HomeMy WebLinkAbout15-0829 � +- CITY OF QIAMOND BAR � ^
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���P ��� CITY OF DIAMOND BAR .
INSPECTION•RECFJRD
• � • • • • � � • -
SETBACK/LETTER TRACTAND LEDGER
FOOTINGS FORMS SWITCH GEAR
SLAB COMMERCIAL HOOD
UG PLUMBING T-8AR
UG ELECTRICAL INTERCEPTER
iJFER GROUND HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIGCESSPOOL
MAIN WATER LINE HEflS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
SHEAR WALLS EXTERIOR POOL/SPA
SHEAR WALLS INTERIOR ROUGH PLUMBING
FRAMINGNENTING ROUGH ELECTRIGAL
ROUGH MECHANICAL ROUGH MECHANIGLL
ROUGH ELECTRICAL W� )C( 1 GAS TEST
ROUGH PLUMBING PRE GUNfTE
INSULATION WALL POOL PRE DECK BONDING
INSl1LATI0N CEILING P-TAAP
DRYWALL FENCE/GATE/ALARM
LATH(PRE) FINAL POOL
LATH EXTERIOR WALLS
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST '� 'R" ' '� WALL STEEL 15�( )2N0� )LIFT
SCRATCH COAT � WALL BOND BEAM
ELECTRIC METER RELEASE � ' � ' WALL DRAIW SEAL
GAS METER RELE0.SE - � WALL FINAL
SPECIAL INSPEC110N RO FRAMPJGPI.ANMNGAPPROVPL
FINAL BUILDING ROUGH FIRE APPflOVAL
FINAL MECHANICAL FINAL FIHE UEPAHTMENT
FINAL ELECTHICAL FINAL PLANNING
FINAL PLUMBING FINAL ENGINEEHING/PW
TC of OCCUPANCY FINAL COMMUNIiY SEHVICES
CEIR.atOCCUPANCY FINALHEALTH DEPT
FINAL INDUSTRIAL WAS7E
COMMENTS
S�ATE dF C6LIF6RNlA •
ALTERATIONS - HVAG • �
GEGGF7R�ALT 09-E Revised 08tt-0 CALIFORNIA ENERGY COMMISSI�M
CERTiFICATE OF COMPUANCE CF1R-AI.T-04 E
-Alteratians-NVAC CZ 2,and 8-15(Pormeriy CF-iR-ALT-HVAC) {page 1 of 1}
SrteAddress � En`�nrcementAgen[y. 4atePrepared Perrtutq
P�Cn,.�u �
Mew Duchng,ptenUms,L7nesei Cpndmoned
Equipment Type Equipment Effloency Re uired R•value plmr Area(sq tt Thermostat
Packeged System ❑Evaporator Co�l AFt1E CQP ''� �R'6 tC12,$-13t puctmg Served by aySkem �Set6atk
❑Spfit System , O Cbndens�ng Ua�t '�, I � �� f�fnatatreody ''��,.
❑R-S jtZ 11,3d,15j Qucting �� sqR
❑Mim Spht � ''�, O Compressor � �$EER HSGF p�esent,mvst �, ,
❑R-6(a�f C2's)Plenums
❑Furnace �� ❑t�neset 8e Insxatted/
..�., ❑,�V _E�R ❑R-5 or R7 5)lineseN
HEB5 VERIFlCA7ION SUMMARY Installe�detetmines work to be completed and matches to ane of the options beirrw At permit apR��cat�on thi5
£or �s atlowed to 6e filled out by hand For final ms ectian al!Forms are to 6e registered(no hand fllled forms allowed aM a topy ieft on sete
1 NVAC thangeautjRepafr flequired[amp6ance Oocuments to be Iek on ske for Final
AII EQuipment, CFiR-ALT•42-E
Condenser Umt,EuaporatorCod, ff2R MECH-Ol,MECH-26-HEflS,MECN-�23 or24p-HEftS,MEtH-25-HERS°
Compressor,7XV,Lmeset, CF3R MECH•20�HERS,MECH-(23 or 24j-HERS',MECH�25-HERS°
AirHandlerjFurnace' CanmcludenewducUn
Instalier Requ�remenk Duct leakage(g15%,or<10%ta outsi6e,or sea)all accessible leaksj,Alr Flow 2 300 CFMjton,Refrigerant Charge
Exemp#ed trom duct Ieakage testmg�f
❑1 Duct sysSem reg�stered with HERS provider as previousiy sealed,or 0 2 There Is Iess tban§Olinear feet of duct fi uncondltioned space,or
❑3 Exitting duct systems are constructed,msviatsd or seale�with asbestos(hst manufacture date af huddin
0 2 New HVAC S stem Re vlred Com Iiance Documents to be kR on site tor Pinal
Ati new eqwpment and All New Ducts' CF1R-AlT-02•E
mcludmg M�m 5pht CF2R MECH-Ol,MECH-26HERS,MECH•22-NERS,MECH-(23 pr 24}-NERS',MECH-25-HER$°
CF3R MECN-20-NERS,MECN 22-HER5,MECN-(23 or 24�•HERS',MECN-25•HERS'
Mim 5 Irts reqmre CFSR-Al7-42-E,CFPR-MECH-01,and (CF2R-CF3R}MECH 25-HEttS
Instailer Requirement Duct leaka e�54F,Fan Efficacy{58WjCFM�,Air Flow t 35Q'cFM jton�or altematrve,Refr�gerant Charge
�3 Ati New Ducts w+th Replacement Re uired Com Ilance Duwmenu tti be tett un s#e for F4nai
Aii New Oucts'and one ar more vf the following CFIR�ALT-02-E
replaced Condenser Unrt,Evaporetor CoN, CF2R MECH 01,MECH-24HER5,MECN-{�3 or14}�HERS,MECH-25-HERS
Com ressor,TXV,�ineset,Wmace' CF3R MECH-20-HERS,MECH-�23ar24}-HERS,MECH-35-HERS
Installer Reqmrement buct ieakage<6%,Air Flow z 35Q CFM{ta�{ar aiternatrre},Refr�gerant Cbarge
Exempted from duct leakage testing lf O 1 Exlstln dutt s stems are coastruc#ed,msuiated or sealed wRh asbestos
❑4 New I�ucttng aver 4a feet Re uired Campllante Dacuments ta be Ieft on slte for Final
New du�hng but les5 tban AA New Dutks' tF1ft-AtT-02-E,Cf2R MECH-24HER5,CF3R MECH-20-HEftS
Instalter Reqwred ta Duct leakage(g15%or,c 10%to auts�de or,ar seal eIi accessible leaksa
❑ EXCEP1i4N Ex�sting du[t s stems constructcd,in5ulated ar sealed with a548stos
'AI!new ductmg R-8 requ�red when more than AO ft mstalied and R•6 when less tban 40 ft installed TTt�s Inciudes in walls,between floors etc
'Neatmg oniy systems and Au HandlerjFurnare changes do nat requrre Air�low MECH-(23 or 24�,or Re(ngerant Charge venficatrcm MECH-x5
'All New Ducts is when at Ieast 75 percent oi the dact system is new duct matenal,and up ta 25 percent may cons�st of reused p�rts from the
dwel6ng umt's ex�stmg duct system{e g,reglsterx,gnitex,baots,atr handier,cmt,plenums,dvct matedal}
"R•5{i"th�ck insu�anony for hnesets 1"and ies: R-7 S(1 S"thick insuletionJ for Imesets wer 1 inch Mosk mfg wdl require Suction Ime D�ameter
wrth insuiatron as the following 15•2T-2°t.",2 53T-1X",3 5 to 4T-2K",5T-4yi"
j Cantrackor(Uacumentet�on Avthor's 1Respnns�bla Designer's Declaraf�an Strtement)
II cert�fy the falbw�ng under penaky o(aeryury,under the laws of the State af Cafifornla
1 The miormatian prowdcd on th�s Cert�ficate af Comphance�s true and correct
I 2 I am elig�ble under Diwxmn 3 ahhe WNfornla Businass and A�afess�ons Code to accepk resPQnsihddy for the mformarion an th�s document
�':; 3 Thet tbe energy features and performance spectBcaUons far the desigr��dent�fied on thu Certificatt gf Comphance conform ro the
eequirements af Trtte 2A,Parts 1 and fi of the Cahfomia Code of Regulat�ans(CCRJ
4 That the energy feature€and pertorrn�nce speciflcations,materials,com{ronents,end manufactured devfces far the 6uddmg design ar i
system des�gn�dent�flied on ihis Cert�ficate ot Compliance confarm ta the reqwrements of TitM Zb,Part i and Part fi af the CCR ' --
. 5 The bu�tdrng design features Qr system des�gn feawres ident�6ed an th�z Certificate of Comp6ance are cons�stent w�th the mformat�on
''�, prowded on othar app6cable compha�xe dacumenu,wmksheets,cakufat�ons,plana and speciflcatlons subm�tted to the enfacement
'� a en far ap eovai with th�s buMldmg perm�t a ' atipn
� Hesv�+3�bIc0 r ame Rspon epes� enalurc oat Sienad U se
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for assistance or quesda�s regerding the Energy Standards,contact the Energy Hotline at 1-9 77 33�0
CERTIFICATE OFINSTAttATION CF2R-MCM-20-H
Ltuct t.�akage Diagnostic Test (Page 3 af 3 j
Oocumenxaxlon Author's�eciaration Statement
2.1 cerklfy#rat thls Certificate af tnsqllation documentation is auurate and rnmplete.
;QOCumentatloa Au[hor Name Dacumentation Author Slgndture
i)ackChao �ac �i aa
!company sgnamreoate 2015-04-94 9$31 05
TEMPRO INC
...�'�,.address tEA/HERS Ceruticanon ideM4Flcatian{K zppikebie)
'20739 LYCOMING STREET#114
IC�ryfStateji�p Phone
I WALNUT CA 41789 {626}780-4822
, Responsibie Persan's Oeciarot�on swtement
1 certlfycha fatiawing untler penaltyof perJury,untler the Iaws ai the State af Cali(arnia
1 Th�infnrm�t�onpra�dedonthrsGertiFlcsteaflnstalia#bnistrueandwrrect
Z 1 am eii$�hte under Drvisian 3 of the 6uilnesi antl Pmfessions Code{n the apppca6le dasslRcatlon to accept responsltr�Uty for the system design,
consiruction,4r Instaliatbn aF features,matenals,com{mnenSs,w manu(actured dewces tor the scape of vmrk itlentlfled an thrs Certiflcate ot
Instaiiabon�nd attest to the detlaradons In[hIs statement(resppnslbte bu�Idertinstailert,otherwrse I am an authon=pd represemai�ve of the
responsibie puiWerJlnstalier
3 ThpConrtructed4rinstalledfeatures,mater�als,componeMsormanu(acmreddev�ces{thelnstallaUonjldent+6edonthi5Certrfi�3t8of�nSW��ahon
cnn(orms to aii applicahle codes and regui�tkns,aad the instatlaSqn can}orms[tr thg requiremeMs given on#he plans and specifi�atwns app�oved by
the0nfarcempntagency �."," . I /t -..,, l�; ,f,_ , � - f
a IunderstandthataHERSrakerwillchecktheinstallatbntoventycompGance,andthatlfsuthUeckingid`enkif�esdetects,lamrequtredtotake
correctne aG[wn at my erpense'I understand that Ene�rR,y Comrnissi�n and MERS Prov+der representatives wiil aisn perform quality assura�e theckmg
of Installaritlns,inUud�ng ShoSe aDp�'+�as ifart of a iamD�e group Dut not thecked by a HERS r2ter,and if those msta�IaHons fail to meei t�e U
requirements ot wch qualiry assurance checking,the required wrrecttve actlan and a�irttonal checking{testing of ather intst�el�ladons I�that NERS
sample group wlil be perfo�med at m�r eaDense` t " � j �'� { . '. :i '�t � .,�, �
S �rewewed a wpy of the Certffrwte ot Compitance approvetl by the enfmcement agency that tdentiiles the s0�kflc requEremenls for the scope ot
construetton or insia�i�twn Ident7fMd on thisCeRiflcate o�Installatian,and�have ensurntl that t�e requirementstha[�ply to the constructw�or
mstallation have 6ean met
6 1 wIII enwre that a reg�skered wpy ot[his Certlfl[aSe of tnstallation shali Ge posted,or made avaliabie wtth the 6utlding permit(s��ssued torthe
S�tlding,andmadeavatla6ietolheenforcementagencyforailappiicabieinspections IundenlandkhataregisteredcapyafthisCertlflcateaf
lnrtatWtron�s requcred ta 6e��ciUded wRh the docu�raniatron the buib�r provides to the Guddingowner at ouupancy
Fespans161e8u41derjinstallerNemg Respo�sibieBuilder/Insta11er5�gnature�C� .+
lack Chao �'
tompairyName (InstailingSubcontractoroe6enersiContractoror PositionWltkrCompany�Tit[e�
BuiWerlOwner) Ow00f
TEMPRO INC
Address CStB Llcensc
2Q739 LYC4MING STREEf#114 92Q919
Gty(Statej2ip Phone Date Signed
WA�FtU7 cai 91789 (626j 780-4822 2415-OQ-14 18 31 05
1'hlyd Party Quatity Cantrul Program(TPQCp)Status Name o(TPQCP(if��pl�3b�e)
Oryrtatqs�qnedbyCatCERTS Th�ed�yrtetBqrnahue+sp,nwdedmvrdertemurelheconfenloftMamgrstsveddoc�men4and+nr+awayimp6esReyrstratranPravider
respony�6�Lty/wthe aecwscy of the u�Cwmetron
Reg�strai�on Number 215-A�97329A•M2000602A-���0 Reg�svation Dete(Tme ZOtS•94�74 18 31 45 HERS Rrov�der CaICEN15
CABu�ld�ngfnergyEffidency5tandards Repar#Vetsion 2014�05•4� ReportGenerated 2015-041F 182616
2013 Rez�deM�al Compliance Schema Ven��n 0 Si5D6
CERTiFICATE OF IhfSt'kIkATIOM1f C�2R-MCH-23-H
Space Condkiantng System Nrfiow Rate {Page 3 of 3}
Documentation Author's Declaration Statement
1.t certify that this Certifiwte of Instaliation documentation is accurate and wmplete.
Dacumenkation Autha�Neme Documentatian Author Signature
1aCk Chao �aC C a0
Cvmpany s�gnawraoate 2015-04-14183105
TfMPRt7 ING
AddresS CEAj HERS CerUficanbn Identlflcatlon(if appliwblej
20739 IYCOMIN6 5TR£fT#114
CitplSkatejifp Phone
WA�NUT tA 91?89 (626j?8D-4822
Ras}wnsible Ferson's Declaration sWtement
1 Certtty[he foqow}ng untler penai#y a#per�ury,under the laws Ot the$Wte af CbiVtOmiB
i rhe informanon prowded an chas Cert�f�wse of Instaiiatron�s true and correct
2 I am eligl6le under Dlvysion 3 of the Buslness and ProfeuWns Code�n the appl�cabie dsssfi�rst�on W auept respm+s�b��Hy fpr the sYstem Gesign,
ton#ruabn,or mstallatton pf teaSu�es,m�ter�ais,campqnent3,Ut manut�Ctured tlevrc2s for the smpe ot work identrfied an th35 Cert��c8te Of
In5lailatlon a�atteSS Sa the decWrstions in thls xWSemenS(res�ns�b�e builderJmctsiier},flthermse�am an authar�zeG representatwe of the
respansible bullderjinsia�ler
3 ihe tonstnuted o�insta�kd�eatures,mater�als,[ompanerrts or manutactured tlevices�the msWliatwny�Gent�etl fln th�s Cert�f�wte of InSta��aUqr
mMorms ta all app11sa61e codes and reguiatlans,and tMe Inslallation contorms to the requrcements g�ven on the plans and.specmwtivns apprwrcd by
[heenforcementagencY ' -� '� /;f" ' , � — �t' �
d 1 understand that a HEAS aYee wiil check the Insta�latio�n to venfy campilance,and that 1t tuth checking�dentlFes dMecYs,�am requ+red to tSke
mrrectire action at my expense d understand[bat Energy Commisslon and HEPS Ptovide�representatives wI11 al'so perkrm quaqty a55urancE checkmg
of Installatlons,Inclutling those approved as part of a sample grouD 6ut npt thecketl by a NERS rater,antl If those Ins[ailatlons fad tq meet Ihe,'�.}
requlrements of such quality assurance checking,Ihe reqWred corfeptive BCllon antl ad0lHonal checRingheating pf othpr Insta��atlans m that HERS
sample group wdl be performed at my expense � ,� ' � ' �+ , ' '�
I � U ..s � r „ \
5 I revteweE a copy of the Cemfmte of Campllanoe approved hy the en(orcement agency that identl0es the speUflc requirements Porthe scope of
constructlon or mstallat�oa�dentAled qa this Cettilicate of Installa[lon,and�have ensured that the reqWrements tAat appty ro the wnstrucUqn ar
inrtallat�on have been met
6 i wlll ensu�e ihat a regl5iergG wRY oP thls Certtflrate of InAsIlaHan shafl be posted,or made aYadable with the 6udtl�ng permit�s�issued fpr the
building antl made ava�la�le io the enfo�cement agency ta alI appilcable tnspeaans i understantl ihat a reglgered copy of th�s Cert�flcate af
Ins[allaUon�5 reqmreC t0 6e tntluded wRh the documeniatlon the bulider proWdes to th¢budOing awner at otcupancy
Responzible Buflderjinita��e�NOme Responsible BudderJln5W1t¢r5�geaiure
3ack Chao
ac
tOmpanyNamepnsta16ng5ubcontractararGene2iContr�ttoror PoSItWnWfUCompany{71tie)
smMer/owner} Owner
TEMPftO INC
Address CStR license
20?39 LYCOMSNG STREEi#114 924914
CitylStateJZip Phone Dake SlgnEd
WALNUT CA 91789 {626}780-*i822 2015-04-14 18 31 05
Th�rd Party Quai�ty Contrai arogram{TPQCPi$tetu5 Name of 7PqCP{rf app6cablQ)
OrgneUys�gnedbyCa�CERTS ThiBdiqrtal5ignatwersprondednorderlosecurethecanlenloilhisreqistereddocumcritandMnowayimphesAe(NslratwnProwder
responsibdtly lor fhe atturecy o�Ihe mfo,mahon
Registrahon Numher 21S-A6647324A-M2300002A-d000 Reg�stradon Oate�me 2015-04-1d i9 31 05 HERS Prowder CaICERTS
CA Buiidmg Energy Effiaency SWndards Report Version 2Q34-OSAS Report Ge�erated 2015-04-14 17 58 30
2013 Ras�dential Compliance Schema Verslon O SSSSRD
CERTIFICATE OF INSTALLATION CF2R-MCH-25-E
Refrigerant Charge Venflcatlon (Page 3 of 3)
Documentation Author's Declaretlon Statement
1. I certify that this Certificate of Installation documentation�s accurate and complete.
oocumentatlon Author Name Documentatlon Author Slgnature
lack Chao �ac C ao
company signatureoate 2015-04-14183105
TEMPRO INC
Address CEA/HERS Certiflcatlon Identifiwnon(If appllfable)
20739 LYCOMING STREEi q114
Oty/Stare/Zip Phone
WALNUT CA 91789 (626)780-4822
Responsible Person's Declaration sWtement
I certlry the following under penalty of perJury,under the laws o(the State o(Californla
1 The Informatlon prowded on this CertiFlcate of Installatlon is true and correct
] I am ellglble under Dlvision 3 of the Buslness and ProFessions Code In the appliwble classlFlcation to accept responsiblllty for the rys[em design,
constructlon,or installatlon o(features,materiais,components,or manu(actured dev¢es fo�the scope o(work Identllled on this Certllica[e o(
Installation,and attes[ro the declara0ons m this statement(responsible bullder/Insta�ler�,otherwlse�am an authorleed representatrve o(ihe
responslble bu�lder/Installer
3 ihe construCted or Installed features,materials,components or manufactured devlces(the installatlon)identlfied on this Certiflcate ol Installation
conforms to ail appliwble codes and regulations,and the installation conforms to the requlrements given on the plans and specifications approved by
[heen(orcementagency �/ ' �� f�� � ' ��� �'��' �
4 i revlevred a copy of the Certi(Iwte of Compllance approved by the enforcement agency that Idennlles[he spenFlc reqwrements for the s[ope of
constmction or mstallatlon identlfied on thrs Certi(�wte ol lnstallation,and I have ensured that the reqmremen[s that apply ro the constructlon or
installatlon have been meF���� � ` ���`�. . �; ; � � _ ft � _ �� i S)
5 I wdl ensure Ihat a regis[ered copy of this Cemflcate of InstallaUon shall be posted,or made avadable�wrth Ihe bwldmg permit�s)�ssued for Ihe
buAdmg,and made avadable ro the e�forcement agenry(or all appl¢able Inspections I unders'tand iha[a reglstered copy�o^thls CertlOca[e of
Installatlon Is reqWred to be included wlth the documentatlon the bullder provides to the bullding owner at occupanry
Responslble Bwlder/Installer Name Responsi6le Builtler/Installer Slgnature /� �
Jack Chao ack Chao
Company Name (Instalhng Subcontactoror General Contacmr or Pasitlon Wrth Company(Title�
Builder/Owner) OWf12f
TEMPROINC
Atldress CSLB Llcense
20739 LYCOMING STREEf q114 924919
Gry/State/ZiP Phone Date 5B1 ned
WALNUT CA 91789 (626)780•4822 2015-04-14 18 31 05
DigrtelysynedbyCalCENiS Thrsdynelsiqneture�aprondedmordeifosecurelheconlemollhisreqislereddxumenLendmnoweyimpliesNeqistrahonPronder
respons�bi6ry lor the accuracy o/fhe mlormabon
Reg�stration Number 215-A0097329A-M2500002A-0000 Registretion Date�me 2075-04-14 78 31 05 HERS Provider CaICERTS
CA Bullding Energy Effiaency Standards Report Version 2014-OS-08 Report Generated 2015-04-14 18 00 48
2013 Resldentlal Compllance Schema Verslon 0 SS15DD
CER7}FICATE OF VERifiCATIqN {F3R-MCH-tQ-H •
Duct Leakage dlagnostic Test (Page 3 of 3)
Dacumentat�on Authar's Deelaratkan Statemem
1.1 certHy that tMis Certifica#e of Vercl�catiao doeurs�entation is accurate ar�1 camplete.
docurrantationAutharHame Dc3cUm�tntatipnAuihqrSignature � f��
Davfd Choo av�d o0
Comparry [tate signed
Aitelwa A�r 2p15-44-14 18 34 25
aCdress CEaJ HEx5 Certifrcation IdentfOcaUon pf appllcable)
1612 Brougham PI
GSyjSWtejZip Phone
Haaenda Herghts CA 91745 626-581•6180
Responsible Person's tleclaratipn statement
i certify the fdlawing under penalty qtper)ury,under thp laws ot the State oi Calitwnia
1 The m(ormaBOn provld0d qn thisGertdicate of Yerif¢atwn rs we and Carrect
2 I am the certifled HERS Raterwho pertormpd the vprliicatbn Ytlentaf�ed and reported on thisCcrt�trcate ot i+er�'�wUon{rpspons@�e�ate�}
3 ihe Instailed features,ma[erials,componpnts,manufactured�rices,orsystem perfarmance dtagnostk resutts that ret�uire NERS venfkatron
IdeMVfled an thls Certificate af VenC+ca;ion mmpry w�M the aDP��bie requirerc�nt5 in RMere�ce Append�ces flA2,Ra3,and thp requ�re�ne�ts
spetiFled an the Certittpke of t4mpl�ance fir the butWmg app'nved bY the entorcement a�ruy
4 The Informadon reported on appikable sections of the tert�£�taM(s}o�Instaitatian tCF2a}signptl and su6mitted by tMz pe�n{s}respansible(or Ue
conitructron or Mst211ation cqnfarms to the,raqu�re�ranzs specifietl o,n ihe Certiflqte(s)o{Compi�an�e(CFiRj apprpved by the entanemeM agency
5 1 wili ensurH thek a reglstered capy of this Cert�ticate of Yeriflcation sha�i be posted,or rnBcie aiaH0b10 w�th the buriding permitjs}�ssuep ta the
bullding,andmadeavafiaW8t8th4enfarcem�ntagenCyfara��BDR�ira6ieinspe43�s IundetStBralthBta�registeredtopya(thistertlflot0ot -�
Yerifcat�onisrequlredtokeincludedwrththed4cu�ntananttiebuiWe�provldestotlar6uild�ngowneratoccupancy " �
� . �
Builder Or Installer tnformation As Shawn On�The Certificate Of Mnstailatian 4�" �`� �'�* " "� ' �`
tomparry Name{Installing SuDCOMraCtor,Gen8ral Cankrattar,or BVIlderjOwnerj
TEMPR4 INC
Respons�bie Bu�ider or lnstailer Name CStB LicenSe
lack Chao 928919
HERS Provider Data Registry Information
Sampie Group Number(�f appilcaGlej Dwelling Test Staws m Sampie Group(it appGcabley
Tested
HERS Rater information
HEItS Rater CAmpany Name
Allelwa Av
Responsihle Rater Name ReSpansibie Rateci�gnature � ���
Ddv�d Choo auf aa
Respons@IePaterCerUfcatianNum60rwjthrSHE4tSProvider pate5�gned
CC20�5954 2015-p4-14 1$30 25
O+qReltys+grxdbyCatCfR7S Thtsdrgitatsagnatweisprovp�turprdertasecureflrecontentofthrsreg�stereddxurturtLendinnoway�mp6esReqistrafronProv�de�
respoosdlrtrty tw the accuracy oHlre mlrnmatrort
Registrat�onNumber 215-A0497329A-M2004402A•M24A Reg�strationDate�me 201&04-74i83025 HERSRrovider CaItER"($
CA Bwldmg Ener6y Effiaency Standards Report Version 2014-OS•08 Report Generated 2015-04-14 18 29 53
2073 ReSidential Compl�ance Schema Verslon 0 SiSDD
CERTIFICATE OF VERIFICATION CF3ti-N1CH-23-H
Space Cond�Uonmg 5ystem A�rflow Rate (Page 4 of 4)
Documentat�on Author's Decleration Statement
i. i cert�fy that this Certificate of Ver�fication dacumentatiu»is accurate and complete.
DowmentanonA�thorNa� pocumentatlonauthorSignature � ���
Dav�d Chao avr oa
Comparry Date S�gned
Allelwa Air 2015-6$-14 18 30 25
Atldra53 CEAj MERS CertrPKabon IdenUficat�an(If appil[able)
i612 Brougham PI CC2005954
C�YlStatejLP Phone
Hacienda Heights CA 51?45 626-581-6180
Responsible Ferson's Declaration statement
i certify Ihe Pollowing wder pen8lty o(perlurg under the laws oi the State ot Cahfornla
i The�ntormatron prnwded on th�s Cedrficate of Venficatwn�s true and mrrect
2 i am che cerbfietf HE85 Rater who perfarmed the venilcatbn�derti#ied and reported on thisCartificate of Venfication�responsible raker}
3 The Inst811ed teatures,materiais,wmpOnBms,manufactured devices,or tystem performance diagnoSH[resul[s ihat rec�uire HERS veriflqtion
identAied on ihis Certdicace of VenRcatlon compN wrth the appbcabie requirernents�n Reference Appendices RA7,RA3,and the requirements
speaFied an the Certrficate of Compllance ta�the 6uilding approved by theenfartemeM agency
& The infarmatlon reported an applicable sectbns of the CerUflcatc(s)af Instaiiaqon(CF2R}yigned snd suhmltfed by the{mrwn{s)responSible forthe
rnnstructan ar install5[ian conforms to the r'equ�rements speclfied on'[he Ceri7flcate(s)of Comphance(GFiR�approved bythe eMortemem agency
S I w�ll enwre that a regiStered copp of th{s CertiflGatO of Ven�icatian�shall be posted,or made available with the bmldmg permrt(s}�ssued fo"r the
buitding,a�d made ava�lahle fo the enforcemant agency for all appllcabie tnspectbns I understand that 0 reglstered wpyaf thls Certlfltate of-,
Ver�ficat�on�S required to be Inciuded wlth the�do[umentatron th'e builder provides to the budding owner at acupancy � " ` "
t ['P" �X` �Yr YY tl �k4. ' 3�
Builder pr Ihataller Informat�an As Shown Oo The Cert�ficate Of�nstallat�tin'`� ` t� x� " ''� `� '�`
Compa�ry Name(Installing Subcontratto6 Generai Cont2ctog or BmlderjOwner)
TEMPRO IPlG
Responsibte Bvilder or installer Name CSlB tkense
lack Chaa 924919
HERS Provider Data Registry Informat3an
SampEe Group Numbe�{i(appbcabiej Owelling test 5#atus rn Sample Group{�f ap{dicahie)
Tested
HERS Rater informatian
HERS Rater Compa�ry Nxme
Ailelma Air
Respons�CleRBterName Respon5ibieR24er5lgnaSure � ���
David Choo av[ aa
Re6pons�bie Rater Certificanon Number w1 this HERS Provider pate S�gned
CC2405954 �p}�.pq-�4 48 34 25
Orq+ta7tysrgnedbyCaICEHTS TlusdigKele�gneture�sprarMed�nwdertosecutelhecontentoltlrzsreqrsMreGdocumentendmrtowayunpl+esRegistrauonFrovWer
reapons+MGty for the aecwacy otthe�nlMmatmn
Reg�stration Number 215-A0047324&M2300002A-M23A Registrabon DeXeJF�me 2015•04-i4183025 HERS Prowder CaICEH15
CA Buddmg Energy Efficienty Standartis fteport Vers�on 2624•d5�08 fteport Generated 2015-0414 18 30 24
20T3 ftestdentiai Campl�ance $chema Verswn 0 SS5SDD
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