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07-2694 (MFD5) CF-6R InstallationIN I-,. Jif I I, ) INSTALLATION CERTIFICATE Site Address 1 of 12) CF-6R i-i -ms, Cur,- rPO1 ni M' 'N oo I b-7 — obi 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 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 CI;-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 Btulhr), electric resistance and heat pump water heaters, list Energy Factor (EF). For large gas storage water heaters (rated input of p eater than 75,000 Rtu/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 mandator!( for storage water heaters with an energy factor of less than 0.58. Kitchen Piping: If indicated on the CF-1R, 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 1 i 1. Central Water Heating in Buildings with Multiple dwelling Units (required for prescriptive) []All 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) eqnivalent to or more efficient than that specified in the certificate of compliance (Form CF-1 R) 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: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY INSTALLATION CERTIFICATE Site Address 47-795 Dune Palms Rd, La Quinta, Ca (Page 2 of 12) CF-6R BLDG - 9400 Permit Number 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 1. Manufacturer/Brand Name (GROUP LIKE RODUCTS) Pella/Impervia Product Mactort (5CF-IR value)" 31 Product St1GCt (SCF-iR value)- 32 11 of Panes 2 Total Quantity of Like Product (Optional) Area Square Feet Exterior Shading Device or Overhana NIA Comments/Location/ Spec al Features 2. 3. 4. P9.6. 10. H. 12. 13. 14. 15. tl Use values from a fenestration product's NFRC label. For fenestration products without an NFRC label, use the default values from Section l 16 of the Energy Efficiency Standards. `l 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-I 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. ✓ R 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-1 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 4s Date Installing Subcontractor (Co. Name) OR (if'applicable) General Contractor (Co. Name) OR Owner 4Signatur `�- 1 OR Window Distributor Pella Windows & Doors- HSC, Inc. Item 9s 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 •.uptes to; uuumng Department, HE Kb Hater (irapplicable) Building Owner at Occupancy Residential Compliance Forms April 2005 'J- W O t-'F-SP rzi-refzs- INSTALLATION CERTIFICATE (Page 3 of 12) CF-6R Site Address Permit Number p LA, 7�s- L�VsJC— ��s R� �QQ►Nrr -A q--:2E3 0-7 - :abCj4 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 1 p G 400 Heating Equipment F 1 �SS'S (24. Equip Type CEC Certified Mfr. Name and Model # of Identical Efficiency t (AFUE, etc.) Duct Location Duct or Piping Heating Load Heating Capacity -(pkg. heat um Number Systems (>_CF-IRvalue) (attic, etc.) (BtLAr) (BnYhr) FAN Co V C- i s i3SK�1 C Ho-r f f � i r— nR-value (7Oo W>�sx J--�DT 37e wprrer— " ,two -100 WPrierr- alc- )O ewmv— RR.a you Cooling Equipment Equip Type (pkg. heat um) CRRs- S C- CEC Certified Mfr. Name and Mode] Number # of Identical Systems Efficiency t (SEE or EER) >CF-1Rvalue) Duct Location (attic, etc.) Duct R-value Cooling Load (Btu/hr) Cooling Capacity (Btu/hr) Cool- OWL-�r -aL 0CP1430h .a 1 LJ _d miST 9 Ll.'- 3O G0.'kD eprJiaErts�Ncs cif�cs}L136 14.C) 14.0 `� 8.0 Ledo® 1. > symbol reads greater than or equal to ivhat is indicated on the CF-IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ ffl 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: 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 (Tess Permit Number 47-7 NE PALMS RD. BLD# 9400 /DIL0 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 O No ❑ N/A 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 ❑ Yes 1 ® No 2 Insulation properly supported to avoid gaps, voids, and compression ✓ WALLS Yes Po® PAWall stud cavities caulked or foamed to provide an air tight envelope Yes ❑ No ❑ NIA Wall stud cavity insualtion uniformly fills the cavity side -to -side, top -to -bottom, and front -to -back ® ❑ 2 No gaps Yes No YesHard lP PA voids over 3/4" deep or more than 10% of the batt surface area of to accesswall stud cavities such as; corner channels, wall intersections, and behind Y NIA tub/shower enclosures insulated to proper R-Value V0 Small spaces filled Yes Po0 TA Rim -joists insulated • N1A Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot requirement ✓ ROOF/CEILING PREPARATION ® Yes ❑ No All draft stops in place to form a continuous ceiling and wall air barrier Yes 0 4A All drops covered with hard covers Yes � PA All draft stops and hard covers caulked or foamed to provide an air tight envelope All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the Yes N❑o T/A housing and the ceiling Yes [No]Yes PAFloor cavities on multiple -story buildings have air tight draft stops to all adjoining attics No N1A Eave vents prepared for blown insulation - maintain net free -ventilation area Yes 0 PAKnee walls insulated or prepared for blown insualtion S 0 4A Area under equipment platforms and car -walks insulated or accessible for blow insulation 13 Yes ® 1A Attic rulers installed Residental Compliance Forms April 2005 INSTALLATION CERTIFICATE DUNE PALMS RD. BLD# 9400 11 OF 12) CF-61R ✓ ROOF CEILING BATTS v El 0 No gaps No v 0 0 No voids over 3/4" deep or more than 10% of the batt surface area es � No n❑ IJ/A Insulation in contact with the air -barrier Yes Po 6 Recessed light fixtures covered es No ❑ tJ/A Net free -ventilation area maintained at eave vents ✓ ROOF/CEILING LOOSE -FILL Qs N Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls Yes 0 Baffles installed at eaves vents or soffit vents - maintain net free-ventilationa rea of eave vent l es . Attic access insulated es o tln j 7A, Recessed light fixtures covered l es N R Insulation at proper depth - insualtion rulers visible and indicating proper depth and R-Value El Yes E 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 ✓ 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 . Name ner MASCO CONTRACTOR SERVICES Si natur Date: Copies to: UILDING DEPARTMENT, HERS RATER (IF APPLICA LE), BUILDING OWNER AT OCCUPANCY Kesidental compliance Forms April 2005 II TALLATION CERTIFICATE (PAGE 12 OF 12) CF-6R dress Permit Number 17-1y5 DUNE PALMS RD. BLD# 9400 ^ � / ^ I U C�/,1/. County Subdivision: La Quints Dune Palms Buildinq Number 9400 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) "OUNDATION 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) 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-21 R-38 6 ROOF Material N/A Brand Name Thickness (inches) Thermal Resistance (R-value) DECLARATION ✓ ■ 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 �I I Ill Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor MASCO CONTRACTOR SERVICES Item #s (if applicable) 8ignature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor #s t. dplicable) Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Residental Compliance Forms April 2005