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HomeMy WebLinkAboutPR17-7473CITY OF DIAMOND BAR 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 i FIRMLY BUILDING PERMIT APPLICATION x'<i'<v.cityofdiamondbarcom building@damondbiv ?k JOB SITE ADDRESS Crc (Ii APN LOT TRACT OWNER c ADDRESS L CITY 0ttrc91IP IMTEI !� APPLICANT -,4Y4' ! TEL. tit— — `— l CONTRACTOR +" ADDR ,12 --to CITY ZIP V4V� TEL, %6261 ARCH/ENG/ DESIGNER ADDRESS CITY ZIP Ti OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) Indicated below by the checkmark(s), I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish, ur repair, any structure, prior to its issuance, also requires the applicant for the permit to file a signed statementthat he or she Is licensed pursuantte the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exempt from €Icensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) (J I, as owner of the property, or my employees with wages as their sole compensation, will do (-) all of or U por ions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' ar personal effort, builds or improves the property, provided that the Improvements are not Intended or offered for sale. If however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built of improved for the purpose of sale.). U I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contraclsforthe projects with a licensed Contractor pursuantto the Contractors' State License Law.). U I am exempt from ficensure under the Contractor's State License law for the fallowing reasons): Date: Sign•, By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this perri cannot Iegaily sell a structure that I have built as an owner-bullder If It has not teen constructed In Its entirety 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 the following Web site: httplwww.leginfo.ca.gov/oalavv.html. LICENSED CONTRACTOR'S DECLARATION I hereby affirm 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 effect. LICENSE CLASS: LIC. NO J EXP, DATE: CONTRACTOR: J� WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS, I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by Sl 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. have and will maintain Worker's Compensation Insurance, as required by Section 5700 cfthe Labor Code, for the performanceof th work for which this permit Is Issued. My Worker's Compensation Insurance Carrier and PclicyNumbera : ,ter® CARRIER C� �. li f- - POLICY NUMBER � (THIS SECTION NEED NOT BE COMPLETED Il PERMIT IS FOR ONE HUNDRED DOLLARS 6100 OR LESS), I certify that inthe performance 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 Compensation Laws of California. And agree that if I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor Cade, I shall forthwlth comply with those provisions. DATE: APPLICANT: WARNING: Failure to secure Worker's Compensa8on coverage is unlawful, and shall subject an employer to criminal comedies and civil fines up to one hundred thousand dollars (3100,000}, in addition to the cost of the compensation, damages as provided for In section 3708 of the labor code, Interest; and attorney's fees, CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for which this permit is issued (Sec, 3007, ON, C.). LENDER'S NAME: LENDER'S ADDRESS: I certify that I h ve read this application and state that the above information is correct, I agree to comply with all city and county ordin as and slate laws relating to building construction, and hereb aulharfze representatives of this county to enter upon hove -mentioned propep for Insp urposes. fi PERMS EE NAME (PRINT] SfGNATllRE OF FERMI DA E APPLICATION DATE: —p� P/C# ISSUE DATE: T PERMIT# : 9 rp 9 tj- TYPE CONST. OCC GROUP: Scope of Work _s,l T- o e 1 C c C� Ceti y fk # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ, FT. FACTOR I ADJ. AREA/VALUATION SFR/ADWREM Garage/Carport W Patle/Deck LL ILL Pool/Spa Z Re -Roof Lb VWW Commercial 5 Valuation: Adj. Area: QUANTITY DESCRIPTION FEE 4 U 2 F- c� w w co z on J a I TL w C-16:10 z U w CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: /!2 SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES C/V COMMENTS: PIC: , PAID BY: VALIDATION: ��{,, RECEIPT# 01 PAID BY: ZI VALIDATION: WHITE —Department Copy, YELLOW —Finance Copy, PINK —Assessor Copy CITY OF DIAMOND INSPECTION SETBACK/ LETTER FOOTINGS FORMS TRACT AND LEDGER SWITCH GEAR SLAB UG, PLUMBING UG, ELECTRICAL UFE R GROUND - _ SF,WFR LATERAL MAIN WATER LfNE STWER CLEANOUT COMMERCIAL.. HOOD T -BAR INTERCEPTER HOT MOP/SHOWFHPAN - SEPTIC/CESSPOOL HERS REPO HI'll E(,TIVID DEMOLITION ROOF ©RAINS ROUGH CONOUIT ROOF SHEATHING FI OCR SHEATHING SHEAR WALLI31XTEW3POOL/SPA SHEAR WALLS INTERIOR FRAMING/VENTINROUGH " _ ROUGH PLUMBING ELECTRICAL CTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C ( ) GAS TEST ROUGH PLUMBING PREGUNHC INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P -TRAP DRYWALL FENCE / GNT/ ALARM FINAL POLI )MALLS: WALI FOOTING/STEEL WALL SI TT.I 'I''( )2"0( ) LIFT WALI. RONO BEAM WALI. 13RAIN/ SEAL WALL FINAL. RD, FRAMING PLANNING APPROVAL FIRE APPROVAL _ ... LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC ME lLI3 HELEASE GAS METER TIELEASE SPECIAL. INSPLGJ10N FINAL BUILDINGROUGH -- FINAL MECHANICAL ..... _... _ FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY CER` , of OCCUPANCY COMMENTS: FINAL PLANNING FINAL. ENGINEERING1 PW _FI NAI. COMMUNITY SERVICES FINAL HEALTH DEPT. 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L un a Q M LO -C X 47 C p m C u Q -a a +' io m u C — o m t +� a ro a D a c ro 7- ti +� Q c C a �' iJn p p a m u ''= v = "a 0 M a ro O -O Y w �+ 4N w k%+ v1 a + b CU c0c C L oi m cr E a u 0 CL ¢ E ++ d H U C O �0 6 p CD E o u af° N c o v o 0 Cc 9 w a d � OJam+ N V) Q c n a v u w Cl) Z C LJ.I = cw o � CD a C[ U p It n m a z Q g J Fa- z LL D H u P GC iia V O a C o � o m c 7-v mc u a c c ^ C a ° Y O r am U m 0 a f c N m a 0 LO v p 6 E a m a a o Y O a L p o ' _ C (U N © O rq —Q O .<o a -0 Cc: c m c 6 or - Y � a O c o IV i75 ro a 5 ry U a va N mdC - C C bTl O p '� •Y t _,w C 'c < Uc -p a o a a a v V] G C 00 00 C a O 7 7 c0 L 00 00 m t O a O a aCL U +, lu N E _ 1° C a y '- o p o + o b�' a CO Cry CL E o ry N o w �n u O o o �' a m C o p m't m L Ln G v O N N u a Ql a� ,u A o70 oc a U 0) cL Q5 CL m .c cb c aa:a :.' b ar O cry O 2 aE A» o a o �o d -Qra+ 1n V jO j m v Q _iv a -M w O C b N c t C J E � -b 5 O G m p "' U KU — iiw G C N N N 5' 44V O u G O u c U � c 2 'y a o" m c Cl $ b o p a Y E b r NO ++ O v m° o ro -o �� W cwt '� L 41 m •� 6i EN c ° a Y O U 7 41 C 41 a1 Y a C m Y U O R c c E U D = .£ E 0 �'o a uvai Cb C D a c p y '� o k l7 o (� u VI {J �" F a N ' bA �n c o a �La o E o G V1 N Q n` p a '� In N E `0 3 a .° .a v� o N °' v m o m a a _=w -vv � �� a Ln f'rL aL.+ Q ` N al W c a p— a o .a E +a' v v `� .Q L ..r � O1 W Z o cv E T a [a �q �maa C ro�v F4 o a ��za i m � u N d Ea 4 N r r d p 0 2 m Q v u i E 0. -+o 00 Y j C1 a L E ..-. `a � j O u Q Q -q u "•' cc CO u< 4 H uaf, CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 3) Project Name: DUNN Enforcement Agency: Diamond Bar (City of) Permit Number: Pending Dwelling Address: 2935 Malaga Cir City: Diamond Bar Zip Code: 91765 A. Ducted Cooling System Information 01 System Identification or Name Dunn 02 System Location or Area Served House 03 System Installation Type Alteration 04 Nominal Cooling Capacity (tons) of Condenser 3 05 Condenser Speed Type This field or section is not applicable 06 Cooling System Zonal Control Type This field or section is not applicable 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status No Bypass Duct 09 Date of System Airflow Rate Measurement 2017-07-19 10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement B. Hole for the placement of a Static 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. 01 1 Method Used to Demonstrate Compliance with theI 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 in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate Fan Flowmeter according to procedure in RA3.3.3.1,1 verification. 02 Manufacturer of Airflow Measurement Apparatus minneapolis duct blaster 03 Model number of Airflow Measurement Apparatus DG700 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/title24/equipment_cert/ama_f@s /index.html Registration Number: Registration Date/Time: 2017-07-19 21:24:48 HERS Provider: CHEERS 417-A020101741A-003-000-M23000A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-07-19 21:24:48 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE Of INSTALLATION CF2111-MCH-23-1­1 Space Conditioning System Airflow Rate (Page 2 of 3) MCH -23a forced Air System Airflow Rate Measurement - Newly installed Non -Zoned Systems or Zoned Multi -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) 1006 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 airflow rate measurement identified on this Certificate of Installation. The airflow rate measurement apparatus used to perforin the airflow rate measurement identified on this Certificate of 02 Installation was calibrated in accordance with the apparatus: manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning 03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance 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. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: Registration Date/Time: 2017-07-19 21:24:48 HERS Provider: CHEERS 417-A020101741A-003-000-M 23000A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-07-19 21:24:48 7016 Residential Compliance Schema Version: rev 1.0/16 CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 3 of 3) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Barry Palmer 16ar-ry Palowr Company: Signature Date: All Pro Air 2017-07-19 Address: CEA/ HERS Certification Identif+cation (if applicable): 1280 Palmyrita Avenue, Suite D City/State/Zip: Phone: Riverside CA 92507 1951-684-0880 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 Installation Is true and correct. Z. 1 am either: a) a responsible person eligible under Division 3 ofthe Business and Professlons Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to.the building owner. 5. 1 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 registered copy of this 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: Barry Palmer 'Barry PaLwwr• Company Name' {Installing Subcontractor or General Contractor or Position With Company (Title): Builder/owner) Contractor/Installer All Pro Air Address: CSLB License: 1280 Palmyrita Avenue, Suite D 934601 City/State/Zip: Phone: Date Signed: Riverside CA 92507 951-684-0880 12017-07-19 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if appllcable): Digitally signed by CHEERS-". 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: Registration Date/Time: 2017-07-19 21:24:48 HERS Provider: CHEERS 417-A020101741A-003-000-M23000A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1,006 Report Generated: 2017-07-19 21:24:48 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 1 of 4) Project Name: DUNN Enforcement Agency: Diamond Bar (City of) Permit Number: Pending Dwelling Address: 2935 Malaga Cir City: Diamond Bar Zip Bode: 91765 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 01 System Identification or Name Dunn 02 System Location or Area Served House 03 Condenser (or package unit) Make or Brand LENNOX 04 Condenser (or package unit) Model Number XC2503623001 05 Nominal Cooling Capacity (tans) of Condenser 3 06 Condenser (or package unit) Serial Number 5817f14815 07 Refrigerant Type -410A 08 08 Other Refrigerant Type (if applicable) This field or section is not applicable 09 Liquid Line Filter Drier Installed According to Manufacturers Yes Specifications (if applicable) 10 System Installation Type - Alteration Fault Indicator Display (FID) Status (Note: Even systems with This system does not have a FID device installed 11 a FED must have refrigerant charge 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 12 verified using an approved measurement procedure (RA3.3 rate measurement procedures in RA3.3 or RA3.3.3 can be or RA3.3.3)? used to verify system airflow rate requirements. Is the system of a type that approved refrigerant charge Yes, one of the Refrigerant charge verification procedures verification procedures can be used to verify compliance from RA3.2.2 or RA1 is applicable to this system and can be 13 with the refrigerant charge verification requirements when used to verify compliance temperatures are >= 55°F (RA3.2.2, or RAI)? 14 Date of Refrigerant Charge Verification for this system 2017-07-19 Refrigerant charge verification method used. Subcooling (outdoor temperiature must be equal to or 15 greater than 55 degF) 16 Person who performed the Refrigerant Charge Verification HERS rater reported on this Certificate of Installation 17 HERS Verification Compliance Requirement Status System does not qualify for group sampling Registration Number: Registration Date/Time: 2017-07-19 21:28:04 HERS Provider: CHEERS 417-A020101741A-003-000-M2500OA-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-07-19 21:28:04 2016 Residential Compliance Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 2 of 4) MCH -25b - Refrigerant Charge Verification - Subcooling Method B. Metering Device Verification 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 Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 01 Date of Digital Refrigerant Gauge Calibration 2017-07-01 02 Date of Digital Thermocouple Calibration 2017-07-01 03 Digital Refrigerant Gauge Calibration Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current D. Measurement Access Hole (MAH) Verification I Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 Method Used to Demonstrate Compliance with the MAH installed and labeled consistent with Figure 3,2-1 01 Measurement Access Hole (MAH) Requirement E. Minimum System Airflow Rate Verification Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3. 01 Minimum Required System Airflow Rate (cfm) 900 02 System Airflow Rate Verification Status System complies with minimum airflow rate requirements F. Data Collection and Calculations Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3.2.2. 01 Lowest Return Air Dry Bulb Temperature that Occurred 70.6 During the Refrigerant Charge Verification Procedure (°F) 02 Measured Condenser Air Entering Dry -Bulb Temperature 89 (Tcondenser,db) L 3 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method Registration Number: Registration Date/Time: 2017-07-19 21:28:04 HERS Provider: CHEERS 417-A020101741A-003-000-M25000A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-07-19 21:28:04 2016 Residential Compliance Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 3 of 4) F. Data Collection and Calculations Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3.2.2. 04 Measured Liquid Line Temperature (Tiiquid) (°F) 81.4 05 Measured Liquid Line Pressure (Prquid) (psig) 270.5 06 Condenser Saturation Temperature (Tcondenser, sac) from 88.7 Digital Gauge or P -T Table using Line G.02 ('F) Digital Gauge or P -T Table using Line F05 (7) 04 07 Measured Subcooling (Line F06 - Lilne F04 (°F) 7.3 08 Target Subcooling from Manufacturer (°F) 7 09 Compliance Statement: System complies with Subcooling Method - Must also pass Measured Superheat (Line G04) is within Manufacturer's Yes, documentation to be provided upon request metering device verification, next section G. Metering Device Verification Procedures for the verification of proper metering device.operation are specified in RA3.2.2.6.2 01 Measured Suction Line Temperature (Tsuction) (°F) 72.6 02 Measured Suction Line Pressure (Psuctinn) (psig) 146.8 03 Evaporator Saturation Temperature (Tevaporator, sat) from 51.4 Digital Gauge or P -T Table using Line G.02 ('F) 04 Measured Superheat (Line G01- Line G03) (°F) 21.2 05 Measured Superheat (Line G04) is between 4°F and 25'F Passes CEC requirement (inclusive) Measured Superheat (Line G04) is within Manufacturer's Yes, documentation to be provided upon request 06 Specifications ( if known) 07 Compliance Statement Metering device verification: passes MCH -25d - Refrigeration Charge Verification - Fault indicator Display (FID) H. Fault Indicator Display This section does not apply to this project. I. Fault Indicator Display Additional Requirements This section does not apply to this project. Registration Number: Registrat€on Date/Time: 2017-07-19 21;28:04 HERS Provider: CHEERS 417-A020101741 A-003-000- M 25000A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-07-19 21:28:04 2016 Residential Compliance Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION MR -MCH -25-H Refrigerant Charge Verification (Page 4 of 4) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Barry Palmer Saoy PaUnew Company: Signature Date: All Pro Air 2017-07-19 Address: CEA/ HERS Certification Identification (if applicable): 1280 Palmyrita Avenue, Suite D City/State/zip: Phone: Riverside CA 92507 951-684-0880 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 Installation is true and correct. 2. 1 am either; a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 3. The constructed or installed features, materials, components.o.r manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4. 1 understand that a HERS rater will checkthe installation toverifycompliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. S. I will ensure that a registered copy of this Certificate of Installations hall 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 registered copy of this 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: Barry Palmer $o- ry rte" Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Contractor/Installer All Pro Air Address: CSL13 License: 1280 Palmyrita Avenue, Suite D 934601 City/State/Zip: Phone: Date Signed: Riverside CA 92507 951-684-0880 2017-07-19 Third Party quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CHEERS T'"- 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: Registration Date/Time: 2017-07-19 21:28:04 HERS Provider: CHEERS 417-A020101741 A-003-000- M 25 000A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-07-19 21:28:04 2016 Residential Compliance Schema Version; rev 4/7/2017 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 4) Project Name: DUNN Enforcement Agency: Diamond Bar (City of) Permit Number: Pending Dwelling Address: 2935 Malaga Cir City: Diamond Bar Zip Code: 91765 A. Ducted Cooling System Information 01 System Identification or Name Dunn 02 System Location or Area Served Nouse 03 System Installation Type Alteration 04 Nominal Cooling Capacity (tons) of Condenser 3 05 Condenser Speed Type This field or section is not applicable 06 Cooling System Zonal Control Type This field or section is not applicable 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status No Bypass Duct 09 Date of System Airflow Rate Measurement 2017-07-19 10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement B. Hole for the placement of a Static 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. 101 I 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 in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate Fan Flowmeter according to procedure in RA3.3.3.1.1 verification. 02 Manufacturer of Airflow Measurement Apparatus minneapolis duct blaster 03 Model number of Airflow Measurement Apparatus DG700 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/title24/equipment_Cert/ama_f@s /index.html Registration Number: 417-AQ20101741A-004-000-M 23000A -M 23A CA Building Energy Efficiency standards 2016 Residential Compliance Registration Date/Time: 2017-07-19 21:31:04 HERS Provider: CHEERS Report Version: 2016.2.006 Report Generated: 2017-07-19 21:31:04 Schema Version: rev 10/16 CERTIFICATE 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 Multi -Speed Compressor 0. 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) 1006 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 identified on this Certificate of Verification. The airflow rate measurement apparatus used to perform the.airflow rate measurement identified on this Certificate of 02 Verification was calibrated in accordance with the apparatus: manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3,1. A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning 03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance 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: Registration Date/Time: 2017-07-19 21:31:04 HERS Provider: CHEERS 417-A020101741A-004-000-M 23000A-M23A CA Building Energy Efficiency Standards Report Version: 2016.1,006 Report Generated: 2017-07-19 21.:31:04 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION MR -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. 1 01 J Complies: All specified verification protocol requirements on this document are met, Registration Number: Registration nate/Time: 2017-07-19 21:31:04 HERS Provider: CHEERS 417-A020101741A-004-000-M 23000A -M 23A CA Building Energy Efficiency Standards Report Version: 2016,1.006 Report Generated: 2017-07-19 21:31:04 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 4 of 4) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name; Documentation Author Signature: Joe Salas saiaa- Company: Date Signed: JC HERS Services, LLC 2017-07-19 Address: CEA/ HERS Certification Identification (if applicable): 11390 Doverwood Drive RCN13122 City/State/Zip: Phone: Riverside CA 92505 951-217-0805 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. 1 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 the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on. the Certificates) of Compliance (CF1R) approved by the enforcement agency. 5. 1 will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the. building permit(s) issued for the buiiding, and made available to the enforcement agency for all applicable inspections. I understand- that a registered copy ofthis Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (installing Subcontractor, General Contractor, or Builder/Owner): All Pro Air Responsible Builder or Installer Name: CSLB License: Barry Palmer 934601 HERS Provider Data Registry Information Sample Group Number (if applicable); Dwelling Test Status in Sample Group (if applicable) N/A HERS Rater Information HERS Rater Company Name: JC HERS Services, LLC Responsible Rater Name: Responsible Rater Signature: Joe Salas Joe sazak Responsible Rater Certification Number w/ this HERS Provider: Date Signed: RCN 13122 2017-07-19 Digitally signed by CHEERSTM. .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: Registration Date/Time: 2017-07-19 21:31:04 HERS Provider: CHEERS 47.7-A020101741A-004-000-M 23000A-M23A CA Building Energy Efficiency Standards Report Version: 2016.1,006 Report Generated: 2017-07-19 21;31:04 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 1 of 4) Project Name: DUNN Enforcement Agency: Diamond Bar (City of) Permit Number: Pending Dwelling Address: 2935 Malaga Cir 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 Dunn 02 System Location or Area Served House 03 Condenser (or package unit) make or brand LENNOX 04 Condenser (or package unit) model number XC2503623001 05 Nominal Cooling Capacity (tons) of Condenser 3 06 Condenser (or package unit) serial number 5817f14815 07 Refrigerant Type A -410A 08 Other Refrigerant Type (if applicable) This field or section is not applicable 09 Liquid Line Filter Drier Installed According to Manufacturers Yes Specifications (if applicable) 10 System Installation Type Alteration Fault Indicator Display (FID) Status (Note: Even systems with This system does not have a FID device installed 11 a FID must have refrigerant charge 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 12 verified using an approved measurement procedure (RA3.3 rate measurement procedures in RA3.3 or RA3.3.3 can be or RA3.3.3)? used to verify system airflow rate requirements. Is the system of a type that approved refrigerant charge Yes, one of the Refrigerant charge verification procedures verification procedures can be used to verify compliance from RA3.2.2 or RA1 is applicable to this system and can be 13 with the refrigerant charge verification requirements when used to verify compliance temperatures are >= 55'F (RA3.2.2, or RA1)? 14 Date of Refrigerant Charge Verification for this system 2017-07-19 15 Refrigerant charge verification method used, Subcooling (outdoor temperature must be equal to or greater than 55 degF) 16 Person who performed the Refrigerant Charge Verification HERS rater reported on this Certificate of Installation 17 HERS Verification Compliance Requirement Status System does not qualify for group sampling 18 Refrigerant charge verification method used by HERS Rater. Subcooling Registration Number: Registration Date/Time: 2017-07-19 21:31:33 HERS Provider, CHEERS 417-A020101741 A -004-000-M 25000A -M 25A CA Building Energy Efficiency Standards Report Version; 2016.1.006 Report Generated: 2017-07-19 21:31:33 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 2 of 4) MCH -25b - Refrigerant Charge Verification - Subcooling Method B. Metering Device Verification 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 1 Refrigerant metering device j Thermostatic Expansion Valve (TXV) 02 1 Subcooling Method applicability status i 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 Appendix RA3.2.2 and RA3.2.2,2 01 Date of Digital Refrigerant Gauge Calibration 2017-07-01 02 Date of Digital Thermocouple Calibration 2017-07-01 03 Digital Refrigerant Gauge Calibration Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current D. Measurement Access Hole (MAH) Verification HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 01 I Method Used to Demonstrate Compliance with theI 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 RA3.3.3. 01 Minimum Required System Airflow Rate (cfm) 900 02 System Airflow Rate Verification Status System complies with minimum airflow rate requirements F. Data Collection and Calculations 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 70.6 During the Refrigerant Charge Verification Procedure (°F) 02 Measured Condenser Air Entering Dry -Bulb Temperature 89 (Tcondenser, db) Registration Number: 417-A020101741A-004-000-M25000A-M 25A CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-07-19 21:31:33 HERS Provider: CHEERS Report Version: 2016.1.006 Report Generated: 2017-07-19 21:31:33 Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 3 of 4) F. Data Collection and Calculations 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 02 Measured Suction Line Pressure (PsWion) (psig); refrigerant charge verification method 04 Measured Liquid Line Temperature (Trqud) ('F) 81.4 05 Measured Liquid Line Pressure (Poqud) (psig) 2705 06 Condenser Saturation Temperature (Tcondenser, sat) from 88.7 05 Digital Gauge or P -T Table using Line F05 (°F) Passes CEC requirement 07 Measured Subcooling (Line F06 - Lilne F04 (°F) 7.3 08 Target Subcooling from Manufacturer (°F) 7 09 Compliance Statement: System complies with Subcooling Method - Must also pass 07 Compliance Statement: metering device verification, next section G. Metering Device Verification HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2 01 Measured Suction Line Temperature (Tsuctlon) (7) 72.6 02 Measured Suction Line Pressure (PsWion) (psig); 146.8 03 Evaporator Saturation Temperature (Tevaporator, sat) from 51.4 Digital Gauge or P -T Table using Line G02 (°F) 04 Measured Superheat (Line G01- Line G03).(7) 21.2 05 Measured Superheat (Line G04) is between 3°F and 26°F Passes CEC requirement (inclusive) 06 Measured Superheat (Line G04) is within Manufacturer's Yes, documentation to be provided upon request Specifications ( if [mown) 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 1 Complies: All specified verification protocol requirements on this document are met. Registration Number: 417-A020101741A-004-000- M 25000A -M 25A CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-07-19 21:31:33 HERS Provider: CHEERS Report Version: 2016.1,006 Report Generated: 2017-07-19 21:31:33 Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 4 of 4) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Joe Salas joe Salak Company: Date Signed: JC HERS Services, LLC 2017-07-19 Address: CEA/ HERS Certification Identification (if applicable): 11390 Doverwood Drive RCN13122 City/State/Zip: Phone: Riverside CA 92505 951-217-0805 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, 1 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 the Certificate of Compliance for the building approved by the. enforcement agency. 4. The information reported on applicable sections of the Certificate(s)'of Installation (MR) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on. the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. 1 will ensure that a registered copy of this Certificate of Verification 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 registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (installing Subcontractor, General Contractor, or Builder/Owner): All Pro Air Responsible Builder or Installer Name: CSLB License: Barry Palmer 934601 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) N/A HERS Rater Information HERS Rater Company Name: JC HEIS Services, LLC Responsible Rater Name: Responsible Rater Signature: Joe Salas Joe�satow Responsible Rater Certification Numberw/ this HERS Provider: Date Signed: RCN13122 2017-07-19 Digitally signed by CHEERST", 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: Registration Date/Time: 2017-07-19 21:31:33 HERS Provider: CHEERS 417-A020101741A-004-000- M 25000 A- M 25 A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-07-19 21:31:33 2016 Residential Compliance Schema Version: rev 10/16 ul . E M G ry ca o J O 0 o 9 ri as O a u 0 i C. Ate+ i C = a m L) d `^ Z 0 2 "CS d c t d _ a Z ; o .a Q cr H T v 6n NO V E U E A cu W O Y E w t O � Cblo C E in O 2 0 IH w LA bA as a ci E r v W Ca O Z M a o J = � a O a !+ IV s u a v ,v a m N na � C. O O 9J LU Y b > > A ' 4j z E- c a �' 3 �° ar W a a 0 H co M H H E c O 0 o C C ri as a 0 Ate+ C = L) `^ 0 a "CS c t d _ a 00 ; o .a T v 6n NO V E o E O Y Z w t g O Ul � � Cblo C O N in O 2 r -I IH w WC E m as a ci E r v m C0 y E o c C !+ IV s v a Z v ! m N na oa °o. C. 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