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07-3236 (MFD5) CF-6R InstallationCERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 7 of 8) CF-4R Project Title: La Quinta Dune Palms Quality Insulation Date; 1/20/2008 oject Address: 47-795 Dune Palms Rd Bld# 8300 La Quinta CA 92253 Builder Name: Builder or Installer Contact: HERS Rater: Kevin Rasmus Certifying Signature: / Firm: Street Address: Telephone: I Permit or Plan No. Telephone: Sample Group No. 619-251-7982 Not Sam Date: Sample House No. HERS Provider: City / State / Zip Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY HERS RATER COMPLIANCE STATEMENT This house was: ✓ ® Tested ✓ ❑ Approved as part of a sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with all applicable requirements of the "High Quality Installation of Insulation" protocols as specified in the Residential ACM, Appendix RH and as checked on this form. Note that to PASS and receive compliance credit, NONE of the BOXES below may be checked "No" and the first three boxes also must be checked. Check "NA" only if the item is not part of the design of the building (i.e., single story buildings do not have rim joists or there may be no recessed can lights installed, etc.). ✓ ® REQUIREMENTS FOR "HIGH QUALITY INSTALLATION OF INSULATION" COMPLIANCE CREDIT ✓ ❑ The building is wood frame construction with wall stud cavities, ceilings, and roof assemblies insulated with mineral fiber or cellulose insulation in low-rise residential buildings. ✓ ® Description of insulation, (CF-6R, formerly IC-1) signed by the installer stating: insulation manufacturer's name, material identification, installed R-values, and for loose -fill insulation: minimum weight per square foot and minimum inches. ✓ ® Installation Certificate, (CF-6R) signed by the installer certifying that the 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 YES No NA ® ❑ ❑ Insulation in contact with the subfloor or rim joists insulated YES No NA ❑ ❑ ® Insulation properly supported to avoid gaps, voids, and compression YES No NA ✓WALLS ® ❑ ❑ Wall stud cavity insulation uniformly fills the cavity side -to -side, top -to -bottom, and front -to -back YES No NA ® ❑ ❑ No Gaps YES No NA ® ❑ ❑ No voids over 3/4" deep or more than 10% of the batt surface area. YES No NA ® ❑ ❑ Hard to access wall stud cavities such as; corner channels, wall intersections, and behind YES No NA tub/shower enclosures insulated to proper R-Value ® ❑ ❑ Small spaces filled YES No NA ® ❑ ❑ Rim -joists insulated vES No NA Is ❑ ❑ I Wall stud cavities caulked or foamed to provide an air tight envelope. YES No NA CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 7 of 8) CF-4R Project Title: La Ouinta Dune Palms Quality Insulation Date: 112012008. oject Address: 47_795 Dune Palms Rd Bld# 8300 La Quinta CA 92253 Builder Name: Builder or Installer Contact: Telephone: Permit or Plan No. CVHC 800-689-4663 07-323, HERS Rater: Telephone: Sample Group No. Kevin Rasmu en CCNKR350475 619-251-7982 Not Sam Certifying Signature: Date: Sample House No. 1/20/2008 Not Sam Firm: HERS Provider: So Cal HERS Raters CHEERS R Street Address: _I City / State / Zip Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY HERS RATER COMPLIANCE STATEMENT This house was: ✓ ® Tested ✓ ❑ Approved as part of a sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with all applicable requirements of the "High Quality Installation of Insulation" protocols as specified in the Residential ACM, Appendix RH and as checked on this form. Note that to PASS and receive compliance credit, NONE of the BOXES below may be checked "No" and the first three boxes also must be checked. Check "NA" only if the item is not part of the design of the building (i.e., single story buildings do not have rim joists or there may be no recessed can lights installed, etc.). ✓ ® REQUIREMENTS FOR "HIGH QUALITY INSTALLATION OF INSULATION" COMPLIANCE CREDIT ✓ ® The building is wood frame construction with wall stud cavities, ceilings, and roof assemblies insulated with mineral fiber or cellulose insulation in low-rise residential buildings. ✓ ® Description of insulation, (CF-6R, formerly IC-1) signed by the installer stating: insulation manufacturer's name, material identification, installed R-values, and for loose -fill insulation: minimum weight per square foot and minimum inches. ✓ ® Installation Certificate, (CF-6R) signed by the installer certifying that the 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 YES No NA ® ❑ ❑ Insulation in contact with the subfloor or rim joists insulated YES No NA ❑ ❑ ® Insulation properly supported to avoid gaps, voids, and compression YES I No NA ✓WALLS ® ❑ ❑ Wall stud cavity insulation uniformly fills the cavity side -to -side, top -to -bottom, and front -to -back YES No NA ® ❑ ❑ No Gaps YES No NA ® ❑ ❑ No voids over 3/4" deep or more than 10% of the batt surface area. YES No NA ® ❑ ❑ Hard to access wall stud cavities such as; corner channels, wall intersections, and behind YES No NA tub/shower enclosures insulated to proper R-Value ® ❑ ❑ Small spaces filled YES No NA ® ❑ ❑ Rim -joists insulated ES No NA ® ❑ ❑ Wall stud cavities caulked or foamed to provide an air tight envelope. YES No NA CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Pa a 8 of S CF-411 "eject Address 47_795 Dune Palms Rd. Bid# 8300 La Quinta, CA 92253 Builders Name CVHC ✓Roof/Ceilin Pre ® ❑ ❑ All draft stops in place to form a continuous ceiling and wall air barrier. YES No NA ® ❑ ❑ All drops covered with hard covers YES No NA ® ❑ ❑ All draft stops and hard covers caulked or foamed to provide an air tight envelope YES No NA ® ❑ ❑ All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between YES No NA the housing and the ceiling ® ❑ ❑ Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics YES No NA ❑ ❑ ® Eave vents prepared for blown insulation - maintain net free -ventilation area YES No NA ❑ ❑ ® Knee walls insulated or prepared for blown insulation YES No NA ❑ ❑ ® Area under equipment platforms and cat -walks insulated or accessible for blown insulation YES No NA ❑ ❑ ® Attic rulers installed YES No NA `.00f/Ceilinq Batts ❑ ❑ No Gaps YES No NA ® ❑ ❑ No voids over 3/4 in, deep or more than 10% of the batt surface area. YES No NA ® ❑ ❑ Insulation in contact with the air -barrier YES No NA ® ❑ ❑ Recessed light fixtures covered YES No NA ❑ ❑ ® Net free -ventilation area maintained at eave vents YES No NA VRoof/Ceiling Loose Fill ® ❑ ❑ Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls. YES No NA ❑ ❑ ® Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave vent YES No NA ❑ ❑ ® Attic access insulated YES No NA ❑ ❑ ® Recessed light fixtures covered YES No NA ❑ ❑ ® Insulation at proper depth - insulation rulers visible and indicating proper depth and R-value YES No I NA Loose -fill insulation meets or exceeds manufacturer's minimum weight and thickness requirements for the target R-value. Target R-value . Manufacturer's minimum required weight for the target R-value (pounds -per -square -foot). Manufacturer's ❑ ❑ ® minimum required thickness at time of installation . Manufacturer's minimum YES No NA 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-6111 only) INSTALLATION CERTIFICATE (Page 2 of 12) CF-6R Site Address Permit Number 47-795 Dune Palms Rd, La Quinta, Ca BLDG - 8300 07-3236 An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (Tile 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 LIKE RODUCTS) Product U-factor' (5CF-1Rvalue)2 Product SHGC' (_<CF-1Rvaluc) # of Panes Total Quantity of Like Product (Optional) Area Square Feet Exterior(GROUP Shading Device orOverhang m Coments/L.ocation/ Special Features 1. Pella/Impervia 31 32 2 N/A 2. _.. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. '1 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. 't 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-1 R. Alternatively, installed weighted average U-factors for the total fenestration area are less than or equal to values from CF-I R. If using default table SHGC values from § 116 identify whether tinted or not. ✓ X 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 Signatur Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner S-1151 D OR Window Distributor 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 Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 3 of 12) CF-6R Site Address it Number L91 -7 S- QVs0E � � Ro 1-;)1-;)GXus�zA a 9�Perm0-7 — 3-a36 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). HVAC SYSTEMS: Q U L fl g 3 o o Heating Equipment �1 c. Equip Type CEC Certified Mfr. # of Efficiency (AFUE, etc.) Duct Duct or Heating Heating Capacity Name and Model Identical Location Piping Load (pkg. heat um Number Svstems (>_CF-IR value) (attic, etc.) R-value (Bni/hr) (Btu/hr) FAN Coi t_ 3 icp-x(), c --e1'' Hor F?,Tl0 WM HoT 31c p-ct0. G -0' Wprrer- to .A,vo Z-2-2 -100 WRr)-L--a Col (- 3 (Z'"S Q'S S 14 cam. a Cooling Equipment Equip Type -(pkg. heat um) CPRiz SC--e- CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency t (SEE or EER) >CF-IR value) Duct Location (attic, etc.) Duct R-value Cooling Load (Btulhr) Cooling Capacity (Btuthr) Coot- ®.Nt—Y -ay.AC843afl ff�" 1 L4_o p ric tz y.---z 3000-0 5Eru1r�� " Arica 3b o00 Do%-- CRgtej:� 1 14.0 `' IZ8.0 46�000 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. ✓ lJI I, 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 S' (�1 �E�yp�� Scp�� •G'p,,.+5� ZNeo Signature: aD-1 Date: S A 5 „0L9 Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 tv,Ji1I I. 1 INSTAALkTICN CERTIFICATE I Site Address Permit Number Installation certificates (CF-6R) are required for each and everywelling 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 Certificate to the HERS rater for any measures requiring field verification and diagnostic testing, per Section I0-103(a), WATER HEATING CEC Certifiod . Type I if — 1 _ # of I Rawd lPput Hearer ` Mfr Name & (Std, Point- Recirculation, Identical If (kW ° Tank Volute External Standby Insulation Loss (%)2 R-valuo2 All 2-1(n 1 For small gas storage (rated input of less than or equal to 75,000 Btu/ht), 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 hated Input, For instantaneous gas water heaters, list Thermal Efficiency and hated Input. 2. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0.55. (` 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) MAII 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 Sectiwt 1506) ❑ Central hot water systems serving more than 6 dwelling units - presence of either a time control or a time/temperature control ✓ Q 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 Efciency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Ef cierrcy Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: (1,m �u /, _ Date; Copies to:13MI)ING DEPARTMENT, TIERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY INSTALLATION CERTIFICATE Sdress 0 (PAGE 10 OF 1�) CF.6R ermi er 4� DUNE PALMS RD. BLD# 8300 7-3236 um Insulation Installation Quality Certificate ✓ 0 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 ✓ E Installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures (ACM, Appendix RH) ✓ FLOOR 0 No 0 All floor joist cavity insulation installed to uniformly fit the cavity side -to -side and end -to -end 0 No 0 Insulation in contact with the subfloor or rim joists insulated Pes F PA Insulation properly supported to avoid gaps, voids, and compression ✓ WALLS Yes AO NOA Wall stud cavities caulked or foamed to provide an air tight envelope l es 0 0 Wall stud cavity insualtion uniformly fills the cavity side -to -side, top -to -bottom, and front -to -back YesP 0 No gaps Yes Pon �A No voids over 3/4" deep or more than 10% of the batt surface area No t�7A Hard to accesswall stud cavities such as; corner channels, wall intersections, and behind tub/shower enclosures insulated to proper R-Value YesM P PASmall spaces filled 0 Rim joists insulated Pnnes R 4A I Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot requirement ✓ ROOF/CEILING PREPARATION Pes o 0 All draft stops in place to form a continuous ceiling and wall air barrier Ps Poo PA All drops covered with hard covers Yes All draft stops and hard covers caulked or foamed to provide an air tight envelope Pn� s TSo n❑ IJ/A All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the housing and the ceiling Yes PoPs tEA Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics Mo 1 4A Eave vents prepared for blown insulation - maintain net free -ventilation area Ys El �A Knee walls insulated or prepared for blown insualtion Ps Po 4A Area under equipment platforms and car -walks insulated or accessible for blow insulation 0 NR Attic rulers installed Residental Compliance Forms April 2005 'INSTALLATION CERTIFICATE (PAGE OF �ZJ cF-6Fi Address . /-795 DUNE PALMS RD. BLD# 8300 Permit Number ✓ ROOF CEILING BATTS Yes 0 No gaps Yes No voids over 3/4" deep or more than 10% of the batt surface area l es Flo 6 1 Insulation in contact with the air -barrier Yes Y N/A Recessed light fixtures covered l es i Net free -ventilation area maintained at eave vents ✓ ROOF/CEILING LOOSE -FILL �sTR IEA Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls Ps R 6 Baffles installed at eaves vents or soffit vents - maintain net free-ventilationa rea of eave vent 1'es 11, 6 Attic access insulated `es R 6 Recessed light fixtures covered l es R 6 Insulation at proper depth - insualtion rulers visible and indicating proper depth and R-Value Ye No No 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 ✓ 0 1 hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation Procedures Installing Subcontractor (Co. Name) OR General Contractor Co. Na Owner MASCO CONTRACTOR SERVICES Si nature. ) &_ Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY Residental Compliance Forms April 2005 '5I ALLATION CERTIFICATE -795 DUNE PALMS RD. BLD# 8300 Subdivision: La Quinta Dune Palms 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) FOUNDATION WALL Material N/A Thickness (inches) E 12 OF 12 wmit Number -3236 Brand Name Thermal Resistance (R-value) Brand Name Thermal Resistance (R-value) Brand Name CERTAINTEED Thermal Resistance (R-value) 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) Number 8300 inches R-21 R-38 GF-6R 6 ROOF Material N/A Brand Name Thickness (inches) Thermal Resistance (R-value) 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) Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner 3,5 `'� C' ��� r ( OR Window Distributor MASCO CONTRACTOR SERVICES Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor n #s Signature Date Installing Subcontractor (Co. Name) OR applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Residental Compliance Forms April 2005