HomeMy WebLinkAbout14-3876CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765
(909) 839.7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839.7027
BUILDING PERMIT APPLICATION
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INSPECTION FEEISSUANCE
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CITY OF DIAMOND BAR
INSPECTION RECORD
1 4
INSPECTION DATE INSPECTOR
SEFBACKILETTER
INSPECTION DATE I.,NSPECTOR
TRACT AND LEDGER
FOOTINGS FORMS
SWITCH GEAR
SLAB
COMMERCIAL HOOD
UG PLUMBING
T -BAR
UG ELECTRICAL
INTERCEPTER
UFER GRAND
HOT MOP/SHOWERPAN
SEWER LATERAL
SEPTIC/CESSPOOL
MAIN WATER UNE
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
ROOF DRAINS
FLOOR SHEATHING
ROUGH CONDUIT
SHEAR WALLS EXTERIOR:
PDOUSPA
SHEAR WALLS INTERIOR
ROUGHPLUMBING
FRAMINGNENTING
_
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( ) C (I
GAS TEST
''.. ROUGH PLUMBING
PRE GUNn E
INSULATION WALL
POOL PRE DECK BONDING
INSULATION CEILING
P-TRAP
'DRYWALL
FENCE/ GATEI ALARM
LATH (PRE)
FINAL POOL
LATH EXTERIOR
WALLS
LATH INTERIOR
WALL FOOTING/STEEL
GAS TEST
WALL STEEL 19( ) 2'0( ) LIFT
SCRATCH COAT i''°(TA Ill
ELECTRIC METER RELEASEli « a
WALL BOND BEAM
WALL DRAW! SEAL
GAS METER RELEASE
qjj
WALL FINAL
SPECIAL INSPECTION ..
RO PLANNING APPROVAL
FINAL BUILDING 2
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL. ELECTRICAL
FINAL PLANNING
FINAL PLUMBING
FINAL ENGINEERING/ PW
TC of OCCUPANCY
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT
FINAL INDUSTRUIL WASTE
COMMENTS
INSTALLATION CERTIFICATE CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6)
Site Address: Enforcement Agency: Permit Number:
1843 Leaning pine dr, Diamond Bar CA 91765 City of Diamond Bar Pr14-3876
Minimum Airflow Requirement
Temperature Split Method Calculations for determining Minimum Airflow Requirement for
Refrigerant Charge Verification. The temperature split method is specified in Reference Residential
Appendix RA3.2.
System Name or Identification/Tag
System 1
Calculate Actual Temperature Split =
18.30
Treturn db - Tsupply, db
Target Temperature Split from Table RA3.2-3
19.4
using Treturn wb and Treturn db
Calculate difference: Actual Temperature
-1.1
Split - Target Temperature Split --
Passes
Passes if difference Is between -40F and
+40F or, upon remeasurement, if between
PASS
-40F and -1000F
Enter Pass or Fal
Note Temperature Split Method Calculation is not necessary if actual Cooling Coll Airflow is verified using
one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual
cooling coil airflow is measured, the value must be equal to or greater than the Calculated
Minimum Airflow Requirement /n the table below.
Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300
(dm/ton) /
t�
System Name or Identificatlon/Tag
Calculated Minimum Airflow Requirement
(CFM)
Measured Airflow using RA3.3 procedures
(CFM)
Measurement Method
Passes if measured airflow is greater than or
equal to the calculated minimum airflow
requirement.
Enter Pass or Fal
Reg 214-A0083346A-M2500001A-M25A Registration Date/Time 2014/08/26 16 10 54 HERS Provider CalCERTS, Inc
2006 Residential Compliance Forms February 2013
INSTALLATION CERTIFICATE CF-4R-MECN-2S
Refrigerant Charge Verification - Standard Measurement Procedure (Page S of 6)
Site Address: Enforcement Agency: Permit Number:
1843 leaning pine dr, Diamond Bar CA 91765 City of Diamond Bar Pr14-3876
Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is
required to be used for fixed orifice metering device systems
System Name or Identiflcatlon/Tag
System 1
Calculate Actual Superheat =
10.7
Tsuction - Teva orator sat
Target Superheat from Table RA3.2-2 using
10
Treturn wb and Tcondenser, db
3-26
Calculate difference
0.7
Actual Superheat - Target Superheat =
System passes if difference is between -60F
and +6°F
PASS
Enter Pass or Fall
Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is
required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems
System Name or Identificatlon/fag
System 1
Calculate Actual Subcooling =
10.7
Tcondenser, sat - Tli uid
Target Subcooling specified by
10
manufacturer
3-26
Calculate difference
0.7
Actual Subcooling - Target Subcooling =
System passes if difference Is between
-401F and +4°F
PASS
11f
/1 11 Pass or Fail
!Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be
;used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems.
System Name or Identification/Tag
System 1
,Calculate Actual Superheat =
12.9
Tsuction - Teva orator sat
Enter allowable superheat range from
manufacturer's specifications (or use range
3-26
between 30F and 26°F if manufacturer's
specification is not available)
System passes if actual superheat Is within
the allowable superheat range
PASS
Enter Pass or Fall
Reg 214-A0083346A-M2500001A-M25A Registration Date/Time 2014/08/26 16 10 54 HERS provider Ca10ERTS, Inc
2008 Residential Compliance Forme February 2013
INSTALLATION CERTIFICATE CF-4R-MECH-2
Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6)
Site Address: Enforcement Agency: Permit Number:
1843 Leaning pine dr, Diamond Bar CA 91765 City of Diamond Bar Pr14-3876
Standard Charge Measurement Summary.,
System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum
cooling coil alrflow criteria based on measurements taken concurrently during system operation. If
corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated
System Name or Identlfication/Tag
System 1
320990
HERS Provider Data Registry information
Sample Group * (if applicable) N/A ® tested/verified dwelling
System meets all refrigerant charge and
In a HERS sample group
HERS Rater Information Ca10ERTS Certificate to CCi-1798899258
HERS Rater Company Name
airflow requirements.
PASS
Responsible Rater's Signature.
Frankie 3 Cruz
Frankie I Cna
Enter Pass or Fal
Date Signed 8j15/2014
Provider
CC2004718
8 Residential Appendix RA3.2.2 requires that if the outdoor temperature Is between 55°F and 650F the
return air dry bulb temperature shall be maintained above 700F during the Standard Charge Measurement
Procedure. The signature of the Responsible Person In the declaration statement below certifies this
requirement has been met for all applicable system verifications reported on this certificate.
DECLARATION STATEMENT
. I certify under penalty of perjury, under the laws of the State of California, the Information provided on this form is
true and correct.
. I am the certified HERS rater who performed the verification services identified and reported on this certificate
(responsible rater).
. The installed feature, material, component, or manufactured device requiting HERS verification that Is Identified on this
certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and
RA3 and the requirements specified on the Certificate(s) of Compliance (CF -IR) approved by the local enforcement
agency
. The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the
person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance
(CF -1R) approved by the enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF -6R)
Company Name (Installing Subcontractor or General Contractor or Builder/Owner)
KLAUS & SONS,CONSTRUCTION INC
Responsible Person's Name:
CSLB License. `
dan pikschus
320990
HERS Provider Data Registry information
Sample Group * (if applicable) N/A ® tested/verified dwelling
not-tested/verified dwelling
In a HERS sample group
HERS Rater Information Ca10ERTS Certificate to CCi-1798899258
HERS Rater Company Name
Cal Star Energy Rating Service
Responsible Rater's Name:
Responsible Rater's Signature.
Frankie 3 Cruz
Frankie I Cna
Responsible Rater's Certification Number w/ this HERS
Date Signed 8j15/2014
Provider
CC2004718
Reg 214-A0083346A-M2S00001A-M25A Registration Date/Time 2414/69/26 16 10 54 HERS Provider CalC81r1'E, Inc
2008 Residential Compliance Forms February 2013
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-2
Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6)
Site Address: Enforcement Agency: Permit Number:
1843 Leaning pine dr, Diamond Bar CA 91765 City of Diamond Bar Pr14-3876
Note If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge
verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to
demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not
required for compliance, when a CID Is utilized for compllance.
As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an
additional form(s) for any additional systems in the dwelling as applicable.
Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement
Sensors (STNS)
Procedures for installing TMAH are specified in Reference Residential Appendix RA3 2 If refrigerant charge
verification Is required for compliance, TMAH are also required for compllance, unless the TMAH Compliance
Option is chosen
STMS are only required for completely new or replacement space-conditlonmg systems that utilize
prescriptive compliance method.
TMAH - Access Holes In Supply and Return Plenums of Air Handler
System Name or Identification/Tag
System 1
System Location or Area Served
Whole House
5/16 inch (B mm) access hole
1
upstream of evaporative coil in the
® Yes
❑ Yes
❑ Yes
❑ Yes
return plenum and labeled according
❑ No
❑ No
❑ No
❑ No
to Figure in Section RA3.2.2.2.2.
-
,
Return side of the duct system is
la
located entirely wdhm,conditioned
O Yes
❑ Yes
❑ Yes
❑ Yes
space and return�alrflow temperature
❑ No
' ❑ No
❑ No'
❑ No
to be measured,at the return grille.
�'
5/16 Inch (8 mm) access hole
2
downstream of evaporative call In the
® Yes
❑ Yes
❑ Yes
❑ Yes
supply plenum and labeled according
❑ No
❑ No
❑ No
❑ No
to Figure in Section RA3.2.2.2.2.
The TMAH Compliance Option should be checked only If the HERS Rater is able to confirm that it was
physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this
Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an
explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on
which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow
verification through the direct measurement of airflow per RA3.3. For more information see
http.//www.energy.ca.aov/title24/2008standards/special case apphance/
TMAH Compliance Option
❑
❑
❑
Yes to 1 and 2, =Yes to is and 2, or
checking the TMAH compllance Option, is
®Pass
ff13
❑Pass
❑Pass
a pass.
❑ Fail
❑ Fall
❑ Fall
Enter Pass or Fall
Reg 214-A0083346A-M2500001A-M25A Registration Date/Time 2014/08/26 16 10 54 HERS Provider Ca10ERTS, Inc
2008 Residential Compliance Forme February 2013
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6)
Site Address: Enforcement Agency: Permit Number:
1843 Leaning pine dr, Diamond Bar CA 91765 City of Diamond Bar Pr14-3876
STMS - Sensor on the Evaporator Coll
System Name or
System 1
Identiflcation/Tag
3
The sensor Is factory Installed, or field installed according to manufacturer's specifications, or Is installed
by methods/specifications approved by the Executive Director.
❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
The sensor wire Is terminated with a standard mini plug suitable for connection to a digital thermometer.
4
The sensor mini plug Is accessible to the installing technician and the HERS rater without changing the
airflow through the condenser Coll
❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
5
When attached to a digital thermometer, the sensor provides an Indication of the saturation temperature
of the coil.
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Yes to 3, 4, and 5 1s a
pass
Enter N/A If STMS are not
® N/A
❑ N/A
❑ N/A
❑ N/A
applicable.
❑ Pass
❑ Pass
❑ Pass
❑ Pass
Otherwise enter Pass or
❑ Fall
❑ Fall
❑ Fad
❑ Fad
Fail
STMS - Sensor on the Condenser Coil
System Name or
System 1
Identificatlon/Tag
6
The sensor is factoryinstalled, or field installed according to manufacturer's specifications, or is installed
by methods/specifications approved by the Executive Director.
❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer.
7
The sensor mini plug Is accessible to the installing technician and the HERS rater without changing the
airflow through the condenser coil
❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
8
When attached to a digital thermometer, the sensor provides an indication of the saturation temperature
of the cod.
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Yes to 6, 7, and 8 Is a
pass.
❑ N/A
❑ N/A
❑ N/A
❑ N/A
Enter N/A If STMS are not
❑ Pass
❑ Pass
❑ Pass
❑ Pass
applicable
❑ Fall
❑ Fall
❑ Fail
❑ Fail
Otherwise enter Pass or
Fall
Reg 214-A0083346A-M2500001A-M25A Registration Date/Time 2014/08/26 16 30 54 HERS provider CalCERTS, Inc
2008 Residential Compliance Forms February 2013
INSTALLATION CERTIFICATE CF-411-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6)
Site Address: Enforcement Agency: Permit Number:
1843 Leaning pine dr, Diamond Bar CA 91765 City of Diamond Bar Pr14-3876
Standard Charge Measurement Procedure (for use If outdoor air dry-bulb Is above 550F)
Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in
Reference Residential Appendix RA3 2 As many as 4 systems In the dwelling can be documented for compliance using
this form Attach an additional form(s) for any additional systems In the dwelling as applicable
• The system should be Installed and charged In accordance with the manufacturer's specifications before starting this
procedure
• The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test
• If outdoor air dry-bulb temperature Is less than 55°F, the Installer must use the RA3 2 3 Alternate Charge Measurement
Procedure (Weigh -In Charging Method) If the Weigh -In Method Is used, the dwelling cannot be included in a sample
group for HERS verification compliance )
Space Conditioning Systems
System Name or Identificatlon/Tag
System 1
(must be re -calibrated monthly)
Date of Thermocouple Calibration
8/1/14
System Location or Area Served
Whole House
Outdoor Unit Serial #
1914C62912
Outdoor Unit Make
Lennox
Outdoor Unit Model
14acx-047-230
Nominal Cooling Capacity
4 Tons
Date of Verification,
8/15/2014
r
Calibration of Diagnostic Instruments
Date of Refrigerant Gauge Calibration
8/1/14
(must be re -calibrated monthly)
Date of Thermocouple Calibration
8/1/14
(must be re -calibrated monthly)
Measured Temperatures (°F)
System Name or Identiflcatlon/Tag
System 1
Supply (evaporator leaving) air
54.8
dry-bulb temperature (Tsu I db)
Return (evaporator entering) air
73.1
dry-bulb temperature (Treturn db)
Return (evaporator entering) air
60.3
wet -bulb temperature (Treturn wb)
Evaporator saturation temperature
32.9
(Teva orator sat)
Condensor saturation temperature
113.4
(Tcondensor, sat)
Suction line temperature (Tsuction)
44.8
Liquid Line Temperature (Tliquid)
102.7
Condenser (entering) air dry-bulb
92
temperature (Tcondenser, db)
Reg 214-A0083346A-M2500001A-M25A Registration Date/Time 2014/08/26 16 10 54 HERS Provider Ca10ERTS, Inc
2008 Residential Compliance Forms February 2013
CERTIFICATE OF FIELD VERIFICATION R DIAGNOSTIC TESTING
CF-4R-MECH-2
Duct Leakage Test - Completely New or Replacement Duct System
(Page 1 of 2)
Site Address:
1843 Leaning pine dr, Diamond Bar CA 91765 (System
Enforcement Agency:
1
Permit Number:
1)
City of Diamond Bar
Pr14-3876
Enter the Duct System Name or Identification/Tag System 1
Enter the Duct System Location or Area Served: Whole House
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
dwelling.
This certificate is required for compliance for completely new dud systems Installed In new dwelling construction, and also
for completely new or replacement dud systems in existing dwellings For existing dwellings, a completely new or
replacement duct system can also Include existing parts of the original duct system (e g , register boots, air handler, coil,
plenums, etc.) if those parts are accessible and they can be sealed.
Duct Leakage Diagnostic Test - completely new or replacement duct system
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification The value entered must be the
VLLDCS criteria or one of the three calculated leakage rates described below
Verified Low Leakage Ducts In Conditioned Space (VLLOCS) Compliance Credit. If compliance credit for
Allowed
verified low leakage ducts In conditioned space Is shown In the special features section of the CF -SR, the
Leakage
leakage to outside test method must be used to verity duct leakage (refer to RA3.1.4.3.4), and 25 CFM must
(CFM)
be entered for Allowed Leakage.
Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor =
0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be
specified by the CF -SR to be less than 6%, in which case the user-specifled leakage rate must be used in the
calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is
reported on the CF -SR as 3%, then use a leakage factor of 0.03 In the calculations below
® Cooling system method
Nominal capacity of condenser in Tons 4 x 400 x leakage fa dor = 6 CFM '
❑ Heating system method
21.7 x Output Capacity in Thousands of Btu/hr x 'leakage factor= CFM
❑ Measured airflow method (RA3.3) '
Enter measured fan flow in CFM here_ x leakage factor = _ CFM
Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage
Actual
Leakage
pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa)
(CFM)
List Actual Leakage from duct leakage test(CFM)
81
Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fall
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke
test should be performed to verity that the excess leakage is coming only from a pre-existing furnace cabinet
(air handler cabinet), and not from other accessible portions of the duct system A HERS rater must verity the
Installation (No sampling allowed)
List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fall
Reg 214-A0083346A-M2000001A-M20A Registration Date/Time 2014/08/26 16 07 43 HERS Provider Ca10ERTS, Inc
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING
CF-4R-MECH-20
Duct Leakage Test - Completely New or Replacement Duct System
(Page 2 of 2)
Site Address:
1843 Leaning pine dr, Diamond Bar CA 91765 (System
Enforcement Agency:
MEME
Permit Number:
1)
City of Diamond Bar
Pr14-3876
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct
eakage testing CFI OR ducts that utilize controlled motonzed dampers, that open only when OR ventilation is required to
meet ASHRAE Standard 62,2, and dose when OA ventilation is not required, may be configured to the closed position
during duct leakage testing
® All supply and return register boots must be sealed to the drywall
® New duct Installations cannot utilize budding cavities as plenums or platform returns In lieu of ducts
Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at
dctconnections 4
i,
DECLARATION`STATEMENT
. I certify under penalty of perjury, under the laws of the State of California, the Information provided on this form is true and correct
• tam the certified HERS rater who performed the verficatlon services Identified and reported on this certificate (responsible rater)
. The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certlflcate (the
installation) complies vnth the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified
on the Certlficate(s) of Compliance (CF -111) approved by the local enforcement agency
. The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certlficate(s) of Compliance (CF -SR) approved by the
enforcement adencv
Builder or Installer Information as shown on the Installation Certificate (CF -6R)
Company Name (Installing Subcontractor or General Contractor or Builder/Owner)
KLAUS & SONS CONSTRUCTION INC
Responsible Person's Name
CSLB License
dan pikschus
320990
HERS Provider Data Registry Information
Sample Group # (if applicable) N/A
® tested/verified dwelling
❑ not-tested/verified dwelling in
a HERS sample group
HERS Rater Information Ca CERTS Certificate # CCI-I79aB9925S
HERS Rater Company Name
Cal Star Energy Rating Service
Responsible Rater's Name.
Responsible Rater's Signature
Frankle 3 Cruz
Fitt" J Getz
Responsible Rater's Certification Number w/ this HERS Provider
tate Signed B/is/2014
CC2004116
Reg 214-A0083346A-M200000IA-M20A Registration Date/Tim 2014/06/26 16 07 43 HERS Provider CalCERTS, Inc
2008 Residential Compliance Forme Auguat 2009
INSTALLATION CERTIFICATE
CF-6R-MECH-0
Space Conditioning Systems, Ducts and Fans
(Page 1 of 2)
Site Address:
1843 Leaning pine dr, Diamond Bar CA 91765 (System
Enforcement Agency:
Permit Number:
1)
City of Dlamond Bar
Pr14-3876
Space Conditioning Systems
Heating Equipment
Equip
Type
(package-
heat pump)
CEC Certified Mfr Name
and Model Number
ARI
Reference
Number2
# of
Identical
Systems
Efficiency
(AFUE,
etc )1, 3
(>=CF -SR
value)4
Duct
Location
(attic,
crawl-
space,
etc)
Duct
R -value
Heating
Load
(kBtu/hr)
Heating
Capacity
(kBtu/hr)
Split
Furnace
Lennox
EL180uh110xe60c
1
80 AFUE
Attic
R-6
47
4 Tons
Cooling Equipment
Equip
Type
(package
heat
pump)
CEC Certified Mfr Name
and Model Number
ARI
Reference
Number2
# of
Identical
Systems
Efficiency
(SEER
and EER)
1, 3
(>=CF -1R
value)4
Duct
Location
(attic,
crawl-
space,
etc)
Duct
R -value
Cooling
Load
(kBtu/hr)
Cooling
Capacity
(kBtu/hr)
Split
A/C
' Lennox -
14acx-047-230
1
Attic
R-6
47
4 Tons
1 If project is new construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative
compliance
1 ARI Reference Number can be found by entering the equipment model number at
http 11www arldirectory org/an/ac php#
3 Listed efficiency on this page must be greater than or equal ( 7 ) to the value shown on the CF -IR form
4 When CF -IR is reference itis also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT
ALL BOXES MUST BE CHECKED TO BE A VALID FORM
® §110-§113. HVAC equipment is certified by the California Energy Commission.
® §150(h) Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA
® §150(1)• Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of
§112(c).
® §1500)2 Pipe Insulation for cooling system refrigerant suction, chilled water and brine lines meets
minimum requirements of Table 150-B and includes a vapor retardant or Is enclosed entirely in
conditioned space.
Reg 214-A0083346A-M0400001A-0000 Registration Date/Time 2014/08/26 16 01 27 HERS Provider CalCERTS, Inc
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE
CF-GR-MECH-04
Conditioning Systema, Ducts and Fans
(Page 2 of 2)
Site Address:
Leaning pine dr, Diamond Bar CA 91765 (System
Enforcement Agency:
Permit Number:
1}843
City of Diamond Bar
Pr14-3876
Ducts and Fans
§150(m) Duct and Fans
181 1. All air-dlstribution system ducts and plenums Installed, sealed and insulated to meet the
requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air
ducts and plenums are insulated to a minimum Installed level of R-4.2 or enclosed entirely In
conditioned space. Openings shall be sealed with mastic, tape or other dud -closure system that meets
the applicable requirements of UL 181, UL 181A, or UL 1818 or aerosol sealant that meets the
requirements of UL 723. If mastic or tape Is used to seal openings greater than 1/4 inch, the combination
of mastic and either mesh or tape shall be used, and
8 1. Building cavities, support platforms for air handlers, and plenums defined or constructed with
materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying
conditioned air. Building cavities and support platforms may contain ducts. Duds installed in cavities
and support platforms shall not be compressed to cause reductions in the cross-sectional area of the
duds.
® 2D .Joints and seams of duct systems and their components shall not be sealed with cloth back
rubber adhesive duct tapes unless such tape is used In combination with mastic and draw bands.
® 7. Exhaust fan systems have back draft or automatic dampers.
8 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated dampers.
8 Protection of Insulation Insulation shall be protected from damage, Including that due to sunlight,
moisture, equipment maintenance, and wind. Cellular foam Insulation shall be protected as above or
painted with a coating that is water retardant and provides shielding from solar radiation that can cause
degradation of the material.
® 10. Flexible duds cannot have porous inner cores. - f
r
It
DECLARATION STATEMENT
• I certify under penalty of pequry, under the laws of the State of California, the information provided on this form Is true and correct
• i am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person responsible for construction (responsible person)
• I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency
• t reviewed a copy of the Certificate of Compliance (CF -IR) form approved by the enforcement agency that identifies the specific
requirements for the Installation I certify that the requirements detailed on the CF-iR that apply to the installation have been met
• I will ensure that a completed, signed copy of this Installation Cortisone shall be posted, or made available with the
building pormh(s) Issued for the building, and mads avWisble to the enforcement agency for all applicable inspections. I
understand that a stoned copy or this Inataltation Csrdficate In required to be Included with the documentation the budder
Provides to tins building owner at occupancy.
Company Name (installing Subcontractor or General Contractor or Builder/Owner)
KLAUS & SONS CONSTRUCTION INC
Responsible Person's NameResponsible
Person's Signature*
dan pikschus
elan piksalais
CSLB License
320990
Date Signed
6/18/2014
Position With Company (Tltie).
Reg 214-A0083346A-110400001A-0000 Registration Date/Time 2014/08/26 16 01 27 HERS Provider CaICERTS, Inc
2008 Residential Compliance Forme August 2009
Sm: Address. 1
`0re 0oof' Aute;
City orf`
"'—"- _ - CondrnonedFioor
PmM g:
Equi ant T
Lut Minim tfrcteac r
Duct isolation comment Area
Thermostat
ElPackaged Unit
Over 40 R of duds added ortabd'k
�CAd
ti18
0 AFUE°W
LaSEER
❑ COP
0 HSPF
1�ped n uncondriuma3 space,
(�/l� 6 { Z 10-13)
ed by system
sf
(1/aot ab,m
Pnsaat� Awl be
Conz Untt
❑EER
❑ Resistance
p R 3 (CZ 14-15)
installed)
J Other
1 F.grupmeru 2ypa Choose !!re. egwpmatt bang mstatled, rjmone Chars une system, krearwrhu CF-IR-ALT:MVACfereach systan
2 tl4inemam $galpmarst.8fjrrtartres t35E8R 7856 AFfJE,T7fiSPFfartyprcol narda+lralsystmu '
HERS VSRTF1CATf01Y SUMMARY LutW tseiaw era four HVAC ektarauon Optmm The installer dxtdes what wank is being done and
pecks one of the appropnate Opnans Eaah Opuoa luta the HERS measutrs most 6c toaducied. A Copy of the forms shall be left an site for fond
usspectron and a copy grrea to the hamaowmer At final, the saspeoor vanflra that the welt listed on ibis farm wee in fact the work complaoo by the
uutalter The tuipedor alae verifies that each appmpndc CF-bR and iegtsta'red CF-4R forms (oro head filled CF-4Rs allowed) an filled out and
y. d aemt>er S 2014 a terW of the CF-1R and CF-6R sbafi also ba on alae for 5nat 'aa
AC Changeout
aired Farms
m
CF-6R for=- MECH-00. WCH-21-HERS and (for spite system) MECH- 2<-HERS
. All HVAC Equ pment replaced
GP-4R forms_ MECH- 21 and (for split systgasj MECH-25
_
• Condenser Coil and /or
CF-6R ftums W CH-2I-HERS and (far spktsystems) MECH- 25-HERR
• Indoor Cad and for
CF4R forms MECfi- 21 and (for split systems) MEM-25
• Fumace
For Split Systems: Duet leakage < 15 percent; RC, CCA >_ 300 CFMtton(IvMmtmum Air Flow Requirement),'IMAH
For Packaged Units: Duct leakage < 15 pareeat
Exempted from duct laalrage testing if
0 t Duct system was doeumaatad to have been previously sealed and onafamed through HERS verrftsanaf„ or
❑ 2 Dndsystrms with loss than 40 knew feet in uacondtaossad space, in
01 Existing dt,et systermus ate nonsattcted aisulated or scaled with asbestos
90f-New HVAC System_ Regmred Forms.
• CL; m or Chaseaom with new CF-6R forms MECH-04, MECi -"-HE Amt(for split systnms) MECH-22-HERi, mad MECR-25-HERS
daus (all new dueling WA all CF-4R forata- MECH 20-, and (forspktspsisms)MECH-22, and bMM 25
new
For Split Systems: Duct leakage <6 porcient; RC, CCA _> 350 CFMhon, FWD, TMAH, STMS, and either HSPP or PSPP
For Packaged Units: Duct I <6
0 3 New Ducts with Replacenstat
Required Forms i
• Includes replacing or tasselling aB new stunting
CF-6R forms MECH-04, MECH-20.HERS,and (for split systems) MECH-25-HERS
welter outdoor eondenamg mut andlor indoor
CF-4R fortes MECif-20 and (for split systams) WCH-25
cod matter Inmate. Na all equipment changed
For Split Systems: Duct leakage <6 percent, RC, CCA? 300 CFMRon, TMAH
For Packages! Units: Duct leakage <6 parcem
❑ 4 New Ducting over 40 feetR
uired Forms
• Includes adding or replacing more than 40
CF 6R forms MECH 04, MEGH-2d-HERS CF-4R forms MECH-21
haear fed of dud in uncomidaimedu
For split system or packaged um^ts: Duct leakage < 15 percent
❑ EXCEPTION Existing duds coasovisted. msulated orsealed with asbestos
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I mtrry the this Certificate of Compliance documentation is acoude and complete
• I am eligible wide' Dimon 3 of the Cali Contra Business and Professions Code c accept respomnlimly for die design idenaead on the CeraScare of famptiarrce
• I certify that the entegy features and P.Rxmarts: speeiaeauoru fa the daegn identified of this Continents of Compliance conform to the requaemtos of Title 24,
Pares t and 6 of the Caldomia Cade of Rigutttams
a The design frames identified an tins Cemficafr ofComphan e, are consistent with the soon rated an other applicable corivIn nor forms, workshers,
cal ens, elect and streci submitted to ilia wfir m cm agency it w the e t m
Name
S
•
Company
Dam
1
Address
Lucmxe '-1
City/Statc/Ap
Phone _
2OO8Residential Compliance Forms March 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zbnes 2, 9
Site Address:
Enforcement Agency:
Date:
Permit #:
1843 leaning pine dr Diamond Star, CA 91765
City of Diamond Bar
Aug
26, 2014
Dud Insulation
Conditioned Floor
Equipment Typal
List Mlnlmum Efficiency2
requirement
Area
Thermostat
0 Package Unit
® Furnace
® AFUE 80%
Cl COP
Served by system
® Setback
111 Indoor Coll
®SEER 13,Q
D HSPF _
11R 6 (CZ 2 and g)
Zaaa Of
If not already present; most
® Condensing Unit
DEER_
0 Resistance_2221L
be Installed)
8 Other _aAn niers
1 Equipment Type: Choose the equipment being installed, If more than one system, use another CF-JR-ALT-HVAC for each system
2 Minimum Equipment Ee9dendes: 13 SEER, 78%AFUE, 7 7HSPF Por typical residential systems
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done
and picks one of the appropriate Options Each Option lists the HERS measures that must be conducted. A copy of the forms shall
be left on site for final Inspection and a copy given to the homeowner At final, the inspector verifies that the work listed on this
form was in fact the work completed by the Installer The Inspector also verifies that each appropriate CF-6R and registered CF-4R
forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF-1R
and CF-6R shall also be on alta for final inspection,
01. HVAC Changeout
Required Forma:
• All MVAC Equipment
CF-6R forms MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
replaced
CF-4R forms MECH-21 and (for split systems) MECH-25
• Condenser Call and /or
• Indoor Coll and /or
CF-6R forms MECH-04, MECH-2I-HERS and (far split systems) MECH-25-HERS
• Furnace
CF-4R forms MECH-21 and (for split systems) MECH-25
For Split Systems: Duct leakage < 35 percent, RC, CCA k 300 CFM/ton, TMAH
For Packaged Units: Dud leakage < 15 percent
Exempted from duct leakage testing if
0 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
0 2 Dud systerns with less than 40 linear feet in unconditioned space, or
0 3, Existing duct systems are constructed, insulated or sealed with asbestos
0 4 The system will not be Ducted (e, Ductless Mini-Split System) (Also Exempt from Refrigerant Charge)
8 2. New HVAC System
Required Forms:
• Cut in or Changeout with
'
new duds' (all new
CF-6R forms MECH-04, MECH-20-HERS and (for split systems) MECH-25-HERS
ducting Aid ail new
CF-4R'forms MECH-20 and (for split systems) MECH-25
equipment)
For SplitSystems:., Duct leakage < 6 percent, RC, CCA a 300 CFM/ken, TMAH
0 3, New Ducts with Replacement
Required Forms:
. Includes replacing or Installing all new ducting
and/or outdoor condensing unit and/or indoor
CF-611 forms, MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
cod and/or furnace Not all equipment
CF-4R forms MECH 21 and (for split systems) MECH-25
changed
For Split Systems: Duct leakage < 6 percent, RC, CCA a 300 CFM/ton, TMAH
For Packaged Unita: Dud leakage < 6 percent
0 4. New Ducting over 40 feet
I Required Forms:
• Includes adding or replacing more than 40
CF-6R forms MECH-04, MECH-2I-HERS
linear feet of duct In unconditioned space
CF-4R forms MECH-21
For split system or packaged unite: Duct leakage < 15 percent
O EXCEPTION Existing duct systems constructed, Insulated or sealed with asbestos
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete
• t am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design Identified on this Certificate of
Compliance
• t certify that the energy features and performance spedficadans for the design Identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts i and 6 of the California Cade of Regulations
• The design features Identified on this Certificate of Compliance are consistent with the Information documented on other applicable compliance
forms, worksheets, calculations, plan; and specifications submitted to the enforcement agency for approval with the permit application
Name, don pikschus 15ignature don plksehus
Company K AUS & SONS CONSTRUCTION INC Date Aug 26, 2014
Address 1915 W ARROW RTE License 320990
City/State/Zip UPLAND / CA / 91786[Phone- (909) 982-5696
Reg 214-AO08334CA-000000000-0000 Registration Date/Time 2014/08/26 15 58 14 HERS Provider CaICERTS, Inc
2008 Residential Compliance Forms July 2010