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HomeMy WebLinkAbout14-5149 (2) ► � � CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELdPMENT SERVICES 21810 Copley Drive,Dlamond Baq CA 917fi5 a. y.,r PRESS � (909)839-7020 Fac.(909)861-3117 Building Inspecdun HoUine(909)839-7027 FIRMLY 'HB'" BUILDING PERMIT APPLICATION � APPLICATION DATE P/Cp � JOB SffE ADDRE55 �A s ISSUEDATE IIIl��iUl� PEFMITN /y—�Iy� I APN LOT TRACT ���� T y OWNER ����(/d KiI� � � n'PECONST OCCGROUP I n ADDRESS � � ZONING SEfBACKS � � GTV� /3 ZIP�i7�1�TEL N FRON7 qyy p I s APPLICANT�'/✓�Ad/ TEL ❑ qEqq ❑ I � SIDE/SIDESTREEf RW ❑ CON7F7ACTOR ^Iwnt�^/r[� G�id,(� SIDE ❑ ADDRESS �.L .�.,A� �d� �G.C.JL� x GTV Y�.n�lr.,� LT.`/lG�k ZIP42 S.Sr�EL�I�,�.p Iu �.� PROPOSEDUSE � ARCH/ENG/DESIGNER I s ADDRESS � p DWEL UNITS q STORIES q BEDROOMS � GTV ZIP TEL � ����o��� DESCRIPTION SO Ff FACTORPSF AW ARENVALUATION I M10Ey dMflll Yltl&GBIi01�y 01 V�I�7 N9(I 9111 fl+'BIIIM M1MI tl9 WINBCIO�9$d�8�UR9B lHw M NB t�B011I9) SFWADDMEM I � �ml�ta�mlow ey ihe chWmak(al I neve D�ner m me ap0llraCle�nlsl[SaNbn Ml S,&olnso eM G�9�C�� I +� RokWare COEe Nry elry a eamry tlut rtpulrp a pwmll m mmtruel,alhr,lirynn,Gamollsh,a rapelr,any yebuclun,pnamlbluumce,alwnw���appllwitlortlepemiltm111easlpmtltlnlemaintlntMashe y Patld�eck � � IellcenmtlpunwMmMapravkbma111reCwNae0oYe51abUca�uelnw��ep0ere�Can�mnclnpwlMSeCllm w i al0lvblm 7 al tlre Bislnso aM Pml�lpn Wb7 ar @et he or We Is erempt ham Ilcensure eM tAe Gislf la LL P0°V� n iheellepetle�emptlmNry.WaemmSectlan�WlSEyanYaPVIIwnlorapermnsuqahlnaeppllammedvllpeiWry Z RaRool � s m rot mua man me nmMrea aahre R�1 o I � Ul,moxnerolmaqope�ry,ormremqoreaewlmwapesavmdrWammpe�on,wlliEaUe�lalorUV�b � C«nmerclel � W iha vm�lt enU Me etruttira Is nol In�anEetl m olfereA lor�le(Sectlm 7044,Budnav entl Prof�bns LaEe l�e � � fnnhactom'Stete Llcanu law tices not epply Io en ownerW pmparry wAo,MmuBh emplo�eee'a pereanal eINM1,GuIIGe m � i or Imprwm Ma pmparry pmvl0etl ihat the Impiwemer�era nat InRntletl or otteretl br�le II howerer Ne Gulldlnp ar � Imprwemenl Is W 0 r�thln ona yzar N mmplatlon,Me Oxner BNIGer r�ll heve @e Eurtlen al prwinp Net It wav ml GuIA � � orlmpweElorNepmpwealsale) i � U 4%o�er ol MB qopertr Lm mGueh2M cmbectlip MN 1k2meG CunR�mrs�p mnstruct the ryo�eel�Saztlpn g 70aa Bi¢in�ap Ralas�ne Cade The CaNazmrs Sdm lkeive law Doac irot apply b en oxner al pmperry wAo �aluahon Atl� Area � � simpiwesihereonantlwhomrmacblorNeprqec6wilhallwmeOCamazmrpursuammNeCanlrutore'State pUAMITV DESCqIPT10N FEE �� Llcenselaw� sj U I em Bxemp�hom IIEBnsurB Yntle!me fAn4etloPB$h10 Ucenle law br M!lollowlnp re6Wn(9) I i � I i BymyeigreNnDebw�a[Anor�lWgetla4e¢eptlarmrpmwWimlOmcainwh¢�Imielhanre9Eetllaratlname leero�arommDlNmaliheimpm.emar�wrereOEytlwpermXJcenMlegWyseliaebucNreNa111iavebW�men „�� I — WIIOerl�tlhaanat0eanrnatru.401nIbaMlrerybylimisetlmnOecNreluntlerstaMlhatecopYa�eepqlrlWa � � law Secuon IOaa ol ihe Buslnas anE Prolasions Cda Is evallaele upon reQuert wnm ih�s aoWicatlan le euemitlml m et i � thaldbwmpWebNR httpMwHleylrrtacagw/calawhtrnl � i z = DATE SIGN � — 11CFN5E0 CONfPRCTOP'S�EpAN/�TION � I y Ilereby#f�rmuntlerV�eMalPepu7mallemll¢ieeEwEe�OrwlvbrealCha0�9(mmmmdnpxMSecibn]000) �, � o10Mgm3o11MBuYn�eMRWesemrefaAe,eMmr4mnshlnNllb�meMetle,t � [ I � LICENSECU5�5>^ � d � a �No �9a �7a �I�'r-'�1/ I� CONiPAC10N G�" � �g LS WOBI�A'6 CO�FNSA pN OELlAPA710N � y IHFAEBYNAPMIINOEAPENOLTYOFP�WRYONEOFTHEF9LLPAINGOEGlA0.4110N5 ? �nan ap wul�mIDn a ferolimm ol fnrcenl m SeM Inmre lor NtrYele Campensaom as pmn0ed ny CONSTqUCTION Sanon]70DmMolaeortoaeMNepmk�mancedtnew�m�rorv,hirnmum�mnbesuea PL4NREVIEW � �IhaveenGwlllmal�nWwkerSCwnpensetloninsurenceavrepulreAeySectbn]700olthelmwfndabr ELECTRIC @e peMrmenca N the work br w�lc�Nla permit Is louetl My WaMer a fnmpensatlon Insurence Car�lar en0 PoIIqNumberere,..) � �, PLUMBING �� MECHANICAL LD- �I �MIMeEH ��� f/-��Ii—� n� INSPECTIONFEE �+ , (IIBSSFL'lION�NOfBEtlI�.91E7HIR71ffP9u1I�6fq10lEHA��plNt5�S10qORlb� ISSUANCE �j�_ _ �cermytl�#nmaparlwnwi000lmexakluwAkhmis�ermn6�metl19WlMempqairypereminanY��'+�%om SMIP � Oetame a�b�i b Cia WaMeff CaWemahon laxs N faifwniz kd aBree Met A I NioulA Esame suElaY b tAeWMeR _ Compensemn mAsbnsolSeNm]laON@e _borCaae�hNlbMwltlicanoNm�NomPm+lsbne ENERGVP/C }�P�� ��� G � ENERGV PERMIT � WPAN�NG FWlure �cvre WorYeYs Campen an co arnBe b unlawlul enE Lull cuEiotl en ampb�er b uiml�l qE7ENT10N FEE .!)1� � n�ag�a�i r�n�o m ore nwarea mo�a enws Riro oom �e ammo�m m,c�d rR�ce�uo� � � Eamaprs as pmvNee M In sectlon 31oe N me labor aEe imeim anE a0orreyS hes PRE ALT FEE y GONSTI1UG710N IENOMG RGFIICP BSAF y I hareEy alArtn unAer panalry ol per�ury Net there le a fnnstruclbn lnntllnB pBenq lar @e DeM�mence N Ne waM br ; whlch Nls pertnit is Issuetl(Sec 7097 Crv C� — lENOEP S WUtE � lFN�9154LOpGC[ i' IcemrymatlnanreaEth�sapqioomenGehtathatiheaGovelMamatbnbmrtxtiapreemmmpryxmia�Id7enE TOTALFEE$ 'y� O� cnunry aGnw�cea anE sp�a lavrs rela4nA b bullElnB mu9ucbOn eM Ii6reM Bullpnxe repreaentetives al Mie cnumy m V V� CqMMENTS entar upan the aGare mentlonetl piaperty lor Inepectlm puipoma a PFAM E PWNf) �/� Zn ��/' ��// ��!� RECEIPTR ��� PAIDBY � VALJ�PTION �_ I SIGNA OF If7EE �UR� _ WHRE—OepertmanlCopy VELLOW—FlnencaCopy PINK—AqsessorCopy,GOLDENRO�—FlleCopy,GREEN—ApplicsntaCoQy � CITY OF DIAMOND BAR ' INSPECTIUI"v RtCORD � � , � • ■ • • - • � � • - SETBACK/LETTER TRACTANO LEOGER f00TIN6S FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG PLUMBING T-BAR UG ELECTRICAL INTERCEPTER UFER GBOUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE NENS REPORT RECEIVED SEWER CLEANOUT OEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEA7HING ROUGH CDNDUIT SHEAR WALLS IXTERIOR POOL/SPA SHEARWALLS IMERIOR ROUGH PLUM6ING FRApIIN , N�j �4 ' +° ' ROUGH ELEC7RICAL RDU6RMECMANICAL� ` �� ' ' �' ROUGH MECHANICAL ROUGH Cf4il AL W° �C� ) " ,1 GASIEST ROUGH LUM6IMG��•• -- _'•� -� PRE GUNITE INSULATION WALL PODI.PRE DECK BQNDING INSULATION CEILING P-TRAP DRYWALL FENCE/GATE/ALARM LATH(PRE) FNAL POOL LATH EXTERIOR WALLS LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2"1D� �LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC MEfER RELEASE WALL DRAIW SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO FMMWGPLAIJNINGAPPRQVPL FINAL BUILDING flOUGH FIRE APPflOVAL FINAL MECHANICAL �-1$ 'Y�V�+ FINAL FIflE OEPqflTMEWT FINAL ELECIAICAL FINAL PLANNING FINAL PLUMBING FINpL ENGIWEEflIWG/PW TC af OCCUPANCY FINpL COMMUNRY SERVICES CERL af OCCUPAMCY FINAL HEALiH OEPT. FINAL INOUSTflIAI WASTE COMMENTS � STATE OF CALIFORNIA ALTERATIONS - HVAC � � - •� � � CEC-CFIR-ALT-04-E Rehsetl O6/14 CALIFORNIA ENERGV COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2, and 8-15(formerly CF-IR-ALT-HVAC) (Page 1 of 1) Site Address Enforcement Agenq Date Vrepared Permitp � Eqwpment Type Eqwpment EHiaency New Ductmg,Plenums,Lmeset Con rtioned Thermostat RequiredR-value FloorArea(sqft) ❑Packaged System Evaporetor Coil ❑R-6 I�Z.8-13)Ducting Served by system ❑Setback ❑Split System ❑Condens�ng Unit —AFUE COP �R-8' (Q 11,14,I5J Ducting �QQsqk (�f not already ❑Mini Split ❑Compressor SEER HSPF ❑R-6(all Q's)Plenums p�esent,must �Furnace O L�Vset ��j EER ❑R-5 or R7 S)LineseY be�nstalled) HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below At permit application this form is allowed to be filled out by hand For final inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site 1 HVAC Changeout/Repalr Reqwred Wmpllance Documents to be leh on site for Final All Eqwpment, CF1R-ALT-02-E Condenser Unit,Evaporetor Coil, CF2R MECH-Ol,MECH-20.HER5,MECH-�23 or 24)'-HERS,MECH-25-HERS' Compressor,TXV,Lineset, CF3R MECH-20-HERS,MECH-(23 or 24�-HERS',MECH-25-HERS' Air Handler/Furnace'(Can include new ducting) Installer Requ�rement Duct leakage(<15%,or<10%to outside,or seal all accessible leaks�,Air Flow 2 300 CFM/ton,Refrigerant Charge � Exempted from duct leakage testing if ❑1 Duct system registered with HERS provider as previously sealed,or O 2 There is less than 401inear feet of duct in unconditioned space,or ❑3 Existing duct systems are tonstrut[ed,insulated or sealed with asbestos(list manufacture date of building ❑2 New MVAC System Reqwred Compliance Documents to be leh on srte for Final All new equipment and All New Ducts' CF1R-ALT-02-E including Mini Split CF2R MECH-Ol,MECH-20-HERS,MECH-22-HERS,MECH-(23 ar 24�-HERS',MECH-25-HERS' CF3R MECH-2PHER5,MECH 22-HERS,MECH-�23 or 24�-HERS',MECH-25-HERS' Mini Splits reqwre CF1R-ALT-02-E,CF2R-MECH-Ol,and (CF2R-CF3R)MECH-25-HERS Installer Requirement.Duct leakage<6%,Fan Efficacy(58W/CFM),Av Flow 2 350 CFM/ton(or alternatrve),Refrigerant Charge ❑3 All New Dutts wrth Replacement Reqwred Compliance Documents to be leh on slte for Ffnal All New Ducts'and one or more of the following CF1R-ALT-02-E replaced Condenser Unit,Evaporator Coil, CF2R MECH-Ol,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Compressor,TXV,Lineset,Furnace' CF3R MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Installer Hequirement Duct leakage<6%,Av Flow 2 350 CFM/ton(or alternatrve),Refrigerant Charge Ezem ted from duct leakage tesnng if O 1 Ezisting duct systems are constructed,insulated or sealed with asbestos ❑4 New Ducting over 90 feet Required Compliance Documents to be leh on slte for Final New ducnng but less than All New Dutts' CF1R-ALT-02-E,CF2R MECH-20-HERS,CF3R MECH-20-HERS Installer Hequlred to Duct leakage(<15%or,<l0Y to outside or,or seal all accessible leaks) ❑ EXCEPTION Existing duct systems constructed,insulated or sealed with asbestos 'All new ducnng R-8 reqwred when more than 40 ft installed and R-6 when less than 40 k installed This includes in walls,between floors etc 'Heating only systems and Av Handler/Furnace changes do not require Air Flow MECH-�23 or 24�,or Refrigerant Charge verifcation MECH-25 'All New Ducts is when at Ieast 75 percent of the duct system is new duct material,and up to 25 percent may cons�st of reused parts from the dwelling uniYs existing duct system(e g,registers,grilles,boots,air handler,coil,plenums,duct material) "R-S(1"thlck insulation)for linesets 1"and less R-7 5(1 5"thick insulation)for linesets over 1 inch Most mfg will require Suction line Diameter with insulation as the following 1 S-2T-2°/.",2 S-3T-2Y.",3 5 to 4T-2'/.",ST-4Y." Contrector(Documentation Author's/Respons�ble Designer's Declaret�on 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 Compliance is true and correct 2 I am eligible under Drvision 3 of the California Business and Professions Code to accept responsibility for the information on this document 3 That the energy features and performance speafications for the design identified on this Certificate of Compliance conform to the reqwrements of Title 24,Parts 1 and 6 of the California Code of Regulations(CCR) 4 That the energy features and performance speafications,materials,components,and manufactured devices for the bwlding design or system design identifed on this Certificate of Compliance conform to the reqwrements of Title 24,Part 1 and Part 6 of the CCR S The bwlding design features or system design features identified on this Certificate of Compliance are consistent w�th the information provided on other applicable compliance documents,worksheets,calculations,plans and speafications submitted to the enforcement agenty for approval with this bwldmg permrt apphcauon Responvble Designer Name Pesponvble Des�gner5ignamre Dare Signed L¢ense 4 [ompany Atl s Gt /Aace/Zip Phone ' z '� � " c � yJ" la8 For asslstance or que ions regarding the Energy Standards,conta the Energy Hotllne at 1•800-772-3300 � , a , . , CfRTIFICATE OF VERIFICAT1pN CF3H-M{H•23-H Space Condttloning System Alrflaw Rate �Page i af 4} PreJect Name: DIAFlE KIM Er�forceme�tt Agettcy: Cdy of Permk Number: 14 5144 Diamnnd 8ar tSweiUng Addreas: 22933 E57pRIL DRIVE UNIT City: D�amond Bar 21p Code: 9i7fi5 i A.Ducted Coaling System Infarmatlon 41 System idenrif�cation or Nema System 1 02 System i.ocatlon or Area Served t.ocabon 1 � 03 System Installation 7ype Alteration ' Oa Nommal Cooling Gapac�ty{tons)of Condenser 3 �'����.... 45 Condenser5peedType SmgleSpeed Ofi Coohng SyStem 2ana1 Cantrol Type Not Zonal ,,-,�- .. 07 Ce�tral Fan integrated�GFI}Ventilation Systern Statusf i Not a CFI system �� 4 I r OS 5 tem B � ` r - � ys YpasS DucC Status , � � No$YPass Duc[ . - 1 or i 1 • 09 Dake of System Airflaw Rate MeasuremenS ^ 201d-12-16 � � ' ' � `J� SO Airftow Rate Protarol ut�bzed RA3 3 procedurea for a�rflow rate measurement B.Nole for the piacement of a Static Pressvre Probe�NSPPj,and Permanently InsG911ed Static Pressure Frohe{PSPp) in the supply plenum. Prpcedures for installing NSPP or P$pP are specified m RA3 3 1 1 01 Method vsed to demonstrate compliance with the HSPP�nstalled end lataeled consistent w�th F�gure RA3 3-1 HSPPjPSPP reqwrement C.Airflow Rate Measurement Apparatus end Procedure Ir�formaUan Instrurnent Speaficatwns are grven in RA3 3 11,end system a�rflow rate rneasurernent apparatus information is g�ven inRA332 01 A�rflow Rate Measuremeni Type used far tbis airflow rate hadiUona!flow Capture Hood atcardmg to procedure m venficatipn RA3 3 314 02 ManufacturerofArrflowMeasurementApparatus TSI 03 Model number of A�rflow Measuremenk Apparakus T51 � Certd�catian Status of tfie A�rflow Meaeurement Apparetus CeM��ied by Manufacturer and listed on CEC Web3Re at Accuracy http JJwww energy ca gavJ;tt�) Reg6b2tion Number 214AOSAA426A-M2300002A-M23A RegatraUon DateJTime 2015-0'1��10 32 53 NERS Provider CaICER?5 CA Buildmg Energy Efflclency SWndards Report Yen�on 2Q1405-0$ Report Generated 2�35-0Y-?Q 14 31 31 2013 Res�dentfal Compllance Scbema Yernon 0 515DQ . a • . CERTIPICATE Of YERIfiCATION CP3R-MCM-23-H Space Condidoning System AirRow Rate (Page 2 of 4) MCH-23a�orced Air System Airtiow Rate Measuremertt-Plewly Instailed NomZaned 5ysoems or Zoned MuRi-5peeti Compressor 0.farced Air Sy#em Airflow Rate Measuremenx The procedures for System Airfiow Rate Ve��flcat�on are specifled�n Reference ResidenUai Ap{�end�x RA3 3 OS Regwred M�n�mum System A�rflow Rate{cfmJton) 3� 02 R�qu�red Mtmmum System A�rflpw Taeget(cfmj 4� 03 Actuai System Aarflow Rate Measurement(cfmj 972 04 Camphance Statement System airflow rate cOmpbes E.Addltional peqWrements Av Fhe[s thet meei the app6ca61e reqmrem8nts of StandBrds SeCX�an SSII p{m)12 ar 150 0(m)13 were properly mstalied in �1 the system dunng ry`s£em'av flow rete m�asurement�dentifled on;thi3 Certificate of insiallation The airflow rate measurement apperetus used to perForm the airflow rate meaiurement identified on this Certrficate of 02 Installation was cahbra�ecl in eccordxnce with the apparatus rnanufacturer's specificatrons and conforms to the mstrumentation specifi[ations grven in RA3.3"1� �� " � �-`' t = � ��� � A vaual mspetkion Shall cOnfirm that bypa5s ducts that dehvar tonditwned supply air directly to th¢space mnditwnmg sysrem retum duct airflow are nnt used qn new or replacement zonally cantrolled systems unless the Performance 03 Certificate a€Comphance mdicates an allowante far uee�tf a bypess duct When a bypass duct is atcouMed for on the Performance Cert�ficate of Cornphance,the a�rflow rate shall con(nrm to the specrf�catians 6sted pn the Certificate of Camphante 04 AIi registers were fully open slunng the tilagnost�c test 65 System fan was set at maximum speed durmg the d�agnost�[test � �f fresh a�r duct�s part af the HVAC system�t was nat closed durmg the diagnost�c test 01 A�rflow rate and fan watt draw sh2II be s�mulWneaus measurements when used to calculate the Fan Eff�cacy tested value Multi-speed[ampressor spa[e coai�ng systems or varaable speed tompressar sYstems shali venfy a�r flow(cfmJton)and fan O8 eff+cacy(Wattjcfmj wRh system operabng m tauimg made at the m2ximum compressor speed and the max�mum a�r handker fan speed 09 Verrficat�c�n Status Pass-all appqcable requvements are met SO Corredian Notes The responslble person's signature on this compilance document affirms that alI appl(caple requirements In th�s table have been met uniess otherwlse noted In the Veriflcatlon Status and the Correstlons Notes fn thls tabte Registration Numher 214A0144026A�M23Q0002A�M23A Registration Date(Time 2015�U7-20 10 32 53 HER5 Provider CaICERTS �A 6urtdmg Energy Efficiency Standards Report Vers�on 2014-OS-08 Neport Generated 2015-OL20 10 31 37 2013 Res�de�rt�al Compl�ance Schema Version U SiSD� CERTIfICATE OF YERIfftATiON CF3R-MCH-23-H Space Condltfaning System Afrflaw Rate (Rage 3 of 4) F.Determmation ssf NERS VeHflcatlon Compllance AIt applitable sect�ons of th�s document shall ind�cate compi�ance w�th the specified venflcat�on protocnl requirements�n arder for th�s Cert�fitate of venficat�on as a whole to be determmed#o be m compl�ance Ol Complies All speafied verrf�cation protaol requ�rements on th�s dacument are met �.-.y . , _ .,- , _ - _ I= =� �-v ,r=�-;- � � ��� '�� � � �� � . , . , 2�� y} t r 1 �� 4 �\ � � � f � ✓ ' .� a. ...— � . . RegiStrat�on Numher 214A01-0-0426A-M23QQ002A-M23A Regishation Date�me 2075-Ot-2010 32 53 HEPS FraWder CaICEATS CA 8uddmg Energy Efflciency Standards Report Vprslo� 201d-OS-OS Aeport Generated 2015•OS-20 SO 31 31 2fl13 pezidenpal Compllance Schema Verslpn 4 SiSDD CERTIFtCAT£OF VERIFlCATION #3R•MCH-23N 5pace CandlNoning SyAcm AlrHow Rate �Rage A af d y i Documentatlan Author's Dedarateon SWtement 1.I certify that this[ertlficate af Veri£cadon documentaUan Is accurate and canpiete. PncumentaUon puihor Name 6acumentatian Author Stgnature rT /� 18n Jacoby sYan�aca b Comparry pace Slgrcd Stratz Perrnit Serv�ce 2015-Oi-20 10 32 d0 Address CfAJti£fl5 CettAicatwn IdprKiflcat�an(if aOPLca61e) 5858 Dovetatl Dnve C�tyjSmiejZip Pho�ce Agaura Hdis CA 913di SSS-735-?8T6 Responsibfe Person's Declaretion statement 1 CCfIHy ihp fDIlbWitig UndeY p�n�lty 0�pEt�Uty,under the Wws af the State of Califania ��, i Theinkrmatlonprawdedanthis£ertiFlcateoFYeNYfc�-�tWnlsCrueandwrrec# ��, 1 1 am cfie cenffled HER4 Ratsr who performed tt�e rerff�tbn IdemiBed anE reported on tlus CertNicate W VeHflqtion{respangble roter) '�, 3 ThpinStalledfeatures,m8tena�s,companeMs,mariufaatturedd�.wlces,orsystemperformanccGiagimsticresuitsthatretyuireflERSveriRcabon ' Identlfled on this Certlfiate of Veriticatian tanpty wrth the apR��a�e reqWremFirts in Rekrcr+ce App¢ndices RA2,RA3,arnl the requlre�nents � spedfledan#heCEit�cateofComp6anc8ta'thebuiWmg;pprrov�edkiytheentorcem2rrtagency '~ :� � a Theinfoematipnreportetlonapplxabissectlonso(tlreCert7flcatc(s�a(�Instailatbn(CF2HIsignedandw�ittedbytheperson�s�responsibMforthe tanstruttwn oe installadon co�orms totfie requlreme`rts speGfled m�the Ccrtlflcat�e(sy af Camphance(CFSR}approved Ity the enfor[Cmert agency 5 I wlii enwre that a reglsterpd copy of this Cettlflcate nF Yeri�iatlon shall be �pasted,or made arailgble WSh the 6uflding permit�sl t€wed far the bv�Iding,and made sualWWe tc the enforcement aBenej for ati appllca$I¢irispectbns 1 understand that a re�lstered mpy of thn Certiftcate af VcrMicatlanlsrequlredto6eincludedwrththedaumentationthebutlde�provNlestothebulldingownerataccupancy "' ` ` Builder Or Instalter tnformatfan As Shown On The Certtficate Of Instal#atlon Gampa�ry Name ilnstalNng 5upcormattor,Generai Conteackor,or BuilderJOwnerS ; SERViCE CHAMPIONS tNC Respo�sible Bu4ider or Installer Hame CSIB License Karo Brumbaugh 799174 HERS Provlder pata Ragistry Infarmatlon Sampie Group Num6er{ff applica6le) pwelling Test Status in Sampte Group��f appitca6le� Tested HERS Rater Informatlon HER4 Raker Cpnparry Name �`� � SCfOt?PpftTilt SBfVICB j—�Ti{q+ Respons361e Rater Name Responslbte Aacer53gnature Ryan Fans _ � .�d ReSpOnslblcRaterCertiflqti6nNumberwjNis4iER5PrWider pate54gned CC24063&5 iky+trRysrpnetlbyCatCEH75 7Mxdip+es�s'gnarvre�spov�dedinarderrosecurethscanterrtarrMsreyraFmddcet+mentandmnowayunphssfiep�sbarranRowder reappns�6Rttylorthr acruracy o/fhe intwmatmn RegistrabonNumber 214A014A425A-M2300002A-M23A ReglstratlanDat�me 2075-01-20 16 32 53 HERSProwder CaICERTS CA 0uddmg Fnergy Etflciency SWndards Report Vers�wi 201405-OB Report Generated 2015-01•20 10 31 31 26i3 Residerrtial Compliance Schema Vets�on 0 S15DD