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PR17-23091
THIS IS A BUILDING PERMIT WHEN PROPERLY FILLED OUT. SIGNED. AND VALIDATED. AND IS SUBJECT TO EXPIRATION IF WORK IS NOT COMMFNCFD OR IS SNSPFNDFn OR ARANDDNFD FOR im nAvs OR AS I ISTFn ON PFRMIT "�' n f-lpl O -i a O-0 Z D ..Il ol.v Fi?ol~ oa E�:avi �'a 0 -0 ❑ D U) C) 0 D 0 ❑ D C) -0 D ❑ Q D Z �- W - o a . . g3Q m� �w BUILDING FEES a.m n m o r n w "p o v' �, 3 o¢ �_ ° °' w a m a�a� -a y o x m' -,, �— m Z m S7 co D C) m m )D .'3 0 O n �a�? W Lun)m -n r 0 O _-..a D m z 0 z D 06 70 -i 0 L7 "1 R 51, S, 73 � w " � o � - =� m � o. A m u°1i n n �° oA ° o D V) rm- m Z M m v m m A �^ m= m M1ro �n .Z 'c a c m ¢ HN2 m o �i t i=° m 4 Lx o .Z n Z z m m C C m fj a cd c n a o_ o y . w o, w o z Z m o i°Y � X� o m m T o n b y 0= O O D 1 4 w O tr] m w oI m r z m Z m m O c� L7 . m n o -. o moa V-iw n w' w m �?a" 3 �_ i°��nm nwm`�°w N_ z z m O N N_ N Q m m n 7 s,y T ?°E3A -i O �i C oc�,QY wy vi om°`{snoa cn �. = o v. 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G Q) m �a N � � N N 0 V V O N_ IU V 'a ro (M 0 q G) ID ar m a = m O ttn V A ra C O W N � N N W n V m Ln O N a a rn Q n Q c � � T m r+ O mrrDD 3 _ N Q ro �_ M 0 N CCD =ti coo O CL C rD (D O n I d rD [D � MI M V nfD O rD -s o 3 [D c N y cu c m 3 rD N M (D �. �] D rt n cr i3 fD 0'G su rn C w E -r : O: � =� (D x �' 0 m C 3 D cD 0 a=o ro W v, p © � N (D n '0 N vii N Ci c rS0 c o r~D CL v � C " C fl7 n r�r > [D OIQ 3 m W W N n0 C n N r�D LU N 6D rt m rD r+ C m G M N c M v 42 rD ^9 m 00 Q C D n n ms0 m 7' v � � d vCL Q © '* rD 6 V fD CD 0 0 � W 7 O O > ren � A �'• �* C n [�D (D m m Q n _•r CL O W fD a7 f+D M c 7 S p C1 N @ 0 rD d � v a c CL .Z7 D ul w c rD 3 N CD N v a a rn Q n Q c Lol) n mul �rt mrrDD 3 _ N D 3 a cn C O m C CCD =ti h CL D rD co qQ -^-li (DD — SO rt, a -+ 3 ro oa [D c N ro rD n 3 � c °' z Q 3 m (D c nr c v rD 3 fU ro Ci v c cn as =� fD 0 CL ➢n7 N fX �• 0 o ro i © � c (D n '0 fD vii N O✓ [s � 3 a � C " � fl7 n D :3 0 � OIQ x n N 3 W N W r�D LU C CL rD 9 7 C rD rt N O v � O cs (D rD Q- fl) rD C: rt H Ln m o 3 c m 7 CL rt D o s? n Cl n p m N N �0 o H D G M T m r 2 0 (D a z CD .�. rD CL =h rD CD n'' rr 70 rD CCD CDn rD W, .fD D rt � v � O a CL Ai X. 7 CL m =tDu cr N [D QN W O LA7 fD 7 rt T C m W N F-� 0 o o L n mul �rt % p p D rD co m C 0 `O CL C — M R [D 3 (D tD c °' z 0 m (D c nr c `* rD 3 3 ro Ci v c 0 as =� fD 0 Ln ➢n7 rh S c M '* tr ro c v O rn p [s n :3 a CU < rD " v v 't n �* rr OIQ [A 3 3 O 0 CL @ � rA• .0 � CL n' py 7 C rD 0 3 M 42 rD tp O D n m 7G rD C d vCL Q © 6 V V CD 0 0 � W 7 O O > A CD7 m m CL W N w 7 CL. .Z7 D w iv N N 0 0 c L % m m Q 3 O ro m C 0 `O CL C O n N R [D m 0 c O � N � rF' CD as s ro Ln rh S CL O O S v x M Q CU < rD a W v 't n cr rt 3 3 O 0 CL @ � rA• .0 � CL n' py C rD 0 3 w 42 tp O 7o % m m h O as ro 3 � fD 1 w rr O iN "C m W A CL ti (i N x V DG ch m >, C:) @ Q N mO o 0 M rn Z 03 M 00 LO c n < n a n � � � O 7 to CL w N n N � 0 0 0 N r S -0 GQ 0 n' m of G1 m -~`I 4 '-J b 0 o F- V V 0 w IV V M v R IU 0 4 m m v a x N m 0 cAi, N � .r N 0 � C w Q N �F-' N m � m LilD FA O W 00 O m Q p. T v 7 CL m a) y j ¢ IDD � 0 (D m0 ' f�a 3 a ;: n 3 oq m 0 sn m �n 'o v �n ami m -Ci ro aF m rD01n O m m in C �p Ln C Ln C m m r CL m '� 3 h O 0 (D av D `+ v CL cu y m m �o A m m al Q. M " M m 0 a x- a' °t iD i 3 D °QD M M r4 "z WrD N (=D ro @ N !� O C) a T T o tlq -z © ° M C W = cu =N USC Cy O zS tV rr o � CL ^� '- V1 U7 N F" W00 6t V NJ H CL 00 m M Q N . =`:.9::. (D It .0 C rr ..= {D JD.: ^r a ro s n (D DG O 7. M M aq' m 0� M n m a� m nni O m W O o D � W C fD (D °4 ctrn 3 N n� o M a � D) m' J = m Q d a a is. U OQ w N� +, w 0 lO 00 00 Dv 0 0 N N N C w b 0 O m m Da Ol O 3 0 O1 ro m m m In C a. m n a_ n m 47 Cs c O m rn al,� F+v d yp o a N a N = O '"' `K rt W d N m C O jV rN O lrI R w N h+ 91y C _N ti r CD !'f A �. N rp (D Q •c C C, ID a, as m !D '{ :3 C w n d ° m rn n n ° ' tD mm cr n V rt, as a 3 0 �. o c' rt 0 LnH an c7 o c rt Eo fl m ac a Ln3 0 p 3 O - a o a sL p_ .. a ui a rt pDq Ln CIO° R v S�6 7 d 0 S M QQ m 0 on m M chi 0 N' rD xI a o 6C m5 ?Dn ° v m m m m Q. w 6 u a p! 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SZ o N � rn � (NSD Q rD Qq w m n< O m n N rD 3 7 m � U, d 3 Q v Q 0 � m (D w C m 0 o' N rp 4 N N P 0 W O arn to F, W 0 O co N N A v cr, in " m m� _ µ 3 _ m o 3 A = V a ro a m O N 'v M �' T V 3 fl'E - 3 C rD ro -� a f�Cp v n Oa �. 3? d j (D o r : a CL w A w N r--� $ v w N d rD n `° � ro ^' N F di N W O < � ;w m Z O � AF n 3 7? N 3 fC Oo -4 d N M m n c CIDC m c O yr W d O _ _ a' N S n _o m v d 3 3 z CL 3 r�o m m 3 a {p fl tD C7 3 y n_= n n v ou n y zr 'a @o�� CI - � o� c r 20 CL (Dow N a 'O f �,<a 3 CL '* N z C 3 S ro a'r, n T -0 ^� W 0 3 �: n 0. _ Ln 0 t, N R D eF a y w cn c 3 R 3 m c m a Q - n �+ w¢ .d N OrC-F G f 0 fi S ¢ CQ z p Hf O (D �^ fD � 2 p rb m rn w° 3 m 0 � y. rF O - cr v _ _ (DCA yoy .• -O °1 N O Q 0 su Q- O W_ d [? ami tY ^-� O (D rto.ma Jy w 2 v y CL ro rDrri rD O v O y C Ln O 5" O N 3 r _n °o O O s n °1 >• m 3 0 w m y� Ih o 3 °r o�� Q(D ID 3 m m 0. rD rD m4i 5T N q 0 D `� d �• N .a... @ :Opp cr O ..c ° c� m� s N � O o. ro EmL2 S N ° n er d = 0/ a° m. m .:.:.o (p y, rD a P ni rD C n G, a (D N a � 47S. O a -o O v v Z, .3 O Q N N CL ,y, CL m ro s m �.: v;._03 o o D 0 0 ;•r 3 O rD v 1+ m m w O O a ro `.� rD c ,c Q, d ° c y j y E In 04 Q rD rD O fD O r�', rmF a ° 3° m OO rn W rD a m '+ Q @ a 3' r3o H a v°° 0 ro Oo n a °� C C! o O CD T G. rD cc N _ 3 o C ro m 4ti N ° n 01 w O O 3 Q c ry a m ys 3 rD Q w am v n� h 3 �{ C rD O' 1, -Qh ro P3 5 =' Oy a a 6 N Z V d C1 -o rr rt p:.. ID _ a n 6-0 co CL rD O 5 O a .. N rD m y V m v @ w Q M. O rn m �m0 CT1 n C' 3 n m81 � O n ro N.j m m m m p ro 7 r� 3 � m S y N CD W CD 19 w aj n ro ro d � d y 0 y C C f° °m n rC CL O N 7 00 � S ro N` A S S o O x 0— S ro �p w C ro a b � m 1'1 ro a rr m rD r+ C 3 CL ro �r IU m y r•F y C ro „� Q ro y fSD n ic QCL (DD m rL O O C. N y d y � 7. CD n cm CL C ro � C. n A _ @ dC W M 3 = CL ro n m O Lh En rna (D C M f�Cp T n 4�-'' o Ln L 75 2 Qk W O O O O O n _o m v d 3 @ CL 3 CD 7 m ou 3 O O c O � CI - c v N a 'O f a 3 CL '* N z C 3 S ro n T -0 ^� W m n 0. _ Ln 0 t, N N ("} o a N 133 D fDEK Q N J rn v M O n v� ((DD C C CL LA ;a n rD S 0 rD m q ro rD o � N � O N W o 6� F-+ N rD N m V 08 d K N W a n rb (m M 0 a n@ Cm m S Nm N 2 , � 0 03 r* >0 `� vCL C Ca I-+ Q. A O O O N03 V b Dp O� �• H N � C N N N _O' N d vi C) m N N 03 W rN O rb W a. m d. mnd rD m �'-� G1 W C =. m < m 'fie 3 7 N D '� J rt, 00 v N v ID C E O m O b v x o fh tS ro �` N 7 yrt. fD a c O. m fi g (DJ m 3 m o fC y rD (_1 D O Q J 5. S' O 0 m a m CL m m 03 cu n a a o ° o CL °'S— as � �* 1VD m o s C o � O 7 n 3 ro Z o, -- N — cu — 0 = n J a o m �° m N O .0 n' rt Cf Z n T J m 3 W 70 d Z S a [D N � ro ` qp m ri, -1 o J- s rp o rofp rD 3 O 3 m y .C•F S am ns .moi. S. an d "� m mn C 2 -o m H fD Q rt N m i' g.m n° -So a� O C a c. O O Q J m> •. O.. m K n. U �..a rt rt La n '� p.. M rDm m G C O m CA3 J d a Q o m -Ort � 0s@ n m m m (D n mp. �, O n .fit N ro o* 5. a m .3,rb o C 3 n d rr �, ❑- -G < 3a3. ...m o Q' E -LJ S ro ro n s m 7 E O o m n m a m o_ ro CD J rr ai 0 FD :�.:..�:: J O � cr J V Q L W rt o ro c ani O O" ry, m¢:L a ..,, o n O -v O w z ro z 0 00 n P cn N fD Q n ro m 3 J - m n 0 d J J n m o y o o 7 v o w ° O o a rD � n ms s• ° _ �. _°-- -h 'O ro ....� -v n rr p O °+. m 2 prl V] W 3 - O 3 � �6 CL�. m ="� o 00 &moi 5 A Q CDQ J i o ro o a ZS m2 I--+ co n ID m cn d o5, ^. o S) o °a m @ J � �D U1 CC � IL � d � � - ro N CL M. m � M v 3 C6 fD ami 0 00 n m m J c ti m J a a 3 0 2 n v.:m Fi v Q 0 3 'P a ro d n J ti' (D J N n QN J o. 0 O !nu 1 n 6 O. C) - 3 N C �:� M .r O J rt r* r; - w Cr -ID CD n m0 4- a� CD s b (D C E. b 6 N O" U r0 'C 4 V - w Q O rr 0:...-_ 0 �. cr 0 (X LU r.0 m •c Q m o, �• N F 25, uJi M: m � Q .. V m n =, m m o m m U•I n O 3 m= m w o Q J O m m -n a ro i y J ,y O ro u+ n fR N r* n n 062S m m 3 8, m Q. 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D a CO � V M o 3 6 M rD ro 2n � -s _ rD a -4 x 3 ? rm I" EA :0 CA 15 0 d A � � m � M0 C rt O M S C � O Q N a N 3 uq � S fD w f(➢ S S O Or O S � rt � S O, rD O fD cu O• O a•s m rt c9 =r M M L 3 CL N M O. ul OI N rh fD � ? m rD n CD CD Oh CL M Q' O O d CL m a � rD 3 Oq n E" c CL m '3 rz O C M CD - rp m pOq z 01 A n CL (D (D m m o t7 0 acua C m O n A 4- � f_ r^ O r+ Z Ul LM 03 po 03 4 O O CO G O O Q Q n Q m n C CLq 7 rD m 7 C Q m n O 0 O ill G1 v n O CL z t Cr m n T W Vii }� 1"A r 2 I CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E I Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3) I Project Name: 24215 BROOKWOOD DR I Date Prepared: 2017-10-31 I A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CF1R-ALT-02 document for each dwelling unit. 01 Project Name 24215 BROOKWOOD DR 02 Date Prepared 2017-10-31 03 Project Location 24215 BROOKWOOD DR 04 Building Type Single family 05 CA City Diamond Bar 06 Dwelling Unit Name 24215 BROOKWOOD DR SC System SC System CFA served system a Dwelling UnitConditioned Installing new SC 07 Zip Code 91765 08 Floor Area (ft2) 3086 by this SC ducted containing system Number of Space entirely new EmaClite Zone 9 10 Conditioning (SC) Systems in 1 component? components? feet of ducts? duct system? this Dwelling Unit: Alteration Type B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 Is the SC Installing a SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ducted containing system mare than 40 entirely new entirely new Name Served System (fta) system? component? components? feet of ducts? duct system? SC system? Alteration Type Altered space System 1 Location 1 3086 Yes Yes Yes No No No conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 217-A020376988A-000-000-0000000-0000 Registration Date/Time: 2017-10.31 18:04:04 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-31 21:04:17 Schema Version: rev 10/16 ....... .......... ... .. CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value Central gas All new Central split All new This field or This field or System 1 heating AFUE 81 AC cooling SEER 14 Setback section is not section is not furnace components components applicable applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) CF211 and CF3R-MCH-20-H _ Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced -Leakage rate compliance: <= 154'd or <=10% leakage to outside, or seal all accessible leaks. CF211 and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF211 and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required. Exceptions: Duct systems registered with HERS provider as previously sealed are exempt from M.C.H-20 Duct Leakage Testing requirements.. Heating -only systems and Air Handler Furnace changes do notrequireverification ofAir Flow MCH -23, or Refrigerant Charge MCH-25. -Fxisting duct systems constructed, insulated or sealed with asbestos„are exempt from MCH -20 Duct'Leakage Testing;requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sectilons:150.2i[OlDiia and 150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 217-A020376988A-000-000-0000000-0000 Registration Date/Time: 2017-10-31 18:04:04 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-31 21:04:17 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: /j /1 Levitski, Ivan v Company: Signature Date: Airzone 2017-10-31 18:04:04 Address: CEA/ HERS Certification Identification (if applicable): 1432 via corta City/State/Zip: Phone: La Verne CA 91750 909-593-4598 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 Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. 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 Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on.thls Certificate of Compliance are consistent with the information, provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the ennreementagency forja'pproval;with this building permit application. 5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) issued for the building, and made avail able 'to the enforcement agency for all applicable inspections, I understand that a registered copy ofthis Certificate of Compliance is required to be included with the documentation the builder provides tothe building owner at occupancy. Responsible Designer Name; Responsible Designer Signature; Levitski, Ivan yGd�i'iG�QiCl/ Company : Date Signed: Airzone 2017-10-31 18:04:04 Address; License: 1432 via corta 846350 City/state/Zip: Phone: La Verne CA 91750 909-593-4598 Easy to Verify El! at CaICERTS.com Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this regis tered document, and in noway implies Registration Provider responsibility for the accuracynf the information. -� Registration Number: 217-A020376988A-000-000-0000000-0000 Registration Date/Time: 2017-10-31 18:04:04 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-31 21:04:17 Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 7) Project Name: 24215 BROOKWOOD DR Enforcement Agency: City of Diamond Bar Permit Number: PR17-23091 Dwelling Address: 24215 BROOKWOOD DR City: Diamond Bar Zip Code: 91765 A. General Information 01 Dwelling Unit Name 24215 BROOKWOOD DR 02 Climate Zone 9 07 Dwelling Unit Total Conditioned Floor 09 10 Number of Space Conditioning 1 03 Area (ft)3086 Installing a D4 Systems in this Dwelling Unit. Installing 05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT ) 06 Method Used to Calculate HVAC Loads ACCA_ManualJ 07 Calculated Dwelling Unit Sensibie 60000 Q8 Calculated Dwelling Unit Heating Load 80000 Identification or Cooling Load (Btu/h) System ducted (Btu/h) system 10-9 Dwelling Unit Number of Bedrooms 5 Name Served MCH -01b - Space Conditioning Systems Ducts and Fans - Prescriptive Alterations B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 CFA served Is the SC Installing a Installing SC System SC System by this SC system a refrigerant Installing new SC Installing more entirely Installing Identification or Location or Area System ducted containing system than 40 feet of new duct entirely new Name Served (ft) system? component? components? ducts? system? SC system? Alteration Type Altered space System 1 Location 1 3086 Yes Yes Yes No No No conditioning system Registration Number: 217-A020376988A-1300-001-M01001A-0000 Registration Date/Time: 2017-10-31 21:27:25 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-31 21:12:30 Schema Version: rev 4/7/2017 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 01 02 03 04 OS 06 07 08 09 10 11 12 13 Heating Efficiency Type Heating Efficiency Value Heating Unit Manufacturer Heating Unit Model Number Heating Unit Serial Number Rated Heating Capacity, Output (Btu/h) System 1 AFUE 81 GOODMAN GMS80905CX 1708346227 Central Fan Notes: Integrated Heating Cooling New or (CFI) SC Altered Heating Minimum Altered Cooling Minimum Required Replaced New Ventilation Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Duct Duct System or Name System Type Component Type Value System Type Component Type Value Type Length R -Value Status This field All new All new N/A - no or System 1 Central gas heating AFUE 81 Central cooling SEER 14 Setback ducts sectio Not a CFI furnace componen split AC components replaced n is system is not applic able D. Installed Heating Equipment Information 01 02 03 04 05 06 07 SC Identification or Name Heating Efficiency Type Heating Efficiency Value Heating Unit Manufacturer Heating Unit Model Number Heating Unit Serial Number Rated Heating Capacity, Output (Btu/h) System 1 AFUE 81 GOODMAN GMS80905CX 1708346227 64000 Notes: Registration Number: 217-A020376988A-000-001-M01001A-0000 Registration Date/Time: 2017-10-31 21:27:25 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-31 21:12:30 Schema Version: rev 4/7/2017 CERTIFICATE 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 Ob 07 08 Condenser or Package Unit SC Identification or Name Cooling Efficiency Type Cooling Efficiency Value Condenser or Package Unit Manufacturer Condenser or Package Unit Model Number Condenser or Package Unit Serial Number System Rated Cooling Capacity at Design Conditions (Btu/h) Condenser Rated Nominal Capacity (ton) System 1 SEER 14 GOODMAN GSX140601 1708490196 60000 5 Notes: F. Extension of Existing Duct System, Greater Than 40 Feet This section does not apply to this project. G. Installed Duct System Information This section sloes not poly 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:217-A0203769S8A-000-001-M01001A-0000 Registration Date/Time: 2017-10-31 21:27:25 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-31 21:12:30 Schema Version: rev 4/7/2017 . ............... CERTIFICATE 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 08 03 10 Exemption MCH -20 from MCH -23 Minimum MCH -22 MCH -25 Exemption R -Value for MCH -21 AHU MCH -28 SC System SC System From Duct Duct Ducts In AMU Fan Airflow Identification or Location or Area Leakage Leakage Conditioned Duct Location Efficacy Rate Refrigerant Return Duct Design Name Served Requirements Test Space Verification (W/cfm) (cfm/tan) Charge - Table 150.0-8 or C System 1 Location 1 No Yes Not No No Yes Yes No exemptions applicable Notes: Registration Number: 217-A020376988A-000-001-M01001A-0000 Registration Date/Time: 2017-10-31 21:27:25 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-31 21:12:30 Schema Version: rev 4/7/2017 CERTIFICATE 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 requi rem ents from Section 150.0 that are not listed here maybe applicable to some systems. These requirements maybe applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Heating Equipment Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency 01 Regulations. Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant 02 to program the temperature set points for at least four different periods in 24 hours, See Sections 150.0(i), 110.2(b). 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 03 150.0(h)1 and 2). Furnace Temperature Rise: Central forced -air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum 04 inlet -to -outlet temperature rise specification. See Section 150.0(h)4. 05 Standby Losses and Pilot Lights: Fan -type central furnaces; may not have a continuously burning pilot tight Section 110.5 and Section 110.2(4). Cooling Equipment Equipment Efficiency: All coaling equipment must:meet the minimum efficiency requirements ofSection 110.1 and Section 110.2(a).and the Appliance Efficiency 06 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 07 150.0(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 150A(h)3A. 09 Liquid Line Filter Drier: If applicable, a liquid line filter drier shall be installed according to the manufacturer's specifications. Section 150.0(h)3B 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 10 150.0(h)1 and 2. Air Distribution System Ducts, Plenums and Fans Registration Number: 217-A020376988A-000-001-M01001A-0000 Registration Date/Time: 2017-10-31 29:27:25 HERS provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-31 21:12:30 Schema Version: rev 4/7/2017 CERTIFICATE 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 Additional Measures Note; Additional mandatory requirements from Section 150.0 that are not listed here maybe applicable to some systems, These requirements maybe applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Insulation: 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 11 required by the prescriptive or performance requirements. See Section 150.0(m)1. 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, 602.0, 6010, 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 12 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 13 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c), 14 The thermostat shall be installed in accordance with the manufacturers published installation specifications 15 First stage of heating shall be assigned to heat pump heating. 16 Second stage back up heating shall be set to come on only when.the indoor set temperature cannot be met. The responsible person's signature on this compliance document affirms that;all applicable requirements in this table have been met. Registration Number: 217-A020376988A-000-001-M01001A-0000 Registration Date/Time: 2017-10-31 21:27:25 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-31 21:12:30 Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 7 of 7) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature; Ivan Levitski Company: Signature Date: Aifxone 2017-10-31 21:27:25 Address: CEA/ HERS Certification Identification (if applicable): 1432 via corta City/State/zip: Phone: 1909-593-4598 La Verne CA 91750 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws ofthe 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 ofthe Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, of 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 ofthe responsible person and attest to the declarations In this statement onthe responsible person's, behalf. " 3. The constructed or installed features, materials, components or manufactured devicesIthe installation) identified an this Certificate of Installation conforms to ai.f 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 will ensure that a registered copy of this Certificate of Installation shall be posted or made available with.the buildinperm' it(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy. o#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: Ivan Levitski Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): Airzone OWNER Address; CSLB License: 1432 via corta 845350 City/State/Zip: Phone: 1909-593-4598 Date Signed: La Verne CA 91750 12017-10-31 21:27:25 Digitally signed by Cai%ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 217-A020376988A-000-001-M01001A-0000 Registration Date/Time: 2017-10-31 21:27:25 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-31 21:12:30 Schema Version: rev 4/7/2017 - - ............... 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