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PR17-12936
C i i t CITY OF DIAMOND BAR t DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES F 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 F i R M LY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building Cdiamondbarea.gov JOB SITE ADDRESS cD (:�l C) 01 APN LOT 0 TT Id12 OWNER r t I Cr ADDRESS e S 12-0 le-r-rIna-0 U4 CITY : —&-rip 'Ti APPLICANT TEL.��' CONTRACTOR ADDR IS V✓1 f i 6'1 CITY s ZIP �EL ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that € am exempt from the Contractor's State License Law for the reason{s) indicated below by the checkmark(s), I have paced next to the applicable Items) [Section 7111 Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 700D of Division 3 of the Business and Professions Code] or that he or she Is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicantio a civil penalty of not more than five hundred dollars ($500). (_) I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended ar offered for sale (Sectlen 7044, Business and Professlons Code! The 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 ars not Intended or offered for sale. It 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 or improved for the purpose of sale.). LJ I, as owner of the property, 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 contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law.). U I am exempt from licensure under the Contractor's State License law for the following reason{s): 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 permit,[ cannot legally seli a structure that I have built as an owner -bonder if It has not been 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 fallowing Web site: httpAmwleginfo.ca.govlcalaw.himl. 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 Busines����sandProfessions Cade, and my license Isinfull force and effect, i LICENSE CLASS: yyyy��_� LIC. NO.: I EXP. DATE; &4i?QSCONTRACTOR�/' i If WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will malntain a Certificate of Consent to Self -insure for Worker's Compensation, as provided by f Se�rfierr3700 of the Labor Code, for fhe performance of the workfor whlch this permit Is issued. I have and will maintain Worker's Compensation Insurance, as required by Sectlon 3700 ofihe Labor Code, for the performance of the work for which this psrmlt is Issued. My Worker's Compensation Insurance Carrier and Policy Number ar J CARRIER „✓ POLICY NUMBER - i ITHIS SECTION NE NOT 8E CCMPLETED IF THE PERMIT IS FDR ONE HUNOREO QOLLARS $100 OR LESS). I certify that In the performance of the work for which this permit is issued, I shall not employ any person In any manner so sale become subject to the Worker's Compensation Laws of California. And agree that if I should become subject to the Worker's Cempensealon provlsions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. DATE; APPLICANT: WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal 3 penalties and Civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of the compensation, j damages as provided for in section 3708 of the labor code, interest. and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby, atflrm under penalty of perjury that there is a Construction Lending Agency for the performance of the work far which this permit Is issued (Sec. 3097, Clv. C.). _ LENDER'S NAME. LENDER'S ADDRESS: I certify that I have read this application and stale that the above information is correc#, I agree to comply with all city and county ord€nances and state laws relating to building construction, and hereby authorize representatives of this county to 5 enter upon the -mentioned property for Inspection t'l I r C PERMITTEE NAME (PRIN 0 S€GNATU MITTE DATE APPLICATION DATppE: ISSUE DATE: ice% TYPE CONST. 1�' { PIC# y + Pi: C `^ ®� ` L2A�(o_ OCC GROUP: Scope of Work # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADDYREM Garage/Carport LOU Patio/Deck U-1 LL Pool/Spa ZRe -Roof _j .Commercial m Valuation: Adj. Area: QUANTITY DESCRIPTION FEE J U U w w z m a J �pp _ -r-9 7 CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: (� i _ !• ��� SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE ALT FEE: ?�� BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: PIC: RECEIPT #** PAID RY: VALIDATION: PAID BY: VALIDATION: WHITE— Department Copy, YELLOW --- Finance Copy, PINK— Assessor Copy SEI BAW LETTER FOOTINGS FORMS SLAB UG. PLUMBING UG. ELECTRICAL UFFR GROUND SEWERiATERAL MAIN WATL111 INE SEWER CLEANOUT ROOF SIIFATIfING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMING/VENTING ROUGH MECHANICAL ROUGH ELECTRICAL W( } C ROUGH PLUMBING INSULATION WAI INSULATION LFII ING DRYWALL _ LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL IwLFCTRIGAL FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY TRAC I AND LEDGER SWI I I,II GEAR COMMERCIAL HOOD T -RAR - IN I EIWEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS RFPORT RECEIVED DEMOI ITICN ROOF DRAINS ✓ ROUGH CONDUIT POOL/SPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PIIS DECK BONDING P -TRAP _. FENCE / GATE/ ALARM FINAL POOL WALLS: __ ... WALL FOOTING/STEEL WALL STEEL 137( ) 2N9( ) LIFT WALL BOND BEAM WALL DRAIN.! SEAL WALL FINAL R0. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PVA FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE P m rn D 7 O N m m OQ C7 ro 41 m m 07 0 T M h n `a U'S N r° w V m W N m CA m w ul z M m m rt• rt � rD rD m ro Ys n o o m 7 C7 Q rp 2� b O N Q e f N N 0 f9 6 44 b r39 C ^y N 0i0 = 0 m o •C O N f1 m o a m �^ cm m m •c m � y, rr n m � T n °; 3 Y � c O � r=r y N m A m m m N CL o o y n cri 0 a n m n °; � ro a v 2 m _ d4 to 0 v .y 3 n � Q O rt 91 m o M o O 'L7 CD N Uq 3 47 'C m CL m n N � � 3 CO M N f° ro O 0. n O 00 OQ O N •r] O .Wr Z c � o m m 0 Q V1 `C m o rt S � (D ua .y M m n � � p .ter E A N ro m m 0 A Q �n h m Qv M w v 7 (D � 0- _"• Q O a ro w ro ro ro ro m - - m m C C w V m W N T m ul m Y N > > Z Ys n o o m m C7 �? rp rp• b O N Q e f N N O f9 6 44 b r39 C r�r = 0 m rD ani N rn cm o m � -D •c ro o m °; 3 N O � r=r m m m LO � o o N cri 0 CD n m n °; n 2 a 0 v o Q p O 'L7 N Uq 47 'C m CL m N CO 3 f° ro n V n O 00 0. 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Q Q qj E 0. u V v v �, r N m v =0 L C M. u a s E— a j 41 v o 0. 0 00 in a `'' am u< a -I Grx U �m aN lorr V) w LU u U a) O 0 - Ln Ln LUS n H kp O O N O n H 7 H O N .. C O i o a Q wLn CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: Miller Enforcement Agency: Diamond Bar (City of) Permit Number: PR17-12936 Dwelling Address: 23000 Paseo De Terrado City: Diamond Bar Zip Code: 91765 A. System information 01 Space Conditioning System Identification or Name Miller r001 2 Space Conditioning System Location or Area Served house 03 Building Type from CF -1R Single family 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CF1R? No, credit is not taken 05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit from CF1R? No, credit is not taken 06 Duct System Compliance Category Alteration MCH -20d - Complete Replacement or Altered Duct System B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 3 02 Heating Capacity (kBtu/h) 53 03 Conditioned Floor Area served by this HVAC system (ft 2) 1500 04 Duct Leakage Test Conditions Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.15 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Cooling system method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 180 10 Actual Duct Leakage Rate from Leakage Test Measurement (Cf m) 168 11 Compliance Statement: System passes leakage test Registration Number: Registration Date/Time: 2017-08-25 19AT42 HERS Provider: CHEERS 417-A020109660A-002-000-M20000A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-08-25 19:47:42 2016 Residential Compliance Schema Version: rev 03/16 CERTIFICATE OF INSTALLATION Duct Leakage Diagnostic Test CF2R-MCH-20-H (Page 2 of 3) C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage 02 testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the CA damper to the closed position during duct leakage testing. 03 If a complete replacement, all supply and return register boats 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 with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. If the system complies using the Smoke Test method, the smoke 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 HERS verification compliance. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 417-A020109660A-002-000-M20000A-0000 CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-08-25 19:47:42 HERS Provider: CHEERS Report Version: 2016.1.006 Report Generated: 2017-08-25 19:47:42 Schema Version: rev 03/16 CERTIFICATE OF INSTALLATION CF211-MCH-20-1-1 Duct Leakage Diagnostic Test (Page 3 of 3) Documentation Author's Declaration Statement 7.. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Barry Palmer vans pa"new Company: Signature Date: All Pro Air 2017-08-25 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 certlfy 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 responsibie person's behalf. 3. The constructed or installed features, materials, components or manufac.tuned devices (the installation) identified on this Certificate of Installation the on the Certificate of Compliance, pians, and conforms to all appAcable codes and regulations and the installation:conforms to requirements given specifications approved by the enforcement agency. 4. l 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 Cerilficate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Bullder/Installer Signature: Barry Palmer Barry pa4ne w 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: Hate Signed: Riverside CA 92507 951-684-0880 2017-08-25 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): 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: 2017-08-25 19:47:42 HERS Provider: CHEERS 417-AO20109660A-002-000-M2000OA-0000 CA Building Energy Efficiency Standards Report Version: 2416.1.006 Report Generated: 2017-08-25 19:47:42 2016 Residential Compliance Schema Version: rev 03/16 ''i CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 3) Project Name: Miller Enforcement Agency: Diamond Permit Number: PR17-12936 System Installation Type Bar (City of) 04 05 06 Nominal Cooling Capacity (tons) of Condenser Condenser Speed Type Cooling System Zonal Control Type Dwelling Address: 23000 Paseo De Terrado City: Diamond Bar Zip Code: 91765 A. Ducted Cooling System Information 01 System Identification or Name Miller 02 System Location or Area Served house 03 System Installation Type Alteration 04 05 06 Nominal Cooling Capacity (tons) of Condenser Condenser Speed Type Cooling System Zonal Control Type 3 This field or section is not applicable This field or section is not applicable 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 09 System Bypass Duct Status Date of System Airflow Rate Measurement No Bypass Duct 2017-08-25 L10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement B. Hale 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. 03 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 [nstrument 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 DG -700 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_fas /index.html Registration Dumber: Registration Date/Time: 2017-08-25 19:48:49 HERS Provider: CHEERS 417-A02010966OA-002-000-M 23 OOOA-0000 CA Building Energy Efficiency Standards Report Version: 2016,1006 Report Generated: 2017-08-25 19:48:49 2016 Residential Compliance Schema Version: rev 10/1.6 CERTIFICATE OF INSTALLATION CFZR-MCH-23-H 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) 956 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 Installation. The airflow rate measurement apparatus used to perform 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 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate 03 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 coaling 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 handier fan speed. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 417-A020109660A-002-000-M23000A-0000 CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-08-25 19:48:49 HERS Provider: CHEERS Report Version: 2016.1.006 Report Generated: 2017-08-25 19:48:49 Schema Version: rev 10/16 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 Barry,'palnaea( Company: Signature Date: All Pro Air 2017-08-25 Address: CEA/HERS Certification Identification (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. 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 or manufactured devices (the installation) identified on this Certiffcate 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 check the installation to venfyc.ompliame and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge.ttf hecbuilding owner. 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 registered copy of this Certificate of Installation Js 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 aa.:,y Pa,1,rv4r 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: pate Signed: Riverside CA 92507 951-684-0880 12017-08-25 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CHEERSI". 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: 2017-08-25 19:48:49 HERS Provider: CHEERS 417-A020109660A-002-000-M 23000A-0000 CA Building Energy Efficiency Standards Report Version; 2016.1,006 Report Generated: 2017-08-25 19:48;49 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION Refrigerant Charge Verification Project Name: Miller Enforcement Agency: Diamond Permit Number: Bar (City of) Dwelling Address: 23000 Paseo De Terrado City: Diamond Bar Zip Code: A. System Information Each system requiring refrigerant charge verification will be documented on a separate Certificate. 01 System Identification or Name Miller 02 System Location or Area Served house 03 Condenser (or package unit) Make or Brand LENNOX 04 1 Condenser (or package unit) Model Number EL16XC1036-23OB03 05 1 Nominal Cooling Capacity (tons) of Condenser 1 3 06 Condenser (or package unit) Serial Number 3817AIS340 07 Refrigerant Type R -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 11 Fault indicator Display (FID) Status (Note: Even systems with a FID must have refrigerant charge verified by installer). Is the system of a type that the minimum airflow can be 12 verified using an approved measurement procedure (RA3.3 or RA3.3.3)? Is the system of a type that approved refrigerant charge 13 verification procedures can be used to verify compliance with the refrigerant charge verification requirements when temperatures are >= 55°F (RA3.2.2, or RAI)? 14 Date of Refrigerant Charge Verification for this system 15 1 Refrigerant charge verification method used. 16 Person who performed the Refrigerant Charge Verification reported on this Certificate of Installation 17 HERS Verification Compliance Requirement Status Registration Number: 417-A020109660A-002-000-M25000A-0000 CA Building Energy Efficiency Standards 2016 Residential Compliance This system does not have a FID device installed Yes, this is a ducted system and one of the system airflow rate measurement procedures in RA3.3 or RA3.3.3 can be used to verify system airflow rate requirements. Yes, one of the Refrigerant charge verification procedures from RA3.2.2 or RAI is applicable to this system and can be used to verify compliance 2017-08-25 Subcooling (outdoor temperature must be equal to or greater than 55 degF) HERS rater System does not qualify for group sampling Registration Date/Time: 2017-08-25 19:50:50 HERS Provider: CHEERS Report Version: 2016.1.006 Report Generated: 2017-08-25 19:50:51 Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification 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 02 Date of Digital Thermocouple Calibration 03 Digital Refrigerant Gauge Calibration Status 04 Digital Thermocouple Calibration Status 2017-08-01 2017-08-01 Calibration is current Calibration is current D. Measurement Access Hole (MAH) Verification Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 (Page 2 of 4) 01 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 RA3.3.3. 01 I Minimum Required System Airflow Rate (cfm) 02 1 System Airflow Rate Verification Status 900 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 I Lowest Return Air Dry Bulb Temperature that Occurred During the Refrigerant Charge Verification Procedure (°F) 02 Measured Condenser Air Entering Dry -Bulb Temperature (Tcondenser, db) 03 1 Outdoor Temperature Qualification Status 75 84 Outdoor temperature is within range for using Subcooling refrigerant charge verification method Registration Number: Registration Date/Time: 2017-08-25 19:50:50 HERS Provider: CHEERS 417-A020109660A-002-000-M25000A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-08-25 19:50:51 2016 Residential Compliance Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION Refrigerant Charge Verification CF2R-MCH-25-FI (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 (Tllquid) (°F) 86 05 Measured Liquid Line Pressure (Pugwd) (psig) 304 06 Condenser Saturation Temperature (Tcondenser, sat) from Digital Gauge or P -T Table using Line F05 (°F) 96 07 Measured Subcooiing (Line F06 - Lilne F04 (7) 10 08 Target Subcooiing from Manufacturer (°F) 12 09 Compliance Statement: System complies with Subcooling Method - Must also pass metering device verification, next section C. Metering Device Verification Procedures for the verification of proper metering devEce operation are specified in RA3.2.2.6.2 01 Measured Suction Line Temperature (Tsuction) ('F) 65 02 Measured Suction Line Pressure (Psuee'Eon) (psig) 123 Evaporator Saturation Temperature (Tevaporator, sac) from 42 03 Digital Gauge or P -T Table using Line G02 (°F) , 04 Measured Superheat (Line G01- Line G03) (°F) 23 Measured Superheat (Line G04) is between 4°F and 25°F Passes CEC requirement 05 (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: Registration Date/Time: 2017-08-25 19:50:50 HERS Provider: CHEERS 417-A020109660A-002-000-M25000A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated; 2017-08-25 19:50:51 2016 Residential Compliance Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 4 of 4) Documentation Author's Declaration Statement 11. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Barry Palmer Ba*lypaune' r Company: Signature Date: All Pro Air 2017-08-25 Address: CEA/ HERS Certification Identification (if applicable): 1280 Palmyrita Avenue, Suite D CSLB License: City/State/Zip: Phone: Riverside CA 92507 951-684-0880 IResponsible 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. l 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, componen.ts.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 bythe enforcement agency, 4. 1 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 far ail applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the bukder provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Barry Palmer $arry i a.Zveae, 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: 12017-08-25 Riverside CA 92507 951-684-0880 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CHEERSTI. 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: 2017-08-25 19:50:50 HERS Provider: CHEERS 417-A020109660A-002-000-M25000A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1,006 Report Generated: 2017-08-25 19:50:51 2016 Residential Compliance Schema Version: rev 4/7/2017 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page i of 3) Project Name: Miller Enforcement Agency: Diamond Bar (City of) Permit Number: PR17-12936 Dwelling Address: 23000 Paseo De Terrado City: Diamond Bar Zip Code: 91765 A. System Information 01 Space Conditioning System Identification or Name Miller 02 Space Conditioning System Location or Area Served house 03 Building Type from CF -113 Single family 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CF1R? No, credit is not taken 05 Verified Low Leakage Air Handling Unit Credit from CF1R? No, credit is not taken 06 Duct System Compliance Category Alteration MCH -tad - Complete Replacement or Altered Duct System B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 3 02 Heating Capacity (kBtu/h) 53 03 Conditioned Floor Area served by this HVAC system (ft2) 1500 04 Duct Leakage Test Conditions Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.15 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Cooling system 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 (cfm) 168 Compliance Statement: System passes leakage test F1211 Notes: Registration Number: Registration Date/Time: 2017-08-25 20:23:48 HERS Provider: CHEERS 417-A020109660A-002-000- M 20000A- M 20A CA Building Energy Efficiency Standards Report Vers lon: 2016.1.006 Report Generated: 2017-08-25 20:23:48 2016 Residential Compliance Schema Version: rev 03/16 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage 02 testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 if a complete replacement, 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 with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. If the system complies using the Smoke Test method, the smoke 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 HERS verification compliance. 08 Verification Status: Pass.- all applicable requirements are met 09 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. 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. 101 I Complies: All specified verification protocol requirements on this document are met. Registration Number: Registration Date/Time: 2017-08-25 20:23:48 HERS Provider. CHEERS 417-A020109660A-002-000-M 20000A- M 20A CA Building Energy Efficiency Standards Report Version: 201.6.1.006 Report Generated: 2017-08-25 20:23:48 2016 Residential Compliance Schema Version: rev 03/16 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. 02 Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leafage testing. OA ducts used for Central Fan Integrated (CFI) indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 If a complete replacement, 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 with Mastic and draw bands. 06 All connection points between the air handier and the supply and return plenums are completely sealed. 07 If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS verification compliance. 08 Verification Status: Pass - all applicable requirements are met 09 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. 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. 1 01 1 Complies: All specified verification protocol requirements on this document are met. Registration Number: Registration Date/Time: 2017-08-25 20:23:48 HERS Provider: CHEERS 417-A020109660A-002-000- M 20000 A- M 20A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-08-25 20:23:48 2016 Residential Compliance Schema Version: rev 03/16 g1/0T Aaa :uo!saaA euaayaS LZ:SZ:OZ SZ-80-LTOZ :paleaauag laoda8 900'T'9T0Z :uQ!sjaA laodaa Sa33HD ;aQP!AQad SUH LZ�SZ:OZ SZ-80-LTOZ ,aw!1/aleO uo!lWJls!8ay aouepdwoD !e!luap!saa 91DZ spaepuels Aaua!a1143 APaau3 Ouippo VD VSZ W-VOOOSZ W-DOO-ZOO-4099601 OZOV-LTB :aaquanN u0!leJls!8aa law aae luawnoop s!ql uo sluauaaa!nbaa l000load u01le7!;u0A paipoads ltd :sa!ldwo0 i TO •aoue!lduaoa ui aq al pau!uaaalap aq of alogm a se uo!lea!guaA to aleo!}!laa0 s!ql aa} aapao ui sluauaaa!nbaa l000load uo!leo!}!J@A pa!J!oads aql ql!m aoue!ldwoo alea!pul llegs luawnoop s!ql }o suo!loas alge:)!ldde !ld aauellduro: uoliealjlaaA SH3H }o u011eulwJBIaq •H sassed uo!leD! juaA ao!Aap 5uualaW ;luawalelS aaue!!duaoD LO ssed osle lsnw - poglaw 2u!!ooagns ql!m sa!ldwoo walsAs (umoul }! ) suo!leo!}!oads lsanbaa uodn pap!Aoad aq of uo!leluawmop `saA s,aaanloe}nueW u!gllm s! 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