HomeMy WebLinkAbout15-0493 C[TYOF] AM4ND8A
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CITY OF DIAMOND BAR
INSPECTION RECORD '
• e � a - o � � • -
S�T6RCK(LEf7'EA TRACTAND LEDGER
FO4TiNGS FORMS SWITCH GEAR
SLqB COMMERCIAL HpOD
UG PLIIMBINFi T-BAR
{1G EL6CT81GAl INTERCEPTER
Uf£R GF#OUND HOT MOP/SNOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HEHS REPORT RECEIVED
SEWER CLFANOUT DEMOLITION
ROOF SHEATHING ROOF ORAINS
FLOOR SHEATHING ROUGH CONOUIT
SHEAF WALLS EXTERIOR POOUSPA
$H€AR WALLS 1NTERIOR ROOGH PLUMBING
FAAPAING/VENTING ROUGH ELECTRICAL
ROUGH MECHAt11CAL ROUGH MECHANICAL
RQUGH ELEGTRICAL W( �C( l GAS TEST
R013GH PLUMBING PRE GUNITE
INSULATION WALL POOL PRE DECK 80NDING
INSULATION CEILING P-TRAP
DRYWALL FENCE/GATE/ALARM
LATH(PRE) FINAL POOL
LATH EXTEAIOR WALLS
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL ln( )2N0� )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC MEfER RELEASE WALL DRAIW SEAL
GAS METER RELEhSE WALL FINAL
SPECIAL INSPECi1DN RO FRNMPJG PLANWNGPPPROVAL
RNAL 9UILDING ROUGH FIpE APPpOVAI
FINAL MECHANICAL � -1 FINAL FIRE DEPARTMENT
FINAL ELECfAICAL FINAL PLANNING
FlNAL PLUMBING FINAL ENGINEEpING/PW
T C of OCGUPANCY FINAL COMtAUNITY SEHVICES
CERT.oi OCCUPAPICY FINAL HEALTH OEPT
FINAL INUUSTRIAL WASTE
COMMENTS
CERTIFICATE 4F VERIFICATION CF3R-MCH•20-H
Dutt Leakage Dlagnosdc Test {Page 1 of 3 j
Project Name. Vmcent Nguyen Enforcement Agency: CMty of Permlt Number, PR1453p2
Diamond Bar
OwellingAddress. 1685 Aspen Grove Lane Clty. D�amond Bar 2ip fiode. 91765
p.5ystem Informatioe
QS Space Condrt�omng System Identifitebon or Name System 1
02 Space Conditwn�ng System locat�an ar Area Served Location 1
03 Budding Type ftom CF•1R S�ngle farrrdy
04 VenFied Low Leakage Oucts in Cond�t�oned Space Na,credrt is not taken
{VLLDCS)Gedit from CF1R?
�5 Ver�6ed Low�eakage A�r Handlmg Umt Credrt fram No,credrt�s not taken
CFSR?
06 Duct System Compl�ance Category Alterataan
MCH-2Qd-[ompiete Rep(acament or Aitered Duct System "
B.Duct�eakage DiagnastEc Test
QS Condenser Nammel Coo6ng Capaaty{ton} 5
02 Heating Capaaty(k8tu(M) 96
{i3 tonditioned Fioor Area served 6y th�s HVAC system(ft2� 2100
64 duct Leakage Test Condrcwn Test final
OS Duck Leakage Tesk Method ixakage to the outs�de
06 Leakage factae 61
p� A�r Handbng Umt A+rflow{AHUAirfiaw)Dekermmation Coolmg system method
Method
48 Measuted AHUA�rfiow Th�s field or section�s not app6cable
04 Calculated TargetAllowable Duct Leakage Rate(cfm) 20p
1� Actual ductleakage rate from leakage test measurement ii4
(cfm}
11 Compliance Statement System passes leakage test
12 Notes
RegistratanNumber2lS-AW26980A-M200U�2&M2QA Reg�strat�onDaSe/T�me 2015-42-0618Q544 NERSProviderCaICERTS
tA Buildiag Energy Effiaency SWndards Report Versinn 2�7445-08 Report Generated 2615-02-06 19 02 24
2019 Residendal Camphance Schema Vers�on 0 SSSDD
--
CERTIFfCATE OF YERIFtCATION Cf3R-MCN-20-M
Duct Leakage Dlagnostic Test (Pa$e 2 of 3}
C.Addrtional Requ�rements for Cflmpliance
bi SyStem was kested m its normal oper2tion tand�tion No temporary tapmg allowed
Outside a�r{OA)ducts fnr Central Fan inte$rated{tFlj ventdation systems,shall not be sealedltaped off durmg duct leakage ��'�
�2 testmg CFt 4A duct3 thak utihza controlled motonzed dampers,that open only when OA ventdaUon is reqwred to meet
ASHRAE Skandard 62 2,and close when OA venkdation�s not required, mey 6e configured to the closed posrtion durmg duct
leakage testing
03 A!I supply end retum register boots were sealed to the drywall I
04 Buddmg cavdies were not usad as plenums or platform returns m 6eu of ducts
OS If cloth baeked tape was used rt was covered with Mastic and draw bands
06 All connection paints bekween the a�r handler and the supply and return plenums are completely sealed
if the system tomp6e5 usmg the Smoke Test method,the smake test was conducted m accardance with the requirements
07 of Reference fiesidential Append+x RA3 14 3 6 Syst�ms that rnmply using smoke test shall nat be inciuded in sample
groups for HERS verrficatiorr compliance
�$ Venficatian Status Fass-ali applicable requirements ere met
04 Correct�on Notes for this table
The resppns�ble persons signature on this comptiance document affirms that ali appNcable requiremer�ts in this table have
been met uniess atherwise noted m the Veriflcatlon Skatus and the Corcectfo�s Notes In this tabie
D.Determinatwn of HERS Verificat�on Compliance
AII appficable seetions of this dncumerrt shall i�ul�cate campiiance with the speci6ed veriflcation protocof
requiremen�in order for thix Certifleate of Vervflcation as a whale m be determirred to be in compliance.
QS Comp6es AII apec�fied verificat�an protocol reqwrements on this document are met
Regi5t�3t�4nNumber 215-AOQ26980A•M2006002$•M20A RegistratianpatejT�me 201�-02-08 18 05 44 HERSProvider Ca10ERTS
CA Swldtng Energy Effic�enty Standards Report Ver9ion 203405-08 Repart Generatecl 2015•62-06 1$02 24
� 2019 Resident�al Comp6ance Schema Vers�on Q 51SDp
CERTIFICATE 4F VERIFICATi4N CF3R-MCH-Z6-H
pna leakage Dlagnostic Test (Page 3 of 3)
D�cumeMation Author's Declaratwn Statement
1.i certify that this Certificate af Verification dncumentatian is accurate and compiete.
Oocumentation Author Name Daumantaflon Authar Stgnature _p � '�,
MrchaelTs�nnesen �U:l7�LZP•G �fA�l7/!'G{'kQlfL I
Campany oate Slgned ''���
Green Energy Future 2p15-p2-p6 18 p5 44
Addreis CEA/HERS Certlflc2tlan I{lentl(cat�on(!f applicatrle�
4309 W Hemlock Ct 2385
CltyjState(Zlp Rhane
Visalia CA 43277 71�766 9491
Respons�ble Person's Ogclaratian statement
I certifythefiollowing under penairy M per�ury,untler the Iaws of the State of Caitfomia
1 TheinfarmatwnprovldedflnthisCerzificateMVeriflcatianistrueandcorrect
2 i am ihe certKied�ER5 Rater who performed the vcrrflcatlan idenclfl¢d and reparted on this CertiFrcate aFVeriflcat�on(res�nsi0�e reter}
3 The�nsta�ietl festures,mate�7ais,comporte`rts,manvfactured de�ces,or rynem perfo�markediagnostk resulu that reqwre HEHS venfKat�an
identl�ied on this CeriifiCete o#Verlflcat�on Cpmply wrth the appikab�e requ7remCntS m ReEerer�ce Append�ces RA2,ftA3,a�G the�wremenis
spec�Fled on[he Certlhcate o(Campilance fvr the bullding approved by Ne eniorcement agency �'�,
4 Theintormatwnrppprtedanapplitxbl¢5ectfonSflEtheCeRfi�tate(s)Ofinstallatio+�{tF2Rj51gnedanGsubmdtedbylh¢person[SSrespon;ib�eforthe �'I
constructbn or insta��at�an canforms ro the requirempnts spetltied on the CeRiFlcate{s}of Compiiance(CfIR}approved 6ythe enforcement agency ��.
5 I wrll ensure that a regrrtered cppy pf this CertiFlcate aT Yerlfcstion ihali pe posted,or mede a�allabie with the buibmg permit{s)Issued fartAe '
bwiding,and made availabte to the entorcemcnt agency[or ail applicable mspections 1 unt�rstand that a regisAered m0Y of this Cprti6cate af
VenfiCation is repuired t0 tre Erxiuded w�th ihe dotumentat�on the 6u1ltler proWdes to the 6uiiGing owner at otwFwncy
8udder Qr Mstaller informat�on As Shown On The Cert�ficate Uf Installatlon
tompany Name{Installing SubcontraRaq Generat Contractar,or BuJtler(Owner`
STEPHAN REFRIGERA7lON
Respons�hfe Buitder or Insta��er Name tSLBlicense
Hung Nguyen 658149
NERS Promder Data Registry Infomtat�on
Sam{de Group Num6er(if appl3cablei Oweiling Test STatus�n 5amp�e 6roup�1t appixabie)
Tesked
HERS Rater Infnrmation
HERS Farer Campany Name
Green Energy Future
flespon;�b�e Rdte�NamC ReSpanslbie Fa[e�Signature p � �7-'
Michael Tonnesen �tt%�G tJ�I'��J!''u
RespunsiWeRaterCeriifitavonNumberw/thisHE(iSProwder OateSSgneA
CC2iH1555$ 2Q15-�2-p6 18 05 44
tHyrfallyargmd6yCeiCER75 Thrsdgititatmpnaturersprurrdedmarderiosecu�thecortYentai[h�sregrsttmldocumeoGandm+rowayimpkest�rstrdl�onPro�+dei
responBrbrAty fa Ne acevrecy ol the urtmmatron
Regatrat�onNumber 2IS�AOtl2698�A-M2�DD028-M20A RegistrationDate/Time 2015-p2-08 16 05 4d HERSArav�der CaICERTS
tA euildin$Energy E�c�enty 5tandards Report Versian 2qI4-OS-O8 Report Generated 2015•tl2•O6 18 02 24
2013 tiesident�al ComplEance Schema Version 0 5ISDQ
CERTIFICATE 4F VERIFICATIDN Cf3R-MCH-23-H
Space Cnnditlonmg System Airflow Rate {page 1 af 4)
Proaect Name: V�ncent Nguyen EnforcementAgency: City of ?erm�t Number: PR1d-53Q2
Diamond Bar
DwelUng Rddress: 1585 Aspen Grove Lane City. D�amond Bar 2ip Cade: 91T65
A.Ducted Cooimg System informet�on
Ql System Ideniifitat�an or Name System i
Q2 System Locatian ar Area Served Locatian i
03 System Installation Type New
04 Nomma!Coohng Capaaty(tans)of Conde�ser 5
OS Condenser Speed Type Multi-Speed
O6 Coolmg System Zanal Contral Type 2onally Cantrolled
47 Gentral Fan Integrated(CFIj Ven#il�t�on System Status Npt a C�I system
08 System Bypass Duct Status Na 6ypass pucf
09 Date of System A�rflow Rate Measurement 201S-Ol•10
10 A�rflow Rate Protoml utd�zed RA3 3 protedures for a�rflow rate measurement
S.Hole fo�the piecement of a Static Pressure Probe{HSPPf,and Fermanently insta(Ied Static Pressure Frobe(RSPP)
in the supply plenum,
Procedures far i�stalling HSPP ar ASpP are spec�fied�n RA3 3 2 1
�1 Method used tq demonstrate compl{ance w�th the HSPP installed and labeled cv�s�stent with Figure RA3 3-1
HSPP(PSPP requ�rement
C.Airflow Rate MeasuremeM Apparatus and Procedure Information
Instrument SpeaficaUons are g�ven m RA3 3 2 1,and system a�rflow rate measurement apparatus mformabon is g�ven
in RA3 3 2
�1 Airflow R2te MeasurementType ueed for th�s airflow rate Flow Gr�d acwrding to procedure in RA3 3 312
venficatron
{}2 ManufacturerofAirflawMeasurementApparatus RETRdTEC
63 ModelnumberpfA�rflowMeasurementApparatus TRUEFLdW
� Gert�fication Status of tfre A��flow Measurement Apparatus Certified by Manufacturer and listed on CEC Websrte at
Accuracy http((www energy ca govJ(tbd}
Reg�strationNumber 215-AQQ26980A-M23��002k-M23A Reg�stratian6atefime 207 5-02-06 18 05 44 HERSPronder CaICERT5
U Buddmg Enargy Eff�c�ency Standards Repart Venion 2014-65-08 Repc�rt Generated 2915•62-06 18 02 59
2073 ResideMrel Crrmpt�xnce 5chema Vers�on 0 51504
CERTIfICATE OF VERIFICATtON CF3R-MCN-23-H
5pace Condition�ng System Airflaw Rate (Page 2 of 4}
MCH-23a Farced Air System AirNow Rate Measurement-Newly Installed Non-Zoned Syztems or Zoned Muhi-Speed
Compressor
p.Farced A�r System Airflaw Rate Meaxurement
The proce�iures for System Airflow Rate Venfication are spenfied�n Reference Res�dent�al Appendix RA3 3
OS Required Mimmum Syskem A�rflaw Rate(cfm/ton) 350
02 Reqwred M�mmum System Airflow Targe#(cfm) 1750
03 Attual System A�rtlaw Rate Measurement(cfm} 1750
04 Gampbance Statemenk System a�rflow rete comphes
E,Addit�onal Requirements
01 �r filters that meet the apphcabfe reqmrements of Standards Section SSO 0{m}12 or 154 O�mi13 were properly ms[alled m
the system durmg system air flow rate measurement identified an this Certificate of installation
The a�rflow rate measur�ment apparatus used to perform the avflow rate measurement�dentified on this Certificate af
92 Installatian was calibrated in actordance wrth the apparatus manufacturer's specficabons and tonforms to the
mstrumentabon speaflcatwns g�ven m RA3 3 1
A wsual mspectivn ahall tonfirm that bypaas dutts thet dehver condrtioned supply air dvectlytothe space condrt�omng
system return duct a�rflow are not used on new or replacement zonally contro((ed systems unless the Perfarmance
03 Cert�ficate of Compliance�ndacates an allowance for use of a bypass duct Whe�a bypass duct is acwunted for on the
Performance Cert�ficate of Comp6ance,thQ a�rfiow rate shall tonform ta khe speciflcat�ons I�sted on the Cert�ficate of
Compliante
04 All registerx were fully open dunng the diagnost�c test
45 System fan was set at ma�cimum speed durmg the diagnosk�c test
06 IF fresh aie duct is part of the HVAC system�t was not closed durmg the d�agnostic test
p7 AvHow rate�nd fan watt draw shall be simultaneous measurements when used to talcuEate the Fan Efficacy tested value
Multi•speed compressor space caolmg systems ar var�able speed compressor systems shall venfy a�r flow(cfmJton)and fan
08 effrcacy(Wattjcfm)w�th system operating m coolmg mode at the maximum compressor speed and the mawmum air
handler fan speed
p9 Ver�f�cabon Status Pass-a!I apphcable requirements are met
1fl Correct�on Notes
The responsibte peeson's s�gnature an thls campllance document atflrms that aII appiicable requfremen#s m thls table have
been met unless othenvise noted In the Veriflcation 5tatus and the Correctians No#es in this table.
RegistrationNumber 215-A002698DA•M23D0002A-M23A Reg�strudanDate�me 201frQ2-08 18 09 49 HERSProvider CaIC6RTS
CABuildingEnergy£#fic�ency5tandards ReportYenron 2Q1405-05 ReportGcnereted 2615-02-#r 180259
2013 Residen4al Compbante Schema Version 0 SiSDD
CERTIFICATE OF VERIFICATIQlY GF3R-MCH-23-H
Space Condltiomng System Afrfiow Rate {Page 3 of 4)
F.Determ�nation of HERS Venfication Coropl�ance
All app6ca61e sections af th�s document sha0�nd�cate compliance with the spec�fied ver�f�catian protacoi
requirements m order for this Certrf�cate of VenStaban as a whole ta be�determined ta be m compl�ance
Qi Complies AII spec�fied verrf�carian pratacol requirements on this dacument are met
Reg�strat�onNumber 215•A0026986A-M230W02A�M23A RegistranonDatejtime 2015-02•661$4544 HERSProvider CaICERTS
CABuddingEnergyEffic�ency5tandards ReportVers�on 2D1A-OS-b& Report6enerated 2615-02-06 180259
2413 Res�dential tomphance Schertfa Version O S15DD
CERTIFICATE OF VERIFICATIC}N CF3R-MCH-23-H
Space Cand�t�oning Systern Alrftow Rate {Page 4 of 4)
Oocumerrtation Authar's Declarat�o�Statemenx
i.I certify that this Certif�catQ of Verification dowmentation�s accurate and compiete.
Dticumentatlon Auihor Name DocumenC2t10n Author Signature �p � �7�' '���
MrChaelTonnesen �G:l2CL<'.G �,.,JCF?tttZPrl{'112 ��i
Comparry Date Slgned �I
Green Energy Future 2Q15-02-06 18 45 44
Adtlress CEAj NERS Cettitication Ident�ficetaon(If apppcablel
4309 W HemlockCt
CityJState(ZiP Phone
V�saha CA 43277 714 766 9491
Respons�ble Person's Deciarat�an statemerrc
i certfy the fGliowing under penalty of penu�Y,under the laws oi t�e SWte of Cal�fornia
1 The informabon provided on th�s Certi�cate of Ver�fcatton istrue and correct ,.
2 I am the certifletl NERS Aaterwha performed the venfiwtion Identltled and repohed on Shtt Certiflcate of Yerific2tibn(respons�ble raterJ �'�,
3 7he installed features,materlals,wrnponents,manufactured devke�or system performance diagnostic resuFtSthat reqwre HERS veriflnt+4n �'I
�dentiited o�this Cert�hcate of Venficatian wmpty witn the appf�cabie requtrements in Re4ere�xe Append�[es RA2,RA3,and the requireme�ts �.,
speci�led on the CertNitate ot CompGance tor the puiiding approved by ttre enfarcement agenty ''�..
4 Ttse�ntormanonreportedOnxpphcablesecCionsoftheCerthficate(s)oF�nStallallon{CF2q}signedandsubmlttedbytheperson{3yresponsibleforthe
con3truction or instxila[�an conforms m the requ{remeMz speafled on the Certiflcate�s)of Compilance{CFSRj approved bythe�forcemenC agency
5 I tnll ensure that a rOgiFtered topy of Ihls CertIflCBM af Yerlflcation shall be pusted,or made avalla4le wrth the trwitlfng permit(s}Iuued for the
6uilding,and made ava0abie m the errtorcement agencyfor a��appUcable mspeetionx I understand that a registered copy Mthts Cert�ficate oC
Venfication�f required to be intluded wfth She documentatian the twlider pro+rides co[he Iwi7d{ng owner at occupancy
Budder Or Installer iaforrnation As 5hown On The Cert�ficate Of Instailation
Company Name{insta�ling SuGcuntrattor,6enprai Contractor,nr BuitderJOwner)
STEPHAN REFRI6ERATION
Nesponsible Buiider or installer Name CSLB License
Hung Nguyen 658144
NER5 Prav�der pate Registry fnirormatian
Sample Graup Num6er pf apphwbie) OweiiingTest Status In Sampte Group Rif appircabte}
Tested
HERS Rater Informat�on
NEflS Ratet Company NBme
Green Enetgy Fukure
Respdnsibie Ra[er Name Responsible Rater SignaNre � ���
Michael Tonnesen �U:�'LI.P�G �i?7/I/'lPdPllL
ResponsibleRaterCertrtidtwrvNumbe�wjth�zHERSProwder DateSigned
GC2Q05558 2D15-Q2-0$ 1$05 44
oiyRallysignedbyeetCERTS Thiadiyrtet8rpngterre,sprovWedmaMc+toscCtueNeCanfenfatflu8+egistetrddocumen(arM+ntwway�mphe&Req+Shatror+ProrWer
respane�6rGfY�the mcvraoy o([he mformatrwl
Reg�stration Num6er 215-A002fi480A-M2300002A-M23A Registratioa Datejlime 2015-02-#'r 18 05 44 HERS Prowder CaICERTS
CA ewiding Energy Effie�enty Standards Report Version 2414-OS•OB Report Generatetl 20Y5-02-06 18 02 59
2o13 Resident�al Comp6ance Schema Version 0 SSSDO
CERTIFlCATE OF VERIfICATK}N CP3R•MCH-25-H
Neftigerant Chatge Verftkatlun (Page 1 af 4�
PrajectNeme: VincentNguyen EnforcementAgenCy: Cityof PermltNumber• PRi&-53�2
Diamond Bar
OwellingAddress: 1685 Aspen Grove Lane tity. Diamond Bar 2Ip[ode: 91765
A.System Information
NER5 Rater to field-verlfy all system infnrmat�an,discrepancies to 6e nated by averwNtirrg etrtry,
O3 5ystem identificatron or Name System 1
42 System I.�cataon or Area Serued LocatUvn 1
03 Condenser(or package umt)make ar brand 4AY AND NIGNT
04 Condenser(ar package umt)model numaer CCA76dGKA
OS Nominal Coolmg Capaaty{tons)of Condenser S
06 Condenser(orpackage unrtysenalnumber E143424063
07 Refr�geraMType R-0SOA
08 OtherReFngerantType(rf appbcable)
Q9 System Instailat�onType Replacement
14 �harge Indicator Drspiay(CID)Status(Note Even system� This system does not have a CID device mstalled
wrth a CI6 musk have refngerank charge venfied by mstallerj
Is the system of a type that the min�mum airfiaw can be Yes,this�s a ducted system and one of the system airflow
11 venfied usmg an approved measurement procedure{RA3 3 rake measurement procedures�n RA3 3 or IiA3 2 Z 7 can be
ar RA3 2 2 7}7 used to ver�fy system airPlow rate
I�#he system of a type that appraved refngerent tharge Yes,ane af the Refngerant charge venficatwn procedures
verficatron pracedures can be used to venfy comphence from RA3 2 2 or RAS�s apphca6le to th�s system end can be
12 with the reft�gerant ch2rge venficakion requirements when used to verify compl�ance
temperatures are greater than or equal ta SSF iRA3 2 2,or
RAi)7
13 Date af Rafrigerant Charge Verification for th�s system 2015-OS-10
14 ReFngerent tharge ve�ifGcat�on method used Subwaiing(outdoartemperature must be equa!to or
greater than 55 degF}
15 Person who performed the Refngerant Charge Verificatron HERS rater
reported on this Cert�f�cate of InsW4lat�on
16 HERS Venfication tomp6ance Reqwrement Status Syst�m does not qual�fy for group samplmg
17 Refngerent charge venficaUon method used by HERS Rater Subcool
Registi'ation Numbef 215-A�26480A-M2500002A-M25A ftegistt'at�on Qate/Trme 2Qi5-02-0618 Q544 HERS Provtder tattERTS
CA Bwld�ng Energy Effrc�ency Standards Report Vernon 201A�05-08 fteport Generated 2�15-02-06 18 OS 03
2p13 Residerrt�al Complu�nce Schema Verswn 0 SSSSDD
CERTIFICATE OF VERIFICATICiN CF3R-MCH$5-H
Refr�gerant Charge Verlfication (Page 2 of 4)
Standard Charge Venficat�an Prxedure-CF3R-MCH-25b-Subccol�ng Method
B. Metermg Qevace VerFicatwn-HERS Rater�s required ta wsuaily fieid venty ail ir�tormat�on from CF2R
Subccol�ng Method can cniy be used on systems that have a variable metering device.
01 RefrMger�nt metenng devsce fhermostatic Ezpans�an Va�ve(T7tV)
02 SubcoalEng Methpd epplicab�bty skatus Subtool�ng Method�s appi�pble ko th�s system
C.Instrument Cali6ret�on-HERS Raters are required to calibrete the�r d�agnostic toals.
Procedures for mstrument caiibraUon are given m Reference Res�denUai Append�x RA3 2 2 and RA3 2.2.2
01 Date of D�grtal itefngerant Geuge Cahbration 2015-OS-iO
62 Date of DigRal Thermocouple Calibratwn 2d15-OS-SO
03 D�gital Refrigerant Gauge Cal+bration Status Calibrabon is curcent
04 ��g�tel Thermocouple Cahbrat�on Status Calibratwn is currEnk
Ct.Measurement Access Hole(MAH}Venflcatwn-HERS Raters are requ�red tc visually field venfy MAH
Procedures for instali��g MAH are spec�f�ed�n Reference Residential Append�x RA3 2 2 3
OS Meth�d used to demonstrate rnmphance with the MAH�astailed and Iabeied convstent w�th F�gure 3 2-1
MezsuremeMAccess Hoie(MAHJ reqwrement
E.M�mmum System A�rflow Rate Verificat�on
Procedures for venfymg m�mrnum system airflow are specfied�n Reference Res�dential Appendix RA3 2 2 7
01 Min�mum Requved System Airfiow Rete(cfm} 1750
02 5ystem Arrflow Rate Verficauon Stetus System comphes w�th mm�mum airflow rete reqwrementr
F. Data Collettino-HERS Rater must independentty collect aIi data in this section.
Procedures for determining Refr�gerant Charge usang the Standard Charge Yenfication Procedure are gnren in
Reference Resident�al Append�x RA3 2 2 and RA3 2 2 2
Ol �Owesi return air dry bulb temperature that accurred dunng 63
the refrigerant charge verrficaGon procedure(degreefj
�� Measured tondenser av entermg dry-bulb#emperature{T 66
conde�sn,db�
RegistrationNumber 215-A0026480A-M25pQQ03A•M25A Reglstrat�onDate(Trme 201''rQ2-O6180544 HERSProvider CaItERTS
CA Budding Energy Effic�ency Standards Report Ven�on 2Q14-05-Q8 Report Generated 2015A2-06 i8 4S 03
2013Re5identialCompl�ance 5chemaVersion 65515DD
CERTIFICATE OF VERIFICATION CF3R-MCH-ZS•H
Keh�gerant Charge Ve�Ificarion (Pa�e 3 of 6 j
F.Data tolled�on-HERS Rater must md�pendently collect aII daW in this sed�on.
Procedures for deterrnmmg Refr�gerant Gharge usmg the Standard Charge VenficaUon Procedure are g�ven m
Reference R�s�dential Append�x RA3 2 2 and RA3 2 Z 2
03 Outdoor Temper�#ure Qualficabon Status Outdoor temperature is wrthm range for us�ng Subcoolmg
refngerant charge venfication method
04 Measured L�qmd Lme Temperature(Try�na}(degreeF) 61
05 Measured Liqu�d line Pressure(Puy�m}(p�sg} 241
d6 Condenser saturetion temperature(Tconaensor,sa�)from d�gital 70
gauge or P-TTabie using line POS{degree P}
O7 Measured Subcoo6ng 9
08 TargetSubcoolmg 12
Qg tompl�ance StatemeM System complies with Subwolmg Method-Must also pass metenng devtce verrf�cabon,next
sect�on
6.Metering Device Verficat�on
Procedures for the venfication af proper metering dewce operat�on are specified m RA3 2 2 6 2
Ol Measured Suctaon hne temperature{Ts�caun){degreeF} SS
02 Measured Suctwn I�ne pressure(Psuaion)(ps�gf 95
�� Evaporator saturation temperature(Te�a�:r�cs�e}from 30
dig�tal gauge or F-T Table us�ng 6ne G02(degreeF)
04 Measured Superheat 25
OS Measured Superheat is between 4 and 25 deg F(mclusrve} Passes CEC requ�rement
p� Measured Superheat is wrthm manufatturer's spetifications, Not known
�f known
07 Comphance Statement Metenng device ver�fication passes
H.Determinatian of HERS Verificatlon tompliance
AtI applicable sect�ons af this document shall�ndicate canpl�ance w�th the s�c�fled veri8cat�an pratocol
reqwrements in ardsr for this tertificate of Verificabon as a whoie ta be decermined to be in campliance.
OS Comphes All speofied venficatwn prot�coi reqwrements an th�s document are met
Registratian Number 215•A4026980A-M2500002k-M25A Fteg�strat�on Qate�me E015-02-05 18 05 44 HERS Prov�der Ca10ERT5
{A Su�Idmg Energy E�ciency StandaMs Report Venwn 2014�05�88 Report Geneeated 2015-02-06 I8 4S Q3
2013 Resrderrt�al Compliance Schema Vers�Qn Q SSiSDD
CERTIFKATE OF VERIFIC11TI4N CF3R-MCH-25-H
Refrigeran#Charge Verffica#Ion (FdgE 4 qf 4)
Qaeumentation Author's Oeclaration Statement
1. I cert�fy that th�s Cert�flcate of Veriflcation dacumentation is accurate and cotnptete.
Oaumentation Author Name pacumentat�on author Signature �� �
M�chael Tonnesen �G=t1Q.P•G �t9�i!?2P.dP/!L
Compq`ry Date Signed
Green Energy Future 2015-02-06 18 OS 44
Address CFAj HESS CertlFlcatlon IdentHiWtipn(if applicable�
4309 W Hemiock Ct 2385
GtylSute(21p phone '��..
V�sai�a CA 932?7 ?14 766 9491 '���
Respons�ble Person's Oetlaration statemeM '
I certify che totlrnving under ppnalry of pcejUry,under the laws o(the SWte pf CaliTorn�a
1 ihe mf4rmation pmwded dn th�s Certfica[e ot Verlflcatian�s true and correct
2 I em the cemfled HERS ftetef who performed thg verlf¢at�on Identified and reported on thlS Cert�flcafe otYer�flcation(te5ponslble rater}
3 The InStailed features,ma[erlals,components,manuFactured devices,or system pedarmance d�agnostic resaits that requue HE0.5 venfitat�on
idennfied on thts tettrfxate oWerifiration CDmpty with the appllca6ie reqwrements in Referente Appendices RA2,RA3,and the reqmrHnents
zpecifled on the Certrficate of CompUance fqr she buliding app�rned by the entdrtement agency
M1 The informatlOn reparted on aRPfk�hle SCctions of the tertifitate�s}of instaliatipn{CF2R)sig�ed and submltted by the persan{s}responslble(orthe
constructron or InstailaUan canforms to the reputrements 5pecifled on the Certititate{zM olCompf�ance{CFSRj approvetl by the enFoaement ageney
5 i wdi ensure that a registeretl Copy 4f thls Certific�te of VenfitaUon shall be posted,m made arallable wFth the building permit{s}�zzued kr the
building,andmadeavallabletatheeMorcementagencyfaraitapplltablei�spect�ans tunderstandthatareg�stetedcopyMthisCertificateaf
VedOwHon�s reqWred to Rre�nGuded with the tl4cumenkatwn the butlder provides to the bullding owner at arcupanty
8udder Or i�stailer Infarmation As Shawn On The Certifisate Qf Installatlon
CompanY Name(InstalnngSudcontractor,Generol Contracmr,or eu11der10wner)
$TEPHAN REfRIfiiERATION
RetpansrWe Builder or installer Name CSLB LicBnse
Hung Nguyen 658149
HERS Provider Data Registry Information
Sampla Group Number(ff applicable� Dwelling ie3t Status in Sample GrOUR(�t appllcabteS
Tested
HERS Rater Information
XERS Rater Comparry Nama
6reen Energy�uture
Responsibie Rater Name Responslbie Rater$Ignature g �� �
M�chael Tonnesen �il:/°tCl,t.�'.G tl t5'�??lI1,P,dP./tL
Respons�ble RaterCert�Dcat�on Num6er w/this HERS Frohder �ate Signed
Ct2005558 2p15-02-06 16 t�5 44
OqRelty:rgneAbyCatCEHzS JhrsdyrtalrJgna[urerspravMeQmarder[osec+ueUrecamenloftfuaregrsteredQacu+nen4�d+nnowaymrpLesHeqistmdw+Pmridcv
respansrtMlrty fprthe accurecy af tbe�nlormatron
RegiStretlonNum6ef 21S•AQQ26980A-M2SOU002A•M25A Reg�Strdt�OnQ2te�me 2015-02�1845-04 NERSPf�vidCr CdICERTS
CA6utld�ngEnergyEffic�ency5tandards ReportVersion 2014•OS-48 ReportGenerated 2015•02•O6 180543
2Q13 Resident�al Comphance Schema Vermon 0 SSiSDD