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CEFITIFI[ATE OF VER�FlGATIQN CF3R-MCH-25-H
(Page 1 of 3)
PraJeceName: MISHINIA fniorcementAgency: Diamond PermitNumber: PRSS-29Q8
Bar Buildmg Department
Owelling Address: 589 ARMITqS PL City� Yucaipa ZIp Code: 91785
HERS measure was verified using the me#hodotogy deflned for the untested features mcluded in a sample group,
This measure passes through�ts relartl�sh�p with the actual one tested and passed.Therefore no data is incloded
on th�s Certrflcate of Verlflcation.
Documer�tation Authar's Declarat�an Statemerrt
i.l certify that this Certlficate of Verificat�on documentat�on is accurate and complete.
DowmerrtaLon Author Name oocumeMatlon AutMr S�gnature r
Armando UIlna-Rocha . , �/
tompam MendosDucts Da[eS�gned 2016-01-13 � lr" u} '�
�, i.�! .�,l�� �`u,��'"
Address CEAJ NERS tertHicaS�an Idmtifltatim�i�apy�fie�rc�
34975 Ave C Mb HERS
❑ry/state/z�p Yucaipa CA 82394 Pno�re 904-384-2773
Respons�ble P 's Ded n s-- — ---__. , _ ___ _ � f_,_�
i certify thc toilawin � n penalry o � ury, ' the iaus hc 5tate nf Cai+fami� t � J' �� t
1 Thelnfa '�`� nprovidetl ISCe ncetstrveandcorrect � �`�y� 1 ,�' 1 ;'
Y I am[he ed NERS fle ho pe orme � t�on Identifled an'b reportetPon this CertHkate�Ve�lc�tbn(rssponsihlg,raker)
3 The Insta. tures, A co nts,m ured d�ites,ar system perfflrmence d�agnostic results thaS reqvire HEftS�rer�fa:atian
identlfled fVer the'apaica6lerequirementslnReterenceAppenOicyesRA2,yRA3,andthe:requ�(e�tfts
specifledonthe e cateofCampliance o e ulidingapprovedby[heeniotte�ntagency � ��
4 ThemformatlonreportedonappLrabiesectionsottheCert ofcC�' 1 bleforthe
constructlonorinstalladonconformst4therequ�rementsspeciA�ontFeLe f! �o Com n� R approve e een��mage�xy
5 �wdl knSurC[hak a rggister�d copy of this Certlficate of Venflcation shall 6e pas[ed,ar m�ie awadab�e with;he bu��d�ng permit{5)�uced tar the
bWlding,and made avallable ro the enforcement agency for ali sppUcable Inspectlans �understand tnat a registered copy of;h�Gertiflcate of
Venflwtion Is reqWred to be included witb the documentation the bulider provldes ro tne buil0�ng owner at ottupancy
Builder Or Installer Informatian As Shown On The Certificate Of Instaliation
C4mpanyName(InstallingSubGontracCor,General Contnctor,or auuder/owner� Burgeson's Heat+ng and Av Co»d�tionmg,lnC
Respons�hle OUEider or Installcr Name CSLB Lkense
Kev�n Burgespn 263$71
HERS Provider Oata Registry 1»formatfon
Sampie craup Humper{�#app6qble} Dweinng iest Status in Semple�roup(�f applicableJ
316-1293$ Not tested
HERS Rater informat�on
FtERS Rater Comparry Name M2nd05 DUttS
Respa�s�bleRaterName Res�mnsib�eRa[er9gnature �jnXp�,�^�,� n�n
Armanda UIIaa-Rocha tfrt tt ,!� �c H
Fesponsibie Rater Certiflcatlon Number wj thrs HER4 PraWder Date Signed
HER$ 2016-01-13
���� J��� .•eF..: �� j��%—�j '7Ma�#gkat�nsitus's prttvrttbd fn 87dai M a6Cuem
� `s the corRettt t>f tMs tegrstered documen! rertd m tM.+
� �Y�+�+Pt�as Regtstretlon Frovtder res,oat+dtrt�ky Por
• i L� the accuraty aflhe tntbrraeThur`
U S. RetCt6 ABSoefS�ton
Re&strat�on Numher 31frA101716SA-M25064885A-� tieg�ttrapon DateJTime 201fr01-13 id 25 24 HERS Provider U5ERA
CA 8uilding Energy E�c�ency Standards Repart Vers�on 2613-i� Report 6erEeruted 2016-01�13 lA 37 2A
2013 Res�deM�al Complwnce Schema Vers�on 0 525DD