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Home My WebLink About15-0028 (2)x 3 ES FJe R ;3 z {a �I i3 C' I 0 CITY OF DIAMOND BA OF DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 41765 PRESS (469) 839-7020 Fax (909) 861.3117 Building Inspection Hotline (904) 839-7027 FIRMLY BUILDING PERMITAPPLICATION JOB SITE ADDRESS APN LOT_ TRACT_ OWNERiyMakf_,,,, ADDRE CITY " P TEL yf-,l61ltf_G APPLICANT TEL CONTRACTOR ADDRESS 1'j•/ LL✓CLL+7..B✓�.'+7_y...—/�--- CITY 64C, e4 ZIP_ ,%.-VTEc.//Y- ARCH/ENGIDESIGNER ADDRESS CITY—ZIP—TEL OWNMBU►DB OECt TWN I herary amnn under penalty In aeAury that I em @KWnp1 had the Contadawa State IP.d as taw (III the raaawds) hdirstal' belay, by Me checNmazldo I have Mated neat to Gx appluble temp) room Am S, BUehIBU and Pmk®Idm rutle Any day m num# CVM storey a DWM to CONANl, after, Imptw,m ah,a make any B. perakewdi ftcw applmltftLkpamdtm tlalWBrred MMWema wl Marsh klimwe#paWraMmtW pmMNwWMBACmpgdw45mktkW�tartTamptWWCdMeeeamWwiM Sodbn MOhwIan3M tae Badmn aaG RakCaWW CwYj wMM M wWm aeSemp M1pn tcmwxw apo Gla taws b tin BonWmm$m Any wdahmad Sedim 7fkt SbyetryapMi®rdlmapWndlsuNaCkMe appMat ma depwwty pnM new, ten fess hundred ddpm t3 W} UI eaewroand the penes R emPlWaas withwapw®Mekadacwnpen Buen,will and ti uadvi Cob TIM M the wwx and to ese Law m iron IMWxmd a ower et & p aa!e ty vii do 70U 8repare dna Prokuan4 Cana Tim Cm#mtpe' Me p Lkenaa law Mindat the In menatterve tryMmughemPkids hemmonbefkt.bines Imprison e tIs Kid whe. , any, year mho ma ImpNwmm�w 8R BillIntendedWilleyor The b horn of t eng Mat the Wad due He Imprisonment Is aNtl wMdn pre year d mmpltGon, the 6wnW Balder will Mw to bwdW+otprming Mat Gwas nil bun m mpnera l AN the papaw M saltI, {phi a3awnarMma prepwimC w The C*mlIM Stt WG1t=Us f6m MA amCdKVUIt Ma or pradsh, vdw 7DM Scamps Wil PmfessmW Cam The CAIlpadp3 Stab t}alm taw meay b m awlaw M PtwlBlly iota pr, lmpmvwtAareen Wdwtomrmackwpepmlmbwitleacetm6famrKmr maWWnt 61Ma CWmaamra'Smk i LRw) {} tam ammyt from bustant fibnbandei SkWthema bW kr the mnaWlnp reamney 0y nrysOisGlm below egNnWsiW.'�tmt awp MmY pelmnal teNm�a nwNch mudhaw I69IdsPaa Mpast me yearpLEm amPltGon M me imOnAtmWYu cdeweU try Rha pWmK,1 cannot wWMy atll a Mrucmw that i haze mRee m launder tttthm not bwncOnatNctet m He eldmryby Ilcewaa mnGedmre tunmmfentl dtM a 0.ysydMAapMlteBa 6W SBC.pt 7D44wMa BU61n6a9 and tadOmbYNIMNa vpgn regdae[wiren Mkappbmmn MBUMlatadpW the (tlpxdrepWeb Ow htpMwwlapiMosaWt+hakwhbnl SIGN UCO Wt.O CONMWTOWS tEQARATto 1 Aemby aMnn wdW penwlydpelury tlblism Unmf pmvdmredl'AapW W(tarnmm�WnB Wth SaNm 7 d OMamn 3wUce/SdcWm�,s an/d Pro�le.SNorteC,oryw, mw mf aanae a in NA mrceaq eliott LICENSE CLASS y.�� (,6 L/............P C NO---- 1-7-fj CONTRA 4 4L fL<4� WORKER'S COMPENSATION DECLARATION I HEREBY AFARM UNDER PENAM OF PERIOTY ONE OFTHE FOtLDWWB DECLARATIONS _ I haw and win mbake a C6tfftM or WttWnt Or 50 Amur kr y,Marb Cenpendatldn a6 weddial by Sectlm 3700elMe LabdrCors iota petw'nwsad OWwank w wfitda this pamu[b he uad I have WdwNl mat lh WarkWatanMwseBm IMW3npe aennTuaad thy Sectlm 37004 Mtabpn.Code tar pm p¢rfwmmmwamwp%ipwh(Ch pw lmrmdw aaWed My WglkaYa Ggllapen80(idn Imwar[a w,q, 8m Poky Number are G C HOI y _ _ MJCYWMBEA {i?A,Sgt;ik7NF✓EFD TBE CO SRO) WINE PEW 15 FOR ONE AV&ORARS0100)ORLESS; — I CaNlyWin tapurbrnmm Mthe wd,kft, wtchMy, mmd aisWmd I ¢nae mtmn"any passan th em/Merrier ad W b bamna euh)ei.', m ft Kenai CxnytWeatlon laws of CMmrtw And was met If f dmm bsmm sWlW.l IN theWerker'a OrnpmvsAbn pW.tdwe dSW.mn 3700 d the aura Cam,i shad ArtmNh mtOtywin Grose OVA*va ARiMlWi W %MIWG FWlma In, share WWkarls [ampmsatm CMerata a w0awAd end 09 subject an wont to vW .0 Nut CM! Tines did m are hundred tlpuMris dpw4 (SIM OR in aadimn to pm and at to cwnpersWim @mama as pmmded far in wdw 370B of Ma lanes code trwest and atemeye kes CONSMOMON tnmte0 AGENCY I"by NMm under penalty Cpenjsy that On Is a CovIrvdhan tmdmg Agency for the pa ce sI the waR for which thin penal[ Is Issued (Sec 3047, Che C j tEWS S NAME LENDER SAODP'SS I(artE Mal a base Ma appllmdmand N9a past the whole uwmatm is carnet I Wre, to cony wet at day mho W a1haasandgaklawsnbbnBm Wmaeudwn and MintyautlWrbempwmbavwWmdroemym ow tadma mmtalaed Propetq tw PWPtaas 0 A ._ DATE APPLICATION DATEt_ r „P/C# n ISSUE DATE f+*% �1 PERMIT# 1J tlQ__ TYPE CONST OCC GROUP ZONING SETBACKS REAR 13 [7 FRONT RW ❑,.. 110STREET —RW—O ...''. SIDE G PROPOSED USE #OWEL UNITS #STORIES #BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION SFR.'ADDIREM G lrag"Arpwt WPada+Deck ...................... a LL PWakSDa Z Re-eandy 0 7 Cammglciei m Valustic Ad! Area QUANTITY DESCRIPTION FEE W� 0 i g of �i a CONSTRUCTION PLAN RENEW ELECTRIC PLUMBING MECHANICAL FTr1 V" INSPECTION FEE '^a ISSUANCE J•.i"�} __ SMTP ENERGY P/C ENERGY PERMIT RETENTION FEE PRE -ALT FEE BSAF TOTAL. FEES COMMENTS I ............. RECEIPT At PAID BNlA.EJt VALIDATION .._ WHILE- beperVnwtt C" YELLOW - Flnare eCopy PINK-A6aaw8a Copy, GOLDENROD- File COPY GREEN - Appllamto Gop/ CITY OF DIAMOND BAR INSPECTICrN RECORD ® ® 0 - SETRAW LETTER 0 • 0 - TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG. PLUMBING T -BAR UG ELECTRICAL INTERCEPTER UFER GROUND HOT MDP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOL/SPA SHEAR WALLS INTERIOR ROUGH PLUMBING fRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANIM ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C ( ) GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P -TRAP DRYWALL FENCE / GATE/ALARM LATH (PRE) FINAL POOL LATH EXTERIOR WALLS LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1-( ) 2ND( ) LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RD FRAMING PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL / Ji FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/ PW T C of OCCUPANCY FINAL COMMUNITY SERVICES CERT. of OCCUPANCY FINAL HEALTH DEPT FINAL INDUSTRIAL WASTE COMMENTS STATE OF CALIFORNIA ALT,L=RMIONS - HVAC r • GEC•CFIR-ALTA4-E (Revised 061141 mai I9nkan4 Fuaarav r•nsseniranu CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Pagel of 1) 1 Site Addressj� �� Enforcement Agency. Date Prepared f IV fil. Permit# a Equipment Type Equipment Efficiency New Ducbng, plenums, Lrnesat Conditioned Thermostat Re cured R -value Floor Area (sq ft ackaged System 0 Evaporator Cod AFUE COP ❑ R-6 (CZ 2, 8-13) Ducting .. Served by system 0 Setback d Split System ❑Condensing Unit a1SEER 0 R 81 (CZ 22, 14, 15) Ducting sgft (if not already 0 Mint Split f 0 Compressor HSPF 13 R- CZ's) Plenums present, must 0 Furnace C3 Uneset EER ��. or R7 S) Uneset 13 R-5 be rnstot(ed) 0 TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below At permit application this for s allowed to be filled out by hand Fortino inspection all forms are to be registered no hand filled forms allowed and a copy left on site 1 HVAC Changeout/Repair Required Compliance Documents to be left on site for Final All Equipment, CFIR-ALT-02-E Condenser Unit, Evaporator Coil, CF2R MECH-01,MECH-20-HERS,MECH-(23or24)'-HERS, MECH-25-HERS' Compressor, TXV, Uneset, CF3R MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERSr Air Handler/Furnace' (Can include new ducting) Installer Requirement Duct leakage (<•15%, or <10%to outside, or seal all accessible leaks), Air Flow a 300 CFWton, Refrigerant Charge Exempted from duct leakage testing if 01 Duct system registered with HERS provider as previously sealed, or 0 2 There is less than 40 linear feet of duct in unconditioned space, or ❑ 3 Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ❑ 2 New HVAC System Re utrad Cam Mance Documents to be left on site for Final All new equipment and All New Ducts' CFIR-ALT-02-E including Mini Split CF2R MECH-Ol, MECH-20-HERS, MECH•22-HERS, MECH-(23 oe 24) -HERS', MECH-25-HERS' CF3R MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25•HERS' Mini Splits require CFiR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement, Duct leaka e < 6%, Fan Efficacy ( SBWJCFM), Air Flowa 3SVCFM/ton (or alternative), Refrigerant Charge 0 3 All New Ducts with Replacement I Required Compliance Documents to be left on site for Final All New Ducts' and one or more of the following CFIR-ALT-024 replaced Condenser Unit, Evaporator Coil, CF2R MECH-03,MECH-20-HERS,MECH-(23or24)-HERS,MECH-25-HERS Compressor, TXV, Uneset, Furnace' CF3R MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement Duct leakage <6%, Air Flow a 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if 01 Existing ducts stems are constructed, insulated or seated with asbestos 0 4 New Ducting over 40 feet Required Com lance Documents to be left an site for Final New ductin but Tess than All New Ducts' CFIR-ALT-02-E, CF2R MECH-20 HERS, CF3R MECH-20-HERS Installer Required to Duct leakage (1_15% or, < 10% to outside or, or seal all accessible leaks) ❑ EXCEPTION Existing ducts stems Constructed, Insulated or sealed with asbestos ' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 it installed This includes in walls, between floors etc 'Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25 'All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 2S percent may consist of reused parts from the dwelling unit's existing duct system (e g, registers, grilles, boots, air handier, cod, plenums, duct material) 4 R-5 (1" thick insulation) for linesets rand less R-7 5 (IS" thick insulation) for Imesets over 1 inch Most mfg will require Suction line Diameter with insulation as the following 15-2T-2%", 2 5-3T-2%', 3 5 to 4T -23V", ST -4Y." Contractor (Documentation Authoes /Responsible Designer's Declaration Statement) 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 California Business and Professions Code to accept responsibility for the information on this document 3 That the energy features and performance specifications for the design Identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR) 4 That the energy features and performance specifications, materials, components, and manufactured devices for the budding design or '. system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part i and Part 6 of the CCR S The budding design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application Res esig rNam Responsible Designer Signature Date signed Liceele''� Comp? Addressphone •� p / For assls19Wce or questions regarding the Energy Standards, contact the Energy Hotline at 1-800-7723300 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3 ) Project Name: 1102 Enforcement Agency: City of Diamond Bar Permit Number: 15-0028 Dwelling Address: 1102 Cleghorn Unit 3 City: Diamond Bar Zip Cade 41765 A. System information 01 Space Conditioning System identification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 03 Building Type from CF -IR Single family 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CF1R2 No, credit is not taken 05 Verified Low Leakage Air Handling Unit (VU AHU) Credit from CF1R? No, credit is not taken 06 Duct System Compliance Category Alteration using smoke test MCH -20e - Sealing All Accessible Leaks using Smoke Test B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 25 02 Heating Capacity (kBtuJh) 0 03 Conditioned Floor Area served by this HVAC system (ft2) 1510 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 01S 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Cooling system method 08 Measured AHUAirfiow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage Rate (dm) 150 10 Actual duct leakage rate from leakage test measurement Win) 115 11 Compliance Statement System passes - system complies with allowable duct leakage rate criterion 12 Notes Registration Number 215-A0020577A-M2000002A-M20A Registration Datetnme 2015.01.17102503 HERS Provider CalCERTS CA Budding Energy Efficiency Standards Report Version 2014-05.08 Report Generated 2015-01-17 09 49 34 2013 Residential Compliance Schema Version 0 551SDD 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) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be seated/taped off during duct leakage testing CH OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62 2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing 03 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 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 14 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 for this table The responsible persons 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 All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 1 Complies All specified verification protocol requirements on this document are met Registration Number 215-A0026832B-M2000002B•M20B Registration Date/Time 2015.01-27 08 58 47 HERS Provider CaICERTS CA Budding Energy Efficiency Standards Report Version 2014 -OS -08 Report Generated 2015-01-27 08 58 29 2013 Residential Compliance Schema Vernon 0551SDD CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3 } Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete, Documentation Author Name Documentation Author Signature Denis R Higginson 1444T— company Date Signed AT8 Images 2015-01-27 08 58 47 Address CEA/ HERS Certification Identification (d applicable) 4790 Irvine Blvd Suite 105-142 2488 Cory/Stale/Zip Phone Irvine CA 92620 714 309 9241 Responsible Person's Declaration statement I certify the following under penalty of per)ury, under the laws of the State of California 1 The information provided on this Certificate of Verification is lobe and correct 2 1 am the certd'ed HERS Rater who performed the verification Identified and reported on this Certificate of Verification (responsible rater) 3 The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency 4 The information reported on applicable sections of the Certificates) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificates) of Compliance (CFIR) approved by the enforcement agency S 1 will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building Permids) issued for the building, and made available to the enforcement agency for all applicable inspections i understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the budding owner at occupancy Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (installing Subcontractor, General Contractor, or Budder/Owner) NIX PLUMBING HEATING AND AIR CONDITIONING Responsible Budder or Installer Name CSLB License Dale Nix 542033 HERS Provider Data Registry Information Sample Group Number (if applicable) Dwelling Test Status in Sample Group (d applicable) Tested HERS Rater Information HERS Rater Company Name ATB Images Responsible Rater Name Responsible Rater Signature Denis R Higginson 'w — Responsible Rater Certification Number w/ this HERS Provider Date Signed CC2005579 2015-01-27 08 58 47 orgdallysignedby CeICERTS This digital signature is provided in order to secure the content of this mgrstered document andm no way implies Registration Provider respomsrbihty, for the accuracy of the mfarmabon Registration Number 215-A0025832B-M20000026-M20B Registration Date/rime 2015-01-27085647 HERS Provider CaICERTS CA Building Energy Efficiency Standards Report Version 2014.05-08 Report Generated 2015-01-27 085829 2013 Residential Compliance Schema Version 0 SSISOD CERTIFICATE OF VERIFICATION CF311-MCH43-H Space Conditioning System Airflow Rate (Page 1 of 4 ) Project Name: 1102 Enforcement Agency. City of Diamond Bar Permit Number, 15-0028 Dwelling Address: 1102 Cleghorn Unit 3 City: Diamond Bar ZlpCode: 91765 A. Ducted tooling System Information 01 System Identification or Name System 1 02 System Location or Area Served Location 1 03 System Installation Type New 04 Nominal Cooling Capacity (tons) of Condenser 2S O5 Condenser Speed Type Single Speed O6 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system - 08 System Bypass Duct Status No Bypass Duct 09 Date of System Airflow Rate Measurement 2015-01-07 , 10 Airflow Rate Protocol utilized RA3 3 procedures for airflow rate measurement B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) In the supply plenum. Procedures for installing HSPP or PSPP are specified in RA3 3 11 01( Method used to demonstrate compliance with the I HSPP installed and labeled consistent with Figure RA3 3-1 HSPP/PSPP requirement C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3 3 11, 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 11 verification 02 Manufacturer of Airflow Measurement Apparatus TSI 03 Model number of Airflow Measurement Apparatus 8371 04 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at Accuracy http %/www energy ca govAtbd) Registration Number 215-A0020577A-M2300002A-M23A Registration Date/Time 2015.01.17 10 25 03 HERS Provider CaICERTS CA Budding Energy Efficiency Standards Report version 2014-05-06 Report Generated 2015-01-17 09 50 37 2013 Residential Compliance Schema version 051SDD CERTIFICATE OF VERIFICATION CF3R-MCN-234i Space Conditioning System Airflow Rate (Page 2 of 4 ) MCH -23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor 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) 350 02 Required Minimum System Airflow Target (cfm) 875 03 Actual System Airflow Rate Measurement (cfm) 881 04 Compliance Statement System airflow, rate complies E. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 150 0(m)12 or 150 0(m)13 were properly installed in 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 31 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 new or replacement zonally controlled systems unless the Performance 03 Certificate of Compliance indicates an allowance for use of a bypass duct When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance 04 Ali registers were fully open during the diagnostic test 05 System fan was set at maximum speed during the diagnostic test 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan O8 efficacy, (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed 09 Verification Status Pass - all applicable requirements are met 10 Correction Notes The responsible person's signature an this compliance document affirms that all applicable requirements In this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. Registration Number 21S-A0020S77A-M2300002A-M23A Registration Date/Time 2015-01-17 10 25 03 HERS Provider CaICERTS CA Building Energy Efficiency Standards Report Vernon 2014-05-08 Report Generated 2015-01-17 09 50 37 2013 Residential Compliance Schema Version 0 515DO CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (page 3 of 4 ) F. Determination of HERS Verification Compliance All applicable sections of this document shall Indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be In compliance 01 ( Complies All specified verification protocol requirements on this document are met Registration Number 215-A0020577A-M2300002A-M23A Registration Date/Time 2015-01-17 10 25 03 HERS Provider CalCERTS CA Building Energy Efficiency Standards Report version 2014-05-08 Report Generated 2015.01-17 09 50 37 2013 Residential Compliance Schema Version 0 SiSDD r CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 4 of 4 j Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name Documentation Author Signature Denis R Higginson tWr— Company Date Signed ATB Images 2016-01-1710 25 03 Address CEA/ HERS Certification Identification (if applicable) 4790 Irvine Blvd Suite 105-142 City/State/Zip Phone Irvine CA 92620 714 309 9241 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California 1 The informatlon provided on this Certificate of Verification is true and correct 2 I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verficabon (responsible rater) 3 The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the budding approved by the enforcement agency 4 The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certdicate(s) of Compliance (CFSR) approved by the enforcement agency S I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permrt(s) issued for the bottom , and made available to the enforcement agency for all apps cable inspections I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the budder provides to the budding owner at occupancy Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Instilling Subcontractor, General Contractor, or Sunder/Owner) NIX PLUMBING HEATING AND AIR CONDITIONING Responsible Builder or Installer Name CSLB License Dale Nix 542033 HERS Provider Data Registry Information Sample Group Number (if applicable) Dwegmg Test Status m Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name ATB Images tffl'tf -- Responsible Rater Name Responsible Rater Signature Denis R Higginson 2015-01-17 1 Responsible Rater Certification Number w/ this HERS Provider Date Signed CC2005579 Drgrtally stgnedby CaVERTS TMs rtrpdat s>g+rartua+s prortdedm order is secure thacnnhxrf otrhrs registered docurrien; and m ria wayimp(ies Registration Pmrnder responsrbrtxytarthe acvurecyaf the mfonnatmn Registration Number 215-A0020577A-M230D002A-M23A Registration Date/time 2015.01.17 10 25 03 HERS Provider CaICERT5 CA Budding Energy Efficiency Standards Report Version 2014-05.08 Report Generated 2015-01-17 09 50 37 2013 Residential Compliance Schema Version 0 51SDD