HomeMy WebLinkAbout14-5316 � � I -'"'1� .,_.._..� CITY OF DIAMOND BAR
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' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21810 Copley Drive,Diamond Bar,CA 91765 PRESS
,,,>> (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY
�''�"'" BUILDING PERMIT APPLICATION
� � �rj APPLICATION DATE: P/C#
s JOB SITE ADDRESS '
i ISSUE DATE: ��/� �D1� PERMIT# ����� I L
z APN LOT TRACT -p-
� OWNER TYPE CONST. OCC GROUP:
I, ADDRESS ?��Dz ll GQ T"G/U �A ��
ZONING SEfBACKS
yJj CITY �1� ZIP 76-rTEL..� I d '7 j��aJ�7� FRONT RW ❑
� APPLICANT 'IZ GQ/�M(�/[� TEL. .S� I REAR ❑
n - , SIDE/SIDE STREET RW ❑
� CONTRACTOR �Pr fi!GP_ C I�/.�/�hll�C��J SIDE ❑
� ADDRESS ,���I I �(fi�� X LiiV[_I. �lii
'r r����_ 4a �z � PROPOSED USE U Q'
= cirv � 1,��caeia ziP �f TEL. `�/� �f3 /z, $3 �2[/ �'�br �7"j� .
� ARCH/ENG/DESIGNER `�,�C
= ADDRESS
� #DWEL.UNITS #STORIES #BEDROOMS
z CITY ZIP TEL.
¢ OwNER-BUILDEH DECIARATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION �
s I hereby attirm under penalty of perjury that I am exempt from the Contractor's State License law for the reason(s) SFWADD/REM I
�
� indicated below by the checkmark(s),I have placed nezt to the applica6le item(s)[Section 7031.5,Business and Garage/Carport
� Professians Cade:Any city or counry that requires a permit to construct,alter,improve,demolish,or repair,any
L structure,prior to its issuance,also requires the applicant far 1he pertnit to file a signed statement That he or she � Patio/Deck I
i Is licensed pursuant fi the provisions of tl�e Contractnr's State License Law(Chapter 9)Commencing witli Section w
� 70W of Division 3 of the Business and Professians Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I
� the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit suhjects the applicant to a civil penalty C7
= of not more than five hundred dollars($500). ZQ Re-Roof I
� (J I,as owner of the property,or my employees with wages as tl�eir sole compensation,will do()all of or(J portions � Commercial I
y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I
Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds
� or improves the property,provided that the improvements are not intended or oifered for sale.If however,the building or I
� improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built .
� or improved for the purpose of sale.). I
'� I,as owner of the ro e am exclusivei contradin with licensed Contractors to construct the ro ect Section
(� P P�' Y 9 P � ( Valuation: Ad Area:
Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who 1•
� buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I
Y License Law.). I
� (�I am exempt from licensure under the Contractor's Sfate License law for the tollowing reason(s): �
� I
y By my signature below I acknowledge that,ezcept for my personal residence in which I must have resided for at least one c~i I
� year prior to completion of the improvements covered by this permit,l cannot legally sell a struc[ure that I have huilt as an w
owner-builder if it has not been constructed in its enti2ty by licensed contractors.I understand that a copy of the applicable
� law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at � I
� the following Web site:http/w�vw.leginfo.ca.gov/ralaw.html. � I
z
= DATE: SIGN: �
— LICENSED CONTHACTOfl'S DECLAHATION � I
a I
� I hereby attirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000)
� of Division 3 of the Business and Professions Code,and my license is in full force and eBect. J L I
� LICENSE CLASS: L•�+� LIC.NO.: ��I� I �� U I
¢
� DATE: j,`,�� CONTRACTOR: � I
¢ WOfll�fl'S CO NSA ION DECLARATION � I
y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS:
� I have and will maintain a Certificate of Consent to Self-Insure Tor Worker's Compensation,as provided by CONSTRUCTION:
� Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVIEW:
> _j�I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for
Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC:
¢ PolicyNumberare: PLUMBING:
� CARRIER p�����!'L MECHANICAL: �D. '��
� POLICY NUMBER�JA 0( d� e D"X D D �
� INSPECTION FEE:
_ (THIS SECTION NEED NOT BE COMPLEfED IF7HE PERMfT IS FOR ONE HUNORED DOLLAAS($100)OR LESS�. ISSUANCE: „JT�
= I certiry that in the perfortnance of the work for which this permit is issued,I shall not employ any person in any manner so as to
�
become subject to the Worker's Compensa6on Laws of Califomia.Md agree that if I should become subjed Tn the Worker's SMI P:
L Compensation pmvisions of Secfion 3700 of the Laba Code,I shall forthwith compry with those provisions. ENERGY P/C:
J
i DA7E:IJ/�//4 APPLICAN7: ENERGY PERMIT:
� WARNING:Failure to secure Worker'S Co pensatio coverage is unlawful,and shall subject an employer to criminal � �
ipenalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, RETENTION FEE: P
� damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE:
i CONSTqUCTION LENDING AGENCY BSAF:
= I he2by affirm under penalty of perjury that there is a ConsVuction Lending Agen�y for me performance of the work for
� which this permit is issued(Sec.3097,Civ.C.).
LENDER'S NAME:
= LENDER'SADORESS:
i I certify that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES f��I�
� county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COM MENTS:
z
� enter upon the above-mentioned properry for inspection purposes.
J
n
l� �Y��tfL��l
a PERMITTEE NAME(PRINn
fi
� `
= SIGNAlURE ERMITf DATE RECEIPTN PAIDBY: �D' VALIDATION:
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND BAR � � �` ��"� t
INSPECTION RECORD '
� • � , � • - • • � � . � .
� ' � TI�ACTAND LEDGER
SETBAGIU�LETTER�-. �: `' ' '•�°'�
.; � _
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FOO,TINGS��ORMS ���� �` �:.,-,;.�"� _ � �` � � �� � SWITCN GEAR
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;SLAB�`� "' � f'" ' M''� COMMERCIAL HOOD
;UG.PLUNlBING e T-BAR
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,UG•ELECTRlGAL ,���, „,� ������- �°� INTERCEPTER
�UFB� ����, " �, ; � � � ��'` ��� ��f . HOT MOPISHOWERPAN
� R��T�t1UN�_ = -° � aE
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR 5HEATHING ROUGH CONDUIT
;SHEAR WALLS EXTERIOR x��"� POOUSPA ° �
�SHF�4R WALLS INTERIOR���:�:" ,� ROU6H PLUMBING �
�FRAMINGNEP�TING� .�� � �_� � _' "a���i�" , 'ROUGH ELECTRICAL � '��
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� __ � o�.���:;. n �.. _ �__� ��
ROUGN MECHAMCAL;" � „ , ��,��� ��� ROUGH MECHANICAL
�ROUGH EL`ECTRICAL�I��},C(*)� ,; �'" .: , ��'�` '",; GASTEST
�ROUGH PLUMBING ��;`"P'< �'i`�� q :*'r; w.�� �k� � PRE GUNITE
; , . .
INSULATION WALL �. . N,•:3 s �1 n �;: , � �� �POOL RRE DECK��BONDING „``�
+4 . �-)° VP`' �f
INSULATION CEILING P-TRAP . �� . ➢�
DRYWALL FENCE/GATE/ALARM
LATH(PRE) FINAL PdOL
IATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEE�
GAS TEST WALL STEEL 1s'( )2Ne( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
SPEGIAL INSPECTION fl0.FRAMING PLANNINGAPPROVAL
, �.
FINAL BUILDING � a. ROUGH FIRE APPROUAL
FINAI MECNQNICAL�;�:,, ��� : '.� � fINAL FIRE DEPARTMENT '
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�INAL"ELEC7RICAL '��, �'° � ��=����_ � � �
FINAL PLAM1tNINC� ��n
� _ ��� : -_, � _:�_� --
FiNAL4RLUM�ING ° `-� FINAL ENGINEERING/PW
,T.C.of OCGUPANCY - s�°� FINAL COMMUNITY 5ER1110ES
CERT�'"� � �� .xX �" FINAL HEALTH DEPT. �
:�nf 4CGUPANCY � ,.,, ���. ,.�.� , : ._
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��PINALIPIDUSTRIALWASTE � =� �' � � �' ���' `
COMMENTS:
� ' �
:�S'ir!�E(�F CAL(F0�'NIA ,
A�TE�ATIONS - HVAC
GEGCFIR-AL7-04-E Revised 06%14 CA�IPQRNIR ENERGY COMMfSSiON
CERTIFICATE OF COMPLIANCE . � CF1R-AL7-04-E
�Alterations-HVAC CZ 2,and&15(formerly CF-1R-ALT-HVAC� (Page 1 of 1)
. _ .
Sife Address: - �nforcement AgeDcyc Date Prepared: PermiY#:
2 , �— .�.a L. .� �z
New Ducting,Plenums,tinesat: Con ition d
Equipment Type Equipment Efficiency Required R-value Fiaor Area{sq##} Thermostat
❑Packag�d System Evaporator Coil AFUf �pp �R-6 (CZ 2,$-13}Ducti�g Served by system ❑Setback
�S li�t S s#em ❑Cbndensin Unit , � � �Q�� (If not already
P Y 6 ❑R-8 (CZ 11,14,15)Ductin / s ft
❑Mini Split �Compressor SEER NSPF present,must ,
p R-6(all CZ's)Plenums
t�urnace 0 iinesei � �ER ❑R-5 or R7.5}Lineset` be instatled)
O TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allawed to 6e fiiled out by hand. For final inspection all fprms are to be registered(na hand filled forms allowed)and a capy left on site.
S.NVAC thangeout/Repair Required Compliance Documents to be left on site for Final:
A!!Equipment, CF1R-ALT-02-E
Condenser Unit,Evaparator Cail, CF2R: MECH-Ol,MECH-2p-HERS,MECH-(23 or 24)2-HERS,MECH-25-HERS=
Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or 24}-NERS�,MECH-25-HERSZ
Air HandlerJFurnacez{tan include new dacting)
Installer Requirement:Duct leakage{<iS9b,or<10%ta autside,or seal a1!eccessible 4eaks},Air Fiow>_304 CFM/ton,Refrigerant Charge.
Exempted from duct leakage testing if:
❑1.Duct system registered with HERS provider as previously sealed,or l�2.There is less than 4q linear feet of duct in unconditioned space,or
❑3.Existing duct systems are constructed,insulated ar sealed with asbestos(lis#manufacture date pf building��
❑2.New HVAC System Required Compliance Oocuments to be left on site far Fina}:
All new equipment and All New Dutts�' CF1R-ALT-Q2-E
including Mini Split CF2R: MECH-Ol,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24a-HER52,MECH-25-HERSZ
CF3R: MECH-20-NERS,MECH-22-NERS,MECN-(23 or 24)-HERS',MECH-25-HERsx
Mini Splits require CFiR-AlT-02-E,CF,2R-MfCH-01,and (CF2R-CF3R}MECH-25-HERS
instailer Requirement:auc#(eakage<5�0,Fan Efficacy{.5&W/CFN!},Air Fiow>_354'CFMftan(or altemative},Re#rigerant Charge
❑3.All New Ducts with Replacement Required CompHance Documents to b.e{ett on site for�inal:
All New Ducts�and one o'r more of the following CF1R-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-ql,MECH-20-HERS,MECH-(23 ar 24)-HERS,MECH-25-HERS
Compressor,T?CV,lineset,FurnaceZ CF3R: NiECH-20-HERS,MECH-{23 or 24}-NERS,MECH-25-NERS
installer Requirement:Ll�ct leakage<6%,Air Fiow>_350 CFM/ton(or aiternative},Refrigerant Charge
Exempted from duct leakage testing if:Cl I. Existing duct systems are canstructed,insulated or sealed with asbestos �
❑4.New Ducting over 40 feet Required Compliance Documents to be left on site far Final:
New ducting but Iess than AI�New Ducts3 CF1R-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
installer Required ta:Duct leakage(�153G or,<1d%to outside or,or seal afl accessible(eaks}
❑ EXCEPTION:Existing duct systems constructed,insulated ar sealed with asbestos.
'Afi new ducting ft-8 required when more than 4Q ft installed and R-6 when less than 40 ft instafied. This includes in walls,between f(aors etc.
z Heating only systems and Air HandlerfFumace changes do not require Air Flow MECH-(23 oe 24j,or Refrigerant Charge verification MEChi-25
3 All New Ducts is when at least 75 percent of the duct system is new duct material,and up to 25 percent may consist of reused parts from the
dwelling unit's existing duct system(e.g.,registers,gri(les,boots,air fiandler,coil,plenums,duct materialj
� "R-5(1"thick insulation}for linesets 1"and less. R-7.5{1.5"thick i�su3ation)for linesets over 1 inch. IVlost mfg will require Suctian line Diameter
with insulation as the fallowing 1.5-2T-251s',2.S-3T-2'l.",3.5 to 4T-2%b',5T-4%"
Contractor(Dacumentation Author's/Resgonsible Designer's Declaration Statement)
I ce�tify.the fallowing under penalty of perjury,under the laws of the State af California:
1. The information provided on this Certificate of Compliance is true and correct.
2. . t;am eligible under Divisian 3 of the California 8usiness and Professions Cade to accept responsibility for the information on this document.
3. 7;hat the energy features and perFarmance specifications for the design identified on this Certificate of Compliance conform ta the
requirements of 7itle 24,Parts 1 and 6 of the Calffornia Code of Regulations(CCR).
4. That the energy features and performance specifications,materials,components,and manufactured devices for the building design or
system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Pert 6 of the CCR.
5. The buiiding desigra features or system design features identified an this Certificate of Comp(iance are consistent with the infarmation
provided on other applicable compliance documents,worksheets,calculations,plans and specificatians submitted to the enfarcement '
agency for approvaFwith this building permit application.
Responsible Designer Name: Responsible Designer Signature: Date Signed: � license:
� � � � ;� . '�
Company: Add x: � CityJState/Zip: � Fhone: �
ler r �t �c►✓� � !,v s � .2 .
For assistance ar uestions regarding the Energy Standards,contact the Energy H6tline at:1-800-772-3300..
_ . .�.: ..... ...
� CERT;!�ICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems,Ducts,and Fans (Page 1 of 7) �
Project Name: CHARLIE MARES Enforcement Agency: City of Diamond Bar Permit Number: 14 5316
Dwelling Address: 2902 YUCATAN PL#B City: Diamond Bar Zip Code: 91765
A.General Information
01 Dwelling Unit Name CHARLIE MARES 02 Climate Zone 9 -
Dwelling Unit Conditioned Floor Area ' Number of space conditioning(SC)
03 �ft2� 1300 - 04 systems being altered in this dwelling 1
unit.
05 Certificate of Compliance Type Prescriptive alterations(CF1R-ALT) 06 Method used to caiculate HVAC loads NotApplicableEquipmentChangeout
Calculated dwelling unit Sensible - Calculated Dwelling Unit Heating Load
07 coonng�oad(Btut,) � �'��� � °8 (Btut,�
� .r."`;;�*, `;.t�,�E,: ���r� : �� �1�� . �., ���`�.. � �'�. " s���,. � . .:�a�,
�yi �. ..� �< �g � � ' �'€ ys, � _� � , ,-_ .�.
MCH-Oib Prescriptive Alterations Space Cond�tionmg Systems Ducts and<Fans} ,�� �v s
�. �°' �+¢r � �.- i?��a �� �, �����. e,'
� ��-
2� � > .
,
����:: �'�. ,� �d.��. �_`-��.� .� �`L:gi .; .s ��st".` . '::�R.' ..::��..�"*+41 .�'�'f��';� -.
�,:". �x. ��"' ,sa` � ,,�...mr�3T'��.��r's�rt� .'a..� - -`zt.;� }�`r:,: �``"�'� ��' ��`'"�,,�"�"�'�.
B. Space Conditioning(SC)System Inforrriation � �� `�' �� ..'� � :_ ��� � � 5�~� ��
;;;.,
01 02 <� 03 �°:;:„ 04 05 06 07 08 09 10
Are�j of the
system's
, components
and ducts
CFA served Is the SC Installing a Installing new or
SC System SC System by this SC system a refrigerant Installing new SC Installing more entirely replaced?
Identification or Location or Area System ducted containing system than 40 feet of new dud (entirely new
Name Se�ved (ft2� system7 component? components? duds? system? system) Alteration Type
Altered space
System 1 Location 1 1300 . Yes Yes Yes No No No conditioning
system
Registration Number:214-A0166522A-M0100002A-0000 Registration Date/Time: 2015-01-27 17:18:45 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-01-27 17:14:10
. CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems,Ducts,and Fans (Page 2 of 7) .
C. Space Conditioning(SC)System Alterations Compliance Information
O1 02 03 04 05 06 07 OS 09 10 11 12
Heating Cooling New or New
System Altered Heating Minimum Altered Cooling Minimum Required Replaced Duct
Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Duct R-
or Name System Type Component Type Value System Type Component Type Value Type Length Value
This
field or
Central gas All new Central split All new N/A-no section
System 1 furnace heating AFUE 70 A� cooling SEER 13 Setback ducts �s not
components components replaced applica
61e
� �,r � �:�p � _ �.,�,a���.� �� 7� ���"�:
D. Installed Heating Equipment�nformat on,���,;.� � ' ; �� � , �
;� . � � - � � �b �
��� a�.�. � .�� ���.
01 3 :02 �,`s�a�'� � < 03 s �Q4,��i = � _ US����- 06 07
�� �..p,, .� x� -
System Identification or � H� ' ��,;� E� � Heating Effi,ciency � ' Heating Umt Heating U�t � � Heating Unit serial Rated Heating Capacity,
g�-- .� t.Y Yp� ��Val e'����,:;� ..`�Manufacturer"�`� V-Moda�v� ,.r�,r ,�=" `���;���>
Name Heatin �Efficienc T e� el Number number Output(BTUH)
�
System 1 �"AFUE� ��� � ��� 70 RHEEM R801A07�5417MX w471410929 70
Notes:
' Registration Number.214-A0166522A-M0100002A-0000 Registration Date/Time: 2015-01-27 17:18:45 HERS Provider.CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-01-27 17:14:10
• CERTI,�ICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems,Ducts,and Fans (Page 3 of 7) -
E. Installed Cooling Equipment information:
01 02 03 04 05 06 07 08
Condenser or Package Unit
Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated
System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity
or Mame Type Value Manufacturer Model Number Serial Number Conditions(BTUH) (ton)
System 1 SEER 13 TRANE TTR7366100A0 F16266608 36 3
Notes:
F. Extension of Existing Duct System,Greater Than 40'Feet
-�, ,� �� �,�, � ��_ ��� ,� �.
�` ,�This section�"'d'oes not apply�to�this pro�e�ct,°=� �, ;�
�., ��.�.��". �. ��. ���.sFt��� �„q
,a��'�'.�.. � S;�,��,. ��Lkn�a�. ..Y�°?'��i.::,... Wsrt�� ''�:�. ..°�
� .
�t' � �—
G. Instalied Duct System informat�on; �° � � �� �,� � � �� "� � '�'� �
�;. > � � � �� � �
�x��r• .� ._ -.� . �. �i w _ - . � ', �- '.. �'.,.' �: .�; ��" � ='�_ � . �. ���. .�
�.,�����,E�, �,� .; _rr � ,�..,: � ��, . . � : �� ,,,��,:-- -�.::,;� -..
'�' This�section does not�apply to this project.
H. Installed Air Filter Device Information ` '
This section does not apply to this project.
I.Air Filter Device Requirements
This section does not apply to this project.
Registration Number:214-A0166522A-M0100002A-0000 Registration Date/Time: 2015-01-27 17:18:45 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-01-27 17:14:10
. CERT�FICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems,Ducts,and Fans (Page 4 of 7) .
J. HERS Verification Requirements
01 02 03 04 05 06 07 OS 09 10
MCH2O MCH21 MCH22 MCH23 MCH25 MCH28
Exemption
from
Minimum
Exemption R-Value for AHU Fan AHU
SC System SC System From Duct Duct Ducts In Ducts Located Efficacy Airflow
Identification or Location or Area Leakage Leakage Conditioned In Cond Space �W per Rate(cfm Refrigerant Return Duct Design
Name Served Requirements Test Space Verification cfm) per ton) Charge Table 150.0-C or D
System 1 Location 1 NO Yes Not No No Yes Yes No
exemptions �; applicable
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Re is r ' HERS Provider.CaICERTS �
g t ation Number:214-A0166522A-M0100002A-0000 Registration Date/Time: 2015-01-27 17:18:45
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-01-27 17:14:10 I
---_ _ -�
• CERT!FICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems,Ducts,and Fans (Page 5 of 7) -
K.Space Conditioning Systems,Ducts and Fans Mandatory Requirements and Additional Measures ,
Note:Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems.These requirements may be applicable to only newly installed equipment or portions of the I
system that are altered.Existing equipment may be exempt from these requirements. I
Heating Equipment I
01 Equipment Efficiency:All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a)and the Appliance Efficiency '
Regulations.
02 Controls:All unitary heating systems,including heat pumps, must be controlled by a setback thermostat.These thermostats must be capable of allowing the occupant ,
to program the temperature set points for at least four different periods in 24 hours.See Sections 150.0(i), 110.2(b).
03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing.See sections
150.0(h)1 and 2).
04 Furnace Temperature Rise:Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum
inlet-to-outlet temperature nse specification.See Section 150 0(h)4 '�'" " "5����* �' ``s` �� ���``'��
�.• ��,�� �d.5' j
�� ���'��- �"`'��. L5�'a{ - d 5 y d
OS Standby Losses and Pilot Lights Fan-type central furnaces may not have a co'ntinuously burning p�tot light Section 110.5 and Section 110.2(d).
J _�_ ,.� �`�,>i�� ..i�'v��.?`... .�..*�'"�„P�. `��+ �.:^s .,�`,s�, ��". ���'H`�r� �=�!
�j. _ � r� � �'�`� 3 : e �� � � ...
Cooling Equipment ��j „ `� '` ��x � �� ��' ��, '� � ���"�e `'r�
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06 Equipment Efficiency:All cooling eqwpment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a)and the Appliance Efficiency
Regulations. � � ����
�;..
Refrigerant Line Insulation:All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section
�� 150.0(j)2 and 3,and Section 150.0(m)9.
08 Condensing Unit Location:Condensing units shall not be placed within five(5)feet of a dryer vent outlet.See Section 150.0(h)3A.
09 Sizing:Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing.See Section
150.0(h)1 and 2.
Air Distribution System Ducts,Plenums and Fans
10 �nsulation: In all cases,unless ducts are enclosed entirely in directly conditioned space,the minimum duct insulation value is R-6. Note that higher values may be
required by the prescriptive or performance requirements. See Section 150.0(m)1.
Registration Number:214-A0166522A-M0300002A-0000 Registration Date/Time: 2015-01-27 17:18:45 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-01-27 17:14:10
. CERT,lfICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems,Ducts,and Fans (Page 6 of 7) �
K.Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additiona) Measures
Note:Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems.These requirements may be applicable to only newly installed equipment or portions of the
system that are altered.Existing equipment may be exempt from these requirements.
Connections and Closures:All installed air-distribution system ducts and plenums must be,sealed and insulated to meet the requirements of CMC Sections 601.0,
ii 602.0,603.0,604.0,605.0 and ANSI/SMACNA-006-2006:Supply-air and return-air ducts and plenums must be insulated to a minimum installed level of R-6.0 or
enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference
Residential Appendix RA3.1.4.3.8.
Heat Pump Thermostat
12 A thermostat shall be installed that meets the requirements of Section 110.2(b)and Section 110.2(c�.
13 The thermostat shall be installed in accordance with the manufacturers published installation specifications
14 First stage of heating shall be assigned to heat pump heating.
15 Second stage back up heating shal�b et to come on only�,�hen.the ind�o�set�tempe�ature cann�ot�be�met ���.`�„.
� 4� ,a' rk��� ���� �r y'a��',. ��5 � p�t . `^ �' 'tl���Y �`'
The responsible person signature on this compliance document,affirms that all applicable requirements m this tab�e have been met �
�,nty _xa 5 -�� `� ;i �. �`' .� i '�-` ay,� ,�`r'
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Registration Number:214-A0166522A-M0100002A-0000 Registration Date/Time: 2015-01-27 17:18:45 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-OS-13 Report Generated:2015-01-27 17:14:10
• CFR�IfICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems,Ducts,and Fans (Page 7 of 7) -
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Jacoby, lan cQan aco�
Company: Signature Date:
Stratz Permit Service 2015-01-27 17:18:26
Address: CEA/HERS Certification Identification(if applicable):
5858 Dovetail Drive
City/State/Zip: Phone:
Agoura Hills CA 91301 818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of pery'ury,under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept respoosibility for the system�„desig�,construction,or installation of features,materials,
�^•,_•�¢, �, _� "��'� �,> � '-'ya ;�' � �."".r s
components,or manufactured devices�for;the scope of work identrfied on this:Certrficate of Installation and attesfto the�declarations in this statement(responsible builder/installer�,otherwise I am an
� .
authorized representative ofthe resp s�ble builder/installer � �� �,� � °�.' "'� � � �„ � �� ���� � �,, "x
3. The constructed or installed features`�m terials,compo ents or ma�factured devi s(the�installation)�dentified on:thi Certifi�e�of Installafion conforms to all applicable codes and regulations,and the
� �� ��:�. ��.� � � t a�� � �� �`� :� av .�__�� =;'�
installation conforms to the requirements given on the plans and,spenfications approved by the e�forcement agency� , , - � �.� -
�. ���� �� �� � � z,;�.� ��� � �
4. I reviewed a copy of the Certificate of Compl r nce appr�oved�y�the enfo�rcement agency_th�at�identifies th'�e�c�fi�q�rements fo�r�the'scope of��construcUon or installation identified'on this Certificate of •
Installation,and I have ensured that the requirements that;apply to the mnstruction`or;�nstailation:haye been met.,�� s :, ` �� �
5. I will ensure that a registered copy of this Certificate of Installation 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:r'egis4ered copy of tfiis`Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
;�._ -
Responsible Builder/Installer Name: Responsible Builder/Installer Signature: /���/� �
Brumbaugh,Kara
Company Name:(Installing Subcontractor or General Contrector or Builder/Owner) Position With Company(Title):
SERVICE CHAMPIONS INC Owner I
Address: CSLB License:
22911 SAVI RANCH PARKWAY 799170
City/State/Zip: Phone: Date Signed: I
YORBA LINDA CA 92887 (714)777-7777 2015-01-27 17:18:45
' r r onsibilit for the accurac o(the information. III
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document,and in no way implies Registration Provide esp y Y
Re istration Number:214-A0166522A-M0100002A-0000 Re istration Date/Time: 2015-01-27 17:18:45 HERS Provider.CaICERTS I
B g
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-01-27 17:14:10
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
. r
Duct Leakage Diagnostic Test (Page i of 3)
Project Name: CHARLIE MARES Enforcement Agency: City of Permit Number: 14 5316
Diamond Bar
Dwelling Address: 2902 YUCATAN PL#B City: Diamond Bar 2ip Code: 91765
A.System Information
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Location or Area Served Location 1
03 Building Type from CF-iR Single family
04 Verified Low Leakage Ducts in Conditioned Space No,credit is not taken
(VLLDCS)Credit from CF1R?
05 Verified Low Leakage Air Handling Unit(VLLAHU)Credit No,credit is not taken
from CF1R?
06 Duct System Compliance Category ���»�,� � Alteration using�smo,k�e test � �
�
� � w.,3�..�F . ....�� �,. : -. r ���. =—;.��,�- �;� ��;a.�.�..
��€�t. �.� , . , ����; � � .s � a
- ��.�:.�-� ?�'���Xv�.i�`-" P .r. .�.'4�;«�'3: ��+ �x...�
MCH-20e-Sealing�pll'�Access ble Leal€s using Smoke'fest�_ �L�,� , � � r" � � � ,�
�.���'�` �,. ��_ � r � ,} " t�.�'
_ .
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B. Duct Leakage Diagnostic.Test
01 Condenser Nominal Cooling Capacity;(ton) 3
OZ Heating Capacity(kBtu/h) 70
03 Conditioned Floor Area served by this HVAC system(ft2) 1300
04 Duct Leakage Test Condition Test final
05 Duct Leakage Test Method Total leakage
06 Leakage Factor 0.15
07 Air Handling Unit Airflow(AHUAirflow) Determination Cooling system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate(cfm) 180
10 Actual duct leakage rate from leakage test measurement 500
(cfm)
Compliance Statement:System passes using smoke test of an altered HVAC system in an existing building. No visible smoke
11 exits the accessible portions of the duct system.Smoke is only emanating from air-handling unit(AHU)cabinet and non
accessible portions of the duct system. Note-Accessible is defined as having access thereto, but which first may require
Registration Number:214-A0166522A-M2000002A-M20A Registration Date/Time: 2015-01-27 17:23:47 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-OS-08 Report Generated:2015-01-27 17:21:11
2013 Residential Compliance Schema Version:0.5515DD
CFRTIFIC/�TE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
removal or opening of access panels,doors,or moving similar obstructions. If access to the ducts requires an object to be
demolished or deconstructed then sealing of those ducts is not required
12 Notes:
C.Additional Requirements for Compliance
01 System was tested in its normal operation condition. No temporary taping allowed.
Outside air(OA)ducts for Central Fan Integrated(CFI)ventilation systems,shall not be sealed/taped off during duct leakage
02 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.
03 All supply and return register boots�were sealed to the drywall.
04 Building cavities were not used as plenums or platform returns in lieu of ducts.
05 If cloth backed tape was�used it was covered wit�Mast�c and�draw�bands� �� �� �`:�7 �
��a�•: d.'�� �:�4�
�
06 All connectio�p ints betw en the a�r handler and the�p ly and.�etu n�plenurns are completely sealed.� �. �.
�� �, �� � �� m����-. � �. �� �,.
� ., .
�� ����� �.� '� ���' ,:����fi�'�f� �' � ��. �: �_ �'�� �9'���
� �� �� �.�..o�. .
If the system complies�using�the�5moke�Test�method,thesmoke,test was conducted in accordance with�the�requirements
07 of Reference Residential Appendix RA3 1.4.3.6.Systems that comply using smoke test shall not be included in sample
,�,,:: �;, �
groups for HERSxverification compliance.
08 Verification Status: Pass-all applicable requirements are met
09 Correction Notes for this table:
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table.
� D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol
requirements in order for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies:All specified verification protocol requirements on this document are met.
Registration Number:214-A0166522A-M2000002A-M20A Registration Date/Time: 2015-01-27 17:23:47 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-OS-O8 Report Generated:2015-01-27 1721:11
2013 Residential Compliance Schema Version:0.551SDD
CERTIFIGATE OF VERIFICATION CF3R-MCH-20=H
Duct Leakage Diagnostic Test (Page 3 of 3)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation AutFior Signature: �/ /�
Ian Jacoby cyan�acobJr
Company: Date Signed:
Stratz Permit Service 2015-01-27 17:23:29>
Address: CEA/HERS Certification Identification(if applicable):
r 5858 Dovetail Drive 10059
Ciry/State/Zip: Phone:
Agoura Hills CA 91301 818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury,undec the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater).
3. The installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2 RA3,and the requirements
specified on th�Cert'�ificate�,of Compliance�for the#�,bwldmg approved by`Lhe,;enforce"�rrient age�ncy -�` �_ :;
�, x.� � : *.�� 5 ` .�Ca �^ '�� z
4. The informaUon reported on�applicable sed�ons�'of the Cei'tificate(s}°of Installat�on tCF2R)signetl�ntl submitted by the person(s)responsible for the
construction.or installation conforms to the requirements speei�el d on the Cert rcate( •`of Comp nce(CF1R approved by the enforcement agency.
��� �' � �^� �r��v,�: �,� ��°� �r"� � � �� ��'
' S. I will ensure*tFiat a registered'copy of,this Cert�ficate of VerificaUon°shall be posted'"or made available with the bwldingspertnit(s)issued fo�the
� � -���� ��� a� �,� � � �.� �
building,and�made available:to the enforcement agency for all applicabfe inspections 1 undersbntl that a registered:copy of th�s Certificate of
����� �:�,,, � � *�:�,�a � � �r„� _.2���
Verification is requrced,to be,�nclutled:�vith the"documentation the b`u�ltler provides totFie building owner^'at•o'ccupancy. �`�' '� "�
, .�.���
� Builder Or Installer�,lnforrtiation As Shown On The Certificate Of Installation
Company Name(Installing Subcontractor,General Cont�actor,or Builder/Owner):
SERVICE CHAMPIONS INC
Responsible Builder or Installer Name: CSLB License:
Kara Brumbaugh 799170
HERS Provider Data Registry Information
Sample Group Number(if applicable): Dwelling Test Status in Sample Group(if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Stratz Permit Service
Responsible Rater Name: Responsible Rater Signature:
Robert Scherzinger ��E��C'��PJLZ � PJIi
Responsible Rater Certification Number w/this HERS Provider: Date Signed:
CQ006349 2015-01-27 17:23:47
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered documen[,and in no way implies Registration Provrder
responsi6ility for the accuracy of ihe information.
Registration Number:214-A0166522A-M2000002A-M20A Registration Date/Time: 2015-01-27 17:23:47 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-01-27 17:21:11
2013 Residential Compliance Schema Versior:0.551SDD
I ,
CE,RTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 4)
Project Name: CHARLIE MARES Enforcement Agency: City of Permit Number: 14 5316
Diamond Bar
, Dwelling Address: 2902 YUCATAN PL#B City: Diamond Bar Zip Code: 91765
A. Ducted Cooling System Information
01 System Identification or Name System 1
02 System Location or Area Served Location 1
03 System Installation Type Alteration
04 Nominal Cooling Capacity(tons)of Condenser 3
05 Condenser Speed Type Single Speed
06 Cooling System Zona.l Control Type '-;: Not Zonal
07 Central Fan Integratedn(,CFI)Ventilation System Status . � Not a CFI system ,,, ��:
�.. �, .�. `:� �:. � � �;i.
.. ; ,:
�,� ;:;: _ � � ° � ��� ��� ��� N o � � �.� --- � �-
08 System Bypass t7uet Status ,�� �� �� ���Bypas�Ouct ' '� "�`��`�.z ����
.�" . �.�'� . � ��� .� �.z��Z .;� �;
�
09 Date of System Airflow Rate��Measurement�� �� r�° 2015�01�°�22 �` '. � �� ' ���
'y�`�kh� ,..��+�' .;vi,F .afi5;' ','� �'��.a�'.i5,i�' -:s�` '�� i���"m.r��;� •r,n� �`' �
_ r�.
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+. :,.,..i "-" � � �.:.,� � ..;;:. .. ..;. ::...� � �,.. �. .
a�_
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� �r .�-�,.., �.- „ -.4
10 Airflow Rate.Protocol utilized RA3.3 procedures for airflow rate measurement
.
; ,_
�._
xe�.
B. Hole for the placement of a Sfatic Pressure Probe(HSPP),and Permanently installed Static Pressure Probe (PSPP)
in the supply plenum. -
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
O1 Method used to demonstrate compliance with the HSPP installed and labeled consistent with Figure RA3.3-1
HSPP/PSPP requirement
C.Airflow Rate Measurement Apparatus and Procedure Information
� Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given
I in RA3.3.2.
O1 Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in
verification. RA3.33.1.4
02 Manufacturer of Airflow Measurement Apparatus TSI
03 Model number of Airflow Measurement Apparatus TSI
04 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at
Accuracy http://www.energy.ca.gov/(tbd)
Registration Number:214-A0166522A-M230Q002A-M23A Registration Date/Time: 2015-01-27 17:23:47 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-01-27 1722:42
2013 Residential Compliance Schema Version:0.51SDD
C�RTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 4)
MCH-23a Forced Air System Airflow Rate Measurement-Newly Installed Non-Zoned Systems or Zoned Muiti-Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01 Required Minimum System Airflow Rate(cfm/ton) 300
02 Required Minimum System Airflow Target(cfm) 900
03 Actual System Airflow Rate Measurement(cfm) 1305
04 Compliance Statement: System airflow rate complies
E.Additional Requirements
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
01 the system during system air flow rate�measurement idenfified on this'�Certificate of fnstal��ation�;;,.
�W �. �d��. �y.r. �� i�:.r« � �_ ��. �, �_�- �:�
� ."..� �� :r �ss x�.'� <::=� A� �' 'f ; , ��.': .w ��s - �
The airflow rate measurement�a aratus`�used to pe�orm�ihe airfl;ow�raCe�ineasurement ideMified on this Certificate of
� „ . PP �
� 02 Installation was�calibrated in accord_ance�with the apparatus�manufacturer's spec'rf►cations and conforms�o the ��
�a. ��,,� �., .� � � �,�- .�
instrumentation�spec►ficatiansgiven��n RA3!3 1 ��`°��`� �' ,��, � �;� `'�"` � "��'� � �'
A visual inspection shall'confirm that�bypass ducts that deliver conditioned supply air directly to the space conditioning
system return duct a�irflow"are not used on new or replacement zonally controlled systems unless the Performance
�::
03 Certificate of Compliance indicates.an allowance for use of a bypass duct.When a bypass duct is accounted for on the
Performance Certificate of Compliance,the airflow rate shall conform to the specifications listed on the Certificate of
Compliance.
04 All registers were fully open during the diagnostic test.
05 System fan was set at maximum speed during the diagnostic test.
06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow(cfm/ton)and fan
08 efficacy(Watt/cfm)with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
09 Verification Status Pass-all applicable requirements are met
10 Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table.
Registration Number:214-A0166522A-M2300002A-M23A Registration Date/Time: 2015-01-27 17:23:47 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-01-27 1722:42
2013 Residential Compliance Schema Version:O.SISDD
C�RTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 4)
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol
requirements in order for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies:All specified verification protocol requirements on this document are met.
':�:
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Registration Number:214-A0166522A-M2300002A-M23A Registration Date/Time: 2015-01-27 17:23:47 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-01-27 17:22:42
2013 Residential Compliance Schema Version:O.SISDD
C�RTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: /�
lan Jacoby c�an�acobJr
Company: Date Signed: .
Stratz Permit Service 2015-01-27 17:23:29
Address: CEA/HERS Certification Identification(if applicable):
5858 Dovetail Drive
City/State/Zip: Phone:
Agoura Hills CA 91301 818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perju.ry,under the laws of the State of California:
1. - The information provided on this.Certificate of Verification is true and correct.
2. I am the cectified HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater).
3. The installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply w�th the applicable requirements in Reference Appendices RA2 RA3,and the requirements
`�'�-� � '� �- x �x�� ���ur� �"�'a .
specified on the rtificate of�Compliance for the bwlding approved by the enforcement agency ^� �
4. The informabon�reported on�applicable se�ct�ons�of the Certrficate('s)of Installat o�(CF2R)signed,and submitted by fhe person(s)responsible for the
construction�ormstallation co�forms to h requiremeMs spenf�ed an the CertrficaYe(s)�of Compfiance(CF1R)approved�by the enforcement agency.
_�-�
5. I will ensure%at�a registere�d�cop�y�of t�h'��is Ce ficate of V�erifi atio�shall be poste�ar�inade_ailable with the�ldi�g perrriit(s)issued foi the
building,andtimade a�vailable io the enfafcement agency for�alt applicable inspect�ons`�F understand that a cegistered�copy of tFiis Certificate of
Verification is requir'edLto�be i�cluded with the""dazumentation the builder provides to�tfie building owner�at occup ncy. '
- �_ � �
Builder Or Installer Info�rriation As Shoitin On The Certificate Of Installation
Company Name(Installing Subcontractor,General Contrector,or Builder/Owner):
SERVICE CHAMPIONS INC
Responsible Builder or Installer Name: CSLB License:
Kara Brumbaugh 799170
HERS Provider Data Registry Information
Sample Group Number(if applicable): Owelling Test Status in Sample Group(if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Stratz Permit Service
Responsible Rater Name: Responsible Rater Signature:
Robert Scherzinger C+lG�.�JfiZ � PJIi
� Responsible Rater Certification Number w/this HERS Provider. Date Signed:
CC2006349 2015-01-27 17:23:47
Digitally signed 6y CaICERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number:214-A0166522A-M2300002A-M23A Registration Date/Time: 2015-01-27 17:23:47 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-01-27 17:22:42
2013 Residential Compliance Schema Version:O.SiSDD
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
I�efrigera:it Charge Verification (Page 1 of 4)
Project Name: CHARLIE MARES Enforcement Agency: City of Permit Number; 14 5316
Diamond Bar
Dwelling Address: 2902 YUCATAN PL#B City: Diamond Bar Zip Code: 91765
A.System Information
HERS Rater to field-verify all system information,discrepancies to be noted by overwriting entry.
01 System Identification or Name � System 1
02 System Location or Area Served Location 1
03 Condenser(or package unit)make or brand TRANE
04 Condenser(or package unit)model number TTR736B100A0
05 Nominal Cooling Capacity(tons)of Condenser 3
06 Condenser(or package unit)serial number F16266608
. '�.,.:�-_-: ��w�k�=,:�:;r«++�;�::-:'�x , .r:e;sk..,r,�n�„EE��. �"r4.dr.�C,� �ao�:� .�a'a>'„�
�:L �X -z �+x L39c-� �`.. �
_
� +
� 07 Refrigerant Type � < � �� ,�� R,410A �� ��
� �� ��. � .��� ��„ .�_� �
, � ,
,- ,
r � �
08 Other Refrigerant Type(if�applicable) � ; � � � '��.�>. �� ���`'}�. � -�
""�w,��; .en��j, '��, ��: i, '� �t�" r;��,,0'°�3 �> 3 .�:�:; � {nr g�
>
�,h
,:t.:; „ Kd ,_sx, r�' .'F� .+�� '�r.x..-' a, :..._.:.� ��� . .� 'R '��'4:..,-• .... ,."-',..�,°. .. . ..
09 System InstallationType � �� • a� � � Alteration
10 Charge Indicator Display(CID)Status{Note: Even systems This system does not have a CID device installed
with a CID must have refrigerant cherge verified by installer)
Is the system of a type that the minimum airflow can be Yes,this is a ducted system and one of the system airflow
il verified using an approved measurement procedure(RA3.3 rate measurement procedures in RA3.3 or RA3.2.2.7 can be
or RA3.2.2.7)? used to verify system airflow rate
Is the system of a type that approved refrigerant charge Yes,one of the Refrigerant charge ve'rification procedures
verification procedures can be used to verify compliance from RA3.2.2 or RA1 is applicable to this system and can be
12 with the refrigerant charge verification requirements when used to verify compliance
temperatures are greater than or equal to 55F(RA3.2.2,or
RAl)?
13 Date of Refrigerant Charge Verification for this system 2015-01-22
14 Refrigerant ch�,rge verification method used. Subcooling(outdoor temperature must be equal to or
greater than 55 degF)
15 Person who performed the Refrigerant Charge Verification HERS rater
reported on this Certificate of Installation
16 HERS Verification Compliance Requirement Status System does not qualify for group sampling
17 Refrigerant charge verification method used by HERS Rater. Subcool
Registration Number:214-A0166522A-M2500002A-M25A Registration Date/Time: 2015-01-27 17:23:47 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-01-27 17:23:05
2013 Residential Compliance Schemz Version:O.SSISDD
+a:
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerdnt Charge Verification (Page 2 of 4)
Standard Charge Verification Procedure-CF3R-MCH-25b-Subcooling Method
B. Metering Device Verfication-HERS Rater is required to visually field verify all information from CF2R
Subcooling Method can only be used on systems that have a variable metering device.
01 Refrigerant metering device Thermostatic Expansion Valve(TXV)
02 Subcooling Method applicability status Subcooling Method is applicable to this system.
C. Instrument Calibration-HERS Raters are required to calibrate their diagnostic tools.
Procedures for instrument calibration are given in Reference Residential�ppendix RA3.2.2 and RA3.2.2.2 �,,;;3,.
01 Date of Digital Refrigerant Gauge Calibration 2015-01-01
02 Date of Digital Thermocouple Calibrafion 2015-01-01
03 Digital Refrigerani$Gauge�Calibration>Status ,� �.`�: � '�'nCalibration is�current �" �"�,
��., � :�� _�._ ���� �,�;. �..�
04 Digital Thermbcouple Calibr;ation Sta�tus`���'-x ��� Cat bration is current �'°�� �
�� ,� �. �. �;�� �'~- ,��. ��
�,�;, ��..�:���+�z�..*� :�. �4. ,r��:.�:�.s,. �: "�`� �. �`�<: '` �Y,� ,
�;''
�" ,��xa ,c,; ss.e'�.:-�'��'�w3R �.,?` ! ,.,`''� . ...�. a.�a� r-r.� ,�,�s` ,-...:�' ��_ :k � '�cR,... win•. ::s �,
D. Measurement Access�Hole(MAH)'Verifica"tion-WERS�Raters are required to'visually field verify MAH
Procedures for installing'.MAH are specified in Reference Residential Appendix RA3.2.2.3
Ol Method used to demonstrate compliance with the MAH installed and labeled consistent with Figure 3.2-1
Measurement Access Hole(MAH)requirement
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.2.2.7.
01 Minimum Required System Airflow Rate(cfm) 900 .
02 System Airflow Rate Verification Status System complies with minimum airflow rate requirements
F. Data Collection-HERS Rater must independently collect all data in this section.
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01 Lowest return air dry bulb temperature that occurred during 70
the refrigerant charge verification procedure(degreeF}
02 Measured Condenser air entering dry-bulb temperature(T 75
condenser,db�
Registration Number:214-A0166522A-M2500002A-M25A Registration Date/Time: 2015-01-27 17:23:47 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-01-27 17:23:05
2013 Residential Compliance Schema Version:0.5515DD
� . , f I
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Itefrigeraht Charge Verification (Page 3 of 4)
F. Data Collection-HERS Rater must independently collect all data in this section.
;
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3.2.2 and RA3.2.2.2
03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04 Measured Liquid Line Temperature(Ti�q��d)(degreeF) 84
05 Measured Liquid Line Pressure(Prq��d)(pisg) 164
06 Condenser saturation temperature(Tco�de�so�,sat)from digital 89 '
gauge or P-T Table using Line F05(degree F)
07 Measured Subcooling 5 �
OS Target Subcooling 8
09 Compliance Statement:System compl,ies with Subcooling Method-Must also pass metering device verification,next
52Ct1011 �� .� ��r""�yE,�b `"^.� """ �'"� �:- � � ;•�,
:,`�� .�i E'i'� E.v vL r �,.. -�.,
.-,.�.,='�� � .�"� �:�" a�.�.. ��n�$. 'f��'
",� ..y a�. � '�� n•N. d�t .. f� �
G. Metering Device Verfication � � � ���, - �� � � �
� .�,e' � ti5�4 a � �, �`£ r � � �a.z;
Procedures for the verificatron of�ro�'er rne erm �ci'euice o erat�on are�5 ecifietl m �As3 2�2�6`.� � �
�,., �p �p � W� ��� .p P
, �
� � �� �-::a
01 Measured.�Suction,line temperature�(_Ts��c�o�)(degreeF) 56
02 Measured Suttion line pressure(PS���o�)(psig) 56
03 Evaporator saturation temperature(Te�apo�ato�;sac)from 31
digital gauge or P-T Table using line G02(degreeF)
04 Measured Superheat 25 �
05 Measured Superheat is between 4 and 25 deg F(inclusive) Passes CEC requirement
06 Measured Superheat is within manufacturer's specifications, Not known
if known
07 Compliance Statement: Metering device verification passes
H. DEtermination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol
requirements in order for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies:All specified verification protocol requirements on this document are met.
Registration Number.214-A0166522A-M2500002A-M25A Registration Date/Time: 2015-01-27 17:23:47 HERS Provider:CaICER75
I CA Buildin Ener Efficienc Standards
g gY Y Report Version:2014-05-08 Report Generated:2015-01-27 17:23:05
2013 Residential Compliance Schema Version:0.551SDD
. , . •
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
l2efrig�r�nt Charge Verification (Page 4 of 4)
Documentation Author's Deciaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: n �^
lan Jacoby c5'an�acobJr.
Company: Date Signed:
Stratz Permit Service 2015-01-27 17:23:29
Address: CEA/HERS Certification Identification(if applicable):
5858 Dovetaii Drive 10059
City/State/Zip: Phone:
Agoura Hills CA 91301 818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater).
3. The installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification
identified on this Certficate of Verification comply wrth the applicable requirements in Reference Appendices RA2,RA3,and the requirements
��a� ,�� ,.a.�, � �� : ��;�
specified on the Certificate of Compliance�for the-bwldingcapproved.by the,enforcement agency� ,„.,.�f
� �'� �'°:'� bg �� �'_ 1�}4 .�.� � 5 �- . '�
4. The informat��reported on applicable section�s of.the Certificaie(s)of In4tallation(C�F2R)signed;and subm,%by tttie person(s)responsible for the
construction or installation conforms to,ttie�equirements specrfied on the Certif�cate(s)of Compliance(CF1R)approved by the enforcement agency.
5. I will ensure�i a registered`copy of th�s Certificate of Verificat on shall be posted�or'inade available with,the b iu Iding�perrriit(s)issued fo�the
building,and=m�ad,e a�ailable to the enforcement,agency for all applicable mspections i��understan�that a:[egistered��copy of�th�s Certificate of
� :rr�- ��� n-'a � .�4 ,..�nti g�_�.� � �:-= a�c,r�i.�,�.���^�; �- .,
Verification is requved to be included"with the documentafionkthe builder'provides totfie building owner atoccupancy. -
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name(Installing Subcontractor,General Cont�actor,or Builder/Owner):
SERVICE CHAMPIONS INC
Responsible Builder or Installer Name: CSLB License:
Kara Brumbaugh 799170
HERS Provider Data Registry Information
Sample Group Number(if applicable): Dwelling Test Status in Sample Group(if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Stratz Permit Service
Responsible Rater Name: Responsible Rater Signature: /-�
Robert Scherzinger C'�cP�L¢ � PJti
Responsible Rater Certification Number w/this HERS Provider: Date Signed:
CC2006349 2015-01-27 17:23:47
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number:214-A0166522A-M2500002A-M25A Registration Date/Time: 2015-01-27 17:23:47 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-OS Report Generated:2015-01-27 17:23:05
2013 Residential Compliance Schema Version:0.5515DD