HomeMy WebLinkAbout15-1286 (2) CITY OF D[AMOND BAR � � /}j '? ���
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CITY QF DlAMOd�ID BAR
INSPECTIQN RECORD � .
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MAiN WATEfl UNE �''��.. �''���..HEBS REP�RT REGEIVED
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SHEA(i WALLS EXTERIOR POOUSPA
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CERT[FICJITE OF INSTALUttItM+I CF2R-MCH-20-H
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DQcumentation Author's Qeciaration Statemeru
1.i cert'rfy that this Certificate of Installation documentation is accurate and compiete.
DocumeniationAutharName paamentationAuthorSignature �f._, _+�G�
Juan Qumtero a�'"�"�
Co��pany 5ignawreDare 2fl1��-14111637
J&1 Hers Sernces
nddrass cEN tie25 cemftcacwn Idennfkas�un(�t appicsaWe}
2324 Genevieve Street CC2�6395
Gry/5Tate/Zlp phone
5an Bernardino CA 92405 4U9-b33-3985
Responsible Person's Oeclaratiw�statemem
I certify the follawing under penaity of pe�ury,under the laws af t}m State oF tahfflmla
1 ThC infprm�ppi pravkded on tAts txrtlflratt M in5ta8atWn�5 UUE 0nd tA�tBtt
2 I am ellgibie under�tWsian 3 of the Business and Professia�s Cade in the apptiobte ciassfiation to aaept respanstbiliiy for the rystem deslgn,
canstructian,ar 7nstaiWiion of feakures,materials,mmparrents,or manuf�ttured dences for the scopa of wqrte tdenUfied on thls Certlflwce ot
tnslailabnn and amst W Uu dedarations in th�s statemeM{respo�si4ie bullderjinstalier�,othenvise I am an autiwMmd representathre of[he
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mnFprms tn ati appiaabie codez and reguiatians,and the InstailaK�on conforms W the requ�rements glven on the plans and specificadrns approved by
the enforcement agency s�
4 �undersWMthatatiERSratervAiid,eckzhelnst�tatnnmveNfycampl�anee,and4fiatitsuchcheckingldentHMsdefects,�amrequ�redmtake
[arceNveatt�anatmy�pense lunderstandthatEnergyCanmlzsia`andHERSProwderrepreserKativeswdlafsoperformqualltyasturencecheckmg
of tnatallatlons,Ittdud�ng those approved as part of a sample group but nat checW.W by a HERS ratec,and if those insWllations CgU to meet the
�eqUirpments af 5uch quaii#y�ssurdnce Che[king,ttre fequlred[orrective actipn and additlonai cheCYJng(tesdng�4ther InstallatlOnS in that HERS
stmple grouR���Ce Pe��ed at my expense � '� � , ,
S lreVkewedacapyaFtheCertlfkateofCompEianceapprovedbytheenforcememagencythatldendflesthespecHicrequiremeMsforthescopeof
canstructian nr instaUatlon�de�vikd an this CaMficate of lnstallation,and I have ensured that the requiremenrs that appiytn She c4nsVuction or
installatlon have bem met
6 k u�li ensure Chat a regutered copy vf this Certdlate of InstallaGon shall be posted,pr made avaJa4ie with the buikl�ng permrt�s}issued for the
bullding,and made asailable to the e�farcement agenry for all applitable mspettlans 1 uriderztand that 2 regiS[efetl copy otth{��prt�flpte af
Inskallatinn rs reqWred m be included with the documenYdtion the bullder provld es ta the 6uikling mvner at oauparxy
Nesponsrhle Buil$crjinstaller Name Responsible BuHder I�staller 5lgnature
dan pikschu&
Company Namc (Installmg 5u6wntractor or Generel Contrattoror aositlen Wrth Cumpany{Tdie�
6u�ltlerlowne�i Owner
NLAUS ffi 54�N5 CQN5TRUCTION INC
Address tStB Ucense
P 4 84X 3085 32099Q
Clky WtelZlp Ptwne UateSigrtetl
uPu�No ca 9i�ss ����a�-ss9s 20�5-06-14 11 20 99
Thlyd Party quality Contrpl Prograrn(TPQCP)SWtus rra�w'rncicc t�f ap���cat�e)
t�+aNYsrge�iM'Ca�1?TS 7tus��ssr�atu+e»1�n'+deOmwGertasettaetlierwnteruafNmrep'sfefeddacunrm4endmrrowayimpLesReq,strafronProwder
reapnnsrMMy torihe acc�rraeyof the x�larmslan
Regastrdtwn Number 215-A4i58579A�MZ0��602A-0��0 Regtstratlon Da[e(Time 2015-0&14 11 20 39 HERS Protider CaICERTS
G16uikling Energy Efficlency SWndatds Report Version 2014•OS-08 Repart Generated 2015-06-14 30 45 03
2013(�s�derHial Compllance Schema Version 0 S15DD
CERTIFICATE OFINSTALLAt10N CF2R-MCH-�3•H
Space Condltioning System AlrFlow Rate (Page 3 of 3)
Documentation Author's declaration SYatemerrt
I.1 certify that this Certiflcate of Installation documentatlan is aaurdte and complete.
�cumentailon Author Name DotumenWtbn Auth4r Slgnature����
luan Qwntero
campany 5�gnawreoate 2p15-06-14 11 16 37
1&J Hers Services
Address GE HERSCertlflradonldemlflcadon{rfapptimhit�
2324 Ueneweve5treet CC2046395
GNISbie(I30 Ph�me
San Bernardino CA 924a5 909-633•3985
Respons�6ie Person's Declaration stateme»t
�certify the foiiawing under penaity of perjury,under the iaws ntthe State a#Callfamia
i The infarmation praWded an thrs Ctatificate of instailation Is ttue and canect
2 I am e6giMe under DiNiian 3 of the Busine3s and Professlons Codg in the appiica4le classlflptEan M aaept resp4nsibllity forthe system des�gn,
mnstruciion,or mstaNation vf#eatures,materVats,contponenCL or manu#attured devkes tw the scape of vrork I�Mified m5 this Certlflote of
instailadon and attest ta the dedaratlons In this sptwment{respa�slMa duilderl�n���erb otherwlse!am an authonred repreeseentative of the
responzibte bvilderhnstaller
3 Tht canrtrutied or�nsta!!ed fcaNres,materiais,cAmppnents or manufacWred devices(the 7nstaiiatipn}3dpntl�ed on this CertEflcate of knstallatlon
torttnrms m ali apphr�6le codes and reguVatio�s,a�d the insWtiatWn con{orms Ca the requiremeats ghren on the pians and specHiratbns apprated by
the entflrcemmt agency �
G i under#and that a NERS taMrwtN chetk the Instatlatbn c4 venfy cpmplWnce,and Mat If sud�checking idenUftes detetu,t am repuired m take
wrrective attlon at my qpensp 1 understatu!that Enetgy CAmmissi�7n and H£fSS Praulder representstnes xnii atso perform quaiiry azzurence cherking
of Inscatlar3ons,tnduding xhose appraved as part of a sample group kut npt checked by g HERS rater,�rM IFthose Instailattons(atl to meet the
requirernents af wch quality aswran[a thecking,the npufred mrteetNe aeNon and addkk�nat rhackingjceutng of nther Instaila[lons In that HENS�
sample gra�P wlll be PerFormed at my expens� + - .
5 t rev�ewed a tnpyvf the CerttFicate of Compilante apprmM hythe enforterneM agency that ident�fles the speclflc requiremeMsforthe s[�t of
mns[ruction or installa[lan Idenlitied an this Cert"rficate ot In5ta110tlan,and I haye en5urad that tha requlremerits that applytu the construct�on or
installatlon have been met
5 t wdl ensure that a regtstered copy o(this Ceroficate atlnstallation shall be pasted,or made svaitaWewitl�the bWldtngpermR(s1�ssutd for the
bultdmg,and made araila6le to the enfwcement agency for 041 appliCable EnspecGons 1 u�errtand that a re�stared copy Df thls�ertifi Wte of
�nrtallation is requlred to 6e induded with the daumenWtbn the bultder provrdes tothe huiWmQ rn�mer at occupancy
Respon54dEe8w�der)InstallerName ResppnslbleBuilder Installer5ignature
dan pikschus
CompanyName (Installing5u6wnt2ttoro�GencralContacwrw Pa5ltlanW�thCompanY(Title
Bullder/Owner� Owner
KLAUS&SONS CONSTRUCTION INC
Address CS48 Llcense
P O BOX 1085 320990
Ciry State/2Ip Phone Date Slgired
UPLAND CA 91785 (909)982•5698 2015-OB-14 11 20 39
7htrd Parry Qual�ty Controi vrogram�7P4CP!Status rvame nf'fP4CP pf applicablej
Oiq+teAys�edC1'Ca10EATS Ttusdgrt�tiynemreisymndpd+noMerlaaeauethet�rNeMWtMsre�+eteredtbr.v+r�tntsaW�n+mweyrm�HesAeg�stratronPrarufer
rcapor+srNhry tathe aav�atthe mkrmstrwe
fi�gistrat�onNumher 275-A0158579A-M2300002A-0� ftegistratianQatenme 2015�14112039 HERSPtavider taICERTS
Gt Butldmg Energy Effinency Starxiards Repart Versipn 201A•05�08 Report Generated 2415-46-14 14 50 d2
2013 Res�denOal Compl�ance Sthema Vers�on 0 SSSSDD
CERTIFtCA'fE OF INSTALWTiON �2R-MCH-2SH
Refrlgerant Charge Yeriffcallon {Rage 5 of S�
DocumQntatlon Aukhor's Dcclaratia�Statement
1.I certlfy that this Certificate of Installatla�d�umentatia�is accarate and rnmplete.
OacumeMatinn Authnr Name 4oamenwdon Authur Signatu�e
Juan Ctumtero ��`��"�'�
Campany SlgnatureDate Zp�e.�-pg_14111637
J&3 Hers Sernces
Addres5 tEAJ HERS Certifiotton idmnfkaUon(i}appllcaNej
2324 Genevieve Street CC2006395
��tyr5mx�n+p Pho��
5an Bernarduw CA 924Q5 964-6333985
Responsible Person's Declaiation statement
I CeRlfythe follOwing under penalty of per�ury,under the laws of the State of Cahfamia
1 The InfqrmaUon proNded on thls CertlOcate of Installatlon Is true and cortect
2 I am ellglble under Dlvlslon 3 of the Business and Pmfess�ans Code In the appllrahle class��a[lo�[a accept responslhlllty for the rystem deslgn,
COnstru[tlon,Or installetlpn of feMures,materfals,components,pr manufactUred devlces(ar the smpe of work Identlfied un Shls CertlOmSe o(
Insblladan and attest to the declantlans m thls statement(respansible bulider/Insalle��,athe�w�se�am an au[hotlzed representative of the
responsWle buiWetllns[aller
3 The construcced qrinstalled features,matenals,comppnents or manuFacturpd devlces(Ihe InstzilaGan�idennlled on thls Certlflcate d Instxllatlon
canfarms to al1 appikable cadex and reguladnns,and the InuailaUon conforms to the requlrements g�ren on the plans antl specrflcatWns aDProved by
the erAorcemern agenty . �
4 I understand khat a HERS ruter wAt check the Installation to verlfy compliance,end that ii wd+check4ng IdeMHies deFects,I am requlred W take
cprrective aetwn at my enpense 1 urnlersSand Shat Energyy Commisslan and HERS Prmnder represenpWes will also per(orm quaifty assu2nce che[ting
oi mstal IetlanS,induding those approved as part of e sample gmup but not ehecl�d try a HERS rater,and N M�e installations fall So meM the �
requfremenSs o(such quallty axsurdnta checking,tha required tarrxOve actlon and addltianal theckingJSening o(other Inrtaliahons In that HERS
sample groupwili be performed at myexpense - ` � � . � . - .
S I reviewed a Copy of the CertiiiC2te of Compllance approved¢y the enfoecemgM agency that identif�e5 the Spep�k mqu7remen[5 for the uope af
COnSKt�ttipn pr In5bI1M10n IdCntlil2d an this CORiiltat4 of Inybllation,and�havt enwred tha[the requMements thak apply to the consir�ctY4n er
InstalUtlar�have been met
5 I will ensure that a registered copy of thisCertiBcate of InstalleS�on shall be posted,or made eva�W6�e wiN the budd�ng permtt{sj�ssued torffie
bu4lding,and made avaHa6le to the enfnrcement agencytor211 app�icab�e inspectlons k understand Shat a registered mpyaf thfs Certiticate ef
Instxllatlon Is required to be mcluded wlth She dotwne�tatlon She bu�lder provides ta the b�diding owner at occupancy
ResRon5I6Ie 0uikierjtnstaller Hame Respons�We BulfderflnsWlier$ign�ture
dan piksthus
Campam}Name linrtxtltngSulv.»rtracw�orGenerattontraaarar PafitlonWlthCampany(flkie}
BuBaer/Cnwner} {;)wner
KLAU5&St7N5 Ct7N5TRUCTION INC
Atfdress CSlO Ute�se
P t�aox sass �zos�o
QrylSbtel2�p Pho�ce Oate Sigrted
uP�xNo cA�s�ss {sos�es�-s��a za�s-os-�a » zo ss
Third Party Quaitty Cttr�tro!Progxam(TPQCPj Status Name of TpqCP(if appliw6le)
D�4+�s+gnedbYGatCER}'S 7ri+st4pR�er�2Nm�aWnr+Qed�nad�tosauretlrecontentotttuareqrat�edtlacvrrmntend�nrrowaY+mFt+egHe�9tra6mPmvWer
resya+arMk7 hu tne�ua�y af the mtarmatma
Reg�spation Num6er 215-A0158579A-M2500062A-DODD Regis#rak�on DateJTime 2015-0&14 7 7 2fl 39 HERS Prov�der CaiCERTS
tA$uitding Energy Effic�ency Stand�rds Report Yers�im 201d•OS-0& Repart Gmerated 20i5-�14 1142 30
20Y3 Residmtaai Comp6ante Schema Vers'a� 0 5515DD
CERTIFItATE OF VERIFICATION Cf3R-14UCthtB-H
�ct Leakage D1agn�tk Test (Page 3 af 3)
Documentatlon Autha's�claration Statemeet
i.i certify tfiat th�s Certlflwte of Yertflcatlon documentation is accurate and camplete.
D�UmeMatian Autha Name OUGumenTdtivn AUthw SlgnatUre ��..�`�
IUOti QUttifETO �l�KI�{,�,(�ypY'
G4mpaliy Date SiBned
1&1 Hers Services 2015-06-14 11 15 54
Mdre55 CEAj HENS Cert�flGatlo�Idenqflptlo�Of appll[able)
2324 Genev�eve SEreM
CttyjSiate/7JP Phane
San Bernardino CA 92465 909•633-3965
Responsibte Persan's Oe[Iaration statement
1 certify the Iolluwtng under penalq of perJury,underffie laws of the 5tate pf CaIFFpmla
i ihe Informatlan provided on thls Certlflcare of VerHlatbn Is true and cqrrecS
2 I am the certl(led HERS Rater who pertortned the verlflcaaon identlfled and reparted on thls Certlflcate of VeriflpUfln{respons3He raterM
3 The inrtalled(eatures,matenals,components,manufactwed devttes,or system perf�nce dWgnosbc rewks that requge HERSvenficatwn
Identlfled on this LertiFlcate of VenOqtlon comply with tbe applicable requirements m ReferenceApperni�ces FA2,RA3,and the requirements
spetlfled on the Certi(icate af Campilante for kMe building appmved lay the eMorcement agency
4 The information re{wrted on applfmble set[Ions of the tertlflqSe�S)M inst811atlon{C,F2Rj Slgned and v�brMtted by the perspn{sj responsiWe fnr Sht
constructl4n qr Mstallatiom m�forms M the fequi�ee�unt551�d17ed on the Certiflpte�s}pf CnmRiianCe(CFSR}approved by the eniarttrtce�st agency
5 V wi�i ensure that a reglstered coQy of ihis GertMtate of YerNicada�sfiall be posfed,or rrmde araiiable with the buiiding pemrrt{s)�ssued For the
balding,and made avaHa6te to the eM�cement sgency tor al!eppikak�ie#nspcctbns ��dersta�that a reg�stersd mpy oF this CM�aee aF �
Verifkaatlon is required ta 1�intluded wltn the docur�ntatFon the buiider provides to the buikllng owner at occupancy
Builder Or Ir�staller Information As Sfiown On Tfie CcrtN3cate Of InstallaUon '
Campany Name(InRallingiubwnt2ckm,Geneai Cantractor,ar8udderjOxmer}
KLAUS&SONS CONSTRUCTION INC
Aesponsibie 6udder or instz8er Name GSlB i.kense
dan p�kschus 320990
HERS Provider 4ata Registry t�ormatio�
S8m{Ne Gmup Numbe!{if aFW���ej thveiUng Tesk Status In Sample Graup(�f app9pble}
7ested
HERS Rater 1�farmation
HEftS Fia[er Camparcy Name
�&�Ners Services
ReS;Mtnsfble R3ter N3me ReSpOnsible RBker SlgnBtutC
Juan Qu�ntera ��G�AF��
Re5pon5i�leRaterCerU(iptlonNumberwJthlsHERSProWder DateSlgned
Ct2tl06395 2015-06-1411 15 54
ikqrtaltys�gnedbyCSICEfl15 firsdigaslwpnannehplonrtMmort�tnsecmntnecwittcNaJt7xsreg�Meredtlncu�4andmrnwayimp9esRegttnatwnPmv�
respanrbrt�rylor theaccwecyofthe mtorrr'atw»
Registration Number 215-A0358579A-MZ000002A-M20A Registrabon Dat�me 2�15-0&id it 15 54 HERS Pravidei CaItERTS
CA Building Energy Et#iciency Standards Re�rc Verslon 2016-OS-aS Repart Generated 2415-06-14 1165 6h
2013 Rexidentl�i Camphance Scbema Yers�on 0 5156@
CERT4FICATE OF VERIFICATiON CF�R-MCH•23-H
Space Ca�dkionin$iystem Alrflaw ttate {Page A at A)
Documer�tatlon Author's t�ciaratton S#atemeM
1.I cert(fy�sat thls Certlflcate af Yerlflcatlati doatmer�tatla�is accurate and complete.
O�meniattm�autha Name Docu�ntatian Authar SlgnaWre
luan Qu�ntero �X�PKi�lGX�'l8'
Compairy Dake Signetl
1&1 tters Services 2Q15-{I6-1A 11 15 54
Address CEAj HERS CertNiration identlfiwtla�{1f appllabie}
232d Genev�eve Street CC2006395
CityJStateR�p Phone
San Bemardmo CA 32405 909-633•3985
Responsible Person's DedaraUan statement
I certlty the(ollowing under penaky af pphury,under the faw5 oF the Sbte ot CaHfomle
1 ThetnformatlonprovldOdonShfsCertlflCateofVerl(iWtlonlxMUpOndcorv'e[t
2 i am Fhe certifled HERS Raterwho per(armed[he veMfication IdenCifled and repqrted on this fxrtlffate o(Yeriflatlon(responsible 2ter)
3 The mstalled ka[ures,matedals,camponents,manufattured devices,or rys[em perlormance diagnosGc resutts that requlre HENS venfira[lon
ide�tl0ed o�thls CertlOote of VedOmtlon comply wlth the apph[able requlrempnts In Reference Appe�dlces NA1,RA3,and the requlrements
spepfied on the Certlllote of Compllance for the 6ulldtng appioved 6y tFie enforcemeM agency
4 The Information reported on app11[able sectlont of the CertdlwM(s)of Instaltadon�CF2R)slgned and submltted 6ythe personls)respansl6lelor the
conmuMion or instaNation conforms to the requlremerds spedtfed on the Certlflpte{s)of Compllance ICFSR�apprwed by the entoRemen[agenq
S 1 wlll ensore tM1at a regittered copy of this Certitinte ot Veritkatlon shall be pos[ed,or mada availaWe wlth the bulldmg permRi3)�swed for the
budding,andmadearailaWeWtheenforcementagentyforall�ppllcaCtefnSpect7onsiunderstandH�atareglsteredcapyoftfiisCsrtdiateai � .
V�»flcatlonl5requiredtobeincludedwltbthedocumentationtfiebuHderprwidestothebuildingQwneratoccUpancy �
, 1
Bufider Or Installer Informatlon As Shown On 7tfe Cerkiflcate Of InsCallation ` ` ' �
Company N�me�Instailmg Suhcontractar,General Contrectar,ur euilderj6wner}
KtAUS&54N5 C4NSTRUCi16N INt
Re5ponxib�e BW�dH'or irtspiler Name tStB tkense
dan p�kschus 3209�
HERS Provider Oata Registry informatia�
Sam�e Group Num6er{N applkable� DuecllingTest St3tv5ln S2mple Grosqi{�f aRP�ffib�e}
Tested
HERS Rater Informatloa
11ER4(lakef Com�ery Name
1&J Hen Serv�ces
flesponsible flater Name Aespens161e Abttv Slgnature
luan qwntern �KA.+Cr,�Li�`E�tB�
Hes�ans161eflaterCertiflcatbnNumberwJthlsHERSProvlder flate3tgned
CC2dt}6395 2615-06-14 11 15 5d
Mptleflys�ynedbyCefCENTS ttusdqrtelaryneture�nprondedurorderrosetureMecantnna/thlsreasfereddocvnrentendmrroweyimpl�eaReqrstradonPmnder
responsi6dity Iw NM eccuracyal fhe InPormet�on
Reg�riraUon Mumber 215•A0158579A•M2309902A-M23A Reg�sirat�on Date�me 2015-06-14 ti 1554 NER3 Provider Ca1CfRx;
CA Building Energy EHicfency Standards Report version 20i4-OS-08 Report 6enerated 2015-06-14 1106 57
2013 Rez�dent�a!Campl�ance Sthema Verslon 0 SSSSDD
r 1
CERTIFlCRTE OF VERIFICATION CF3R-MCN-25-N
Retrlgeraot Charge VeAfication SPage 4 af 4}
, aocumentatrpn Authar's Declaratlon Statement
', 1. I caRlfy that thls Certlflcate of Verification documeMatfon is accurate and complete.
Qorumen[atlpn Author Name Ootumentattan Auttwr Signa[urp
luan Quintero �l�i��JlB�'
Comparry Date 57gud
J&1 Hers Services 2475-�6-1411 t5 5d
Address CEAj HERL CertNifdtlmf IdeM}flt3ti�{If appl7Cdb1E}
2324 GenevieveStreet
ClryJsate/2fp Pnone
San Bernardino CA 92405 909-633-3485
Respons�ble Person's Declaration sYatemeM
I cert�ly the following under�na1Sy of perjury,urMer the iaws of the Siste of Cat}fomia
1 7he lnformat�on prpvtdcd on this Certtflpte of Ve�pt�an 13 We a�d mRca
2 I am the certifled HERS ftsterwho peAwmed the veriFlcetion Ide�rtifled ami repwted an thls Certificate af veriflcstion(responsiae retrrM
3 The msteded teatures,materiats,componemt,manufactured devkes,ar rystem pe�rmance d�agnostit rewtss that requlre HERS renHranon
identifled on Ni5 CeMFlt3te 4f Veriflta88n mmply uxth Nie appl�6le reqWremeMs m RMer4nce Appendice$HA7.RA3,and the requrcpnmts
sped[kd on the Certifltate of Compliance for the 6uilding apprpved by the enforceme�rc agency
4 The Ufv�matlan reported an app��cab�e sectiars of the Certiflcate(s}o({nstyllallon(CF2R�slgned and whmitted by ttre person�s�respans�6le for the
CdnStNQbn or inSS2��3[Wn C9ttfotmS tII thg(�qpir�YY�()(,55pg{,i�¢d Qei(}ie C{t(iq�(5j pt C,Ompl3an[P(CfiB)approved by the eMORRmEMdgenCy
S I x�ti ensure that a reglsteH.M c�iy of tMs Certrficste af 14�ifimdon afiali be pflsted,ar made s'railable w1[h tfic�ilding armit(s)�sssuetl tor the
�rllding,and mede aveilabie W tha er�fotament agency frn aIi spplkabie inspectia�s i wdetsiand that a registered wpy of this Certiflrate o(
Verifrcatian is required ta 6e Included with the dacumentatlon the buikler praWdes to the buiidl�g awner at ottupaMy
6uiider Or Insialler information As Shown On The Cerkifle�te 4f Insqiiat�p� '
Company Narne{tnstaiiing Subco�+tr,�ctor,Ge�rnl Cnn[racta.�BWlder/Dumerl
KI.AUS&SQNS CQNSTRUCTION INC
RespaW4le Builder or In#aIler Name CSt&Llcenu
dan p�ksd�us 320490
HERS Provlder Data Rcgtstry Intarmatlar
Sample Gtoup Num6er{}f xppltcal�e) Ouetling Test 3tatus in Sample Group(�f applloblel
Tested
HERS Rater I�f�mation
HERS Fkater Gompany Name
1&J Hers Sen+�ces
Respansibk Rater Name Responsible Nater SignMure
luan t2u�ntera �rtfRKi,�'!t[�ZO�'
RespqngbieRaterCertit7pUanNumberwJthlsHEpSProvfder Date5lg�ed
CC2006345 2015-OB-14 1 t 15 54
D�teHYsyrted6yCaiCFFT3 Th�sd�quatsrynalnrenp✓ovrdeAmoMertoseaucfheconMMa/fMeveqesleredRocvmenlendrniqwayirrVuresfhqfsfralror�Provuter
reappnsiWbry for the accwecy n/fhe mfamanon
Registradon Number 215-A0158579A•M250W02A-M25A Reg�stration DateJTime 2f/15�A�6-14 11 15 54 HERS Provider Ca�CER't5
tA Bu�lding Energy Effldency SWndards Repart vers�on 2014•OS-OS Rep�rt�enetated 2415-�-14 1i.16 53
2D13 Residentlal Camplience 5chema Version 0 SSSSOD