HomeMy WebLinkAbout14-4969 (2) ' CITY fSF DlAhidND BAR �
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GQMMENTS -- -
CERTIFICATE OFINSTALtATtBN CP2R-MCH-2Q-H
Duct Leakage Dlagnostic Test {Page 3 af 3 j
Documentation Autfior's Declaratron Statement '
1.I cert�fy that this Gertifitate of Installat�on dorumerrtation�s accurate and complete. '
Oocumentat�on Author Name Oocumenfatbn Auchor Agnature ��
Kelly Holgwn � ..,
Company Signature Qate
Cypress Heating and A�r Conditioning,inc 2015-02-22
Address CfA/HERS Certifrcau�n Identiflcatio�{rf appilca6le)
Sd7 5 I.orame Avenue 302865 593258
GkyjStatejl�p Phone
Glendaea CA 9i7A1 626-963-9$10
Responsibie Person's Deciaratian statement
I certlfy the fanowing vntler penalty af per7ury,vnder the laws af She State of CZIIIdrnia
1 The�ntormatwrv provlded 6n thu fertii�cate of Insta�iBtion�ttrue and correct
2 I am eligibie under pivis+on 3 oEthe Buslrress antl Prafessrons Cotle In the appLcabie dass�ratipn td accept responsibdity for the syrtem tlesign,
construction,ar�nitallatlon uf/eatures,matenais,Comporrents,or manu(actured devlces for[he scope oF work Identifietl on t�is Certifiqte af
Installallon and attest to the declarations in this statemenc(responsldie budderllnxtailer},otFrerwise I am a�5 avttwrized re0resentatrve af the
responsible 6u�1de�J�nstaiier
3 7heconstruttedorinRaiieGfeatures,matenais,camponentsarmanufatturedtlevlces(theinstallatifln)IdentiFledonthisCertlBcatenfinrtaiWtion
canfom�.tnai�applicabi otle5 antl re ulaGans,.and tFre 1 stallad�n.c�red�rmsa tt�requteemepti�Iren an the pians and.s ecincatlons approrea by
thg enfo ertien[a n F � }
B� �Y � /
4 �vnde ndtha[aHENS ter�wili4 e thck�st�a�ta�na tffverlfy`compilance,�dth�tlfsuchcheckni�nUFlesde��fI6cts��am�requiredtoteke
[orrecti act�on at my ex ense t u derstar�d4����nergy Cifmmisslon andHEtiS Protade�representativezwiil aYsq perform quaHty assurance[heclung
af instait � int�ud�ng t se app as art ot a)ampie graup 6ut rtot[hOGked�ya HER3 2ter,e[uY�#tlra3e irttta I�atwn�faitto meeR thg
req pre ts' f,o suen Aua ry �sura e checking, e r�qu�`�d cor+ectrve a`ctro;and BddRional cl�eck'tnglte#ing,dloMer instaiiatlqrz in that MERS
sam le u bnt�e,p rm d at ense 1 (I \ \ I 1
5 ireviewed oftt�e ficate 1lanc rovedbytheenforcemeMaggh_cythati�7entlt�atha5pecifictequiremen for#figscpppot
construttioA or mstaliat�on Identifled on thi5 Cert�ticate af Installatian,and I have enwred that the reqmrem,ents that appiY to the consbutt�on or
�nstalianonhavebeenmet U,� Ener��r Ra#ers Assoc�ation
6 I w�IM enwre lhat e regiskered copy o(this Cert�fiC3t!Oi InStallation shall6e postHd, r adE auail2ble wrth Ihe lSulld�ng perm�t�s��ssuetl fot the
budding,andmadeavaltahletotheenforcemeMa�ncyforallapplicatriemspectlons Iunderstandthataregl5tgredcapyafth�sCertlilca[eo(
InstallaUan is required to be mduded wl[h{he dasumentation the builder proY�des to tne bu�lding nwner at occupancy
Resq�nsi6le Builde�jlnStdll¢r Name ResFwnsi6ie Bmlder�nstaller S�gnature
Kelly Holguin
ComparryName (Installing5ubcantrac[oror�eneretCantactoror PosRionWrthGampany(Fltle)
BuilderJpwner) main Kely pum(Fe 424�5}
Cypress Heatmg and A�r Conddioning,tnt
AOtlreis CSI�IAcense
547 5 Lorame Avenue 302855 593268
Gty/StatejZig Phone Date S�gned
Glendora CA 91741 62b-963-981� 2015-02-22
thirtl Party qual�tp Control Program(TP{!CP}Status Name o(7PQLP 3if eppllca6lej
�� ��`� 1.� :�� `/� � "Th�B dryJJt87 8fgtt8hxe is P�vvidedlq 6779t t0 Secure
�� C L� Cre carront atthts reg�stered docume»t,end M no
I1� 1 +veY MplJes Regtsdatbn Aowder reapwra7�hty Ia
U.S EnMgyRtRtt'sAesOelaUqa NeexurerycfNre+nfom+atlon'
Reg�straGanNumber 315-AS0025D4A•M20WiS78A-D0� Reg�stratipnDateNme 20tSA2•22 183609 HERSArov�der USEitA
CA Budd�ng Eriergy Efficiency Stendards Report Yersmn ?0140S-q8 Report Ge�rated 2p15-02-22 18 3B 38
2013 ResidenUal Campiiance Schema Vers�on 0 SSSDD
CERTIFICATE OF INSTALtATIt}N CF2R-MtH-25-N
Refrigerrnt Charge Verfiqtion (Page 2 oi 5)
ProjectName. 5 Miicheli Enfarccmen#Agenq: Diamond PermftNumber: pr14-0969
Bar Budding Depertment
Dwelling Address• 543 Crooked Arraw Dr Ciry. Diamond 8ar Ztp Code: 91765
A.System Informetion
Each system reqwnng refngerani charge verrficatwn wdI be documented an a separate certficate
OS 5ystem Identfflcetion�r Name System 1
02 System Locat�on or Area Served whole house
03 Condenaer(or package unit}make or brand Lennoa�
04 Cnndenser{or package unit}model numbee 14hpx-048•230-29 '
45 Nommal Coolmg Capanty(tons)of Condenser 60
Ob Condenser(or package unit)serial number 1914h24940
07 Refrigera Ty¢e �� R=410
� I I � - ��t �
OS OtherRefrger�ntType( appli�bl�� I • -- { i �/ � � � �
� .� � � �� .
09 System ins II tian Type I � Alteratwn � � � � �
Charge lnd�cat CID}Statu uen �stems - This �'d �'1 �• 5 �t
�Q sy sy�tem oes ndt have a CID devrce m taiie
with a CID must have refngerant charge v�rif�ed by�i �r) (��r Raters Assoe��tlon
Is the system of a type that the m�namum airflow can be Yes,this��a ducted system and ane of the system airflow
11 venfied usmg an approved measurement procedure(RA3 3 rete measurement procedures m RA3 3 or RA3 2 2 7 can be
or RA3 2 z 7j? used to venfy system airflow rate
Is the system of e type that appraved refrigerant tharge Yes,one of the Refngerant charge venficatron procedures
venfica#�an procedures can be used ta verify campliance hom RA3 2 2 or RAS�s applicabie to this system a�d can be
12 with the refngerant charge verrficetion reqwrements wh�n used ta verify compC�ance
temperatures are greater than or equai to SSF(RA3 2 2,or
RA1)�
13 Date of Refrigerant Charge Venfication for this system 2014-10-26
14 RefngeraM charge verrficat�on method used Subcoolmg{outdoor temperature muet be equal to ar
greater than 55 degf)
�5 Persan who perfarmed the RePngerant Charge Verificat+on HVAC system�nstaller
eeported on th�s Certificate af InStallatron
16 NERS Verif�tation tomphance Requirement Status Sysiem qu&Irfies for group samphng
Standard Charge Venficat�on Procedure-CF2R-MCH-25b-SuBcoaling Method
Reg�strabon Number 315-A1002SO4A•M25402176A�4000 Regismanon 6ate/T�me 2015-02-22 1&4146 MERS Prowder USERA
CA Buddmg Energy Eff�ccency Standards Report Ven�on 201A-45-p& Report Generated 2015-02-22 i8&2 16
2013 Res�dent�al Compliance Schema Version 0 55156D
CERTIFICATE 4FINSTALtATiON CF2R-MCH-25-H
itefr�gerant Charge Vcrlflcat�on (Page 2 of 5 j
B. Meter�ng Qewce Verfitation
Subcooimg Method can oniy be used on systems that have a vanable meterrng dev�ce
OS Refr�ge2nt metenng de+nce Thermostatic Expans�an Valve(TXV}
02 5ubronlwg Method apphcabifity status Subwolmg Method is app6cable to this system
C. Instrument Cahbratian
Procedures for mstrument cai�brabon are g�ven m Reference Res�clential Append�x RA3 2 2 and RA3 2 2 2
01 Date of D�g�tai Pefrigerant�auge Cahbration 2414-10-01
02 Date of Dig�tal Thermocouple C.al�bration 2414-10-01
03 Oigital Refrigerent Gauge Cahbraaon Status Cehbration�s current
04 t��g�tal Thermocouple Ca6bration Status Cahbrabon�s current
Q.Meaeureme Access Ho{le MAH Yl�eriflcst��n '', - -- � " ) � {1
Prr�cedures far nstlalhng M/{H{re ec��edtn-Reference Resident�al Append�x-RA�2 9 / ��
h 1
OS ���SuremerK.�rac<lial (MA �YeGy�r pseA � F _ _ H installed and�label�d cons�stent wrth F gure 3 2•1
Methadus d emo t�ec��nce th he, �_...._ _MA � 1 �.__�.�__� �.....�.
E. M�nimum System Aaflow Rate Verificatton
Procedures far venfymg mimmum system eirflow are specrf�ed m Reference Res�dentia!Append�x RA3 2 2 7
OS Minirnum Required System A�rflow ft2te(cfm) 1200 0
02 System Airflow Rate Venflcation Status 5ystem eompl�es with mmrmum a�rflow rate requirements
F.Data Collection and Cakuiations
Procedures for determ�mng Refngerant Charge usmg the Standard Charge venficatian Procedure are given in
Reference Residential Appendix RA3 2 2
Ql Lowest rekurn av dry bulb temperature that acturred durmg 70 0
the refngerant charge venfication procedure(degreeF}
OZ Measured Condenser a�r enkering dty-6uib temperature(T $4 0
�,ae�k�,at)
03 OutdoarTemperature Qua6ficauon 5takus Outdoar temperature�s within range far us�ng Subcaolmg
refr�gerant charge ver�f�cation method
Registret�on Number 3i5-AS4o2504A-M2506ii75A•��00 Registration Date/Time 2015-42-22 18 4145 HERS Prowder USFRA
CABuddEngEnergyEffrcrency5tanderds ReportVersian Z014-OS-D8 ReportGenereted 2Q15-02-22 184216
2013 Res�dential Compl�ance Schema Vers�on 0 SSiSQD
CERTiFICATE OFINSTALLXTiON CF2R-kfCH-25•M
RefrigeraM Lharge Venfication {Page 3 of S}
F.Data Collection end Calcularions
Procedures for determmmg Refngerant Charge using the Standard Charge Venfication Procedure are given m
Reference Aesidential Appendix RA3 2 2
04 Measvred Liqmd Lme TemperatuYe�Tu�u,a){degreeF) 910
OS Measured I.ic{uid Line Pressure{Pii���a�(p�sgy 302 4
� Condenser saturahon temperature{Tmm+e�,oc:M}trom d�gitaf 46 0
gauge or P-TTable using Line FOS(degree Fj
07 Measured Subcoo6ng 5 0
08 Target SubtooBng 6 0
� Comphance Statement 5ystem complies w�th Subcaohng Method-Must also pass metenng device venfaauon,next
SeMlon
G. Metermg Device Verfication
Procedures far'khe"�enficatlon�S#prope�me�enng device aperabQn aie specifle`d"m-RA3 2Z 6 2�
( I l f �--�.. I � ----,7 � -- -� 1 i
Ol Measured uction hne t mpera re(Twrnm{,{degreeF} ` --^50 4 ' ,�-1 � � � `
02 Meesured u�on I�A es�ure «e�on)ps g)� � � W 112'0 ' � �� � �� � �'�
Evaporator satura ion emperature �ao•am,sac)froni ' '" " 38 0 �` " '` ,'1""�' � '
03 d�g�Wl gauge or P-T Table�sing line G02(degreef} U.�. nergy Raters AssociatiQn
04 Measured Superheat 12 0
QS Measured Superheat rs between 4 and 25 deg F{mc#us�ve) Does not pass CEC reqmrement
66 Measured Superheat�s wrthm manufacturer's specificat�ons, Yes,dacumentatwn to be pro+nded upon request
rf known
07 Compl�ance Statement Metenng deviee verificatwn passes
Ver�ficatwn af Charge indieator D�sptay-CF2R-MCH-25d-CID
H.Charge Ind�cator Uisplay
procedures for the Charge Ind�cator Display Ver�ficaUon are detaded m RA3 4 2
This sect�on daes nat apply to th�s pro�ect
ReBistrat�onNumher 315�A1002504A-M25001176A�0000 Heg�stretianOateJT�me 2015-Q2•23 184146 HER5Provider USERA
CA euilding Energy Eff�ciency Standards Report Yersion 2DSd-OS•08 Repart Generated 2015-02-22 18 d2 Sb
2Q13 flesidential Comp6ance Schema Version 0 SS350D
CERTIFICATE OF lNSTAUATION CF2R-MCH-25-H
Refrigerant Charge VerNiuition {i�age 4 af 5)
1.Charge indicator Display Additional Requirements
This section does not apply to th�s pra�ect
I ��� ��
� �
_„�
i
y � �
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� - --- �' � �� __ �—�. �
U.S. Energy Raters Assc�ciation
Reg�straban Number 315-A1002SO4A-M2S�Ii7bA-0000 Reg�rtrahon Datejlime 26I5-02-22 1$41 A6 HERS Pronder USERA
GA Budd�ng Energy Effic�ency Standarcfs Report Venron 20i4-OS-6$ Report Generated 2015-02-2? 1$42 16
2013 Res�dent�al Comphante Schema Vers�nn 0 5515DD
tERTiFICATE 4PINSTA�LATION CF2R-MCH-25-H
Refigerar�t Charge Verrf'icaban {Dage 5 af 5)
Documentatwn Author's Deciaratron Statement
1.I certify that this Certificate of Installation dacumentaUon is accurate and complete.
QocumentaSfon Authur Name Doamentadarr Author S�gnature
KeIIy Holgmn �
Comparry Signature Date y '1 .+
Cypress Heat��g end Air Conditioning,Inc 2Q15-02-22 �
Address CEAJ ttERS Certlfl�tian Identrflcatlon�if apphcab�e}
547 S lorame kvenue 302565 593268
Ciry/5ta[e(Zip Fhone
Glendore CA 91741 626363-9810
Nesponsible Persan's peclereUon statement
i certr(y She foltowmg urrde�penalry o(perJury,under the laws of tke SWte of Calrfomia
i The mformatwn provided an thrs Certfrcate flt Installatian iskrue and correct
2 I am eligible under 61u�sion 3 of the Businesxand 7rofessions tode�n the appllcabie classrflcstian ro accept respons�b�l�ty for the system tlesign,
cflnrtruct�an,or mskallaUfln of feamres,matenats,camponents,a�manu(actured deneesfor the srope Mwork identified on thls Certiflcace�f
mrtallat�on end atttst tff zhe declarauons in this statement(responNhie builderpnrialter},othe(wise i am an authanzed representatHe af the
respanslble bullderj�nstailer
3 metonstructedormstalletlfeaNres,materla�s,comRanentsormaoufartureddevmes�theinstelixt�on}IEentiGedonthisCertlficateofinstaliatia�
canfor toa�epplica4lR,I�ode andre ulatuans„a`n`�d�•t.�h.el Steliariomm�fprmslotherequlfBtGeptSgiv'`e�nonthepiani7andst(�cificatlansapproxedby
the enfo€emi nt agencY I � I ry _ ___ _� } r ...-^„ l ! 1
a I uMerst nd Shai a HERS ratev�+rnt4�tne in�taybn to yerity compha�ce,and tnat�f such checiu�g NieneiE�es ae(ectsj i am required to take
carcecC actla�atmyeXenseluqde�mftAatEnergyCommiss�onandxERSPravider,fepresentathres�wiilalwp`erformtquat�tyassurarrcecheckmg
w
ofinsta0 tio � including ossapprovedaspartofa mpiegrflupbutnotchecked¢yanERSrater,andifthoseinsta�laclon�Cfaihtom�tthe
re
reqwre Ms f such puai �sura checking, e r qNred torrealve aiY�on and satlttianal� ackingttestmg df ottier fnsfai�atia s m that HERS
sample g uR �be ed rm d at nse ( , s ( ; � � �� �
5 Ireviewed afth tate lianc pvedttySheenfflrcementaggneyt4yatidentif�stha.sp 6c�equiremenr�cYorthpsetipeat
canstrumon or installat�on ideMitied on this Gert�flcate af in,{�;Iia ron,and�have ensvretf tnat the requ�rements ihet apply ta the mnrtruttbn oe
mstallationhavebeenmet (,�,�, Ener��r Rat�rs Associatic�n
6 1wlilensurethatategiStCredCopyofthisCertifltateoflnskailatlonshellbeposted, r adeavaNaGewlththebwtdmgpermRislissuedfarthe
buitAmg,and made av�il�hie[o the e�forcemeM agenty for ali app�tcab�e inspechons i understand that a reg�rtered coDYflf this CertHlcate of
tnstaliahon is reqmred ta 6e tne�udeA wrth the documenqtion the hudder pranAes to the IwiW+ng mwner at occupancy
Respan5�k�e BwWernnstaller Name ReSponsfaie Bmldernnstalier Signxture
Kelly Holgwn
CompanyName tvnstai�mg3ubcontrmotoroeGeneraiConcrattoror PpSrttpnWrtht6mpany(flHeM
8u{lderfOwne(� R181ti %�Y Buln{F 2 20t8}
Cypress Heatmg and A�r Condition�ag.Inc
Address C5L8 License
547 S Lara�ne Avenue 302865 593268
Citytstareji�p phone oate SigneC
Glendpra CA 91741 526-963-981Q 2015-42-22
Third Rarty�vai�ry Control program(TPQCP)Sta[us Name of tPqCP�lt app�rcablcl
[��� „ `This ddgltat agrtahae is pmvrdaJ M orderta s¢rvea
��� ��� � � w� Ma cot#ent W fh�s rt�tatered doeume�H,and kt rua
11 �Y�+P�B R6g18hBltOrt fbGualetl9spOns76kety lor
U.S.Ellergy Retero ABsoctatlon Ne aceurecyW 11re mfwmeCrnt"
Registrat�on Num6er 315-Altk}2504A•M2S001176A-09QQ Hegistration Datefiime 201502-22 18 4146 NERS Prowder USERA
CA 9uildmg Energy E�aency Standsrds Report Versian 2014p5-08 Fteport Generated 2015-02-22 18 4216
2013 ResidenUai Compliance Schem2 Versivn 0 55154D
CERTIFICATf OFINSTALLATI4N CF2R-MtH-23-H
Space Condmoning System A�rtlow Rate (Page 1 af 3�
Pro�ed Name: 5 Mitcheli fnforcement Agency: D�amond Permit Num6er: pr14-4969
8ar Bwiding �epartment
Dxtelling Address• 543 Crooked Arrow Dr City D�amond Bar t(p Code 9i765
A.Ducted Coalmg 5ystem Informat�an
OS System Identificat�on ar Name 5ystem 1
02 System Lacation ar Area Served whole house
03 System Installation Type Alteeation
04 Namtna!Coohng Capacity{tonsy of Condenser 4 0
OS Condenser Speed Type 5�ng1e Speed
Ofi toolingSy5tem2oneiCantrolType NatZonal
Q7 Central Fen Integrated{CFI)Vent�iatron System Status Not a CFI system
DS System 8y ass,Duct 5tatuR s r � No ByR ss Duct_
, � , r--� �^ � � � , /� _�
09 Date of Sy tem Airtlow te�Me urema I " —'2014-30-24----�J / � `
_. i
t
10 Airflow Ra P tocol �z � � � RA3;.3 p�rocedures�o�a rflow rate measzrr�eme�t
G_ ,_,__.,� ,�� f l f_ _>G_ ...Y Y_.. ♦
B.Mele for the placement of a Static Pressure Pro6�.�i�W)����nlHEuy�sc�lA������i�abe(PSPP}
In the supply plenum.
Procedures for mstalling HSPP or PSPP are spen5ed m RA3 3 1 1
�1 Method used ta demanstrate comp6�nce with the HSPP mstalied and Iabeied wnsistent with Figure RA3 3-1
HSPP/PSPP reqmrement
C.A�rflow Rate Measurement Apparatus and Procedure infarmat�an
instrument Specifications are groen in RA3 3 1 1,and system earflow rate measurement apparatus�nformation is g�ven
in RA3 3 2
Ql Airfiow Rate Measurement Type used for th�s airflaw rate Fan Plowmeter acc�rdmg to procedure m RA3 3 3 11
verif�cation
42 Manufacturer of Ai�flow Measurement Apparetus energy conservatory
03 Model number of Ai�flow Measnrement Apparatus 4S4
� Certifiwtwn Status flf the Airflow Measurement Apparatus Certified by Manufacturer and hsted on CEfi Website aS
Accuracy http Jfwww energy ca govj(tbd}
Registrabon Mum6er 315-A1�2504A•M23001519A-00�0 Registration DatejTime 2015-92-22 T18 38 1 HERS Provider USERA
CA Budding Energy Effioency Standards Report Version 2ti16-Q5-08 Report Generated 2015-02-22 18 38 A4
2013Re5ident�alCompl�ance SchemaVersion OSiSDD
GERTIFItATE OFINSTALIATION CF2R-MCH-23•H
Space CandlttoNng System Alrflow Rate {Page 2 of 3}
MCN-23a Forced A�r 5ystem A�rflow Rate Measurement-Newly Installed Nan-Zoned 5ystems or 2aned Multi-Speed
Compreswr
D.Forced Air System Airflow Rate AAeasurement
The procedures for 5ystem Airflaw Rate VerificaUon are specified m Refere�ce Residential:4ppendix RA3 9
01 ReqwredMiromum5ystemAirflowRate(cfmJtonJ 3p0
�2 Required M�rnmum System A�rfiow Target(cfm} 12�
43 Aetual System Airflow Rate Measurement(cfm) 1385
p4 Compbance 5tatament System alrfiow rate comphes
E,Addihonal Reqwrements
DI A�r fdters that meet the apphcable req��rementr af Standards Sectian 150 0{m}i2 or 150 q(m}g3 were properly mstaiied m I
the system dunng syxtem av flow rake measurement id�nUfied on th�s Cernficate flf Instellatwn
•--w •------�
The a�rflo rat�e measur�ment�paratus o perforrn the a�rf(c�w r�te measuremen4�denufied o�this Certificate of
02 Installat�o was cal�brat d m ac �damce wrt the apparatus manulaeturer's,specific�ba s and c6n or �ta the
mstrumenieti�nspec�fic�tionsg�v .in 8� - ---,� � , _ � � � � �
.� i � f ' 1 �
A msuai�ns cti 'stsat�c firrd� ss cts Xhet'debver cond�tioned�suppiy a�r d�t,ecUy t the spa�cond�t�mm�g
system retum uct`af ow are not used`an new or replacement zanally con�rolled system's unless ihe Per�oFinance
03 Certficate flf Campl�ance�ndicates an allowance fo�(a��V !� s�$ � �n the
Performance Certificate of Compl�ance,the��rflow rate shall conforrr+to ihe specificat�ons I�sted on th�Cert�f+cate of
Compliance
04 AII registers were fully open dunng the d�egnostic test
OS System fan was set aS max�mum speed dunng the diagnostic tes#
06 If fresh air duct�s part of the HVAC system rt was not dosed during the diagnflsnc test
07 Furflow rate and fan wett draw shali be simultaneous measurements when used ta calculate the Fan Eff�cacy tested vaiue
Muit�-speed compressor space coaling systems or vanable speed wmpressor systems shell venfy av Plow{cfmJton)and fan
QB eftiWcy{WattJcfm)with system operatmg�n cool�ng made at the m�imum compressorspeed and the max�mum a�r
handleri�nspeed
The responsible persan's slgnature on tha cempllance docume�rt affirms that ail appiwa6le reqwremertta�n this tahfe have
6een me#.
He&�stratidnHumber 315-A1002509A-M23D�7519A•D000 Registrat�onDate�me 2d15-02-22 T18381 HER5Prov�der USEIiA
CA Buddmg Energy Effiaenty Standards Report Version 2614A5•OS Report Generoted 2Q15-02-22 18 38 44
2613 Residential Compliance SCtYema Versron p S1S6t}
CERTIFICJ4TE OF INSTALLA710N tF2it-MCH-23-H
Spate Candltfanmg System Airflpw Nate (Page 3 of 3 j
Oacumerxtat�on Authar"s Oeclaration Statement
1.I certify that this Cert�ficate of InstaOation documentation�s accurete and complete.
DOtumentation Authoe Neme Do[umenkdLion au{hqr Slgnakure ''y'�}"'-�^�������y��
Keliy Haigum r
Company S�gnature Oa(e w
Cypress Heatmg and Air Cand�t�arnng,Inc 2015-02-22
Address CFnJ ttEttS tertiticatlon Identrf�canon(if applicable)
547 S Lorame Avenue 302865 543268
CityjSta[e2�P Phone
Glendora CA 41741 625-963•9810
Respons�ble Person'S O�Iaration statement
1 certlfy the foi�awing under peaaity of per}ury,untler the Iaws ofthe 5�te of CaNfomia
Y The infprmation pro�lded on this Certitirate of Instaliaflon�s true antl toneIX
2 1 am el�g�b�e under Orvisian 3 of the BuHness ane Pro(ess�ons Code In the appNqhie tiassiflcation to actept respans�bility for the sys[e+n tlesign,
canstructio�,or�nstailatipn ot feakures,materiais,mmpanents,or manufatturetl tle+reces tar the scope of wark identified on Mis Certif�cate af
installa[lon and attest t�the tleciaratlons in this statemeM(rezponsible 6wldeylnsWiierj,othervnse i am an authonzed represenWtlreof khe
responsidfe Oullderj4nskailer
3 The tonstruc[ed or installed}eatures,matertal5,tGmpflnents or manut3tture�i devices{the tn#aitation)iAent�fied on this Certificate o�Installaflan
wnforrr�.toal,app�Ilo�rtmdesandregulsUans„a.ndzhelr�stalla[lonmpk7m�t [equl�etneitts$Ivenontheplans,sndspetificatlansapprovetlby
~ � `�. �} (
theeMo m�nta en �
a 1 underst nd fhat a MERS 7ter wiil ec the i�sca taf�on to veritycpmpl�ance,and thez kf s`uch chec�ng id mHlas de�`fects,tam�r�urzed to take
m�rect� acqonatmyexpe nse iu c mitt+aCEnergyCommissionan�HEHSP"�y�OerrepresentalNes�riiiaisqperformquadiyassurancechecking
ot Instaii t�rn�s,mclud�ng,'!t,'ase app as part of a mp�e group but not checked 6y a MEP5 rater,and if those�riscsllatwn�fai�to meet the
���.. require nks{C,�'.�wchqualltysssura echeckmg, er qu�reticarzectrveactlonand�dd�tlanalthecNngjte3tingdfothe�rWllabonSlnthatHEAS
...',,, samPle H uP�lli be_. rm d at�ense j _____�,_----^ '..., \ �
\� J \
'�I 5 �rewcwed af the tteate�o Ian rove f
p W She @nforcemeni ag@ncy tljat iaenntjes the sRCc�ficSeq�iremen�s ro.thg xope oi
, mnSVuctionorinstaliatloniEent�fiedonthisCert�ncateaflnstallat�on,anG�ha�veensuredt att crequvementsthatappiytothewnstructwnar
�'.,.,.. Installatwnhavebeenmet �,�. Ener�� F�a��rs Assc���ation
5 I wiii ensure that a registwed copy of this CertlFaate of InsCallakWn shail be posted, r ade a�aiiab�e wrth the buddingperrtM{s}�ssued for the
bvlidtn�,andmadeauailabietatheenforcementagencyfarailappl�rab�elnspectioni lunder5tandthatareg�steredcopyoFthisCertificateof
InstailatiGn is rzqu�red ta be induded wrth the documenWtlon the bu�lder provide5 to the bu�lding owner at ocCupancy
Respons�bie BwlderJlostatier Name Responsible BwlderltnstailerSignakure
Kelly Molguin
CompairyNama {installing5ubcnntrattororGeneralCpntratiornr PoS�HanWithComparry(TIUe}
BmlderjOwner} �rya�❑ KellyH uin(Fa 2,2015)
Cypress Heatmg and Air Conddiomng,Inc
Atldeess CSiB Lxense
547 5 Lorame Avenue 302865 593288
CityjStateJZip Phone Date Slgned
Glendora CA 91741 626-963-98i0 2015-4b22
Third P8r#y qualiry Contrd Grogram{TPQCP)Sta[us NBrnB Ot TPQW(d appllCd7N2)
��� �� �-�'� �-���LL 11 �Tlus�t�8tprtefure is ptovt�d In otder to secu+u
fhe content Ot thf8 rBgllSlared abcum6M,Btld h+rw �
weY httP��g�egsstraMae Prw�dat re�WBty lar
U 3.Energy Rctei�A9&4cloitan G�a eccuraacyWtl�e�nfarne(lon"
Registrat�an Number 315-A10025�4A�M23�1519AAGqG fteg�strat�on 6ate(Time 2015-a2-22 T18 38 1 HERS Prav�der USEftA
CABuddmgEnergyEffinentySWndards ReportVefs�on T�34-OS-OB ReportGeneroted 2tl15-02-22 183844
20Y3 Resident�ah Gompliance Schema Vers�on {S 515DD
CERTIFICATE QF VERifIfATION Cf3R-MCH-20.H
{Pagc 1 ef 1)
Pr4]ec#Name. 5 MiSchetl EnforcemeritAgenty: Diamand PermrcNumber: pr14-4969
Bar Buddmg Department
DwellfngAddress: 543 Crooked Arrow Or City. Diamrand 8ar Zip Code 41765
HERS measare was venfied using the methodology defined for the ur�tested ieatures ficluded m a sampie group.
This measure passes through its relatlonship wtth the actual one tested and passed.Therefare no data�s Included
on th�s Certificate of verificatian.
Oocumentation Author's Deciaration Statement
1.I cert�fg that th�s Cert�fica#e of Venfica#ron dacumeMation�s accurate and complete.
DocumetttaUon Avthor Name Dacurnentatlon Autha�Signature /
M�chael Flpnn '�'��c�..�5/'s' �d
CampanY M�Ch2EI P Fly�n oatesi8ned 2q15-02�23
kdOress CEAJ HER5 fiBrt�flcabon Ideotiflcat�on(�f applica6leS
514 Califarnia Or 1695825
ciey/ssaoe/zip Claremant CA 91711 vhone 949-263-1438
Respons�ble Perso�'s Dedaration statement� �--^) �--------.,� �--�
�certifythefoilpwin pnderpenairyofperJury, nd the�aws he5tateoftaliforn� . 11 fj
S Sheinfor ati�nprovided nthlsCe pteofCom wncel5truearWmrrect � !! jf �
2 iamthe eRI7edNERSRa Whppe orrnC3th r�fi tlonidentNietlen3report0dbnthisCetqlka[eofYedFlmtlon(n�NklOrdCer)
3 The insta ed tures, ri �s,co nts,m ufa red dev_ices,ar systemperfprmanca d�a�iortic resultsthaF�2quire HEfkS yLnflG0ti0n
�dentrlled his Lertiflca f Ver pn campi the spplicable requirem0nis ln Reterence Appendices RA2,'RA3,and the req�irements
specifled nn the e�Compllance e bullding epproved by the erita'rcement a'gency ""�--'1 "`"� ``" . '
4 The mformaSwn re0or[ed on aDp���6�e sections af the Cert�t��t��a�q�0�e��pl�(p��islble(m the
constructionormstatlatlontonfarmstathe p p�lanr�,e{tF R approveaTy BenTffrcementagency
reqwrencenu 5 etl�re at t e 0 i Cqm
5 I wiii ensvre that a registered topy af thls Certrflcate of veriflcatron shall be posted,or made avalla6le wrth the 6utlding oermit(s}izc�ed fpr the
GUiIdI��,andmadeavailab�etatheentorcementagencytaraliappllcablelnspettbns Iunderstandthatareg�steredtopyofthlsCemtkateof
Ver�li[ation�5 eeqwred to be InGuded wrth ehe documenzation the bullder O�undes ta the butlding owner at accu�enry
Burlder Or Installe�information As Shcswn On The CeK�ficate 8f Instailation
tnmpanyName{InsWliing5ubco�+trettor,GeneralContractor,orawlder/owner) CypressHeatingandA�rConditioning,In[
Re5pOn3i#�8 OuddCf or Instelle!Neme CSLBI�cense
Kelly Hoigum 3028b5 593268
HERS Frovrder Data Registry information
Sample Grt,t�p Numb¢r(if gpplReble) Owel6ng Test Status in Sampie Graup{�f applica6le)
315-1924 Not tested
HERS Rater informatron
HeFcS Racer campm+y Name M�chael P Flynn
Respon5ible Rater Name Respons�bte Rater 5(gnature
M�chael Flynn
Respan5kbie Rater CertlFicatlan Number w/this HERS Prmnder Date S�gned
1095825 2t}SS-02•23
���� '��� � �.LS L1 .rius dtgl� . .._�a pmnded 6�wdar h7 secura
f ' t 1 theconterH�Nxereplatereddocrartent.andmno
way Impt�s Ra�Provtderrespor+slbtlky tw
U.S Ettergy R6�v9 A9eaclatl�n the accurecy ot d�e rnPormahon'
Registranon Nornber 315-A10Q2504A-M20001822A-M2�A Reg�xtra4on Qate�me 2015-02-23 OS A6 57 HFRS Provider USERA
CR Bmidmg Ene�gy E�aency Skanda�'ds Repart Version 207a65•08 Repart Generated 2415-42-23 tl5 47 28
2013 Resident�al Compiiance Schema Version
CERTIFICATE OF VERIFICATION CP3R-MCN-20-H
(Page 1 of S)
Project Name: S Mitchetl Er�fartemem Agency. D�amond PermR Number pr14-4969
Bar Budd�ng Department
Oweliing Address� 543 Crooked Arrow Or Crty. O�amond Bar 2ip Code 91T65
HERS measure was venfied usmg the methodalagy defined far#he untested features�ncluded�n a sample group.
This measure passes through E#s eelatEonship w�th the atcual one tested and passed.Therefore no data is included
on this Cert�flcate of Verification.
6ocumentat�on Authar's Declaration Statement
1. 1 certify that this CerkiNcate qf Yeriflcation documentation is accurate a�d complete.
Do[umentationAuthorNsme DocumentationAuthor5lgnatute Y`�7Kc�k.. '�'
Michael flynn ,-� .��
comRany Michael P flynn oate5ignea 2015-02-23 r r
Address CEhj HERS Cert�cation�deMification{If�pp6wbie}
614 Cahforma Dr 2495825
ati/staceR�p Garemont CA 91711 Ph9ne 903-263-1438
Respons�ble Person's DeclaraHon s#atement.� �-----� t---«,, ��
I�,prtifythef011Ow�q und�e{rpenaleytifperJury, nd thQlaws9 he5tazeoffa�ifornia .�� l � j1\ 1
7 The lnfa attpn prowded f n fiis Ce te pF Cpm ia11ince js troe and cortect � � �
2 �am the rtl�efi tiERS Fta er,yho pe onnedthe F�twn�dentif�ed a�reported on thts Cer�Ntcat f verifi{Non{�respdnslblA�rater!
3 The inst2 ed Sures, er 4s,t4 ems,m ufa uretl dev�ces,or systemper{8rmence diagnasdc resu1ts hap reqUire HERS verifl[atlon
iderttifled th�SCeft��^}a�fVer oncamply the�eFAiicabiere9uirementrinRe�erenceAippentl¢yes�,11A2yRA3,andth�requyements
specit�ed on the rtt Se of Compi+ance u�kAng apQrowed bYthe enfOtC2mCnt�gCnty
& The�niormat�onreportedonappl�cab1858Ctionso(theCert�t�af�c�l�tj��m��l��l�Spp����slbletarthe
wnArurtbn or�nnallation canYvrms to the requlrements speciAe on t e e rf c p�j o Comp iance F approved6y tTie en wcement agency
5 I w�ll ens�re that a Yeglstpred Cppy of Shi5 CertifiCaM at Venfcatlon shall be parted,or made availa6le wlth the bwldmg permlt(s)issued for the
buddm&and made avatlable to Che antorcement agenty(or all applirahle inspectlons I understand that a registered copy of th�s Certdicare of
Yenflcatwn�S required to be mcluded with the dpcumentahon the builder provides to the buddmg owne�at 9Ccupanty
Builder Or Installer Informattan As Shown Qn The Cert�ficate Of InsWllatian
Campany Name(Installing Subcontractoq General Con[ractar,m ewlder/pwncr� Cypress Heatmg and Air C�ndit�nrnng,I�C
Responsible Budder or Installer Name 6t9 LlCense
Kelly Holguin 342865 543268
HERS Provider Data Registry infarmation
Sampie Group Number Qf applipble) Dwell�ng TeA Status m Sampie 6roup{It app6cabie}
315-1924 Nottested
HERS Rater InfarmatGon
HeRs Rawr compa(ry Name M�chael P Flynn
Ae3ponFialeftaLe�NamE RespansibieRaterSignature � �
Michaei Fiynn r
Res(rons�bieRaterCerttfVwt�onNumberwjthlsHEFSPravMer DateSig�ed
iossszs zois-o�-23
�� ��� `� ��� 'T1xa dlgffal algnahara fs pmNded m ordar lo secuts
the content d tMa replstsred aacunre�rt,end m no
way fmWfes Reglstrebon Prowder mr.q+onslMtXylw
tl S.En�y�gy RotM9 A684CIptiOn Mre acsuracy o/Nre Jnlomwbon"
Reg�strat�vn Number 31SA1002504A•M20001822A-M10A Registration Date/Time 2015�2-23 �5 4fi 57 HEtiS Prav�der USERA
CA Bu�td�ng Energy EHiaency Swndards fleport Version 2d1AA5-08 Rtpart 6enerated �di5-Q2-2S 05 47 28
2013 Res�denbal Comphance Schema Verswn
{ERTIFICATE CiF VERIFIG4TI�N Cf3R-MCH•23-H
(Page 1 oF 1}
ProJett Name: 5 M�tchell EnforcemeM Agency. O�a+nond Permtt Number pr14-4969
Bar 8uddmg Oepartment
Dwelling Address: 543 Craoked arrow Dr {iry: D�amond 8ar Zip Code. 91765
HERS measure was verifled usiog the method+�Iagy deflned for the urstested features mcluded in a sample group.
This measure passes through its relat�csnship with the adual one tested and passed.Therefore no data is mcluded
an th�s Certiflcate of verificanon.
DasumeMabon Author's Declaration Statement
1. I cert�iy that th�s Certlficate of Ver�ficat�on dercumentation�s accurate and complete.
Dacumentatwn Author tlame Documentabpn AUShor Signature Y �a�..;`✓
MichaelFlynn rE, ,�
Comparry MiChe81 F Flynn DateSigned 2D15-QZ-23 t��
AdtlreS3 CE HERS Certiticat�on�9entrflcation(if applica4leM
614 Cai�tarnia Dr 1095825
cMtstacetz�p Garemant CA 91711 anone 409•263-1438
Respons�6le Pers�'s Oeclaration s jatement�., �----� .i-----,� �---�
�cert�iy the followi under penalty afpe�ury,t�nd�the laws otthe 5tate of Cahforn�y , �� / /�
1 The info n prflvided n thts Ce ficate of Com �ance�3 True and correct J � ��
2 lamthe rt edHERSRaer hoperEormedthe rifi IOnidentfile0an reparted�anthlSCer�fica(eotVerification{reipOn5lttl lrater}
3 ThefnRa ed tures, erl�s,m ents,m ufa uretddevices,orrystem.perf'Q�m8nc�d�agnosticresuttvthaYreqWreHF�0.5vedficatwn
�4enHfled Ch�sCsrtiflc FVe ncqmplyypt the'app6cablerequlrements�nReferenceAppentli�esRA2;ttA3,0nAihereqwrements
spet�edonthe "e�t Mtompitance c�ftfiebuiidinga`ppiovedtryttieenfarcementag�cy -` �-r `-_ '
4 ThelnfprmabonreportedonappllcableSecUansoftheCertll� t�of��l���1[��)�i��l�m���?���+slhieforthe
consiructionorinstaitationconfo�mstothgrequirememsspeU�e an e e f���cai2 o Co`m`pTiante F R apR� Y���norceme�tagency
5 I wiii ensure[hat a reg�stered copy o(this CertiFlcate of Verlflcation shail 6e posteq ar made avarfabie wilh the budding permtt(s3�ssued ior the
buEidmg,andmaAeavadabtetotbeenfortementagencyforallapphcableMspectrons lunders[aMihatareg�stereticapyofthisCertificateof
YetlBcatron�s repulred to be mt�vded w�th the documen[at�on the budder provMes to the bwlding owner at octupanty
Su3lder Or instalker Infcrrmat�on As Shown On The Certifitate Of Installation
Compar+y Name{Installing5u6cantwctor,General Contractw,or 6udderj6wner) �ypr'Bi5 Heat�ng and A�r CondlG�nm�,!nc
nesponsi6�e 9utlder or I�staile�t�ame CStB Ucense
Kelly Holg�in 362865 593268
HERS Prov�der Data Regrztry Infarmation
5ample Group Numher{if applicab�e} 6vrelling Te3t Status In Sampk Group;d applicablej
315•1924 Not tested
HERS Rater information
tiEttSeaterCompanyHame M�Ch801 P Flynn
Resp4n5ik�e RaSee Name Res{wn5141E RBkk/$i$15dtUrg
Michael Fiynn
ReSR6n5�b�eRateYCCrtiflWURnNumberWjth�SHERSPfoviGet DateS�gned
1095825 2�15-02-23
� ��� �� �Lt L1 `7Tus d�Ifel slpnehee�S Amv+ded in oM¢r�amen+e
s M�e contant ot MNa documeM,arni tn rro
v wey 4»pLea ReplahaNw�Provtdar resPo�lbNHY kr
u.s. yaaaers nssoei�ron me acc�racy ar me rr,tor,:rar�on-
fteg�stratmn Number 315-ASW2SO4A•M23QQI824A-M 3A Regirteataan Dateji"ime 2Q15-42-23 0548 2Q HERS Prowder USERA
CA Bwldmg Energy Efflc�ency Standards Report Vers�an 2014-OS-48 Repart Genereted 201SA2•23 45 48 SS
2013 ResidenUai Comphance Schema Vers�on
CERTIFICATE�f VERfFItAT10N Cf3R-MCH-25-H
(Page 1 of 1)
Projeck Name: 5 Mitchell Entwcement A�ency: Diamond Permrt Nurnber. pri4-4969
Bar Building Oepartmerrt
Ow+eOing Address• 543 Crooked Arrow Dr Cfty: O�emflnd Bar Zip Code. 91765
HERS measare was venfied using the methodology definad for the uMested features included m a sample group.
This measure passes through its relatw�ship with the actuai one tested and passed.Therefore na data is inciuded
on th�s Cert�Bwte of Yerification.
Oocumemat�on Author's Deciarat�an 5tatemertt
i,I certify that this Certificate of Ver�fication documentation�s accurate and complete.
opcumentahonAuthoeName DocumentationAuthor5�gnature l�� ,
M�thael Flynn ` p ^,.—, �
companY Michael P Flynn oate 5lgned 2015-62-23 `'�^'x5�� M �
aaaress tEAj HERS Certillcation Identif)catton(�f appbcableE
614 Cal�farnia�r 2045825
ary(sca�eJz�p Claremo�tCA91711 ptwne 909-263-1438
Responsrble Person's Aeciaration statement.,,� �---� �-----� ��
�certifythetollovein ��un6erpenaltyofpe�ury, nd0thelaws4Fthe5�teoftahFarniaa ��f �
i
i The info at��n provided t�is te eate vtCom � nce is trup and correct � ��
2 I am khe erti gA MERS H er�hQ pe rmeifthe�rifi tion Identlfled anZt reparte �an this Cer�Rcate oF Yenfication(responsible1raterj
} The�nStS tl Sures, erl S,m ents,m ufd ured dev�ces,or spstem.perfprmanCC dfagp95t�resuftstha��re�alre HERS vCrifl[3bAn
idenk�fled thrsCertifiw fVe ontnmp theapplice6ltrequkementSinRcferenceAppendices ;Rn3,andth'e�req'vi�ements
speclPedonthe ateoiCompilance Yt fl u1lAingapprovedbytFieenlqrcementagency � '� —��y `
a Thelnfarmati4nrepanedonappllca6tese[t�onsoftheCert ii�C t�o#��L�f�� �m���6Sb��(�j�s�bietorthe
constructlon or msYailatlon conforms tothe requirementa specl� on t e e ific mp anca F R app '��ie enlorcement agency
5 1 w�N ensure that a registered copy of thrs Cettifkate of Venticat�an shali be Roned,w made availa6le with the bvilding permrt(s)Issued tor the
bwldmg,aRdmedeavailabletOMeenkrcernCnt�genCyf9ra11app6ca6lemspetGons Iunderstandthataregistere4copyofth�sCertilicateof
VeriflcaSion is reqwred to be included wdh the documentatipn the 6mider provitles ro the bWld�n�qwner at occupancy
Builder Or Insta�Iier Infarnrat�on As Showrr On Thc Certfficate 4f installation
company Name(inuait�ng summ�vaauc�ene�ai coatractor,rn suitdertQwner� Cypress Heatmg and Air Cond�tianmg, Inc
Responel6le euifde�or Instalier Name CSLB Uceos�
KeEIy Holgwn 302865 593268
HERS Pravide�Data 8eg�stry Informat�an
Sampie 6roup Number(if appticabM} pweiiing 7est Status In Sample GrauR{d applitatrie)
315-1424 Not tested
HERS Rater lnformation
t�eas narer companp raame Michael P fiynn
aesponslble f�ste�ttama ftespa�5ibie Rater Agnature
Michael Flynn
ResponslbleFaterCprtfitabonNum6erw(ifiisHERSProvider Da[eSigned
1095825 2Q15-Q2-23
����''Qy� ,_�.. ..........__
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U.S_ RatereAs�ociattan tlresccw�tyafthermbrmedon'
Reg�strdt�on Number 315•A1062504A-M25001823�A Registrat�an Dateff�me 2015-42-23 85 47 42 HERS Prav�der USEfiA
CABudd�ngEnergyEfficiency5Wndards ftepartVers�an 2Q14-05-08 ReportGenerated 2�iS•42-23 OSA813
2013 Res�dential Complianee Schema Version
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CERTIFICATE C7F INSTAILAT[OPI CF2R-MCH-28-H
4u#leakage Dtagnosttc Test {Page 1 of 3)
Pro�ect Name. 5 M�tchell Enforcemert Agency Daamond Permrt Number. pr144969
Bar Budding Department
Dweiling Address: 543 Cronked Arrow Qr t�ty Diamond Bar Zip Cade 917fi5
A.5ystem Information
OS Space Condrbomng System Idenbfication ar Name System 1
Q2 Space Conditaoning System lawt�on or Area Served whole house
03 8uddmgType from CFiR 5mgle fam�Iy
� VenSed Low Leakage Ducts m Condit�oned ipace No,tredd is nai taken
(VL�DCS�Credrt from CFiR7
QS Venfied Low leakage A�r Hand6ng Unit(VLIAHU}Credit No,cred�t�s not taken
from CPSR?
46 Duct System Cornpiiance Category Aiterat�on
r`-j' '�i / r--- -- T_-""�
MCH-20d-Co plete Repiacemen�o Altere " urt System � ( `_� � j � �
1 1 . � f 1 ! \ 1
B.Duct Leakaget Di ns�icTe�t � `-_--�" � �� �
�, �
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Ol Condenser Nommal Coalmg Capacity(ton}
42 Heating Capac�ty�kBtuJh� 9QOOQ Q44
03 Conditioned Floor Area served by th�s HVAC system(ft2) 2230
04 Dud Leakage Test Conditian Test fina!
45 OutkLeakage Test Method Totalieakage
46 Leakage Factor 15
07 A�r Hendhng Unrt A�rflow(AHUParflaw)Determmation Caolmg systern method
Methad
oa Meaaured AHUAirflow 6
49 Ceiculated Target Allowable Dua Leakage(cfm} 240
10 Actual duct leakage rate from leakage test measurement 45
(cfm)
11 Compl�ance Statement System passes leakage test
Registratmn Number 315-AI0425Q4k-M20p01878A-ODOQ Registration DateNme 2015-02-22 1$3B 09 HERS Prov�der USERA
CA Build�ng Energy Effit�enty Standards Report Vers�nn 2Q24-OS-OS Report Generated 2015-�2-22 18 36 38
2013 Residentiai C�mpl�ance Schema Vers�on 0 SSSDO
CERTIFiCATE OF INSTALGATICSN CF2R-MCH•26-H
Duct Leaka$e D�agnastic Test {page 2 of 3)
C.Additionel Requirementx far Comp6ance
02 System was kested m�tr normal operat�on cond�tion No temporary tapmg aliowed
�uts�de a�r{pA)duc[s for Central Fan Integrated{GFI)venblation systems,shall not 6e sealed/taped off durrng duct leakage
OZ keskmg CFt 4A ducts that utd�ae controlled matonzed dampers,that open only when OA ventdaGon is requrred to meet
ASMRAE 5tandard 62 2,and close when OA vent�Iat�on is not reqwred,may be mnfigured to the closed pa$it�on dunng duck !
leakage testmg ,
Q3 All supply and returrt register 600ts were sealed to the drywall
04 Budd+ng cav�ties were not used as plenums or platform retums in beu of duus
OS If cloth backed tape was used it was covered w�th Masbc and draw bands
06 All connecttan pomks between the a�r handler and the supply and return plenums are completely sealed
If the system compl�es usmg the Sm�ke Test method,the smoke test was conducked m accordance with the requiremerrts
07 of Reference ites�dent�al Appendix NA3 2 4 3 6 Systems that comply usmg smoke tesk shall not be mcluded�n sample
groups fpr HER5 verfirat�on cpmpha�ce
The responsible ; �' � � �'
ryons s�gnature onffh�is carnp{lance dnament affirms tha ati applleable�quireme/�its In th�s taWe have
6een met � � `,1 � �— "1 � �� � / l � �1
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U.S. Energy Raters Ass��lation
Regrstrat�on Number 315-A1�3504A-M20001878A-4QQ0 Registretion Date�me 2015•02-22 18 36 o9 HERS Provrder USERA
fA Building Energy E�aency 5tandetds Repnrt Version 201a05-0$ Report Generxted 2415-02-22 18 36 38
?013 Resident�a�Complrante Sthema Verswn 0 51500