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07-2694 (MFD5) CF-6R Installation"1.11 1It ( I I . ) INSTALLATION CERTIFICATE (Faw I Qf 12) CF-6R Site Address Permit Number 1,%S -a69LA Installation certificates (CF-6R) are required for eae and every dwelling unit. When the installation of measures that require field verification and diagnostic testing is complete, the builder orthe 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 10-103(a). WATER HEATING SYSTEMS: 1 For small gas storage (rated input of less than .or equal to 75,000 Btu/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), Iist 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 0.55. Kitchen Piping; If indicated on the CFAF all hot water piping > 3/4 inches in diameter that runs from the hot water source to the kitchen f fixtures is insulated. U16 Faucets & Shower Heads: All faucets and showerheads installed are certified to the Energy Commission, pursuant to Title 24, Part 6, Section 1 i 1. Central Water Heating in Buildings with Multiple Dwelling Units (required for prescriptive) QAII 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 1500) ©Central hot water systems serving more than 6 dwelling units - presence of either a time control or a time/temperature control ✓ d 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-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. Copies to; BT]ILDING DEPARTMENT, HERS RATER (M APPLICABLE) BUILDING OWNER AT OCCUPANCY r-( INSTALLATION CERTIFICATE (Page 2 of 12) CF-6R Site Address Permit Number 47-795 Dune Palms Rd, La Quinta, Ca BLDG - 9200 07-2694 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 U-factor (5CF-IRvalue)2 t Product SHGC (SCF-IRvalue)'- ;i of Pones Total Quantity of Like Product (Optionao Area Square Feet Exterior Shading Device or Overhang Comm ents/L.ocation/ Special Features 1. Pella/Impervia 31 32 2 N/A 2. 3. 4. 5. 6, 7. 8. 9. 10. 1l. 12. 13. 14. 15. 'l 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. ') Installed U-factor must be less than or equal to values from CF-IR. Installed SHGC must be less than or equal to values from CF-I 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-1 R. If using default table SHGC values from § 116 identify whether tinted or not. ✓ OU I, 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-1R) 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 Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor t J 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 (irapplicable) Building Owner at Occupancy Residential Compliance Fornis April 2005 Look-F-F- PL-r-)CIE INSTALLATION CERTIFICATE (Page 3 of 12) CF-6I2 Site Address P Permit Number �VsJC— �IS+�S' �4? }Q�u1s�'Tfa l6l -1� ®� —���LI 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). RVAC SYSTEMS: Heating Equipment B L1 1 1- t;i 0 C 9-OCR r' iiS— a_ Equip Type CEC Certified Mfr. Name and Model # of Identical Efficiency (AFUE, etc.) Duct Location Duct or Piping Heating Load Heating Capacity kg. heat pump) Number Systems (>_CF-1Rvalue) (attic, etc.) R-value (Btu/hr) (Btu/hr) FAN Co t_ 31CD9tGx.- G S Hos PTrrc R4. a 19 boo to T, 3­7C 1YXG.-C 1 WPrref- " fl vo -I00 WPrSP-A Co i t- 3 (04 P a 13 ) ) ok 48 H B&-S u$ 149 / ao Cooling Equipment Equip Type —(pkg. heat pump) CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency t or EER) P��CF-llkvalue) Duct Location (attic, etc.) Duct R-value Cooling Load (Btu/hr) Cooling Capacity (Btu/hr) Coot- O-NL-�r ZX14190g4_30h S 1 L4-o Arr�� y.-a 30cx-3� L'o �sasiNr 4PCRL136 1 :2 1 y. C) 4, Aso ®oo 1. > symbol reads greater than or equal to what is indicated on the CF-1R value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ E Il 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 Signature: a +zBDI Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (PAGE 10 OF 12) CF-6R Site Add,Ass Permit Number 47-7j� VE PALMS RD. BLD# 9200 Insulation Installation Quality Certificate ✓ ■ 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 ✓ ® Installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures (ACM, Appendix RH) ✓ FLOOR Yes e � All floor joist cavity insulation installed to uniformly fit the cavity side -to -side and end -to -end ❑ Yes No ❑ N/A Insulation in contact with the subfloor or rim joists insulated 0 RAInsulation properly supported to avoid gaps, voids, and compression ✓ WALLS N Yeses ❑ No ❑ N/A Wall stud cavities caulked or foamed to provide an air tight envelope l es Yo PA Wall stud cavity insualtion uniformly fills the cavity side -to -side, top -to -bottom, and front -to -back � No gaps Yes 0 Yes 0 tZA No voids over 3/4" deep or more than 10% of the batt surface area 4A Hard to accesswall stud cavities such as; corner channels, wall intersections, and behind p Y N❑o tub/shower enclosures insulated to proper R-Value 1 0 Small spaces filled Yes Po0 EA Rim -joists insulated ® t�TA Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot requirement ✓ ROOF/CEILING PREPARATION ® Yes ❑ No ❑ N/A All draft stops in place to form a continuous ceiling and wall air barrier Yes Wo0 I�A All drops covered with hard covers Yes I 4A All draft stops and hard covers caulked or foamed to provide an air tight envelope 0 n 4A All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the Yes housing and the ceiling Yes 0 No P/A Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics '7es ® I/A Eave vents prepared for blown insulation - maintain net free -ventilation area ® Yes ❑ No ❑ N/A Knee walls insulated or prepared for blown insualtion Yes 0 4A Area under equipment platforms and car -walks insulated or accessible for blow insulation Ps ® 4A Attic rulers installed Residental Compliance Forms April 2005 INSTALLATION CERTIFICATE (PAGE 11 OF 12) CF-6R JUNE PALMS RD. BLD# 9200 M ✓ ROOF CEILING BATTS � El No gaps e Yes 0 No 0 No voids over 3/4" deep or more than 10% of the bait surface area Insulation in contact with the air -barrier I❑ es o N/A Recessed light fixtures covered es No R Net free -ventilation area maintained at eave vents ✓ ROOF/CEILING LOOSE -FILL es � !o mo t� n Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls Ps &a Baffles installed at eaves vents or soffit vents - maintain net free -ventilation@ rea of eave vent es o nn t?fA Attic access insulated es No ❑ tV/A Recessed light fixtures covered es � No ❑ N/A Insulation at proper depth - insualtion rulers visible and indicating proper depth and R-Value El Yes N 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 ✓ ® I hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation Procedures Installing Subcontractor (Co. Name) OR General Contractor jCo. Name R Owner MASCO CONTRACTOR SERVICES Si natur VW Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY j Residental Compliance Forms 2005 ALLATION CERTIFICATE 12 OF 12) CF-6R press Permit Number DUNE PALMS RD. BLD# 9200oct�� �4 County Subdivision: La Quinta Dune Palms Building Number 9200 Description of Insulation (Formerly IC-1) Form) 1 RAISED FLOOR Material N/A Thickness (inches) 2 SLAB FLOORIPERIMETER 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) COUNDATION WALL Material N/A Thickness (inches) 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) inches R-38 6 ROOF Material N/A Brand Name Thickness (inches) Thermal Resistance (R-value) DECLARATION ✓ 0 1 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 , ( . ((�,\, ►�,`��) , C� 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 #S plicable) Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Residental Compliance Forms April 2005