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KELLOGG ST 466
CITY OF �� LADEc'DLSIlA0R..,,E BUILDING & SAFETY DREAM EXTREM£YM 130 South Main Street PERMIT PERMIT NO: 10-00000466 DATE: 5/12/10 JOB ADDRESS . . . . . 466 N KELLOGG ST TENANT NBR, NAME . . C DESCRIPTION OF WORK MECHANICAL PERMIT OWNER CONTRACTOR JOINER CHARLES J J & M AIR CONDITIONING JOINER KATHLEEN N 395 W ESPLANADE AVE P 0 BOX 550 SAN JACINTO CA 92583 951-654-3464 LIC EXP 0/00/00 A. P.# 374-042-019 0 SQUARE FOOTAGE 0 OCCUPANCY . . . . GARAGE SQ FT 0 CONSTRUCTION FIRE SPRNKLR VALUATION . . . . ZONE . . . . . . NA MECHANICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 2 . 00 X 6 . 5000 INSTL/RELOCATE/REPLC VENT 13 . 00 2 . 00 X 13 . 2500 COMPRESSOR/HEATPUMP-3 HP 26 . 50 2 . 00 X 12 . 2500 REPAIR/ALTER MISC HVAC 24 . 50 FEE SUMMARY CHARGES PAID DUE PERMIT FEES MECHANICAL PERMIT 94 . 00 . 00 94 . 00 OTHER FEES PROF.DEV. FEE 1 TRADE 5 . 00 . 00 5 . 00 PLAN RETENTION FEE . 52 . 00 . 52 TOTAL 99 . 52 . 00 99 . 52 SPECIAL NOTES & CONDITIONS 2 HVAC CHANGE OUT, FOR 2 BUILDINGS UNDER ONE ADDRESS 466 AND 436 KELLOGG UNITS "C' ?I 01,7 fl �6 apt "°: Tffi IFTIraris Mom Tram dale: 5/1?JI0 City of Lake Elsinore Please read and initial ' Building Safety Division 1.1 am Licensed under the provisions of Business and professional Code Section 7000 et seq.and my license is in full force. t• Post in conspicuous place 2,l,as owner of the property,or my employees w/wages as their sole compensation will do the work on the job and the structure is not intended or offered for sale. 3.I,as owner of the property,am exclusively contracting with licensed contractors to construct the You must furnish PERMIT NUMBER and the project. JOB ADDRESS for each respective inspection: 4.1 have a certificate of consent to selfmsure or a certificate of Workers Compensation Insurance Approved plans must be on job or a certified copy thereof. at all times: 5.1 shall not employ any person in any manner so as to become subject to Workers Compensation Laws in the performance of the work for which this permit is issued. Nate:If you should become subject to Workers Compensation after making this certification, Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked. EL01 Temporary Electric Service PL01 Soil Pipe Underground EL02 Electric Conduit Underground BP01 IFootings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PL01 Underground Water Pipe SS01 Rough Septic System SW01 On Site Sewer BP05 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BP08 Roof Sheathing BP09 Shear Wall&Pre-Lath PL03 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric/ T-Bar ME01 Rough Mechanical ME02 Ducts,Ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP 10 Framing&Flashing BP 12 Insulation BP13 Drywall Nailing BP 1 I Lathing&Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical /U BP99 I Final Building Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the P001 Pool Steel Rein./Forms building being released by the City P001 Pool Plumbing/Pressure Test P003 I Pre-Gunite Approval Date Inspector EL06 lRough Pool Electric Planning Sub List Approval Landscape P004 Pool Fencing/Gates/Alarms Finance P005 Pre-Plaster Approval Engineering P009 Final Pool/Spa CITY OF LADE L.SII`IO E DREAM EXT RE M E TM 130 South Main Street APPLICA oN# fit,- 6 APPLICATION FOR PERMIT APPLICAT N DATE:SZ-`v A" BY: ELECTRICAL/PLUMBING/MECHANICAL BUILDING ADDRESS I hereby certify that I have read this application and state that the Lj #1t -40— t{ above information is correct.I agree to comply with all city and county TRACT BLOCWPAGE LOT/PARCEL ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter upon the above-mentioned O ONAMEprope spection oses. Ww) rA A IVA"OKf�( N 2 -1 a E R Signal a ofApplicant or Agent Date Waam =,rvs..7ns.f MChapter 9(commencing C with Section 7000)of Division 3 of the Business and Professions Code,and my rcle one) O license is in full force and effect. AGENT FOR: ONTRA�f OWNER N LICENSE# CITY BUSINESS t E� T AND CLASS C TAX# AGENTS NAME ' ,,// R NAME AGENTS ADDRESyJv '/tvl1� ST E A C MAILING street city state zip s T ADDRESS 3 C4.) O C r STATE/Z0' PHONE R X0 J,fcatt,!%a C R'S SIGN ELECTRICAL Quan PLUMBING Quan MECHANICAL Quan New Res.Multi Family/SQ.FT. Fixture or Trap F.A.U./Furnace/Ducts/Vents New Res.Single Family/SQ.FT. Building Sewer F.A.U./Furnace/Misc./> 100000 Pool Electric System,Private Rain Water System per Drain Floor Furnace/Vent Switches/l st 20 Private Septic System Unit Heater/Wall Heater Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent Receptacle Outlet/1st 20 lGas Piping System I -4 Outlets Ventilating Fan Receptacle Outlet/Over 20 lGas Piping 5 or More Outlets Evaporative Cooler Lighting Fixtures/1st 20 IDishwasher lVentitafing System Lighting Fixtures/Over 20 Solar Tank lExaust Hood Residential Fixed Appliance/Outlet Solar Collector per Panel lFireplace Non-Residential Appliance/Outlet Grease Trap/(Interceptor) lCommercial Incinerator 100-200 Amp Service<600V Install,Alter or Repair System Air Handler>10000 CFM 200-1000 Amp Service<600V Lawn Sprinkler System Air Handler<10000 CFM Misc.Apparatus,Conduits,Etc. 113ackflow Device Smaller than 2" lFire Dampers Signs 113ackilow Device Larger than 2" lRegisters Sign Branch Circuit 117loor Drain Compressor/Heatpump-3 H.P. Busways/EA 100 FT Floor Sink Compressor/Heatpump 3- 15 H.P. Temporary Power Service Water Service Compressor/Heatpump 15-30 H.P. Temporary Power Distribution System Alter or Repair Drain or Vent Compressor/Heatpump 30-50 H.P. Motors/Transformers Fire Sprinklers per Building I Repair/Alter Misc.HVAC Motors up to 1 H.P. Swimming Pool Compressor/Heatpump Over 50 H.P. Motors/Transformers I- 10 H.P. ISwininting Pool/Public Motors/Transformers 10-50 H.P. ISwirturning Pool/Private Motors/Transformers 50-100 H.P. lWater Heater/Vent Motors/Transformers>100 H.P. Replace Piping Replace Filter Misc.Replace Gas Piping i f 2005 ACCEPTANCE REQUIREMENTS FOR CODE COMPLIANCE MECH-5-A NJ.5.lAir Distribution Acceptance Document I Part 1 of 3 PROJEF,T NAME DATE TELEPHONE AP_ S/DE PROJECT ADDRESS E&Zoc,-- *C � T S I G AUTHORITY AIR DISTRIBUTOR NAME/DESIGNATION PERMIT NUMBER Checked by/Date Enforcement Agency Use Intent: New single zone supply ductwork shall not exceed a 6%leakage rate per §144(k)or§149D i, existing single zone ductwork shall not exceed 15%leakage or other compliance path per§149D ii or§149E. Construction Inspection 1 Scope of test—New Buildings—this test required on New Buildings only if all checkboxes 1(a)through 1(c)are checked Existing Buildings—this test required if 1 a through 1 d are checked Ductwork conforms to the following note if any of these are not checked,then this test is not required)-. 1 aL(�onnected to a constant volume,single zone air conditioners, heat pumps, or furnaces 1 b Serves less than 5000 square feet of floor area 1 c Has more than 25%duct surface area located in one or more of the following spaces -Outdoors -A space directly under a roof where the U-factor of the roof is greater than U-factor of the ceiling -A space directty under a roof with fixed vents or openings to the outside or unconditioned spaces -An unconditioned crawls ace - Other unconditioned spaces ❑ 1 d)A duct is extended or any of the following replaced:air handier,outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger. 2 Instrumentation to perform test includes: a. Duct Blaster 3 Material and Installation.Complying new duct systems shall have a checked box for all of the following categories a through f. a. Choice of drawbands (check one of the following) I ❑ Stainless steel worm-drive hose damps I UV-resistant nylon duct ties b. Flexible ducts are not constricted in any way c. Duct leakage tests performed before access to ductwork and connections are blocked d.Joints and seams are not sealed with cloth back rubber adhesive tape unless used in combination with Mastic and drawbands ❑ e. Duct R-values are verified R-8 per 124(a) ❑ f. Ductwork located outdoors has insulation that is protected from damage and suitable for outdoor service ! Certification Statement I certify that all statements are true on this MECH-5-A form including the PASS/FAIL Evaluation. I affirm I am eligible to sign this form under the provisions described in the Statement of Acceptance on form MECH-1-A Name: r ta5� Company: �Z Signature: Date: 5�;-— 2005 Nonresidential Acceptance Forms April 2005 i I i i PA1 3NA 13 SEER Split—SystemAir Conditioner PA13PA 1A Refrigerant SinglePhase Product Data j FEATURES AND BENEFITS AVAILABLE SIZES: Nominal sizes are available from 018 through 060 to meet the A* - needs of residential and light commercial applications. CERTMCATION: All models are listed with UL,(U.S.and Canada),AM,and CEC. ELECTRICAL RANGE: Units offered in single phase 208/230v are 018-060, three phase 208/230v in 036,048 and 060,and three phase 460v in 060. FAN MOTOR: The totally enclosed fan motor provides greater reliability under adverse conditions and dependable performance for many years. The permanent split capacitor type motor was designed for optimum efficiency. The motor was then qualified under extreme conditions to help ensure a long,reliable life. CABINET: A weather protective cabinet of prepainted steel is protected underneath by a galvanized coating and treated with a layer of zinc phosphate for a finish that will last for many years.All screws on cabinet exterior are coated for a long-lasting,rust-resistant,quality appearance. UNIT DESIGN: The copper tube, enhanced sine wave, aluminum fin coil is designed for optimum heat transfer. Vertical air discharge carries sound and hot condenser air up and away from adjacent patio areas and foliage. The base pan is designed for easy removal of water, dirt,and leaves. COMPRESSOR: Each compressor is protected with internal temperature- and current-sensitive overloads. An internal pressure relief valve provides high pressure protection to the refrigerant system. For improved serviceability,all models are equipped with a compressor terminal plug. SERVICE VALVES: Both service valves are brass, front seating type with sweat connections. Valves are externally located so refrigerant tube connections can be made quickly and easily. Each valve has a service port for ease of checking operating refrigerant pressures. SERVICEABILITY: One access panel provides access to electrical controls.Removal of top gives access to fan motor,compressor,and condenser coil. PRODUCT NUMBER NOMENCLATURE PA13 N A Ole 000 B A AA 13 SEER Air Conditioner with R-410A Refrigerant Variations Seri Variations Electrical Supply N—208/230-60-1 P—208/230-60-3 000—Variations Nominal Capacity ota—1-1/2 Ton 024—2 Tons A—R-470A 030—2-1/2 Tons 036—3 Tons 042—3-1/2 Tons 048—4 Ton 060—5 Ton iso soot 200o i V C US COMP UAii �1 u� n n.coraroea�s i This product tms mere designed mid manufce,red to meet F—W SWO aitriafor enegy eAiden y when metaled wed ap —ira cal Hoar props ra/rigerard drwW said proper or flat/are critcai to achieve rated a,pedty end efiderecy.kalW lw of this product shwld Wow an mavfactuing raFgwa,t d>agng and at law Insauclo rs.Fallurs to eontimr proper Barge and elr low may reduce energy elldency and shorten equipment nre. 2 SPECIFICATIONS UNITSI2E 1019 024 030 036 1 042 048 060 SERIES B B B B/C 510 BIC BIC ELECTRICAL UnitVoks-Hertz-Phase 206/230-60-1 208/230-6D-t 208/230-60-3 2081230-80-1 2081230-50-1 208/230-80-3 1 208123D-60-1 208/230-00-3 Opereting Voftege Range' 187-253 Compreseor-Rated Load Amps 9.0 13.5 12.8 14.1117.3 0.0 17.9121.8 19,9120.5 13.1 28.4127.6 1a0 Locked Rotor Amps 48.0 58,3 84.0 77.01 96.7 71.0 112.01105.0 109.0/116.0 83.1 134.0/135.0 110.0 Condenser Fan Motor-F0 Load Ampe 0.5 0.8 D.B 1.4 1 A 1.1 1.4 1.4 1.4 1.4 Mln Unit Ampaclty for Wire Sizing 11.7 1716 10.6 1761 23.0 12.7 23.5128.4 26.2/27.0 17.8 34,4/85.9 21.4 Min Wire Stze *175°Copper)AWG•• 14 12 12 12 14 t0 a 12 8 12 Max Wire Length(80°1751 tt(m)S 661 82 70/ 68 74/70 70/68 70187 83/79 1151109 7a 100 89182 Be f e5 20.1/18.9 21.3/20.1 22.8/21.3 21.3/20.1 21,3120.4 25.3/24.1 35.1/33.2 21.3120,1 27.1/25,0 20.1119, Max Branoh Clicua Fuse S4rat 20 30 25 30 20 40 40 25 50 30 COMPRESSOR AND REFRIGERANT Boro)) Temperature and Current Protection Irdemal Una Break R-410A WrIgarant- 3.15(1.43) 3.16(1.43) me(1.65) 4.67(2.12) 6'20(P 82)/ 7,137 (3.48)/7,10(3,Z7) 8.00(3,r34)!8,4(3.86) Amount Lb 13tt 4.6m a07 2,76 Refrigerant Tubee(In.00)## Rated Vapor and Maxfmum Liquid 314 and 816 7/8 and 9/8 1-1/8 and 3/8 CONDENSER COIL AND FAN Co31 Face Area(Sq Ft) 8.4 8.4 0.8 12,00 17,3 21.03 15.14 Fan Motor--HR Typo,and RPM 1/12 PSC and 1100 1/10 PSC and 1100 1/4 P8C and 1100 1/B PSC end 114 PSO and 110D Volta--Hartz-Phase 110D 2081230-00-I CondenserAlrlow LCFMJ 1700 2000 2000 2500 3000 3400 3400 OPTIONAL EQUIPMENT ole Protector KSACY0101 AAA 8ter1 t I C T KAACS0201 PTO N/A KAA 01 PTC Id/A KAACS0201 PTC NtA Start Assist-Ca eltor/Wa KSAHS1501AAA KSAHS1701AAA KBA1i51t101AAA NIA KSAH81501AAA I N/A XMHS1501AAA NIA MolorMaete11t9control KSALAD60tAAA Ball Btrarl Fan Motor RCD HOME234 H GE239 HQWQR232 I HC38GUIO I HC40G 26 Low-Pressure Switch KAALP0401 Pill W HI h-PromteSwltoh KAAHI0501P11R Comprowr Sound Hood KSASH1iX 1 COP K BASH0601COP KSMH2101 COP 7irne-Dolay Relay K4ATDD101TDR Low-Amblent Pressure Sw toh Wt K MLA03014/0 V1interStart Control KKAWS0101AAA Eva razor Freeze 7hermostai KAAFT0101 AAA Co rwsorCrankoaseHager KAACH1401AAA KAACH1201AAA Uquld Une Solerlold Valve" KAALW201 LL8 TXV Hard Shut tt KSATX0201 PUR KSATXomiPUR KSATX0401 PUR KSATX0501 PUR Standard Themlostal,Manual Changeover,Non-Progremnxbte,°FpC, TSTATPPSAC01 1-Stage Heat,1-Siege Coot Thermostat,Auto Changeover,7-Day Programmable,°FrC,1-Stage Heat TSTATPPPA001 1-Stage Cool Outdoor Seneor TSTA=MEN01-B U u4 Une Filter Drier W-143LGO73 K443LGD74 Back late for Standard Thernwstat TSTA7XXBBP01 Backplate for Programmable TSTArAXPBP01 Thamrostat N/A-Not applicable in this application. Permissible limits of the voltage range at which unit will Operate satisfactorily.Operatkon outside these limits may result in unit failure. t Time-delay fuse or circuit breaker. $Length shown is as measured 1 way along wire path between unit and service panel for voltage drop not to exceed 2%. •'If wire is applied at amblent greater than 301C,consult Table 310-16 of the NEC(ANSIJNFPA 70).The ampacity of nonmetallic-sheathed cable(NM),trade name ROMEX,shall be that of 60°C conductors,per the NEC (ANSI/NFPA 70)Article 336-26, tt Do not use Hard shutoff TXV with liquid solenoid valve, #Units are rated with 25 ft(7.a m)of lineset length. See Vapor Line Sizing and Cooling Capaco Loss table when using other sizes and lengths of Iineset. -, l PA13PA DIMENSIONS - SERIES B - ENGLISH UNIT sum cnicAL 5 A B C Q E F �11H J K L M N P DPERATM ' ' 41E10fiT SONS xPAI 39AP18 B x 0 O 0 23 118' i24 13/16' 3 374' 314' 1 4 7116' 18 1l16 3' 2 13116' 112' 12, 11 314' 11 716, 1040 1200 24 1f8' K 24 119' X 21 3111' PA13NA024 B X 0 0 0 23 1!8' 24 13/16' 3 314' 314' 4 7116' 18 1116' 7 13/16' S116' 3' 2 13/16, 112, 12' 71 3f4' 11 7/0' 1DI0 1231 24 118' x 24 1/8- X 27 S111' PA13003D B X 0 0 0 23 118' 28 7/16' 3 314' 311' 4 1116' 16 1f10' 7 13/16• Stu, 3' 2 13116' 112' 12, 11 114, 12 12, 11D3 126i 24 718' x 24 118' K ID 518' Ph13KA036 B % 0 0 0 23 1!8' 35 3/16' 3 716' T!d' 4 7/16' 18 il16' T 13/16' 5216' 3' 2 13/16' 112' 12' 71 314' 13 3/4' 122i 13Yi 24 116' X 24 1/8'13! 7116' PAISIA042 B K 0 0 0 1 31 311S' 31 13/16' S 71S' 7/8' 6 9116' 24 11119' S 1/8' 5116' 3- 2 15115, 518' 16' 1$112, 13 314' 1540 loll 32 3118' X 32 3116'X 34' PAISWA048 o K 0 0 0 31 3116' 30 5/B' 3 718' 718' 5 9116' 24 11110' 1 1/8, S110' 3' 2 15/10' 518, ID' 13 112' 15 1/2' 1 tell 2000 12 3116' x 32 3/le' X 40 13111' PAl$AA0$D B K 0 00 31 3116' 28 7/18' 3 718' 116' 6 9116' 24 i1110' 0 118' Si 1" 3' 2 15115, 516, it, 15 11E' 12 314, 11D0 2104 32 Sill' X 32 3116' x 3D 516' PAI3PAD30 B 0 0 x 0 23 176' 35 2/t b' 3 716' 718' 4 7176' 18 7116' 1 11/16' 5116' 3' 2 13/t6' 1/2- 12' 11 314' 13 8/4' 1220 1300 24 118' x 24 1/B' X 31 7116' PAI3PADtt t 0 6 x 0 31 3118' L. 11' 3 718' 718' 8 9116, 24 11110' /1/8, 5116' 3' 2 15116' S/8' is, 13 112, 15 1/2' lei* 2000 12 Sf10' x 32 3118' X 40 13116' PAI SPADED 9 1 0 0 x 0 31 3110' 28 t118' 3 719' 118' 5 906' 24 1106' 0 718, 5116' 3- 2 15/T 6' 518' id' 15 112' 12 3/4' 110 2166 32 lilt' X 32 3116'x S1 3f8' ttpppppp NOTE6: x=YES 1. OLLOY 30'CLEARANCE TO SERVICE SI OE OF UYIT 0'MO 18'ABOVE UN17 1' ON OWE SDE 12.ON RENAtM[IO SIDE, NWD 24'BETTEEG UNITS FOP PROP�R AIRFLOW. 2. NIW INUM OUTDOOR OPERATING AWBIEWT IN COOLING 000E I3 559, MAX, 125'F. 3. ]FRIES OESIBNATIDN IS THE 14TR nS11IOW OF THE U NI77 MOIL NUMBER. 4. CENTER OF ORAYITT�. A so, AA AIR IN AIR AIR O3yr3CHALOE 1 DISCHARGE FIELD 1`01 A SUPPLY COWW. 718' ROLE WITH $l �I '0a[WOCKAOUT AIR I� FIELD C09TRDL SUPPLY CALF Ira. HO iI i F !1 Th14 IN � i ! N LIQUID LINE0318 CONN. O P / E I J 3 1f 2' L 0 13 VAMP LINE CONN.— HL f 121/PLACES00iN KWOCKOOTS L AIR IN LW SIZE iAOUNTHIID PAD I DIAB11 MS 16 21,3D 38 23 IJ2' x 23 112' 21, x 20' 42 48 60 31 -.Ir x 31 112, 35' x 35' DIMENSIONS - SERIES B - SI UMT SERFS RMT"C1L A B C D E F G K L M N p OPERATING SWING SHIPPING CHARACTERISTICS GHT (Kqsl IVEGHT (K -gpl DIAR-]USIONS L x 1N x PAT 3NA016 B X 1 0 0 0 587.A 634.2 15.2 11.0 112.7 458.8 196,4 71,4 12.7 304.8 298 4 301.b 41.2 5d,4 612,8 X 612.8% 640.6 PAl3NA024 B X 0 0 0 587.4 630.2 95.? 19.0 117.T 458.8 198.4 77.4 12.7 304.8 248.A 301.E 48,5 55.8 612.8 X 612.8 X 610.6 PA13NA030 6 X 0 0 0 587.4 722.3 55.2 19.0 112.I d58.8 198.4 71.4 12.1 304.8 218.4 317.5 49,9 51.2 612.8 X $12.8 Y 177.9 FAIINA036 6 X 0 0 0 587.4 693.6 98.4 22.2 112.1 458.8 198,4 71.4 12.7 304.4 298.4 349.2 55.1 53.0 512-8 X 512.8 X 9S0.9 PA13NA042 B X 0 0 0 792.2 808.0 15.4 22.2 166.1 621,1 231.5 74.6 1519 401,4 313.1 349.2 74.4 54.8 817.6 X 577.6 N 663.6 PA73NA046 6 X 0 0 0 192.2 961,1 98.4 22.2 166.7 621.1 ?31,8 74.6 15.3 406.4 393.1 353.7 02.1 1 93.4 817.6 X 617.$X 1036,6 PA13NA060 B X 0 0 0 192.2 1 722.3 98.4 ?F2-1 166.7 627.1 231,8 14.6 15.4 406,4 353-7 323.6 86,2 98.0 $17.6 X 517.6 X 717.9 PAI)PA030 B 0 0 % 0 S117.4 89),6 96.4 12,2 112.7 456.8 198.4 71.4 t2.7 304.8 298.4 349.2 55.3 6J-6 517.8% 612.8 Y 450.9 PAI)PA018 B 0 0 Y 0 792.2 981,t 98.4 22.2 166.7 621.1 231.8 7CS 15.9 404.4 393.7 393.7 82.i 9J.d 81 r.6%877.E X 1036.E PAR)PA"D B 0 0 X 0 192.2 722,3 1 08.1 1 22.2 1 166.1 627,1 231.0 74.4 15.9 406.4 393.3 323.8 86.2 98.0 811.E%8t7.6 X lli.9 O NOTES: 1, 1271, 162.0 CLEARANCE 10 SERVICE SIDE OF UNIT, 1Es 1219.2 A602.4 ON ONE SIDE. 304,E ON REMAINING SIDE. 0= HO AHO 609.E BE UNIT, 152 5 BETWEEN UYITS FOR PROPER A1AFlON, 2, MINIMUM OUTDOOR OPERATING AMBIENT IN COOLING lV MCC ES T3°C, MAX. WC. 3. SERIES DESIGNATION IS 1N[ 14111 POSITION OF THE UNIT MODEL KUMBER. 4, CENTER OE GRAVITY 61, A S0. S- ALL DIMENSIONS ARE IN 'MM' UNLESS 401E0. M AIR IN AIR AIR DISCHARGE DISCHARGE S 11£l0 PO ER SUPPLY CONK. 22.23 HOLE KITH 0 All, B ANOCKOUT AND 31.93 K0%XO0i AIR IN-f FIELD CONTROL S PPLY OONN 22.2I KH N +--AIR IN N 110 U:C LIVE CO NN, P 0 76.2 E 67!N, 4, 6 L j 0 D 'rA�0CNN. 8.0 I 12) P3ACESDOHN KNOCKOUTS KL I ti'INmm AIR IN LOT 50 MOUNTING PAD DIMENSIONS 18.24,30.36 596-9 X 596 9 660.4% 660-4 42.46.60 800,1 1 800,1 889 0 N 889.0 �A 1 •1 �1 DIMENSIONS - SERIES C - ENGLISH LUT SERIES ELECTRICAL A a C D E F G K L M N p OPERATING SHIPPING SHIPPING CHARACTERISTICS EIGHT LOS EIGHT (LOS DIMENSIONS L x W x H PA13NA036 C X 0 1 0 0 23 1/8' 35 3116" 3 1/0' 718' 4 1/16' 18 1116' 1 13116 2 13/16" 12' 12' 11 1/4" 13 314' 122 139 24 118' X 24 1/8' k 37 1/16" PA13NA042 C k 0 0 0 31 3116' 31 13/14" 3 I/8' 7/8' 6 9/16' 24 11116' 9 1/8' 2 15/16` 5/8' 16' 11 112" 13 3/4' 164 181 32 3/16' X 32 3116" X 34' PA13NA048 C X 0 0 0 31 3116' 35 3176' 3 T/8' 7/8' 6 9116' 24 11/16" 9 1/8' 2 15116' 5/8' 16' 15 112' 14 112' 176 201 32 306' X 32 1/16' X 37 7/16' PA15HAO60 6 X 0 0 0 31 3116' 28 7116' 3 7/8' 7/8' 6 9/16' 24 11116" 9 1/6' 2 15116" 5/8' 16. 15 112' I4 W12' 190 216 32 3116' X 31 3116' X 30 5/8' O o NOTES: I. ALLOW 30" CLEARANCE TO SERVICE SIDE OF UNIT, 48' ABOVE UNIT, 6' Ow ONE SIDE. 12' ON REMAINING SIDE, j AND 241 BETW[EN UNITS FOR PROPER AIRFLOW. R 2. MINIMUM OUTDOOR OPERATING AMBIENT IN COOLING X � TES 0 NO MODE IS 55'F, MAX. 125'F. : 3. SEIIES DESIGNATION IS THE 147H POSITION CF THE UNIT MOOEL NUW8ER. 4. CENTER OF GRAVITY �. 5. ALL DIMENSIONS ARE IN 'INCHES' UNLESS NOTED A so. AIR AIR DISCHARGE M A! IN DISCHARGE r a FIELD POW R SUPPLY CONN. T/8' HOLE *IT fi 01 1 8' KNOCKOUT AND t 318' KNOCKOUT AIR l rr - FI[LD CONTROL SUPPLY CONS. 0Tle' Note F B IN N 318' P D LIOU10 LINE CORN, 0 3, E 3 112' 1 t%s L 3/8" T]EDOWN KNOCKOUTS 0 D VAPOR LINE CONK. 5/16' (2) PLACES NUNMUM K AIR IN UNIT SIZE MOUNTING PAD DINNSIONS 36 23 1/2' X 23 L/2' 24, X 26' a2.49,60 31 1/2' X 31 1/2' 35' 1 35' DIMENSIONS - SERIES C - SI ELECTRICAL OPERATING SHIPPMG SFIPPING UNT �� CHARACTERISTICS A B C D E F G K L M N P EIGMT s 190KT &qjDIMENSIONS L x W x FA13NA036 C 1 0 0 0 587.4 893,8 98.4 22.2 112.7 4 58.8 198.4 11.4 12,1 304,8 218,5 349.3 55.3 Q.0 612.8 X 612.8 X 950.9 PA134A042 C Y 0 0 0 792.2 $06.0 $6,1 1 22.2 166.7 627.1 231.8 14.6 15,9 406.4 393.7 349,3 T4.4 $4.8 811.6 A 817.E X 863.6 PA13NA048 C Y 0 0 0 792.2 843.8 58.1 T 22.2 166.7 627,1 231,8 14.6 15,9 406.4 393.7 368.3 T9.8 91.2 81i.6 x 817.6 k 950,9 PAIINA060 C M 0 0 0 792.2 722,3 98./ 22.2 165.7 627.1 231.8 14.6 15.9 06.4 313.7 368.3 86.2 98.0 811.6 X 817.6 X 177.9 pp NOTES: �4 1. ALLOW T62.0 CLEARANCE 10 SERVICE SIDE OF UNI7, cc�5 1211.2 ABOVE UNIT, 152.4 ON ORE S3DE. 304.8 ON REMAINING SIDE, \ AND 6D9.6 BETWEEN UNITS FOR PROPER AIRFLOW. 0 = YES 2. NINIMUN OOTDOOR OPERATING AMBIENT IN COOLING G = hC NODE IS 13°C, MAR, 52%. 3. SERIES DESIGNATION IS 1PE 14TH POSITION OF IRE ON]7 MODEL NUMBER. 4, CENTER OF GRANI7Y 5, ALL DIMENSIONS ARE IN "MM' UNLESS NOTED. A so. M AIR IN AIR AIR DI DISCHARGE tSCHARGE fl I 0 it 1 HELD PO ER SUPPLY CONN. 22.23 HOLE WITH �2 <93 V NO1 AND AAIR IN- FIELD ,NC40UT FIELD CONTROL SUPPLY CONN. 22.23 HOLE F B AIR IN . N �9 uNE c9.5 D cu:D NN. P f 0 76.2 C 86.9 L 4I.6 9.53 11EDOWB KNOCKOUTS D VAPOR LINE COMN, 8.0 1 (21 PLACES K FAMMUM AIR 1N UNIT SIZE MOUNTN O PAD DINIMSIONS 36 596.9 k 596.9 660.4 X 661.4 42,48.60 810.1 R S00.1 889.D % 884.0 PA13NA ■1 •A REFRIGERANT CHARGE ADJUS NUN I'S Liquid tine Store R-411]A Charge OMM 3 0.00 !8 - (Factory dtarge for lineset=9 04 5/16 0.40 1/4 0.27 Units are factory charged for 15 ft(4.6 m)of 3/8"liquid line. The factory charge for 3/8"lineset 9 oz. When using other length or diameter liquid lines,charge adjustments are required per the chart above. Chareine Formula: [(Lineset oz/ft x total length)-(factory charge for lineset)]=charge adjustment Example 1:System has 15 ft of line set using existing 114"liquid line. What charge adjustment is required? Formula: (.27 ozdl x 15ft)-(9 oz)=(-4.95)oz. Net result is to remove 4.95 oz of refrigerant from the system Example 2: System has 45 ft of existing 5/16"liquid line.What is the charge adjustment? Formula: (.40 oza x 4511)-(9 oz.)=9 oz. Net result is to add 9 oz of refrigerant to the system I LONG LINE APPLICATIONS An application is considered Long Line, when the refrigerant level in the system requires the use of acrossories to maintain acceptable refrigerant management for systems reliability. See Accessory Usage Guideline table for required accessories. Defining a system as long fine depends on the liquid line diameter,actual length of the tubing,and vertical separation between the indoor and outdoor units. For Air Conditioner systems,the chart below shows when an application is considered Long Line. AC WITH R-410A REFRIGERANT LONG LINE DESCRIMON ft(m) Beyond these lengths,long line accessories are required Liquid Line Size Units On Some Leval Outdoor Below Indoor Outdoor Above Indoor 1/4 No aeries needed within allowed No accessories needed within allowed 175(S3.3) lengths lei 5/16 120(38.8) 50(f5.2) 120(36.6) 318 80(24.4) 35(10.7) 80(24.4) Note: See Long Line Guideline for details VAPOR LINE SIZING AND COOLING CAPACITY LOSS Acceptable vapor line diameters provide adequate oil return to the compressor while avoiding excessive capacity loss. The suction line diameters shown in the chart below are acceptable for AC systems with R-410A refrigerant Unit Mmdrnum Line Looting Capacity I—M Nominal Uqutd trine Diameters Total Equivalent Line Length ft.(m) Size(Btuh) Diameters (In.00) 28^50 51-80 81-100 101-125 126-150 151-175 176-200 201-225 226-250 (in.O0) (72-116A (1 bb-74,41 7- (80.8-3&1 (38A-45 460-5&3) (53.6-Si. 61.3-6&6) 6&9- 18000 1/2 1 2 3' .5 -° C" ::. .7. .8 1 Stage AC with 3I8 5!e 0 1 1 1 2. 2. 2 3 3 R-410A 1 314 0 0 24OW 5/8 0 1 2 2 3 5: .4 5 5. 1 Stage AC with 318 3/4 0 0 1. 1 1 1 ' 1 2 ' 2 R-410A 7/8 0 1 0 0,.. 0 0 7: 1 1 1 30000M $/a 1 2 3 S. :.4 5 e 7 1 Stage 8' :. .. ..r. .. 'i .. AC with 3/8 3/4 0 0 1 : i 1 2 2 2 3 R-410A 718 0 0 .0 0, .r 1 1 1 1 1 36000 5/8 1 2 4, S. 6 8 9 10 12 1 Siege AC with 3/8 3/4 0 1 1 2 .2.... 3.: 3 4 4 R-410A 7/8 0 0 0 1 1 1 : 1 ..2 2 42000 314 0 1 2 2 3 4. 4 5 6 1 Stage AC with 3/8 7/8 0 0 1 1 1 2 2 2 3 R-410A 11/8 0 0 0 0 0 0 0 O 0 48M 3/4 0 1 2 3 .4 5 5 8 7 1 Stage 3/8 7/8 0 0 1 1 2 '. 2 2 3 3 AC with R-410A 11/8 0 0 0 0 0 0 0 1 1 60000 3/4 1 2 `4:. 5 -0 7 9 10 11 -- 1 Stage AC with 318 718 0 1 2 2 3 4 4 5 5 R-410A 11/8 0 0 0 1: 1 ' 1 1 '1 1 Applications in this area may be long line and may have height restrictions. Seethe ReddeririaiPipthgand-LongLkw Gudefrne. I 13 I I A-WEIGHTED SOUND POWER (dBA) UNIT SIZE- Sterldard TYPICAL OCTAVE BAND SPECTRUM(dBA without tons adluabnent) SERIES Rating(dBA) 125 250 500 1000 2000 4000 8000 OiB--B 76 49.5 59.0 03.0 f 66.5 625 58.5 54.0 024-8--- --- 70 50.5 01.0 07.0 68.0 05.0 00.0 55.5 j 030-B - - - - 76 52.0 50.5 85.0 05.0 62.0 58.5 50.5 03ti-B,C 77 Bi.5 - -. 63,5 88.5 72.0 88.5 83.0 58.5 042-0,C 80 56.0 64.5 89.5 71.0 80.0 64.0 59.0 048-B,C ---- 80 - 57.5 65.5 70.5 72.0 68.5 67.0 51.5 080-13,C 80 1 59.5 89.5 72-S 73.5 71.0 06.0 03.5 NOTE: Tested in accordance with ARI Standard 270-95(not fated in M). METERING DEVICE UNIT SIZE-SERIES INDOOOR REQUIRED SUBCOOUNG'F -C 018 - --- • 024 030 036 TXV� 1a5.6) 042 048 050 • ' TXV must be ordered separately when indoor coil is not equipped with a TXV.. TXV must be hard-stlutotl type. 9 ACCESSORY USAGE GUIDELINE REQUIRED FOR LOWMBIENT REQUIRED FOR REQUIRED FOR ACCESSORY COOLING APPLICATIONS LONG LINE SEA COAST (Below SWF/22,8°C) APPLICATIONS* APPLICATIONS (Over 80 Ft./24.4 m) (Withln 2 miles/3.2 km) Ball Bearing Fan Motor Yest No No Compressor Start Assist Capacitor and Relay Yes Yes No Crankcase Heater Yes Yes No Evaporator Freeze Thermostat Yes No No Herd Shut-OffTXV Yes Yes Yes See Long-Line Ap- Liquid Line Solenoid Valve No pliication Guideline No Low Ambient Kit(Pressure Switch) Yes No No Support Feet Reoomrnanded No Recommended Winter Start Control Yes No No 'For tubing line sets between 80 and 200 it(24A and 71&2 m)andjor 20 it(8.1 m)vertical differential,We,to Residential Split-System Longline Application Guideline. t Required for Low Ambient Controller(suit modulation feature)and idotarMaster®Control only. Accessory Description and Usage(Listed Alphabetically) 1.Compressor Start Assist-Capacitor and Relay 6.Jew Ambient Pressure Switch Kit Start capacitor and relay gives a"hard"boost to compressor motor A long life pressure switch which is mounted to outdoor unit at each start up, service valve.It is designed to cycle the outdoor fan motor in order ' Usage Guideline: to maintain head pressure within normal operating limits Required for reciprocating compressors in the (approximately 100 psig to 225 prig). The control will maintain following applications: working head pressure at low ambient temperatures down to Long line 0'F/-17.8°Cwhen properly installed. Low ambient cooling Usage Guideline: Hard shut off expansion valve on indoor coil A Low Ambient Pressure Switch or MotorMaster® Low Ambient Controller must be used when cooling Liquid line solenoid on indoor coil operation is used at outdoor temperatures below 55'F Required for single-phase scroll compressors in the (12.8'C). following applications: Suggested for all commercial applications. Long line 7.Support Feet Low ambient cooling Four stick-on plastic feet that raise the unit 4 in.(101.6 mm)above Suggested for all compressors in areas with a history of the mounting pad. This allows sand, dirt, and other debris to be low voltage problems. flushed from the unit base,minimizing corrosion. 2.Compressor Start Assist—PTC Type Usage Guideline: Solid state electrical device which gives a "soft" boost to the Suggested in the following applications: compressor at each start-up. Coastal installations. Usage Guideline: Windy areas or where debris is normally circulating. Suggested in installations with marginal power supply. Rooftop installations. 3.Crankcase Heater For improved sound ratings. An electric resistance heater which mounts to the base of the g,Thermostatic Expansion Valve(TXV) compressor to keep the lubricant warm during off cycles.Improves A modulating flow-control valve which meters refrigerant liquid compressor lubrication on restart and minimizes the chance of flow rate into the evaporator in response to the superheat of the liquid slugging. refrigerant gas leaving the evaporator. Usage Guideline: Kit includes valve,adapter tubes,and external equalizer tube.Hand Required in low ambient cooling applications. shut off types am available. Required in long line applications. NOTE: When using a hard shut off TXV with single phase 4. Cycle Protector reciprocating compressors, a Compressor Start Assist Capacitor The cycle protector is designed to prevent compressor short and Relay is required. cycling.This control provides an approximate 5-minute delay after Usage Guideline: power to the compressor has been interrupted for any reason, Required to achieve ARf ratings in certain equipment including power outage,protector control trip,thermostat jiggling, combinations.Refer to combination ratings. or normal cycling. Hard shut off TXV or LLS required in air conditioner Suggested in all commercial applications. long line applications. S.Evaporator Freeze Thermostat Required for use on all zoning systems. An SPST temperature actuated switch that stops unit operation 9. Winter Start Control when evaporator reaches freeze-up conditions. This control is designed to alleviate nuisance opening of the Usage Guideline: low-pressure switch by bypassing it for the first 3 minutes of Required when low ambient kit has been added. operation, 10 RATINGS AND PERFORMANCE ARI STANDARD RATINGS UNrr SIZE- INDOOR COOLING SERIES MODEL FACTORY SEER FURNACE MODEL CAPACI Y ENHANCE STANDARD Tm EER •CAP**1814A** 17,200 TXV 13.00 10,90 CAP**1814A** 17,20D TDR&TXV 14.00 12.00 PG6*EA024045 CAP•*2414A** 17,20D TDR&TXV 14.50 12.00 PG8*EA024045 CAP**2414A*• 17,200 TXV 13.00 11.00 CAP**2417A** 17,200 TDR&TXV 14.50 1200 PG9MXA036060 CAP**2417A** 17,200 TXV 13.00 10.00 CNPF*2418A** 17,200 TXV 13.OD 11.00 CNPH*2417A** 17,200 TDR&TXV 14,50 12.00 PG8*EAO24045 CNPH*2417A** 17,200 TDR&TXV 14.50 12.00 PG9NM036060 CNPH*2417A•• 17,200 TXV 13.00 11.00 CNPV*1814A** 17,200 TOR&TXV 14.00 1200 PG6*EA024045 CNPV*1814A** 17,200 TXV 13.00 10.00 PA13NAOIB-B CNPV*2414A** 17,200 TDR&TXV 14.60 1200 PG8*EA024045 CNPV*2414A•* 17,200 TXV 13,00 10.90 CNPV*2417A** 17,200 TDR&TXV 14.50 1200 PGONAXA038M CNPV*2417A•* 17,200 TXV moo 11,00 CSPH*2412A** 17,200 TOR&TXV 14.50 1200 PG8*EA024045 CSPH*2412A** 17,200 TDR&TXV 14.50 1200 PG9NOCA038060 CSPH*2412A•* 17.200 TXV V100 11.00 FFIENP018 17,200 TDR&TXV 13.OD 10.90 FFIENP024 17,2D0 TDB&TXV MOD 10.9D PF4MNAOI8 17,200 TDR&TXV I&OD 10.00 PF4MNAO19 17.200 TDR&TXV 14.00 1200 PF4MNA024 17.200 TDR&TXV 13.00 10.90 PF4MNA025 17.200 TDR&TXV 14.50 1200 *CAP**2414A** 23,000 TXV 13.00 11.00 CAP**2414A** 23.000 TDR&TXV 14.00 1200 PGB*EA024045 CAP**2417A** 23,0DD TDB&TXV 14.00 12.00 PGOKM036080 CAP**2417A-• 23,000 TDR&TXV 14.00 12.00 PG9NM038060 CAP**2417A** 23,OD0 TXV 13.00 11.00 CAP**3014A** 23,000 TDR&TXV 14.00 1200 PG8*EA024045 CAP**3014A** 23.000 TXV 13.00 11.00 CAP**3017A** 23,ODO TDR&TXV 14.00 12.00 PGQNXA030080 CAP•*3017A*• 23,0D0 TDR&TXV 14.00 12.00 PG9N9(A036DB0 CAP"*3017A** 23,000 TXV 13.00 11.00 CNPF*2418A** 23,000 TXV 13.00 11.00 CNPH*2417A** 23,000 1 TDR&TXV 14.00 11.50 PG9N1XA030080 CNPH*2417A** 23,000 TDR&TXV 14.00 11.50 PG8*EA024045 CNPH*2417A** 23.000 TDR&TXV 14.00 11.50 PGQFA(A036060 CNPH*2417A** 23,ODO TXV 1300 11.00 CNPH*3017A** 23,D00 TDR&TXV 14.00 1200 PG9N1XA036080 CNPH*3017A** 23,000 TOR&TXV 14.00 1200 PG8*EAD24045 CNPH*3017A** 23,000 TDB&TXV 14,00 1200 PGgKMO36060 CNPH*3017A** 23,OD0 TXV 13,00 11.00 CNPV*2414A*• 23,00D TDR&TXV 1&50 11.50 PG8•EA024045 CNPV*2414A** 23,OD0 TXV 13,0D 11.00 PA13NA024-8 CNPV*2417A** 23.000 TDR&TXV 14.00 11.50 PGON O30080 CNPV*2417A** 23.000 TOR&TXV 14.00 11.50 PG9M)(AO36060 CNPV*2417A** 23,000 TXV 13.00 11.00 CNPV*3014A** mow TOW" 14.00 12.06 PG8*EA024045 CNPV*3014A** 23,000 TXV 13.00 11.00 CNPV*3017A** MOW TDB&TXV 14.00 1200 PGgNVJW3&= CNPV*3017A** 23,000 TDR&TXV 14.00 12.00 PG9MXA036060 CNPV*3017A** 23,000 TXV 13.00 11.0D CSPH*2412A** 23,000 TOR&TXV 14,00 11.50 PGeNIXA035060 CSPH-2412A*- 23,000 TDR&TXV 14.00 1200 PG8*EA024045 CSPH*2412A** 23,ODD TDR&TXV 14.00 11.50 PG9N1XA036060 CSPH*2412A** 23,ODD TXV 13.0D 11.00 CSPH*3012A** 23,000 TDR&TXV 14.00 1200 PG9NW036080 CSPH*3012A** 23,000 TDB&TXV 14.00 12.00 PG6v*EA024045 CSPH*3012A** 23,000 TOB&TXV 14.00 1200 PG KW030060 CSPH*3012A** 2;W00 TXV 13,00 11.00 FFIENP024 23,000 TDR&TXV 13.00 10.90 FFIENP030 23,000 TDR&TXV MOO 10.90 PF4MNA024 23,000 TDR&TXV 13.00 11.00 PF4MNA025 23.000 TDB&TXV 13.50 11.50 PF4MNA030 2%000 TDR&TXV 13600 11.00 PF4MNA031 23,000 TDR&TXV 14.00 12.00 *CAP**3014A*• 27,200 TXV 13.00 10.80 CAP•*3017A** 27,20D TDR&TXV 14.00 11.50 PGON0(A03608o CAP**3017A** 27,200 TDR&TXV 13,50 11.50 PG8*EA048070 CAP**3017A** 27,200 TDR&TXV 14,00 11.50 PG9N1XA035060 PA13NA030-B 6AP**3017A** 27,200 TDR&TXV 14,00 11.50 PGgWA048080 CAP•*3017A** 27,2D0 TXV 13.00 10.80 CAP**3614A** 27,200 TXV 13,00 10.80 CAP**3617A** 27,200 TDR&TXV 14.0D 12.00 PGgWA090080 CAP**3617A•• 27,200 TDR&TXV 19.50 11,50 PG8*EA048070 See notes on page 19 11 CERTIFICATE OF FIELD VERIFICATION&DIAGNOSTIC TESTING CF-4R-MECH-2 Duct LAmleage Test- Exbdrtg Duct System (Page 1 of 2) MEN Site Address: Enforcement Agency: Permit Number. 466 N. Kellogg, # C, Lake Elsinore CA 92530 (System # I) City of Lake Elsinore 10-0000046 Enter the Duct System Name or Identtfication/Tag: System # 1 Enter the Duct System Location or Area Served: Entire Home Note: Submit one Installation Certificate for each duct system that must demonstrate compliance In the dwelling. Thls installation certil cafe is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings,a completely new or replacement duct system can also Include existing parts of the original duct system(e.g.,register boots, air handler, coil,plenums, etc)if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certif)cate titled "Duct Leakage Test-Completely New or Replacement Duct System.' Duct Leakage Diagnostic Test-ehdsting duct system Select one compliance method from the following four choices. 1. Measured leakage less than 15%of fan flow rJ 2. Measured leakage to outside less than 10%of Fan Flow 0 3. Reduce leakage by 60%and conduct smoke and fix all leaks ❑4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1,2,or 3 must be attempted before utilizing Option 4.) Determine nominal Fan Flow using one of the following three calculation methods. 0 Cooling system method: Size of condenser in Tons 1.5 x 400= 6W CFM ❑Heating system method: 21.7 x_Output Capacity in Thousands of Btu/hr=_CFM ✓n Measured system airflow using RA3.3 airflow test procedures: CFM Option 1 used then: 1 Allowed leakage = Fan Flower x 0.15=, 90 CFM Actual Leakage = 51 _CFM Pass if Leakage Actual is less than Aflowed M Pass Fail Option 2 used then: 2 Allowed leakage= Fan Flow x 0.10= CFM Actual Leakage to outside= CFM Pass If Leakage Actual is less than Allowed Pass Fail Option 3 used then: Initial leakage prior to start of work=T CFM Final leakage after sealing all accessible leaks using smoke test=_CFM 3 Initial leakage_- Final leakage_= Leakage reduction`CFM ((Leakage reduction_/Initial leakage_�x 1009/6=��Reduction I Pass if°rb Reduction> 60° Pass 0 Fail Option 4 used then: 4 All accessible leaks repaired using smoke.HERS rater must verify(No sampling). No smoke allowed to leak from system. Including ducts,plenums,air handler and door panel. Pass If aq accessible leaks have been repaired using smoke Pass Lj Fail Reg: 210-A001220/A-000000000-M21A Registration Date/Time: 2010/08/04 15:31202 HF,RS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION a DIAGNOSTIC TESTING CF-4R-NECH-21 Dud Leakage Test- Existing Dud System (Page 2 of 2) Site Address. Enforcement Agency: Permit Number: 466 N. Kellogg, # C, lake Elsinore CA 92530 (System # City of Lake Elsinore 10-0000046 1) R Outside air(OA) ducts for Central Fan Integrated (CFI)ventilation systems,shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers,that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. a All supply and return register boots must be sealed to the drywall if smoke test is utilized for compliance —applies to duct leakage compliance option 3 (leakage reduction by 60%) and option 4(fix all accessible leaks) described above. 21 New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. M Mastic and draw bands must be used in combination with cloth backed rubber adhesive duct tape to seal leaks at all new duct connections DECLARATION STATEMENT I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct. I am the Certified HERS rater who performed the verification services identified and reported on this certificate(responsible rater). The installed feature,material,component,or manufactured device requiring HERS verification that is identified on this certificate(the Installation)complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s)of Compliance(CF-1R)approved by the local enforcement agency. . The information reported on applicable sections of the Installation Certificate(s)(CF-611),signed and submftted by the persm(s) responsibfe for the installation conforms to the requirements specified on the Certificate(s)of Compliance(CF-1R)approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate(CF-611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HEMET VALLEY MECHANICAL INC Responsible person's Name: CSLB License: Tracy Larsen 495S47 HERS Provider Data Registry Information Sample Group# (if applicable): N/A 0 tested/verified dwelling ❑not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate#CC1-1798SG4209 HERS Rater Company Name: Michael Withers Responsible Ratees Name: R po ib a ter's Sic Michael Withers Michael Responsible Rater's Certification Number w/this HERS Provider: Date Signed: 7/24/2010 CZ2004446 Reg: 210-A0012207A-000000000-M21A Registration Date/Time: 2010/08/04 15:31:02 HERS Provider: CaICERTS, Inc_ 2oo8 Residential Compliance Forms March 2010 CaICERTS-CF-4R Results (Alterations) Page 1 of 4 Michael Withers Log ed In Submission Process: CF-4RSubmission �" _� T Alterations being reported: ID I Phase Address Permit Plan � 163627 Phase 1 466 N. Kellogg, # C 10-0000046 Alteration TESTED CERTIFICATE OF FIELD VERIFICATION &DIAGNOSTIC TESTING CF-4R-MECH-RCA Refrigerant Charge Verification Clear RESuftS Site Address: 466 N. Kellogg, # C, Lake Enforcement Agency: City of Permit Number: 10- Elsinore CA 92530 Lake Elsinore 000G046 Assigned Rater: Michael Withers Tested Date: 7-24 2oi0 System # 1 Select MECH form used to verify Refrigerant Charge: CF-4R-MECH-24 (4�- CF-4R-MECH-25 CF-4R-MECH-2.5 1) Select method used to determine minimum airflow: Temperature Split(RA3.2.2.7) 2) What was the method used for determining saturation temperature? Refrigerant Gauge Note:If Refrigerant Gauge is selected, Approving Rater must have completed RCA II course. 3) Is a TXV installed? Yes Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space-conditioning systems Mat utilize prescriptive compliance method. If installation of a CID is utilized as an alternative to refrigerant charge verification for compliance, TMAH and STMS are not required for compliance. TMAH - Access Holes in Supply and Return Plenums of Air Handler XXX System Name or Identification/Tag I system# 1 System Location or Area Served Entire Home 1 ri Yes ;; No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 Yes No 15/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. PASS Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 550F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2.As many as 4 systems in the dwelling can be documented for compliance using this form.Attach an additional form(s) for any additional systems in the dwelling as applicable. •The system should be installed and charged in accordance with the manufacturers specifications b0bre starting this procedure. •The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. •If outdoor air dry-bulb is 551F or below,the Installer must use the Alternate Charge Measurement Procedure_ Space Conditioning Systems _ Ey�e�mName or Identification/Tag System# i https://www.calcerts.com/cf4r-2008—alterations.cfm 8/4/2010 Ca10ERTS -CF-4R Results(Alterations) Page 2 of 4 i System Location or Area Served Entire Home Outdoor Unit Serial # 3009X63288 Outdoor Unit Make IPayne Outdoor Unit Model IPA13NA018B Nominal Cooling Capacity Btu/hr 1181000 Date of Verification 7-24-2010 Calibration of Diagnostic Instruments Date of Refrigerant Gauge Calibration 7-1-2010 (must be re-calibrated monthly) Date of Thermocouple Calibration 7-1-2010 (must be re-calibrated monthly) Measured Temperatures ('F) System Name or Identification/Tag S stem# 1 Supply (evaporator leaving) air dry-bulb temperature (Tsupply,db) 51.2 Return (evaporator entering) air dry- bulb temperature (Treturn,db) 69.9 Return (evaporator entering) air wet- bulb temperature (Treturn, wb) 59.5 Evaporator saturation temperature (Tevaporator,sat) 45.1 Condensor saturation temperature (Tcondensor,sat) 97.2 Required if TXV Suction line temperature (Tsuction) 151.7 Liquid Line Temperature (Tkquid) 187.7 Required if 7XV Minimum Airflow Requirement — - — — - -- Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification.The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag Isystem # 1 Calculate: Actual Temperature Split = Tretum,db - Tsuppiy,db 20.4 Target Temperature Split from Table ~� RA3.2-3 using Tretum,wb and Tretum, db 18.0 Calculate difference: Actual Temperature 2.3999999999999986 Split-Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if �, PASS FAIL between -40F and -100OF _ Enter Pass or Fail Subeooling Charge Method Calculations for Refrigerant Charge Verification.This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. https://www.calcerts.com/cf4r_2008_alterations.cfm 8/4/2010 Ca10ERTS-CF-4R Results(Alterations) Page 3 of 4 System Name or Identification/Tag System# 1 Calculate: Actual Subcooling = Tcondenser,sat -Tiiquid 9.5 Target Subcooling specified by 10.0 manufacturer — Calculate difference: -0.5 Actual Subcooling -Target Subcooling System passes if difference is between -40F and +4°F '�` PASS FAIL Enter Pass or Fail Metering Device Calculations for Refrigerant Charge Verification,This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag 5 stem# 1 Calculate: Actual Superheat Tsuction -Tevaporator,sat 6.6 Enter allowable superheat range from manufacturer's specifications (or use range between 30F and 260F if 3- 26 manufacturer's specification is not available) _ System passes if actual superheat is within the allowable superheat range ' ' PASS FAIL Enter Pass or Fail Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re-measured and/or recalculated. System Name or Identification/Tag S stem If 1 System meets all refrigerant charge and airflow requirements. ( PASS FAIL Enter Pass or Fail FINAL TESTED RESULT: *Pass Fail DECLARATION STATEMENT I certify under penalty of perjury, under the laws of the State of Califomia, the information provided on this form is true and correct. erformed the verification services identified and reported on this � I am the certified HERS rater who p certificate (responsible rater). C The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF-1R) approved by the local enforcement agency. ❑ The information reported on applicable sections of the Installation Certificate(s) (CF-6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF-1R) approved by the enforcement agency. Responsible Rater's Name: Michael Withers HERS Rater Company Name: Michaels Withers SAVE INFO CERTIFY RESULTS https://www.cateerts.com/cf4r-2008—alterations.cfm 8/4/2010 CatCERTS-CF-4R Results(Alterations) Page 4 of 4 Copyright© 2010 Ca10ERTS, Inc.All rights reserved. CaICERTS, Inc. Revised: lanuary 11, 2010 Michael 31 Natoma St Suite 120 [Terms and Conditions] Folsom,CA 95630 [Privacy Staternent] Withers Office: 916-985-3400 Toll Free: 877-HERS-11811 (877-437-7787) Fax: 916-985-3402 E-Mail: info@calcerts.com https://www.calcerts.com/cf4r-2008—alterations.cfm 8/4/2010 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refr4erant Charge Verification-Standard Measurement Procedure (Page 1 of Site Address, Enforce,neat Agency: Permit Number. Note:If installation of a Charge Indicator Display(CID)is utilized as an alternative to refrigerant charge verification for compliance,a MECH--24 Certificate(instead of this 1ECH--23 Certificate)should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and SYW6 are not required for compliance,when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this farm. Attach an additional form(s)for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes(TMAH)and Saturation Temperature Measurement Sensors(STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. SW are only required for completely new or replacement space-conditioning systems that utilize prescriptive compliance method TMAH-Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System Location or Area Served 1 5/16 inch(8 mm)access hole upstream of evaporative coil in the return plenum and Ayes 13NO labeled according to Figure in Section RA32.2.22. 2 Tkyes ONo 5/16 inch(8 min)access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to I and 2 is a pass. Enter Pass or Fail ✓ ass ✓ O Fail STMS-Sensor on the Evaporator Coil System Name or Identification/Tag The sensor is factory installed,or field installed according to manufacturer's 3 Oyes ONO specifications,or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 4 ❑Yes ONo digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ENIA - ❑YesONo The sensor measures the saturation temperature of the coil within 1.3 degrees F o 3,4,and 5 is a pass. Enter �( / O Pass ✓ 0 Fail if STMS are not applicable. Otherwise enter Pass or Fail STMS-Sensor on the Condenser Coil System Name or Identification/Tag The sensor ii factory installed,or field installed according to manufacturer's 6 Oyes ONo specifications,or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑Yes ONo digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 Dyes ONo The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6,7,and 8 is a pass. Enter /A ,/ O Pass ✓ [3Fail N/A if STMS are not applicable. Otherwise enter Pass or Fail Registration Nranber: Registration DatelTime: HFRSProvider: _ August 2009 2008 Residential Compliance Forms INSTAIIATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Cba a Verification-Standard Measurement Procedure a e 2 of Sir ddrm:'4 Enforcement Agency: Permit Number. G6 L�oGG /l; i O D - o Standard Charge Measurement Procedure(for use if outdoor air dry-bulb is above 55'Il Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available to Reference Reslderuiad Appendix RA3.2. As marry as 4 systems in the dwelling can'be dxumented for compliance ruing this form. Attach an additional form(s)for any additional systems in the dwelling as applicable. • The system should be Installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet mtnimwn airflow requirements as.prerequuisite for a valid refrigerant charge test. • If outdoor air&), bulb is 55'For below,the installer must use the Alternate Charge Measurement Procedure. Space Conditioning stems System Name or Identification/Tag System Location or Area Served �E Outdoor Unit Serial# Outdoor Unit Make E 'Outdoor Unit Model 08 B Nominal Cooling Capacity BMIT Date of Verification 7 Z o—/O Calibration of Diagnostic Instruments Date.of Refrigerant Gauge Calibration 7`f _ rp (must be re-calibrated monthly) Date of Thermocouple Calibration _ — /Q (must be re-calibrated monthly) Measured Tem natures(010 System Name or Identification/Tag Supply(evaporator leaving)air dry-bulb tem retort T �/. Return(evaporator entering)air dry-bulb tem a Return(evaporator entering)air wct-bulb temperature(T -b) �9 S Evaporator saturation temperature (T Condenser saturation temperature T 97, 2- Suction line temperature(Tsuction) pS~/. 7 Liquid Line Temperature(TL'gwd) 7,. Condenser(entering)air dry-bulb temperature(T n ) Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Fortes August 2009 INSTALLATION CERTIFIC TE CF-W-MECH-25-11ERS Refrigerant Charge Verification-Standard Measurement Procedure aR 3 of We Address: Enforeaarent Agency: Permit Number. �(0 6 G �-�� � t�a Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag Calculate: Actual Temperature Split= Tretnm,db-Tsmply,db Z�• Target Temperature Split from Table RA3.2-3 using Tom,wb and Trmm db �g• Calculate difference: Actual Temperature , / Split—Target Temperature Split= a I T Passes if difference is between-3°F and +31F or,upon remeasurement,if between -3°F and-100°F Enter Pass or Fall Note: Temperature Split Method Calculation is not necessary rf actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured;the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement(CFM) _ Nominal Cooling Capacity(ton) X 300(elmiton) System Name or Identificationfrag Calculated Minimum Airflow Requirement(CFM) Measured Airflow using RAU procedures(CFM) Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fined orifice metering device systems System Name or Identificationfrag Calculate: Actual Superheat= Tsuctim—r ul Target Superheat from Table RA3.2-2 train T and T ,db Calculate difference: Actual Suppheat—Target SMpSrheat= System passes if difference is between -5°F and+5°F Enter Pass or Fail Registration Number: Registration DateTime: HM Provider: 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R MECH-25-HERS Refrigerant Cha a Verification-Standard Measurement Procedure (Page 4 of Site Address: Eaforcement Agency: Permit Number: Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve(TXV)and electronic expansion valve(EXV)systems. System Name or Identification/Tag / Calculate: Actual Subcooling= T-.&.Q —T.auid 9-S Target Subcooling specified by manufacturer d• b Calculate difference: s. Actual Subcooling—IFSet Subcooling= System passes if difference is between -30F and+3°F Enter Pass or Fail Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve(TXV)and electronic expansion valve(EXV)systems. System Name or Identification/Tag rW ` Calculate: Actual Superheat = T _T lo. Co Enter allowable superheat range from manufacturer's specific a ions(or use range between 4DF and 25°F if manufachrrees specification is not available System passes if actual superheat is within the allowable superheat range Enter Pass or Fail .Registration Nwnber: Regurrarion DxvTime: HERS Provider: 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R WCH-25-HERS Re emnt Cha a Verification-Standard Measurement Procedure (Page 5 of Enfore mtent Agency Permit Number.Site ddreas: C /0-- t000o Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria,metering device criteria(if applicable),and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken,all applicable verification criteria must be re-measured and/or recalculated. System Name or IdentiEication/Tag J System meets all refrigerant charge and airflow nuiresnents. Enter Pass or Fail DECLARATION STATEMENT • I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized r ntative of the person responsible for construction(responsible person). • I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation) conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the enforcement agency, • I understand that a HERS rater will check the installation to verify compliance,and that that if such checking identifies defects,I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations,including those approved as part of a sample group but not checked by a HERS rater,and if those installations fail to meet the requirements of such quality assurance checking,the required corrective action and additional checkng/teating of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance(CF-lR)form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-IR that apply to the installation have been met • I will ensure that a completed,signed copy of this Installation Certificate 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 Installation Certificate is required to be include d with the documentation the builder provides to the building owner at occupaucy. I will ensure that all Installation Ctrtificatas will come from a HERS provider data registry for multiple orientation alternatives,and beginning October 1,2010,for all low-rise residential buildings. Company Name: (Installing Subcontractor or�oral Contractor or Builder/Owner) Responsible Person's Name: ResponsibIgem°n's e: CSI B Licengc: / Date Sighed: Posit'Positi&with Company(Title): 5 7 -20^/b Is this installation monitored by a Third Party Quality Control Name of TPQCP(if applicable): Program CtPQCP)? O.Yes Xlo ALAL Regwration Datelflme: HERS Provider: RegJstrotion Number: August 2009 2008 Residential Compliance Forms i j � JNSCALLATIUN CERTIFICATE MECH M-� elof2 Duct Lea a Test-lEidsting Duct at m Enforcement Agency: Ferm Plumber:ng Site Ares 010 O O Al L T Enter the Dud System Name or Identification/Tsg. V // Enter the Dud J System Location or Area Served: '< -rj e� f'0' Note: Submit one Installation Certificate for each duct system that must demonstrate covrrplimx�e in the dwelling. i E is installation cer kate is required for compliancefar alterationsand additions in existing dwellings to spacenditioning systems and duct systems. dwellings,a completely new or replacemem duct system can also include exLwing parts of the original Note: For existiirg gs duct system{e.g.,register boots. air handler,coil,plenum,eta}ifthose parts are accessible and they can be sealed For a completely new or replacement duct system installed in an existing dwelling use the Installation Certificate titled"Duct Le Test-Completely New or Replaceme►n Duct Stem." Dee! ostic Test-Exi3fing Dud Select one compliance method from the following four choices. Opti than on 1.Measured leakage less 15%of Fan Airflow. ❑Option 2.Measured leakage to outside less than 10%of Fan Airflow. ❑Option 3.Reduce leakage by 60%or more,and conduct smoke test to seal all ac�sible leaks. ❑option 4.Fix all accessible leaks using smoke test,and HERS rater must verify. Note:(One of Options 1,2 or 3 must be attempted before utilizing Option 4.) Detam=nominal Fan Airflow using one of the following throe calculation methods. Cooling system method: Size of condeu w in Tons j,'j7 x 400= /00 CFM CFM Heating system method: 21.7 x Heating Output sty��) ❑Measured system airflow using RA3.3 airflow test procedures: CFM Optioti I used then: q Allowed leakage=Fan Airflow_ O O x 0.15= L D CFM 1 Actual leakage= / CFM Fail pass if Actual i,kss than Allowed Option 2 used then: Allowed leakage=Fan Airflow x O.IO CFM = 2 Actual leakage to outside= CFM [I Pass[3 Fad Pass if Actaai a tp oadxide is Less than Allowed t?ptioa 3 used Wen: Initial leakage prior to start of work-- CFM Final leakage after sealing all accessible leaks using smoke test= CFM 3 Initial leakage -Final leakage�� =Leakage reduction CFM (Leakage reduction /Initial leakage��)x 100°/a=%Reduction )Pass iff•Reduction>60•/. 0 Pass 0 Fail Option 4 used then: All w4xsmble leaks repaired using smoke test. HERS rater must verify(No sampling). 4 =c Pass if a Smoke Test [I Pass O Fail ll ttssilalc'leaks have been sealed � �DateMw: HERS Provider: Registration Nnanber: March 2010 2008 Residential Compliance Forms ' 1 i CF-6R MIECH-Zl-HM INSTALLAITON�RTIFICATE e Z otZ Dad a Test—E Iliad m _ F.nforaasent A,�enc�. Perfpit iYEatber: / ske�ly� f dd Outside air(OA)ducts for Central Fan lntegrated(CFI)ventilstim systems,shall not be sealaytaped off during duct leakage,testing. M OA ducts that utilize controlled motofszed dampem that open only when OA ventilation is rogaired to meet ASHRAE Standard 62.2,and close when OA ventilation is not required,may be configured to the closed position during dud k$kA$e,testing Or All supply and r tester boots must be sealed too the drywall if smoke testis utilized for coanpliaace—APP to dud leakage compliance option 3(leakage reduction by 6o%)and option 4(fix all accessible leaks)desc"Iled above. New duct msteWons cannot utRize building cavities as plenums or platform Teri Min"Cu of duds [�Mastic and draw bands must be used in combination with cloth backed rubber adhesive dud tape to seal leaks at all mw duct connections. DECLARA MM STATEMVNT ded on this form is true end cmrect I certify tinder putty of perjury,undrr the laws of the State of Catifan ia,the information provi I am eligelmle once Division 3 of file Business and Professions Code to.accept responsibility for cwstrudion,or an wthorized rep, ive of the person responscble for oonstnsctiun(respo¢aible ptisan). • 1 certify that tba installed fearines,matesmals,components,or mamifac ft mad devices ideatifiod on this certificate(the installation) conforms to all applicable codes and regulations,aad the installation is oon6stCnt with the plans and specifscsafions approved by me e tfotremWt ageaey. • I vndastto t that a lectiv rater wm71 c�myclk the insta mders� Camp ssi mtm�ncrg' ��" am required to tam oorrectivt action at>f expmsc. as of a.sample 8map but not dwcIwd by a HERS p�rf=quality checking of instsllatioaq,menu o those amity P wive w6w and nter,and ifftm installations fail to Hied the mequ that I of such quality c >�� additional chec3on9 itzB of other installations in that HERS sanmple group will be perfomraed at toy I reviewed a copy of the CcfiTicate of Complimoe(CF-1 R)foam approved by the aftcaMeMI agency that identifies the specific requirement,for the iwta iomm. I oerdfy that the r ddailed�the CJ-IRthnt apply W"the have been teed. • 1 will sinew dot a 00opkt4 algaed roP7 of the bafidbg tkls Certi$sa#a shalt lie pasted.or node avmmilabk anderatmd prig,)iaataed for the baildin&mad>�availabie to the�rsea4efrt i tar all sPoac Din the builder lea to the that asiped eW of this In t Uatim Cett�eate is regriim+ed to be iarladed wit)k dew ttaltdfaE ow+ar at vecnQamtcY. I wal ensure the mill Installion CatiBcates will entree Siom s IaPRS provider data registry far tndWC t dmistion alternatives,and begmnm$Oaol>cr 1,2010,for all low-rise tesidrattial buildings. Company Name: (Imtullins SabeontraUW or W Contractor or Btdlderlt?wner) mF/` Y�j LL; g 1e PusonIs Signature: Reesponsib a Pma�osr's : Date Signed Position With Company(Title): CST B L 9G S - Z D-- momtored by a Third Paty Quality C Name of TPQCP(if applicable): Is this ogstallatmam Yes No Program(rPQCP)? Regismnlon DdtvMw: HERS Provider. Regis&Wion Motber: Mmuh 2010 2008 Resi*Afid Compliance Forms