07-3212 (MFD5) Air Balance Report,SS7rt% MECHANICAL CONSTRUCTION, INC.
Air Balance Report
Name 01J �JE Ptr1 S
Address _ P--I��Ucw\j( j i op
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Date Tested — 14 -.9
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Type S = Supply R = Return 0 = Outside Air E = Exhaust
SSW MECHANICAL CONSTRUCTION, INC.
Air Balance Report
Name
Address
WTII
Tested By 0-
Size 2112T
Date Tested q ' 14 - b
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Type S = Supply R = Return 0 = Outside Air E = Exhaust
SSW/ MECHANICAL CONSTRUCTION, INC.
Air Balance Report
Name
Address
1, �IZI
Tested By
Size
Date Tested I 0
System ( ���I►J�
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'Legend:
Type S = Supply R = Return 0 = Outside Air E = Exhaust
SSW MECHANICAL CONSTRUCTION, INC.
Air Balance Report
Name
Address
kPT [ 122-
Tested By ��-
Size
Date Tested 9-14--og
System "�-5T
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1Remarks
Legend:
Type S = Supply R = Return 0 = Outside Air E = Exhaust
INSTALLATION CERTIFICATE (Page 2 of 12) CF-6R
Site Address Permit Number
47-795 Dune Palms Rd, La Quinta, Ca 5LDC,G I I QO 07-3212
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a)..
FENESTRATION/GLAZING:
Item
Manufacturer/Brand
Name
(GROUP LIKE
RODUCTS)
t
Product t value)
{SCF-]ttvalue)`
t
Product SHGC
(5CF-Mvalue)-
11 of
Panes
Total
Quantity of
Like Product
(Optional)
Area
Square
Feet
Exterior
Shading Device
or Overhang
CommenM ocation/
S ccialFeatures
1.
Pella/impervia
31
32
2:
N/A
2.
3.
4.
5.
6.
7.
8.
9.
10.
IL
12
13.
14.
15.
t� Use values from a fenestration product's NFRC label.. For fenestration products without an NFRC label, use the default
values from Section 116 of the Energy Efficiency Standards,
Zt Installed U-factor must be less than or equal to values from CF-I R. Installed SHGC must be less than or equal to values
from CF-1 R, or a shading device (exterior or overhang) is installed as specified on the CF-I R. Alternatively, installed
weighted average U-factors for the total fenestration area are less than or equal to values from CF-IR- If using default table
SHGC values from § 116 identify whether tinted or not.
✓ E 1, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration
product installed; 2) is equivalent to or has a lower U-factor and lower SHGC than that specified in the certificate of
compliance (Form CF-I R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and
.3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable.
Item #s
Signatu Date
Installing Subcontractor (Co.. Name) OR
(if applicable)
General Contractor (Co.. Name) OR Owner
`� j0
OR Window Distributor
16 {
Pella Windows & Doors- HSC, Inc..
Item #s
Signature Date
Installing Subcontractor (Co. Name) OR
(if'applicable)
General Contractor (Co. Name) OR Owner
OR Window Distributor
Item #s
Signature Date
Installing Subcontractor (Co.. Name) OR
(if applicable)
General Contractor (Co. Name) OR Owner
OR Window Distributor
Copies to: Building Department, HERS Rater (if applicable) Building Owner at Occupancy
Residenlial Compliance Forms
April 200.5
W o t-F'F' W m -rE PL,-,, a E
LNSTALLATION CERTIFICATE (Page 3 of 12) C�+-6Iz
Site Address p Permit Number
Ll-i �ni S DWv C— PIN Lrn-r Ro 9--:207 - 3:a 1
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a cop), must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
HVAC SYSTEMS: g Q i ,lJ G ) 00
Heating Equipment
r�S's a.
Equip Type
CEC Certified Mfr.
# of
Efficiency
(SUE, etc.)
Duct
Duct or
Heating
Heating
Name and Model
Identical
Location
Piping
Load
Capacity
(pkg. heat pump)
Number
Svstems
(>_CF-IRvalue)
(attic. etc.)
R-value
(Btu/hr)
(Bru/hr)
FAN Coi t-
3 )co5c(5i.- C.
1
Hor
AT
4) boo
to H)'0T
31c Dxc'-C
1
Wpmer_
"
pwo
--2:1 -too
W�ot Cc I (-
3(6149GtQ
la1�
°°
i28® o
oko
148 H 9&—S
-e-
149 too
Cooling Equipment
Equip Type
(pkg. heat um)
C�sziz s �
CEC Certified Mfr.
Name and Model
Number
# of
Identical
Systems
Efficiency
t
(SEE or EER)
> F-1Rvalue)
Duct
Location
(attic, etc.)
Duct
R-value
Cooling
Load
(Bm4w)
Cooling
Capacity
(Btu/fir)
CoaL 0-" ..ter
'a.yACF 4--,ioh
I
1 L4.0
Fhrjlc
)z Y.-:a
30G1'o
14.o
t s
frlrisa
-314 oao
)o iT
cA L1 ten9
1 Lj. 0
`°
k 8.0
46000
1. > symbol reads greater than or equal to what is indicated on the CF-IR value.
Include both SEER and EER if compliance credit for high EER air conditioner is claimed.
✓ 911, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or
more efficient than that specified in the certificate of compliance (Form CF-1R) submitted for compliance with the
Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. Name) OR Owner
Signature:
Rnptl
Date:
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
Residential Compliance Forms
April 2005
INSTALLATION CER'TIMATE AN f of III CFECK
Site Address Permit Number
47)06 1%,, w eht3l 0 0-7-30 LIa
Installation certificates (CF-6R) are requb-ed for each and every dwelling unit. When the installation of measures that require
field verification and diagnostic testing is complete, the builder or the builder's subcontractor shall complete diagnostic
tearing and the procedures specified in this section. When the installation is complete, the builder or the builder's
subcontractor shall complete the CF-6R (Installation Certificate), and keep it at the building site for review by the building
department. The builder also shall provide a copy of the I,nstallatio:n Certificate to the HERS rater for any measures requiring
field verification and diagnostic testing, per Section 10-103(a).
WATER HEATING SYSTEMS:
Dismhacion
CEC Cerditd
Type
If
* of
Rated Iapat
External
Heater
Mfr Name &
(Std, Point-
Recirculation,
ldeatical
(kW or
Tank Volume
Efficiency
Standby
Insulation
Type
Model Number
of -Um etc)
Control Type
systems
nw/hr)i
tons
(EF, Rd
Loss (%)2
R-valuo
GA
! Q50
.SOS
Al
1 For small gas storage (rated input of less than or equal to 75,000 Btulhr), electric resistance and heat pump water
heaters, list Energy Factor (EF). For large gas storage water heaters (rated input of greater than 75,000 Btulhr), list
Recovery (RE), Thermal Efficiency, Standby Loss and Rated Input, For instantaneous gas water heaters, list Thermal
Efficiency and Rated Input.
2. R-12 external insulation is mandatory for -storage water heaters with an energy factor of less than 0.58.
Kitchen Piping;
If indicated on the CF-I R, all hot water piping ? 3/4 inches in diameter that runs from the hot water source to the kitchen
fixtures is insulated.
Faucets & Shower Heads:
All faucets and showerheads installed are certified to the Energy Commission, pursuant to Title 24, Part 6, Section 111.
Central Water Heating in Buildings with Multiple Dwelling Units (required for prescriptive)
0AI1 hot water piping in main circulating loop is insulated to requirements of § 1500)
❑Central hot water systems serving six or fewer dwelling units which have (1) less than 25' of distribution piping
outdoors; (2) zero distribution piping underground; (3) no recirculation pump; and (4) insulation on distribution piping
that meets the requirements of Section 1506)
[3 Central hot water systems serving more than 6 dwelling units - presence of either a time control or a time/temperature
control
✓ ❑ I, the undersigned, verify tt,,at equipment listed above my signature is; 1) the actual equipment installed; 2)
equivalent to or more efficient than that specified in the certificate of compliance (Form CF-I R) submitted for compliance
with the ,Energy Efciency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the.Appliance Efficiency Pegulations or Part 6), where applicable.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. Name) OR Owner
signature; hnln G av,- Date:
Copies to: BUILDING DEPARTMEN'T,11RS RATER (Ili APPLICABLE) BLTILT)INC OwNFR AT OCCUPANCY
e 1 of
CF-6R
f".
INSTALLATION CERTIFICATE
Site Address
Permit Number
Installation certificates (CF-6R) are required for each and every dwelling unit. When the installation of measures that require
field verification and diagnostic testing is complete, the builder or the builder's subcontractor shall complete diagnostic
testing and the .procedures specified in this section. When the installation is complete, the builder or the builder's
subcontractor shall complete the CF-6R (Installation Certificate), and keep it at the building site for review by the building
department. The builder also shall provide a copy of the Installation Certifieate to the HERS rater for any measures requiring
field verification and diagnostic testing, per Section 10-103(a).
WATER HEATING SYSTEMS:
1 For small gas storage (rated input of less than or equal to 75,000 Bfti/hr), electric resistance and heat pump water
heaters, list Energy Factor (EF). For large gas storage water heaters (rated input of greater than 75,000 Btu(hr), list
Recovery (RE), Thermal Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Thermal
Efficiency and Rated Input.
2. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0.58.
Kitchen Piping:
If indicated on the CF-IR, all hot waterpiping ? 3/4 inches in diameter that inns from the hot wat.-r source ro the latchen
fixtures is insulated.
Faucets & Shower Heads:
All faucets and showerheads installed are certified to the Energy Commission, pursuant to Title 24, Part 6, Section 111.
Central Water Heating in Buildings with Multiple Dwelling Units (required for prescriptive)
OAII hot water piping in main circulating loop is insulated to requirements of § 1506)
[]central hot water systems serving six or fewer dwelling units which have (1) less than 25' of distribution piping
outdoors; (2) zero distribution piping underground; (3) no recirculation pump; and (4) insulation on distribution piping
that meets the requirements of Section 1500)
❑Central hot water systems serving more than 6 dwelling units -presence of either a time control or a time/temperature
control
✓ ❑ I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2)
equivalent to or more efficient than that specified in the certificate of compliance (Form CF-IR) submitted for compliance
with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regidarions or Part 6), where applicable.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. Name) OR Owner
Signature:
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDXNG OWNER AT OCCIMAINCY
F'INSTALLATION CERTIFICATE
SAe Address
47-795 DUNE PALMS RD. BLD# 1100
La Quinta
Description of Insulation (Formerly IC-1) Form)
1 RAISED FLOOR
Material N/A
Thickness (inches)
2 SLAB FLOOR/PERIMETER
Material N/A
Thickness (inches)
Perimeter Insulation Depth (Inches)
3 EXTERIOR WALL
Frame Type WOOD 2 X 6
A. Cavity Insulation
Material FIBER GLASS INSULATION
Thicness (inches) 5.5 INCHES
B. Exterior Foam Sheathing
Material
Thicness (inches)
4 FOUNDATION WALL
Material N/A
Thickness (inches)
E 12 OF 12) CF-6R
rmrt Number
b-371z
Number 1100
Brand Name
Thermal Resistance (R-value)
Brand Name
Thermal Resistance (R-value)
Brand Name CERTAINTEED
Thermal Resistance (R-value) R-21
Brand Name
Thermal Resistance (R-value)
Brand Name
Thermal Resistance (R-value)
5 CEILING
Batt or Blanket Type BATT Brand Name CERTAINTEED
Thickness (inches) 12 INCHES Thermal Resistance (R-value)
Loose Fill Type Brand
Contactor's min installed weight/ft lb Minimum thickness
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
6 ROOF
Material
Thickness (inches)
N/A
Brand Name
Thermal Resistance (R-value)
inches
R-38
DECLARATION
✓ El hereby certify that the abouve insulation was installed in the building at the above location in conformance with the
current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated
on the Certificate of Compliance, where applicable.
Item #s
(if applicable)
3,5
Signature Date
/
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
MASCO CONTRACTOR SERVICES
Item #s
(if applicable)
Signature Date
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Item #s
(if applicable)
Signature Date
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Residental Compliance Forms April 2005
INSTALLATION CERTIFICATE
Site Address
47-795 DUNE PALMS RD. BLD# 1100
11 OF 12) CF-6R
01 - ID(W-
✓ ROOF CEILING BATTS-
YN
es
0
No
EJ
No gaps
Yes
No El
El
No voids over 3/4" deep or more than 10% of the batt surface area
l es
IOTA
Insulation in contact with the air -barrier
les
2
Recessed light fixtures covered
l es R 9 Net free -ventilation area maintained at eave vents
✓ ROOF/CEILING LOOSE -FILL
Ps
RO
�
Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls
l es
6
Baffles installed at eaves vents or soffit vents - maintain net free-ventilationa rea of eave vent
�s
l
2
Attic access insulated
l es
Recessed light fixtures covered
Yes
NO
2
Insulation at proper depth - insualtion rulers visible and indicating proper depth and R-Value
El
Ye
No
No
El
N/A
Loose -fill insualtion meets or exceeds manufacturer's minimum weight and thickness requirements for the
target R-value. Target R-value . Manufacturer's minimum required weight for
the target R-value (pounds -per -square -foot). Manufacturer's minimum
required thickness at time of installation . Manufacturer's minimum required settled
thickness . Note: To receive compliance credit the HERS rater shall verify that the
manufacturer's minimum weight and thickness has been achieved for the target R-value. (CF-6R only)
DECLARATION
✓ E I hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation
Procedures
Installing Subcontractor (Co. Name) OR General
Contractor . N e OR Owner MASCO CONTRACTOR SERVICES
Si nature: Date:04/17/09
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY
Residental Compliance Forms April 2005
ALLATION CERTIFICATE
47-795 DUNE PALMS RD. BLD# 1100
Insulation Installation Quality Certificate
AGE 10 OF 12) CF-6R
-321z
✓ N Description of Insulation, (CF-6R, formely IC-1) signed by the installer stating: insulation manufacturer's name,
material identification, installed R-values, and for loose -fill insulation: minimum weight per square foot and minimum
inches
✓ N Installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures
(ACM, Appendix RH)
✓ FLOOR
All floor joist cavity insulation installed to uniformly fit the cavity side -to -side and end -to -end
11
Yes
01
No
0
Insulation in contact with the subfloor or rim joists insulated
l es
✓ WALLS
Ro TR
Insulation properly supported to avoid gaps, voids, and compression
Ps
Ao
2
Wall stud cavities caulked or foamed to provide an air tight envelope
Yes
Po
6
Wall stud cavity insualtion uniformly fills the cavity side -to -side, top -to -bottom, and front -to -back
Ps
R
2
No gaps
Ps
Q
R
No voids over 3/4" deep or more than 10% of the batt surface area
1'es
Po
Hard to accesswall stud cavities such as; comer channels, wall intersections, and behind
tub/shower enclosures insulated to proper R-Value
17es
Po
R
I Small spaces filled
YNes
AO
6.
Rim -joists insulated
es
Ffo
n
f-1
Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot requirement
✓ ROOF/CEILING
PREPARATION
Re,f
j
o
n tgTA
All draft stops in place to form a continuous ceiling and wall air barrier
Ms
P
2
All drops covered with hard covers
es
o
n
f-1
All draft stops and hard covers caulked or foamed to provide an air tight envelope
1'es
Pof-1
('�
All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the
housing and the ceiling
I
Yo
2
Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics
Pe,
No
❑
�/A
Eave vents prepared for blown insulation - maintain net free -ventilation area
Merl
n
n
Knee walls insulated or prepared for blown insualtion
es
j
ro
('j
�
Area under equipment platforms and car -walks insulated or accessible for blow insulation
es
•o
n
t7TA
Attic rulers installed
Residental Compliance Forms April 2005