HomeMy WebLinkAbout15-0536 � � � C1TY OF DIAM4ND BAR �\.���
i DEPARTMENT OFCOMMllNITY&DEVELOFMENT SERVICES
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COMMENTS
�GtATE Dr CALI�ORNIA '
' ALTEi'�ATIC?!VS - HVAC
GEC-CF1ft-AlLt14E Revised06l14 CA4lPqHN1AENERGYCOMMIS5IQN
� GERTiF1CATE OF C4MPUANCE CFiR-AL7-04-E
Alterat�ons- HVRC C2 2,and 8-15(formerly CF-IR-AL7-HVAC) (page 1 ot 1)
S�#eAddress �^ - EnfiorcementAgenEy Ua �� Pre ared Permitq
f t� f. I*�i� Cx+! / 1�
' Hew Puctmg,Atenum�,tmeset tonditwned
�I, Equ�pment 7ype Eqwpment E�aency Thermostat
� Raqulred R•v�iue FioorArea(sq ft
i ❑Packaged System �Evaparatar Corl pFUE �. C4P 0 R•6 {CZ 2,8-23)Duc[mg Served by system �'��. �Setbaek
�' ❑Spl�t System ❑Candensmg Un�k �ft-$� (LZ 11,i4,15J Ducting �b�� sqft I rrfn°t alreudy
❑Mim Sp6t ' ❑Compressor SEER �� NSPF present,must _
❑Furnece ❑L�neset EER ��'��n17 CZ`s)Ptenums be msta!!ed)
',. ❑� _ �..'',. D R-5 or N7 5)lmea8t"
HERS VERff�CATIQN SUMMARY instailcr determines work ta be campleted and matches to une af the aphons 6elow At permrt apphcatwn tMs
form iz aituwad to be fllled out b l�and For flnai�ns ect�on aI!forms are to be registered�no hand filled forms ailowed}and a co y Ieh on s�te
❑1 HVAC ChangeoutJRepair Requ4red Complianre Docum«�[s to 6e left on site for Final
AII Eqmpment, CF1R-ALT�82-E
Condenser Unit,Evaporatar Co11, GF2R MECH-61,MEtH�20-HERS,MECH-iZ3 ar 24}�-HERS,MECH-25•HERY
Compressor,'17{V,l�neset, CF3R MECH-26-HERS,MECH{23 or 24}-HERS',MECH-25-HEIlS'
Air HandlerjFurnace'{Can indude ntw duc[m }
loetaller Requirement Ouct Ieakage{c 1S%,or a 1Q94 to outs�de,or seal all access�ble Ieaks},A�r Flow 2 34Q CPM/Kon,Re(ngerent tharge
Exempked from duct leakage testtng If
❑1 Duct system reg�stered wrth HERS provYder as previpusly sealed,or0 2 There ks less than 4U tinear(eet of duct m uar..ond�tioned space,ar
❑3 Exisnn duct systems are canstructed,msulated or sealed vntb asbestas(Itst manufacture date of buddi
❑2 New HVAC Spstam Requlred Cem Ifence DocumenM to he Ieft an s�te for FInaI
AII new eqwpment and All New Ducts' CF1R-ALT-02-E
�ncluding Mm�Sp6t CF2R MECH-Ol,MECH-2Q-HERS,MECH-22-HfRS,MECH•(23 ar 24j-HERS°,MECN-25-HEflS'
Cf3R MfCH-20•HERS,MECH-22-NERS,MECN-(23ar29j-HERS',MECH-2SHERS�
MtNS IltsrequlreCFiR-AlTA2-E,CF2q•MECH-Oi,and {CF2R-CF3R�MECH-25-NERS
Insteiler Reqmrement•Duct leakage<6%,Fan Efficaty I SSWjCFM},Air Flmv 2 350�tFMJtan(or alkemat�ve,Re(rigerant Char e
t=3 AII New Ducts with Reptacement Re �tred Cam Ilance DatumenK to be Iek o�site fat Final
AIi New Ducts'and ana ar mote at the followfng CF1R-ALT•02•E
replaeed Condensar Unit,fvaporator Cofl, CF2R MECW01,MECH-24-HERS,MECH (23 or 24��NERS,MECH-2S-HERS
Cornpressor,TXV,Uneset,Fumace' Cf3N MECH-20•HERS,MECH-(23 ar 24)-HERS,MECH-25-HERS
Installer Reqwrement Duct leakege<5%,Air Flpw a 35D CFM/ton{or atkemativej,Refrigerant Charge
Ex mpted from duct leaka e Sestin ii Q 1 Existing duct s stems are constrocted,m:uleted or sealed w�th asbestos
4 New Dunin over 40 feet Hequlred Com llance Dacuments to be left on site for Final
New Qucting but Iess than All New Ducts' CFIR-AI.T-02-E,CF2R MECH•20-NEftS,{F3R MECH-Y4-HERS
Instalier Raqwred to Duct Irakage�c 15%or,<10%ta outslde ar,or seal0i)accessibie leeksa
❑ EXCEpTi�N Ex�stin duct systems construtted,Insulated or sealed wtth asbestas
'AII new ductmg R-8 requ�red wben mare than AOit tnstallgd and R•8 when less than 40 ft Instatled th�s Includes m walis,6etween floors etc
'Heating only systems and Air HandlerJFurnace changes do not require Air flow MEtH-{23 or 2Aj,or Refrigerant tharge verification MECH-25
'A�I New Oucts�s when at feast JS percent of the duct system is new duct materlal,and ap to 25 pertent may con3i5t of tEused p2rt5 from the
dwellong un�S's exrstwg duct system{e g,reg4sters,griltes,baots,alr handler,coil,plenums,duct matenal}
'R-5�1"thick msulaUan�for ifnesets 1"and less ft-7 5{S S°tMek msuiatlon}for Iinesets over 1 mch Most mig w�il roqu+re 5uctwn line Qiameter
w�th�nsulatton as the followin 15-2T-2°f.",2 5-3T-2X",3 S ta AT-Z7S",ST-47f"
Contractor{DocumentaGon Author's/Respons�6le Des�gner`a Declaratcan Statemeot)
t cert�fy the foilowmg vnder penalty of per�ury,under the Iaws of the State of tallforNa
1 The informat�an prov�ded on this Certiflcate of Cqmphance rs true and carrect
''�, 2 C am ehg�6te under Divis�on 3 oi the CaOfomia 8u5�ne55 and Profess�ons Cade to�cceRt respons�btliry fpr the mformatron on this document
�'�. 3 That the energy(eatures and performarxe speaficati4ns far the desrgn identifled an this Certificate of Camphance cae�farm to the
reqwrements of 71tie 24,Parts i and 6 of the CaBfarma CodO of ftegulations(CCR}
q Tpat the energy featuras and performance specifications,materlels,components,and manuFactured devices far the buitdmg des�gn or
system design ident�fied on this tert�ficate of Campbance ronfprm to the reqoiremente af i itle 29,Rart 1 and Fart 6 of the C�R
,. 5 The buildmg design features or system dasign features idan0{�ed on th�s Cemfleate of ComRbence are cons�stent wrth ttre mtormatan
j prov�ded on other appiEca6le cffmp6ance dommenks,worksheets,calculations,R�ans and specificatians subm�tted to ths enforcement
' agency for�pproval with this 6uildm permit 8 plication
� Rsspont�$�e 6ciidnlr MamC RN OA1 51gn ��y tkMft
3 S K'+/t$'
ComPa�W Mdrcn Ory(State/L Phane
� r„�.e�. �.-fte� It� 1 e�1 9�5 s�: G4 l�Sb 9 -`�2l YY
Por ass�stance or que5t�ons regardUg the Energy Standards,cGntact the ergy HMllne at 1-8�7723340
CERTIFICATE OF INSTAILATION CF2R-MCH-20-H
Duct leakage Diagnostu Test (Page 1 of 3)
Pro�ect Name 624 Fireprt Drrve Enforcement Agency Crty of Permit Number
Diamond Bar
Dwellmg Address 624 Fireprt Drive C�ty Diamond Bar Zip Code. 91765
A System Informat�on
Ol Space Condmoning System IdennNcation or Name System 1
02 Space CondiUoning System LocaUon or Area Served Main
03 BuildingTypefromCF-1R Singlefamily
04 Venfed Low Leakage Ducts m Condinoned Space No,credit is not taken
(VLLDCS)Credrt from CF1R�
OS Verified Low Leakage Air Handling Uni[(VLLAHU)Credrt No,credrt is no[taken
from CF1R�
06 Duct System Compliance Ca[egory Alteration
MCH-20d-Complete Replacement or Altered Duct System
B. Duct Leakage Diagnostic Test
Ol Condenser Nominal Cooling Capacrty(ton) 3 S
02 HeatingCapacity(kBtu/h) 42000
03 Conditioned Floor Area served by this HVAC system(ft2) 1425
04 Duc[Leakage Test Condition Test final
OS Dutt Leakage Test Me[hod Total leakage
06 Leakage Fac[or 0 15
p� Air Handling Unrt Airflow(AHUAirflow)Determination Cooling system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calcula[ed Target Allowable Dutt Leakage(cfm) 210
10 Actual duct leakage rete from leakage test measurement 79 9
(cfm)
11 Compliance Statement System passes leakage test
Registranon Number 215-A0065516A-M2000002A-0000 Registration Date/Time 2015-03-10 75 12 50 HERS Provider CaICERTS
CA Building Energy Effiqency5tandards Report Version 2014-OS-08 Report Generoted 2015-03-30 15 09 57
2013 Residential Compliance Schema Version 0 S15DD
CERTIfiCATE Of INSTALLATION CF2R-MCH-20.H
Dutt leakage D�agnostic Test (Page 2 of 3�
C.Addrtionel Repwrements far Compl�ance
01 System was tested rn its normal aperatron canditron No temporary tap,ng allpwed
buts�de a�r(OA}ducts tor tent�al Pan Integrated{{FI}ventdat�on systems,shall not be sealedJtaped off durmg duct leakage
�� test�ng CF�DA ducts that ut�hze cantroiled matorued damp�rs,that open only when OA ventdat�on�s required to meet
ASHRAE Standard 52 2,and ctose when flA ventilaGion is not requ�red,may be conflgured to the closed pos�tion during duct
ieakagetesbng
03 Ail 5uppiy and return register baots were seale�!to the drywall
04 Bu�idmg cav�t�es were not used as pienums or piatform returns�n(�eu of ducts
OS if cloth batked tape was used it was covered wrth Masbc and draw 6ands
06 All connection po�nts between the a�r handler and the supply and return pienums are completeiy seated
If the system comp6es using the 5moke Test method,the smoke test was condutted in accordance with the requrremeots
07 of Reference Res�dent�al Appendix RA3 1 A 3 6 Systems that comply using smoke test shall not be mtluded m sample
groups for HERS verrfication comphance
The respons�ble persons s�gnature on th�s comphance daaument affirms that all appt�cable reqW remerts m th�s table ttiave
6een met
Registratron Numher ?15•Ap065516A•M2000002A-0000 Regist�abon DatejT�me 2{115-03-10 55'12 50 HERS Prou�dCr CaICEtiTS
CABu�IdingEnergyEffic�encySWndards RepoRVersion ?OSA-OS•08 IieportGene�ated 2�55-03-90 150457
2013 Aesidential Cpmphance Schema Versian O S]SDD
CERTIFICATE OF INSfALLATION CF2R-MCH-20.H
Duc[Leakage Diagnostic Test (Page 3 of 3�
Documentation Author's Declaretion Statement
1. I certify that this Cert�flcate of Installation documentation Is accurete and complete
Documentanon Author Name Do[umenta[ion Author Signature ��
Dan Moncayo
compa�y sig�at�re oate ZO15-03-10 15 12 50
HOME PERFORMANCE MATTERS INC
Address CEA/HENS CertiBwbon ItlenbFlcahon(d appl¢able)
624 FOXPARK DRIVE
Gry/5[ate/Zip Phone
Claremont CA 91711 (909)973-2194
Responsible Person's Declaration statement
I cemfy the following under penalry of perJury,under the laws ot the State o(Cahforma
1 The informa[ion provided on[his Certifica[e of Installabon is true and rorrect
2 I am eligible under Drvislon 3 of the Busmess and ProFessions Code m the apphcable dassdlcanon ro acrept responslbihry for the system deslgn,
mnstruction orinstallanonotfeatures materials,romponents,ormanufactureddeviresforthesropeofworkidennfiedonthisCertificateo!
Installanon and attes[m the dedaranons m this sta[ement(responsihle hmlder/ins[aller�,o[herw�se I am an au[honzed represenla[rve o(lhe
respons�ble bwlder/installer
3 The cons[mcted or mstalled(eatures,matenals,mmponents or manuhctured dewces(the mstallanon)idennfied on this Certificate of Installabon
conforms to all applicable codes and regulanons,and the Installanon conforms to the requirements grven on the plans and speclficanons apprwed by
the enlorcemen[agenry
4 I unders[and that a HERS ra[er will check the installabon to venfy mmplronce,and that it such checking identifies defects,I am requved ro take
correctrve action at my eFpense I undentand[hat Energy Commission and HERS Provider representaGves will also perform quality assurdnce checking
of installauons,mduding those approved as part of a sample group but not checked by a HERS ater,and rf those mstallahons fad m meet the
reqmrements of such quallty assurance checking,the requlred correctrve action and addinonai checking/teshng of other installatlons m that HERS
sample group wili be performed at my eFpense
5 I reviewed a ropy of the Cemficate of Compliance approved by the enforrement agenry that identifies the spenLc reqmrements for the smpe of
constmcuon or mstallation identrfied on thrs Certdrtate of Installanon,and I have ensured that the reqwrements that apply ro the mnstruaion or
ms[allanon have been met
6 I will ensure that a registered mpy oF this CertiLcate of Installauon shall be posted,or made available with the bwlding permit(s�issued for the
building,and made avallable to the enforcement agency for all applicable inspectlons I understand that a registered copy of this Certificate o(
Installation is reqwred to be Induded wrth the documentaUon the bwlder provides ro the bmlding owner at occupancy
Respo�s�61e ewlderpnstaller Name Responsi6le Bmlder/Installer Signature
Dan Moncayo
CompanyName �1nstalling5ubcontracrororGenealContrzctoror PosiHonWi[hCompany�Title)
Builder/Owner) OWn2f
HOME PERFORMANCE MATTERS INC
Address CSLB License
624 FOXPARK DRIVE 919844
Ciry/State/Zip Phone Date Signed
Claremont CA 91711 (909)973-2194 2015-03-10 15 12 50
Thmd Party Quality Con[rol Prog2m(TPQCPJ Sla[us Name o(TPQCP(If applicahle)
DigrtallysignedbyCaICERTS Thisdigrtalsiqnalureisprondedmordertosecurelhecontenlolthisreg�stereddocumenf andmnoweyimpOesNeq�sfrelmnProwdv
respansibtlrty/onhe eccwaq o/Ihe m/oimebon
Registration Number 215-A0065516A-M2000002A-0000 Registration Date/Time 2015-03-10 15 12 50 HERS Provider CaICER75
CA Building Energy Effaency Standards Report Version 2014-OS-08 Report Generated 2015-03-30 15 09 57
2013 Residential Compliance Schema Version 0 S15DD
CERTIFICATE QF YERIFICATION CP3R-MCtl-20-FE
Duct Leakage D�agnosUc Test {pege 1 of 3)
Pro�ecc Name 624 Firep�t Dnve E�orcemerrt Agency Cfty af Perm�t Number.
Diamond 8ar
Dwel6ng Address. 624 Firepit Dnve Crty Di�mand 8ar Z�p Code, 91765
A.System informet�on
OS Space Conditionmg System Identif�tation or Name System 1
02 Space Condmornng System�acation ar Area Served Main
03 8udding7ypeframCF-SR Smglefemily
� Verkfied Low Leakage Ducts�n Conditioned Space No,credit�s not taken
{VLLDCS)Credit from CFiR7
O5 �enf�ed Low Leakage Air Handhng UniS Credit from No,Credit�9 nat t8ken
tF1R?
06 Duct System Comphance Category Alteration
MCH-20d-Complete Replacement or Altered Duct System
B.Duct Leakage D�agnostit Test
OS Condenser Nommal Coohng Capanty(ton} 3 S
U2 Heat�ngCapatity(kBtujh) 42
03 Conditioned Flaor Area served 6y this HYAC system(ft2) 1425
Od DuctLeskageTestCondition Testfinal
OS Duct teakage Test Method Tokal leakage
O6 Leakage Fattor 015
�7 A�r Handling Un�t A�rflow(AHUAir(I4w}DeterminatEan C4al�ng SyStem method
Method
68 Measured AHUAicflaw This field or section�s not appl�catale
09 Calculated Target Allowable Duct�eakage Rate(cEm) 210
1� Actual duct ieakage rate Erom leakage test measurement 74 4
(cfm}
11 Compl�ance Statement System passes leakage test
12 Plotes instailed eooiing capacity,heat�ng capaaty or CFA served daes nat match the lnstallauon Certficate
Reg�stration Numbe� 215-ADD6SS16A-M2000002A-M20A Reg�Strabon DateJ7ime 2b75-03-'ip 15 15 09 HERS Prov�der CaICEftTS
CA 8uildmg Energy£ffic�ency Standard5 Report Verswn 2014-65-OS RepoR Generated 2015-63-1� 15 ld OS
2613 R25�dentidl Cpmphdnce SthemO Versran �SISDD
CERT�FICATE QF YERIFItATION CF3R-MCH•2p-H
Duet Leaisage 6iagnosiu Test (Pege 2 of 3�
C.Additional RaqwremaMs for Comp6ance
61 System was tested m rts normal operavon condition No[emporary tapmg allowed
Outside air(OA)dutts far Central Pan Integreted�CFI)ventilatwn systems,shall not be sealed/taped off dunng duct leakege
6z testing CFI OA ducts that uttlrze tontrolled motonted dampers,that open only when OA venUlation is reqwred to meet
ASHRAE Standard 62 2,and tlose when OA ventdaUon is not reqwred,may be wnfigured to the closed posdion dunng duct
leakage tesnng
q3 AII supply a�d return register boots were sealed ro the drywall
04 8uilding tawdes were not used as plenums or platform retums in heu of ducts
OS If cloth hacked tape was used d was covered wrth Masbc and draw bands
06 All connectwn pants between the air handler and the SupplY and retum plenums are wmpleSely sealed
If the system compbes using the Smoke Test method,the smoke test was conducted m accordance with the reqwrements
07 of Reference Res�denhei Appendix RA3 1 4 3 6 SysSems that wmply usmg smoke test shali not be mcWded m sample
groups for HERS verih[8twn complrance
08 Ver�(icaUon Skatus Pass-ell appbcable requirements are met
09 C.�rrecbon Notes(or this table
The respans�ble�rsons s�gnatare on th�s compliance dawment aif�rms that aII applicable reqmrements m tb�s table have
been met unless otherw�se noted�n#he Ye��cation Status and the Correct�ons Notes m th�s table.
D.Determmation of HERS Yer�f�cat�on Compl�ance
Ail applicabie sect�ons of this document shaii md�cate compl�ance w�ih ihe spec�fied vertficat�on protocoi
requ�rements m order for thMs CertlFicate of Verif�cat�nn as a whole to be dMermmed to be in compl�ance.
01 Compbes A1i specified ver�f�cat�on protocal requirements on th�s document are met
Reg�sttatwn Num6er 215•A0065516A-M2000002A-M20A Reg�stratian Rate/Time 2675-03-10 iS�5 09 HERS Provider CaECERTS
CA Bu�ldmg Energy Eific�enty Standards Report Versioo 2414•OS-08 Report 6enerated 20i5-03-30 15 14 OS
2613 Res+dential Compl�ance Schema Version 4 SiSDR
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3�
DocumenWtion Author's Declaretion Statement
1. I certify that this Certi£cate of Ven£cation documentation is accurete and complete.
Documentation Author Name Do[umentation Au[hor Signature 2 !����?
Robert Bachus %'i,�Ok�r/cr/!�/RC�rI�
Company Date Signed
Advanang Home Performance, Inc 2015-03-10 15 15 09
Address CEA/HERS Certihcabon Idenbfiwtwn(if apphcable)
74998 Country Club Drrve STEri 220-420 4674
Gty/State/Zlp Phone
Palm Desert CA 92260 760-851-8648
Responsible Person's Declaration sWtement
I certdy the following under penalty of per�ury,under the laws o!the State o!CaLfornla
1 The Informatlon provided on thrs Certficate o(Venfication Is true and wrrect
7 I am the certifed HEkS Rater who peAormed the ven6wnon idennfied and reported on thrs Certifiwre of Venficanon(responsible rarer)
3 The installed features,materials,components,manufac[ured devices,or rystem pertormance diagnostic results that reqwre HE0.5 ver�fiwtion
idenhfied on this Certifwte of Venfica4on comply wrth the apphcable reqwrements m Reference Appendices RA2,RA3,and the reQmrements
speafied on the Certif¢ate o(Compllance for the bmldmg approved by the enforcement agency
4 7he mformation reported on apphcable sectlons of the CemOcate�s)ot Installanon(CF7R)signed and submrtced by the person(s)responsible for the
construcnon or installabon wntorms to the reqwrements speafied on the Certificate(s�ot Compllance(CFSk�approved by Me en(orcement agency
5 i wdl ensure Mat a registered copy of this Certifiwte of VenLcanon shall be posced,or made avadable wnh[he building permrt�s)issued for the
building,and made available to[he enforcement agency(or ail appliwble inspect�ons I understand that a regis[ered wpy of[h�s Cert�ficate of
Venfionon is required to be mduded wrth the documentation the bwlder prwides to the buAding owner at occupancy
Bwlder Or Installer Information As Shown On The Certificate Of Installation
Company Name(InstalLng SubwntraRor,Gene21 Contrac[or,or Builder/Owner)
HOME PERFORMANCE MATTERS INC
Responsible Bwlder or msta�ler Name CSLB Ucense
Dan Moncayo 919844
HERS Prowder Data Registry Information
Sample Group Number(rf apphcable) Dwelling Test Sta[us In Sample Group(d appl¢able)
Tested
HERS Rater Information
HE0.5 Nater Company Name
Advanung Home Performance,Inc
Responsible Ratei Name Responsible Rater Slgnature /���
Robert Bachus %�,�Ek�P/G(//"J�
Nesponsible Rater Certifwnon Number w/th�s HERS Provider Da[e Signed
CC2005695 2015-03-10 15 15 09
D�gnaltysgnedbyCa/CERTS iNsdignalsignatureisprondedmorderrosewrethecontenrolthisreq�stereddwumen6endmnoway�mphesNeg�strenonPronder
responmWOty lor fhe accurecy o!fhe mlormanon
Registration Number 215-A0065516A-M2000002A-M20A Registration Date/Time 2015-03-10 15 15 09 HERS Prowder CaICERTS
CA Building Energy Effiaency Standards Report Version 2014-OS-08 Report Generated 2015-03-10 15 14 08
2013 Residential Compliance Schema Version 0 S15DD
CERTIflCATE OF INSTqLLATION Ci2R�MtNA1 E
Space CondiCioning Systems,puctx,antl Fanx (Pagt i of 7}
pro�ctt Name 624 F�reptt Drne EnfareamentAgenry Gry of DiamonE 6ar Permh Number
bwelling Atltlrcss 62A Frepit Qnve frty �iamond Bar ifp CaEe 41765
A General l�urmanon
01 Dwefline UnH Name 67A Frteprt Or�ve 92 Clfmau 2one 9
Owelling Unk CondlNoned Fbor Area Number of space mMktaning�SC}
03 {rt2} 1425 09 syatercn 4e1ng aRereE in this tlweii(ng i
�nrt
OS CertHicateofComplianceType Prtscriptnealterations(CFSft-ALT} p(� AM1e(hadusedtowlwlateHVACloaGs NOVrppi�cabteEqmpmentChangeout
67 CalculetcddwelhngurdtS�enalbk 7hisfie�dorsecc+on�5no{app��cab�e pg �alnilatedQweliingUnitHeatlngtoaE Thisfieldorsectaon�snatapp6q6ie
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�demNuatianor tncetWnatArea System ductM comaining system ManAPftetaf ncwduct enNrcty�rew
NOrrce SErvcd (ft2} 5ystam7 ¢ompo�uM7 �mppngn�st d'Mf� SyttertiF 5�systemT AiterationTypc
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Syxteml M8m S-02S Ycs N4 Nc Yes No No ��stmgduct
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5tham�4kn�cn 05S5SOa
CENTIFICATE OF INSfALLATION [F2R-M[X-01-E
$pace[ondkioning Systems,Dutts,and Fans (Vage 2 of 7�
C Space Conditloning(SC)System Alterations Compllance Informatlon
O1 02 03 0a 05 06 W OB 09 10 11 12 13
[ent2lFan
Integrsted
Heating Cooling Newor (CF1)
System Altered Heating Minimum Altered Cooling Minlmum ReQulred Re0laced New Ventllanon
IdentNlwtlon Xeating Xeating Efllclenq EHiclenq [ooling [ooling EHlclenq EHlclenq Thermortat Ducl Duat System
orName System 7ype Cnmponent Type Value System Type Component Ty{re Value Type Length R Value Status
7hisfield 7hisheld 7hrsfield
or This field or or
No heanng No cooLng
Cen[21gas seaion rs orsection Central secbon settion rs Nota CFI
System 1 (urnace com0onen �ot is not splhqC �ompone�t Is not �et Setback G740Ft R6 system
taltered ap0��wbl aOP���abie altered ap01¢abl applicabl
e e e
D Insfalled Heating Equipment in(ormation
7his section does not aOPly to this pro�ect
E Installed Cooling Equ�pment informanon
Thrs secbon does not ap01y m tNs pro�ect
F Erttenslon of Exlsnng Duct System,Greater Than 40 Feet
01 02
System Identlfiwtlon or New Duct R-Value
Name
System 1 R-6
NeyrstaUan Number 715 AOp65516A-MOIOOOO7A�OOCO Reyrs[aUan Datt/��me 2015-0}�01512 W HERT Proxtler CaICERTS
CABmIdlnyEnergyEKoencySlanEards 1013NesltlemialComphance ReportVenion 1O1d05-13 PeportGenemted 3015-03-]0 150831
Schema Vemon O SSSSDD
CERTFFlCATE QFINSTAILATIQN GF2R•MCH•OS-E
Space CondRmnmg Systems,�ucts,and Fans �Psge 3 of 7}
G Installed Dutt Syscem intnrmation
This secnon does rrot apply to fhis pra)ect
H Installed Alr Fdter Derce Intormatlon
Th�s secnon does�rot appry to Mis pro�ect
I Air Filter Device Requ�rements
Th�s seaa�on does not apply to tbn pro�M
iteg�rtabonNumber215AA065516A-Ad4i0�bD2A-OObO Reg�4lrat�oerpbMjrime 24i5-431015t25C1 HEftSFrowderCaICFRTS
CA 8u�idmg Eneegy Effic�mcy STaMards 3013 ResMmUal Comp6anee ftspoH`/sr5ron 241<QS-13 Report 6errerared 2015�63-SQ SS�37
khema Vsrswn�555540
CERTIFICATE OF INSTALLATION CFIR-MCX-Ol-E
Spare Condibanmg Systems,Oucts,and Fans (Page 9 of 7)
1 HERS Verifiwtion Requlremenu
01 02 03 09 OS 06 W OB 09 10
MCH2O MCH21 MCH22 MCH23 MCH25 MCH28
Exemptlon
hom
Mlnimum
EKemptian R-Value(oi AXUFan AHU
5[System 5[System From Duct Duct Ducts In Oucts Lo<ated EMkaq AlAlow
Itlentlhcatlon or Lxatbn or Area Leakage Leakage Cantlitloned In[ond Space (W per Rate(tfm Refngeant Return Ouct Design
Name Senetl Reqwrements Test Space Verl(I<atlan cfm) pertan) Charge Table1500.Cor0
System 1 Ma�n ezemptions �e$ app cable No No No No Na
Pegisttatlon Number 215 A0065516A MO1000@A-0000 Registra[ion pate�me �015-03 10 15 12 W MEPS Pmvlder CaICERTS
CABwldingEnergyEKnency5tandards 2013Res�dentolComplmnce ReportVersion 2010-05-13 ReportGenerared 201503d0 150837
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CENTIFICATE OF INSfALlAT10N CF2N-MCH-01-E
Space Conditioning Systems,Ducts,and Fans (Page S o!7�
K Space Conditloning Systems,DucK and Fans Mandatory RequlremenK and Additlonal Measures
Nob PEtlltlovl menEetory rea��nman4lrom Sectlon 150 0 ihe!�n nol Ibbd han may bv eppllnbb�o�oma spt�m�ihaa reo��nmmn mry be appLceble ro only nawly Ineullad equipmam or potlians ol the
ry�LmtAtlanaltoatl Fn181ryepulpmentmrybaumpthvmtAn�rtaWrtmmb
Notln9 Epulpmmt
01 Eqwpment E(/¢iency All heating eqmpmen[must meet the minimum e(fidency reqwremenu of SecGon 1101 and Sectlon 110 2�a)and the Apphanre EHloency
Regulations
OZ Con[rols All unitary heanng systems,mcluding heat pumps,mus[be contmlleA 6y a set6ack thermostat These[hermostatc must be capable of allowing the occupant
[o pmgram the cemperature Set pomts/or at least four dlflere�t penods in 1G houR See Sections 150 0(Q,130 2�b)
03 Si:ing Heahng load calculations must 6e done on portions of the building served by new heanng systems ta prevent inadverten[undersixing or oversixing See sections
1500�h)1 and 2)
� FurnaceTemperatureRrse Centalkrced-a�rheatingfurrecemstalla4onsmust6emnOguredtooperateatorbelowthefurnacemanufacturer'smaximum
inleFro-audel[empeature rise s0enlicauon See Section 150 O�h)4
OS Stand6y losses and Vilot 4gh[c Fan-rype cental(umaces may not have a mnunuously 6uming Oilat light Seamn 110 5 and Secnon 110 2�d)
Cooling EQwpment
06 Eqwpment Effiuency All coohng eqwpment must meet the minlmum e(fluenq requvements af Section 1101 and Sectlon 1101�a)and the AOPliance Effidenty
PegWat�ans
07 Pefrigerant Line Insulation All refngeran[Lne InsulaUon m split syslem av rondrtmners and heat pumOs must meet the R value and Orotection reqwremenu of Secnon
150 0(�)2 and 3,and Settion 150 O�m)9
08 Condensing UN[Loration Condensing unrts shall not be Olaced withm five(5)feet of a dryer vent autlet See Sectlan 150 O�h�3A
� Sixing [oaling load calculations must be dane on Oortions af the building served 6y new coaling systems ta Orevent inadvertent undersi:ing or oversixing See Sett�on
150 O�h�1 and 2
Alr DIRri6unon System Ducts,Plenums and Fans
10 �^sulanan In all rases,unless ducts are endosed ennreW m direaly condiboned s0att,[he mm�mum duct insula[mn value is Rfi Nore chat higher values may be
required by the Orescriptive ar performance requirements See Section 150 0(m�1
Regis[anan Numba 315 A0065516A M0100007A-000p qegisl2Bon DateRme �015-07 10 15 1Z 50 HEPS Prowder CaICERTS
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CERTIFICATE OF INSfALlAT10N CF2R-MCX-Ol E
Space Contlinoning Systems,Ducts,and Fans (Page 6 of 7�
N Space Condinoning Systems,Ducts and Fans Mandatory Requlrements and Addinonal Measures
noro FEtlitlonel mantla�ory reyu�nmenu M1om Sectlon 150 o tM1a�an nm Ii�fM M1en mry M apoloble�o�ame aynem�Theu reyulnment�rvY a applioble m anM��'�'M����+Iletl aQulomant or pptwna N tne
�pcemtM1aurealnrttl Enniqepulpmemmrybe�empllmm�hnareywremenu
Connecbons and Closures All installetl av-dlstnbution sys[em ducts and plenums mus[be,sealetl and insulated to meet the requirements of CMC Seawns 601 0,
11 602 0,603 0,604 0,605 0 and ANS�/SMACNA-006-2006 Supply-air and returaav ducts and plenums mus[be Insulated to a mmimum installed level oF R-6 0 or
enclosed ennrely in tlirectly contlinonetl space as confirmetl through fieltl verification antl tllagnosnc testing in accortlance with[he requirements of Reference
Residennal Appendix RA3 1 4 3 8
Meat Pump Thermostat
12 a thermostat shall be installetl that meets[he requvements ot Secbon 1301(b)antl Settion ll01(c)
13 The thermosta[shall he installed in accordance wrth[he manufacturers puhlishetl�nsUlla[ion speafications
14 Flrst s[age of heanng shall be assignetl to heat pump heanng
15 Second stage back up heaung shall be se[to mme on only when the intloor set remperaNre rannot be met
The respons161e person signature on this compllance Eocument aHlrms that all applira6le requlrcmenn In this ta61e have been met
Regrstabon Number ]15 A0065516A M0100002A-0000 Regis[alan Dat<Rme 2p150J 10151250 HERS orontler CaICERTS
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tERTiFlCATE OF INiTAttAT14F# {f7p.MCH-01•E
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