111111111 UTAIaT 114• .YUI\M1I Date: Approved By: Calibration Technician: ZO (u -- ,t 6.000 and Technology um of 4:1. unless ISO 17025:2005. Page I of l L�IGK MU1J�1'COMPANY CSANIM LIQUID & GABS Rt lbW CALIBRATION 4. I � J) ACCMIM - CL -122 CERTIFICATE OF CALIBRATION Customer Name: ENERGY MANAGEMENT SERV. Calibration Date: Address: BERMUDA DUNES, CA Calibration Due: PO Number: DM.STD. Calibration Fluid: Instrument Manufacturer: TSI Standard(s) Used: Instrument Description: AIR VELOCITY METER NIST Traceability Per: Model Number: 8386 Ambient Conditions: Serial Number: 00110403 Procedure Number: Rated Accuracy: + / - 3% RD(FPM)+/-1.50F Certificate/File Number: Accuracy Given: + / - .56% RD . ; K=2 101.2 101.5 AS REC./AS LEFT WITHIN SPECS. INDICATED ACTUAL INDICATED ACTUAL UUT DM.STD. UUT DM.STD. FPM FPM OF OF 101 99 30 TO 140 30 TO 140 504 501 40.5 40.7 1010 1003 68.0 68.3 1518 1502 101.2 101.5 3535 3498 4952 4905 % RH % RH 5865 5802 9074 9011 25.6 25.8 58.2 58.4 0 TO 9.90"H20 0 TO 9.90"H20 11-20-2014 11-20-2015 AIR @ 14.7PSI'k 70F A220 DUE 2-20L5 1361269184,13!9407628 758 mmHGA, 58 RH 68F TO.33K6-4-1763-1 455312.2014 All instruments used in the performance of the shown calibration have traceability to the National Institute of Standards and Technology (NIST). The uncertainty ratio between the calibration standards (DM.STD.) used and the unit under test (UUT) is a mlimum of 4:1. unless otherwise noted. Calibration has been performed per the shown procedure number. in accordance with ISO 10012:203. ISO 17025:2005. ANSI/NCSI./_-540.3. and/or MIL -STD -45662A. Test methods: AP12530-92 & ASME MFC -3M-1989. Date: Dick Munns Company • 10572 Calle Lee #130 • Los Alamitos, CA 90720 Phone (714) 827-1215 • Fax (714) 827-0823 Thi: culdvuo.m Cennicutc .hull as h•nTn�u xJ .� 7n,in(ull. oilh..m appnnalM DlCA AfUNN5 CU\1PAN1' T-dmu>huun appha %isthe mxtnmwmt Rmg ealdwn•J and u.denhc Approved Calibration Technician: ofcuhhnmm Page I of U L.� • ' . S T A T E O F C A L I F 0 R N I A CONTRACTORS STATE LICENSE BOARD Pursuant to Chapter 9 of Division 3 of the Business and Professions Code and the Rules and Regulations of the Contractors State License Board, the Registrar of Contractors does hereby issue this license to: ENERGY MANAGEMENT SERVICES 4 License Number 315890 to engage in the business or act in the capacity of a contractor, in the following classification(s): C20 - WARM -AIR HEATING. VENTILATING'AND AIR-CONDITIONING D62 - AIR AND WATER BALANCING Joan M. Hancock, Board Chair Witness rtiy hand and seal this day, November 19, 2013 Issued February, 9, 1976 This license is the property of the Registrar of Contractors, is not transferable, and shall be returned to the Registrar upon demand when suspended, revoked, or invalidated for any reason. It becomes void if not renewed. "Vo� Stephen P. Sands, Registrar of Contractors 13L-24 (REV. 0813) AUDIT NO: 564053 I heck A License - License Detail - Contractors State License Board Page 1 of S Contractors License Detail for License # 315890 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. license is current and active. information below should be reviewed. Business Information ENERGY MANAGEMENT SERVICES 41485 ADAMS STREET UNIT C BERMUDA DUNES, CA 92203 Business Phone Number:(760) 360-4631 Entity Sole Ownership Issue Date 02/09/1976 Expire Date 01/31/2017 License Status Classifications C20 - WARM -AIR HEATING, VENTILATING AND AIR-CONDITIONING D62 - AIR AND WATER BALANCING Bonding Information Contractor's Bond This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY. Bond Number: 100174619 Bond Amount: $12,500 Effective Date: 09/07/2011 Contractor's Bond History Workers' Compensation This license is exempt from having workers compensation insurance; they certified that they have no employees at this time. Effective Date: 12/01/2014 Expire Date: None VVorkers' Compensation History C, tips://www2.cslb.ca.gov/OnlineServices/CheekLicenseIIlLicenseDetail.aspx?LicNum=315890 3/28/201 LWJ l[il�.l'_►iti l►` ilIill 111 [ designation awarded to: JACKLAFONTAINE for successful completion of all required coursework and examinations in the field of commercial HVAC air and hydronic testing and balancing, and project management Certified Since April 26, 2013 as administered and recognized by the d AllanCAS. Expires: 4/26/2015 NBC Certification 13-520-01 NATIONAL BALANCING COUNCIL'" Rob Falke, President oaf of it 1'1 MW UM ,Wi 4 I' 1 JOHNNY M. LAFONTAINE Certified AlrBalancer Z C.,1 # 12-250-03 v Expires: 4/27/2016 Reside[d�s, - V Has successfully completed the required training and passed the written exam by the Pavaid qoMfort �asfilgk to perform HVAC residential system balancing according to NCI practical standards and procedures Certified Since April 27, 2012 as administered and recognized by _ C TOO Na al r um'arc Insect rre, lnG Rob Falke, President ilt Building Permit Page 1 of 1 PERMIT NO !DEMO -14-908 D W JOHNSTON CONSTRUCTION INC 8015 RAMPART BLV rVie, Report, 19 © 1 = of 2 ?- Find I Next D PALM SPRINGS, CA 92262 (760)416-1144 78-495 CALLE TAMPICO D 4 Qumz VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/16/2014 Application Number: DEMO -14-908 Owner: Property Address: 78120 CALEO BAY LLQ PARTNERS APN: 643200008 801 S RAMPART BLV Application Description: "AT RISK** DEMOLITION PERMIT LAS VEGAS, NV 92253 Property Zoning: Application Valuation: Applicant: Contractor: LLQ PARTNERS D W JOHNSTON CONSTRUCTION INC 8015 RAMPART BLV 1445 N SUNRISE WAY SUITE 203 LAS VEGAS, NV 92253 PALM SPRINGS, CA 92262 (760)416-1144 Llc. No.: 699640 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License C ss: B License No.: 699640 Dater Contractors' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. for this reason Date: _ Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performancf the work for which this permit is issued. (� have and will maintain worker' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:_ Policy Number: _ _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply w'th tho a provisions. (Al� Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to buildi g construction, and hereby authorize representatives of this city to enter up abo-mentioned property for inspection purposes. qe http://laquinta.crw. comltrakit9lDocumentV iewer.aspx?&report=lDocumentsIPERMITSB... 7/16/2014 Permit Details r Enter Permit Number DEMD-14_908 _- 14 4 =of I ► p) 0 100"/0 Find l Next 90 Q Ira Page 1 of I =:View Report -'C, �GO � = Permit Details PERMIT NUMBER 1_5 - City of La Quinta DEMO -14-908 CfVOr � v. Description: **AT RISK** DEMOLITION PERMIT Type: DEMOLITION Subtype: COMMERCIAL/OTHER Status: ISSUED Applied: 6/19/2014 Approved: 7/14/2014 BHA Parcel No: 643200008 Site Address: 78120 CALEO BAY LA QUINTA,CA 92253 Subdivision: Block: Lot: Issued: 7/16/2014 SKH Lot Scl Ft: Building Sci Ft: Zoning: Finaled: Valuation: $20,000.00 Occupancy Type: Construction Type: Expired: 1/12/2015 SKH No. Buildings: No. Stories; No. Unites: Details: PARTIAL DEMOLITION OF NORTHWEST PORTION OF EXISTING HOTEL / GARAGE AREA (2500 SF) PER APPROVED PLANS.APPLICANT ACKNOWLEDGES THAT THIS PERMIT AT TIME OF ISSUANCE IS AT RISK PRIOR TO APPEAL PERIOD AND CITY COUNCIL APPROVAL 2013 CODES. ADDITIONAL SITES CHRONOLOGY IN J,APplied to Approved IDApprovedto Issued INSPECTIONS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER CONDITIONS DUE DATE RETURNED STATUS REMARKS NOTE$ CONTACTS DATE NON-STRUCTURAL NAME TYPE NAME ADDRES51 CITY STATE ZIP PHONE FAX EMAIL APPLICANT LLQ PARTNERS 801 S RAMPART BLV LAS VEGAS NV 92253 (702)449-5479 ATTACHMENTS JLEGRAZA@SPRLV.COM CONTRACTOR D W JOHNSTON CONSTRUCTION INC 1445 N SUNRISE WAY PALM SPRINGS CA 92262 (702)449-5479 OWNER LLQPARTNERS 8015 RAMPART BLV LAS VEGAS NV 92253 (702)449-5479 JLEGRAZA@SPRLV.COM FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK# METHOD PAID BY CLTD BY DEMOLITION, EXTERIOR 101-0000-02404 0 $35.75 $35.75 - 7/16/14 R406 DEBIT LLQ PARTNERS SKH DEMOLITION, EXTERIOR PC 101-0000-42600 0 $107.25 $107.25 7/16/14 R406 DEBIT LLQ PARTNERS SKH �* Total Paid for DEMOLITION: $143.00 $143.00 TOTALS: $143.00 $143.00 INSPECTIONS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTE$ DATE NON-STRUCTURAL BURT 7/14/2014 7/14/2014 7/14/2014 APPROVED HANADA W/CONDITIONS BOND INFORMATION ATTACHMENTS Printed: Wednesday, July 16, 2014 3:20:26 PM 1 of 1 CRS® .s http://laquinta. crw.comltrakit9lDocumentViewer,aspx?&report=lDocumentsIPERMITSlPe... 7/16/2014