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HomeMy WebLinkAbout15-1322 CTTY OF D(AMONC!BAR DBPARTME*Pi'OF CQMMIP.YITY&DEVEGOPMENT 5ERViCES 21816 Copley i�rive,Ds�mand Baz,CA 41765 PRESS � � {9Q9}839-707A Fax.{9Q9}��-311T Buffding Inspectkxo flot4ne{�9)839.7027 FIRMLY BUILDLVG PERMITAYPLICATION � QWNER �������•�Q� -;���G,�.,��IDL... �3n APPL{CATiON DATE C}�il�Z I1 S PJCR � y �N SITE ADOft,,,,,,,,, ISSUE DATE_�).���e.�IJ� PERMIT#�1S' I,3 Z�. J iYPE CONST OCG GFiQUP I � ���E� 20NIN6 SEI'SACKS � G(TY ""_ZIP q 7 TEl � F({pp/T (.�i ❑ � APPLICANT TEL ( � REAR Q----��— I ,� '� SIDEI&IDE STREEi RW ❑ � CON7RAGT6R IL" .� SIOE ❑ o ADDRESS x G7Y �,�. Z4P�'1fEL "7(xt •t�t'� 77fi'7 PROP06EL1USE __ ,.. � ARCHlENGIDESICiNER � RODRESS #OWEL UNITS M STORlES Y4 OEDki00MS � GITY ZIR TEL ���p��t� DESCFfPf14N SO FT FACTORPSF ApJ RF7EANALUATION s i Irereiry'a:�um urkar Pe:wity at Ire�ry tl�M 1 em em��N hom tiw f.aitrm.'mr'e 6qN 11c�v'9e taw Nr iha rcuml�} SFFYADIkAEM � ���cebw hY�e checKmvk{q i ng�e Glacetl ngN m the a�(�b 8mn{ei�SecNon T0�15,8�qlmp en0 �������� .�.�.�.�. ' � he e SBCN ���y,�ya., RaWeeb�fntle MY N4 a<eimty 9�et�hm a Permtt m cautua�erter�imProrO�dNnd�,w tapek.aM .............................� z gp�ee,prloriolmlmunrwe,aimreiryk06AeappdceMlmnapmmdttniibaafpmtlHeSpnonfpqtMwehe y PetfbltJeck a. IBl�punuaMblMP�����Ca+treeNfa6bb11ewmetmr(tlmp�r9�CqmmB�clnpX19t5ectlm yWj ry T006afUh61on3o�fM&plreasudNMecalamCoOelartA�t�ast�sNammpifiomllcanauma�tt�basie(or u. PooVSpa � NBalipedmemptlmMyuldeqonofS�tion7IX1756�myeppllUmlaaQINmltbnb�a'bplBeppllGent48GNNp�3IC/ Z Rp�� � - atnoimasC0nflv8niirv.traYddIN4�35(70} .. � U4asamxaftlmaoPart4arttryemPb'R%%+�'�aBEsa%Nelrmkm ,wiOtlaU�lofar(jppNp� Q Comma'c+al � � CI CR itlW�4 2M 96 S511GWR 19 Ml IMBI1E0d P Nh�frR Bd191�7Md�i�&%BN h4dB68W6 CP$711@ m ,. zCpmaz�asmmt�tawaoesrw,aFarmaoo+mwac�mem,Mmm�+ '«w�wNbM1tenbs ' g aimprppCmpmpeeyproMgltl4ttttremip�mB�NWmOeEmalte�eEtm9�aMMwpYp�IngWLyXga � imPiwomaMlemitlmiidnmeYearAmmPle6an6e4wmar�&pperwllihanNaGUGwdipvenq&ethwasnIXduX 3 IX�VIW8�M9�6M�ffi8ib) U I,i9 ownB!d Ihe M�Xeln�pltaY y1178C611Q%�i IifErtW LqNaGBOfl41 COtqUU4f N@�Dj�I�uCCdYI � T4u,Busl�eM Rata�iio�CaCa iire fonp¢�p�B $t�(�n9e taw ame npi apph(b an aw�ot qepeM wln Valuatlpn hd) Arad � Ra a o Ca � Auk95almP�'eeNarennimtlwi�tltqqta�.bVMNaP�Mals+rtiNe�certuCCmi�aCnrW�eMia1M{',mC'azNraSbh QUANTITY OESGfiIPTION FEE '. � UtenSetawl ,: � {}iammamothomticenreaum�'iha6wAixClureStamlkaneotaar�rFrO,+tlawlnB�oaeon(a� ' � ' '-- 9ymyeptreturebelawlachr�bWeaQethffie�eeptPormyparmn�revaence&�whknimusthava+eakkdiarffif�atam � � yee9�immsamp'.Buonofcre�mP�'emantswre+tdhpihiepamntlrznmt�gLep�liacirudure�hat!hflvetedNt9a� ( � pmcer�kdarltRiusrot6eenmmCu^..�tlinitlBmLah�YpssnSutl�nnhaMtai�s'Aenia+Atll0t0mPY����� iaw$�pnl0e4dUe8udnassentl . Cu�138�'ddableuDmretryestMrenth�tpplketloi!Ics�mihz.farp{ „�� mo�d�qrkGdW hnp+vrm��le�AMocagwteeWwn�mi i ,.,. ' OATE SIGN � - IIC81SEd IXWiNbLf�'S OECIANATtUH � i � �namp amm w�o�h aoe+l�rv mal�wn��pmrnione acJ�9t�+ro,+,m saYlcn r0�lry ofOMamJ9ftre aMFhMe441onBCadea�dmf�menlWlbrceentl�f¢G ,� uc��se s r�^ � �r� i' 7 `� �,.`. I � DA7E _�����h�� CDNfRM:'i'OR / �y/ ! YNNIPJYSCD�OEUANkl10N '�"Yfi_ � y It�i�YAffiPMUNOEiPfHBLTY�PFRlUHONEOFTHEFDltU4VlFk'i067MRilONS � ____',.nave and w:i�nehtvn a Pa�Mcam W Consem m Sea mwre�Wbhsrs CanPerma��,ss G�tle�oy GOl7ST�JC71fJN _.. Sectlm7r00W!:�qteDorCatletm�eperbrmancedttrexwkbrwhkhNtspermn:s�odt p�p,NREVIEW "�s .,� inaseenCwlllmainq�nWaimr§Carpen9atwnlnsursru..Bs+eW��ed6�Secibn87poCtlnLN�vrCotle,Por ELECTRIC i a ttm�ettornancedtl�ewa<(orxrahWsOemfllSissue0'.dpY'mMarBikmP�'�eailanln9uarr,efz�raM ' d PqkyNum6src�q K � PWMSINCa . ` .�u ��A�N..CI�� t� --.. MEGHANIGAL Fs O� N { '� P6t1Cf ralAt8E9�!� .... INSPEGTION FEE � '? tn�s�uen�mwre�mnri.etm��eew�rsrmo�ier+a�oawss�cqon� issuatace �S 5� � imNtYtl�NtlePatfan�rcealaavmtcbrwhchANSP��hsua07M39ratemqq8�7C�marymannm�mato $MIP � b6C01110IX1�9Lf9LiB11MkRbCOt10��l8M5� AldBpiBBtl�t&18M1pAPOPIArt6NA1�U81tlBYA111��i � �+os�ba+ aSecbm7NPUme Cpae�simtdtleMmm�okwmtiivsa�s. ENFAGYPIC _ _ Q�' / ��p� _ � .% �'�-(r -4./-��'`�Mmd%��� £NERGY PERMIT ...... I � wNwaaG Fe��u m aeaae xvrerx i niwi rsPe ia waawm� aria siun wn�Ct en amyaMr m cnmmal AEiEFtTION FEE �. • � p�ei�s anO cMi bnq u0'�� �� �9 437�Q00� �m eUlYlon m C�aet at tlre tanpaimebon , � tlamapaaasP�ammrmnccam3�ofNeKKwrcoAO,in�reatmi6a'iWnsy4hm PR£-AITFEE y fAlAiiAUG11P1:4FN01NGRGB7CY SSAf .........__ I � I t�e�etrt'etHrtn waer penel7 ct m�7 tl�at thEre 18 8 CanA.�utfi9�Lev9�Ape�q br'ha PeAIXm3'se�R�s vrok(p ( ftbkYf UmY q�mH h ISsueE(3ec 3�7 Av CI - 1R76Efl5tlb� � � LENOE�t'SAifONFSS ......... IceNM��hMa:emli�eaappllcedd�andAffiethn7reatpvglMarmatlonis�tiagteebcamplywMrllqtya�Ai TOTALFEES � (�/1 x awMvadnuswvqatateiawsrelabnAmbBmingwmunc0on,antlherebyeuLhonxs�e0��'�tlrasdfhiecamtYm GOMMEMS �..... � arAar atan Gre�s m�Ga�MWe�'1 br wtW�s � a _ '� f241A�f7 N�} -- — I � S _ .........._ , t..�( /+�' SC5t1{ 1iiEE AECE1F�a __.._ RND9T_�_l_{�[ff,__VAIJDATON c✓t'_� _ I 4VHITE-aBpaNn�t Cnpy YEU.OW-Flnence Cc{sy Pit;+(-qgygywr�yPY����-FlIa GOp/.GREEN-A{�IceM'e GOPY CITY OF DIAMOND BAR . INSPECTION RECORD • . . • a • • • • s � • - SETBACK/LETTER TRACTAND LEDGER FOOTINGS FORMS SWITCH GFAR $LA6 COMMERCIAL HOOD UG PLUMBING T-BAR UG ELECTRICAL INTERCEPTER UFER GROUND NOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HEHS REPORT RECEIVED SEWER CLEANOUT DEMDLITIDN ROOF SHEATHING ROOF DR.qINS FLODR SHFATNING ROUGH CDNDUfT SHEAA WALLS IXTERIOR POOUSPA SHEAR WALLS INTERIOfl ROUGH PLUMBING FRAMING/VENTING ROUGH ELECTRICAL ROUGH MECHANICAL � � ROUGH MECHANICAL ROUGH ELECTRICAL W( )CO GAS TEST ROUGH PLUMBING PRE GUNfTE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P-TRAP DRYWALL FENCE!GATE/ALAAM LATH(PRE) FINAL POOL LATH EXTERIOR WALLS LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�'� )2"0� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC MEfER RELEASE WALL DRAIN/SFAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO FRAMMGPINJNINGAPPRO�AL FINAL BUIkPING ROUGH FIREAPPROVAL EINAL MECHANIf.AL • FINAL FIRE UEPAfiTMENT �INAL E4ECTRICAL FINAL PLANNING FlNAL PLUMBING FINAL ENGINEERING/PW T.0 of OECUPANCY FINAL COMMUNITY SBHVICf3 �ERT,af OCG�IPANCY FlNAL HEALTH�EPT. FlNAL INDUSTflIAL WpSTE COMMENTS : STATE C7F CJ+i+FORNUt ��� ' ALTERATIONS - NVAG GEC-CFiR-Al7-0A-E O�t4 CRUF�RMAEMERGYC6MMISSIDM CER71f3CA7E OF CdMPUANCf tflR-ALT-0A-E AltQratrons•HVAt tZ 2,and 8-15{#ormerly CF-SR-AiT-HVAC} {Page 1 at 2� S�te Addreu � £n}otcemenk Agency Oat¢Prepared Permrtp ��, EqmpmBnt Type � EqwpmCnt Eff�Gen[y New Duttmg,Ptenums,Lmexet Condrtwned 7hermostat R uired p-value Floor Area(sq ft) O Packaged System ❑Evaporatar Cal AFUE COP �R•B (GX2,8-73j Ou[tirrg , Served by syseem 0 Setback O Sppt System O�Condensmg Unn — �q,$' (�T y,,y4,,75/DucUng sq�� (If no(olreody 0�m�5pht �Wmpressor SEER HSGF pp_g�a���pgipipnums present,must �`Fumace �, ❑tineset .. Lh EER ��, O R.S or A7 S14ineseN beinsmlMd/ .., (�TXV �i�L � HEpS VERIFICATfON SUMMARY�ns2atler determines wark to 4e completed end matches to ong of the options beluw At permn appf�canon thit torm is ellowed tn be filfed out 6y hand Por 6nal�nspechon all forms a�e to be registered(no hand blled forms allowed and a wpy lefl on site .HVAC ChangcoutJBepmr neqmred CompNanee bocuments to be leh on sike fa Final All Eqwpment, Cf1A�11LD02-E Condenser Umt, EvaporatorCod, CRR MECN-07,MECH•20-HEHS,MECH-(23 or 2d)'�HEAS,MECN�25-H£NS' Compressor,TXV,Lineset, CF3N MECN•24}IERS,!#C}i�{23 o�2Ay-HERS�,MEEN 25•HERS� An HandlerJFvrnece'(Can mclude new duchngj Installer Requ�rement P�ct leakage(<SS%,or<74%to outside,a aeai all auess�ble leaks�,Air Ftow 2 900 CiMjton,Refrigeram tharge Exempted tram duti leakage tesbng d CI S Puct system regrstered wrth HERS prrn�der as prevrously sealed,ar f�2 There�s Iess than AO irnear teet af duct m uncorxiEtwned spate,flr Q 3 EwsUn duct systems are construded msulated ar sealed w+th asbenos��ist rnanufacture date�i bu��d� ❑2 New MYAC SYstem Reqwred Cam Xa�Documenls to be MN on ske far Hnat All new aquipmeni and AII New DUcts' CFSR-ALT-02-E mdud�ng MFn�Spl�t CF2R MECN-61,M£tN-2tF�HEtii,MKH 22-NERS,MECH-{23 ar 2A}-HERS',MEGH-25-HEAS' CF3R MEtH-2Q tfERS,MECH-22-HERS,MEtN-{23 or 24}.HERS�,MECH-25-HERS' M�eH Sp6ts re wre CF1R-AlT-02-E,CF2R-MECH�Ol,am! (CF2R-CF3ft MELN-25-NEftS 7nstaller Re a�rement Ouct Ieakage<6%,Fan Eff�cacy(58w1��'M),Av Flaw b 350 CfM jton(or alterns#�ve),Refr rant Char c Q 3 AtI Afew Oucts mth Re mneet Reqwred CompiWnce Oxuments ta be Ieh on site for Finai AN Ncw Ouces�and orre or more of tfie foHowmg CFSR-AtT-42-E replazad Candenser Umt,Evaporator Cwi, CRp MfCH-01,MECH•24 HERS,MECti•�23 or 24�-NERS,MECH 2S-HERS Gampressar,TXV,lmeset,Furnace' tf3R MECH-20-HERS,MECH-(23 or 2-0}-NER5,MECN-25-NERS tnstatler Requirement Dutt lenkage<bl6,Av Fbw 2 354 CFM(tan(or altemative},Retnger2n#Charge Ezem ed trom duci leaka e tesUn �f p 1 Ex�sbn duci systems are canstruaed,�nsulated or sealed w4h esbestos C�4 Nekr pucdn aaer 90(eet Reqwred Com�fance Ducuments 1a 6e!efi on xite fpr Ffna�i New ductaFg but less than AI!New Ducts° CPiR-ALT-02-E,CF2R MECH 20-HEPS,CF38 MECM 20�HERS InstaOer RepuFred to Guct leakage{<Si%a,K 10%to ouu�de or,or seaf all accessibfe leaksf O EXCEP7lON Ex�siing duct systems constructed,msutated or seaMd wrth asbestos �AH new ductlng F�8 reqwred when mpre than Ap ft mstalled and R-b when less than 40 h mstallgd This Includes in walls,between iloors etc °NesU�only systems and A�r Handler/Furnace changes dn not reqmre Air Flow MECH-(23 or 24),or ftefngerant Charge venfiwGon MEtH-25 "All New Ducts�s when at least 75 percent bt the duct system is new duct materlal,and up ta 25 perceM map consist ot reused paRs fram the dweUmg unit's exisUng duct system(e g,registers,gnlfes,boots,a�r handler,co�l,plenums,duM matenal) "R-5�1"thick insulatipn�for 6neset:l"and less PJ 5(1 5"th�ck insulauon�for bnesets over 1 mcb Mast mfg w�N requve Suchon hne D+ameter wrth insulation as the foll4wmg 1 5-2T-2ti",2 SdT•2X�,3 5 to 4T-2h",ST-4Y," Contracfor(Documentatlap AuNor's/Respons�bie Desigher's Deciarat[on 5tatemeq!) I cert�fy thelotlawmg under penattV of peeaorY,u�der tbe laws af tbe Staie ol tabtom�e ] Tbe mformaUon prowded srn tb�s Cert�Gcate o(Compl�ance�s[rue and carcect 2 (am elrgibie ondee piv�sian 3 ot the CaLforme Busmess and Profess�ons Code ia accept responsib�#riy for the informabon on thrs dasument 3 That the energy teatu.es and perfarmance spenficatians for the desrgn rcient�6ed on thrs Cert�t�cate of Campl�ance canform to the requrcement5 oi i�tte 24,PaKs 2 and 6 of;he tabforn�a Code of Regulaflons{tCR} 4 That the enargy features end performance specificat�ons,matenals,compa�entz,and manufactured dewces far the b�xt��r�des�gn or system des�gn ident�fied an tlus Certrf�cs�te of Compi�ance confwm to the requ�remems of T�tle t4,Part 1 and Fart 6 of the CCR '��; 5 The budding deHgn features or system desrgn features�dent�f�ed on ih�s CeNf�cate of Compl�rce are tunsisteM wnh the mformat�an prawded on ather applicabie canpbance dacuments,worksheets,calculatmns,ptans and spenficarians subm�tted ta the e�cement agenc for a rora(weth�h�s bu�kfm rm�t appl�catwn wt :� Rtspeni+We bts�ancr Name xtspora+bk Det�gner S�+atwe 6a�e rred �cen�se{ �� µ Compi�y Atldre GtyfStatejLp flhOne ��.. 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K `� N W p � �. �+ �y I � � � � �},n � � t� � 04 � u E o � p �'� FS � �� � � �; a � � �, . . � , CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Condkloning System Mrtlow Rate (Page 1 of 4� ProJect Name: ELIZABETH MESIC Enforcement Agenq: Ciry of Permk Number: PR151322 Diamond Bar DwellmgAddress• 30050UTHPROSPECTOR City DiamondBar 2iptode• 91765 ROAD UNIT N30 A.Ducted Cooling System Information OS System Identifiwtion or Name System 1 02 System Location or Area Served Location 1 03 System Installation Type Alteration 04 Nominal Cooling Capacrcy(tons)of Condenser 2 OS Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated(CFl)Ventilation System Status r� ! TNo[a CFI system , ...,..i 19--.� l 1 08 System Bypass Dud Status i ��I � � i i No Byp�ss Dy.ct � ��e I � � �`�� �'� � � � ) 09 Date of System A�rflow Rate�,�easurement ��" �'� � 2015-06-11 't I.� C,! J1 �a 41 , L:.a LX � �r- rrT .r• - ^^�. c�-� n n r � ,r � . � �,.. tlA1 u - U �\d \F 0 tl..0 L, l U SO Airflow Rate Protocol utilized ` RA3 3 procedures for airflow rote measurement B. Hole for the placement of a Static Pressure Probe�HSPP�,and PermaneMly mstalled SWtic Pressure Probe(PSPP) in the supply plenum. procedures for installing HSPP or PSPP are speafied in RA3 3 1 1 OS Method used to demonstrate compliance with the HSPP installed and labeled consistent with Figure RA3 3-1 HSPP/PSPP reqwrement C.Alrtlow Rate Measurement Apparatus and Procedure Informatlon Instrument Speafications are grven in RA3 3 1 1,and system airflow rete measurement apparetus information is grven inRA332 Ql Airflow Rate Measurement Type used for this airflow rate Treditional Flow Capture Hood according to procedure in verification RA3 3 3 1 4 02 Manufacturer of Airflow Measurement Apparatus TSI 03 Model number of Airflow Measurement Apparotus TSI Certif¢ation Status of the A�rflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http//www energy ca gov/title24/eqwpment_cert/ama_fas /index html Registration Numher 235-A0147662A-M2300002A-M23A Registratlon Date�me 2015-0&1613 2647 HERS Provider CaICERTS CA Building Energy EfFlciency Standards Report Version 201405-OB Report Generated 2035-06-16 08 35 48 2013 Residentlal Compliance 5[hema Version 0 SSSSDD CERTIFICATE OP VERIFICATION CP3R-MCH-23-H Space Condltioning System Alrflow Rate (Page 4 oT4) Documentation Author's Declaratlon Statement 1.I certify that this Certiflcate of Veriflcatlon documenWtion is accurate and complete. Documentatlon Au[hor Name Documentatlon Author Signature /' lan lacoby 9an�acobJr Company Date Signed Stratz Permit Service 2015-06-16 08 36 41 Address CEA/MERS Certificanon Identifiranon(if applica6le) 5858 Dove[ail Drrve Ciry/Sta[e/ZiP Phone Agoure Hills CA 91301 818-735-7876 Responsible Person's Declaratlon statement I certl(y the(ollowing under penalry of perjury,under the laws o(the State of Callfornia 1 The information provided on this Certl(irate of Verifiratlon Is true and correct 2 I am the certifled MERS Rater who performed the verlficatlon Identlfied and reported on thls CertiFlate o(Verification(responsl6le rater) 3 The installed featurns,materlals,components,manu(actured devices,or rystem performance dlagnostic resuMs that requlre MERS veritiration identifled on this Cxrtiflote of Veriflotlon comply with the applia6le requlrements in Re(erence Appendlces RA7,HA3,and the requirements specl(led on the Certifiute of Compliance forthe bullding approved 6y the enforcement agency 4 The Informatlon reported on appllcable sec[loi}S o(the Certiflcat��s�of,Insmllation(CFLi)sfgped and'submRteA�6y the person�s)responsl6le for the construction or Installation conforms ro the,fgqulremen[sspeciFled an the Certiflcate(s)pf Coinpllance(CF1R)approved hythe er1forcemei�;agency 5 i will ensure that a registered copy of thls CArtlFicate oLVer10catlqn SBall be poeted,or made availa6le wlthihe bYllding peirnit�s)issued foi the 6ullding,and made avallah`e to the enforcemPnt agen`y(or all applioble mspections I understand�that a regi#ered�,copy ofthlslCertlilca4 of�� Vedfl�atlon Is requlred to be Induded wlth the doamentatlon the bmlder provides to the bullding owner et aaupaocy ' \ t Bullder Or Installer Informatlon As Shown On 7h'e Certificate Of Installatioe � ^� � � " ' L Company Name(Installing Su6contrac[or,6eneral Contrac[or,or Bullder/Owner) SERVICE CHAMPIONS INC Nesponsl6le Builder or Installer Name CSLB Llcense Kare Brumbaugh 799170 HERS Provlder DaW Reglstry Information Sample 6roup Num6er Ilf appllcable) Dwelling Test Status In Sample Group(I(applicable) 7ested HERS Rater Informatlon HERS Rater Compa�ry Name 5[ro[z Permrt Service Responsi6le Ra[er Name Responslble Ra[er Signature Garrett Wdhams ���1l�MC4' Responsi6leRaterCertl(IcatlonNum6erw/thISHE0.SProvider DateSigned CC2006208 201�r06-16 13 26 47 D�qrtallysiqiredbyCeICERTS 7iusd�qrtalsiqnefureisprondedmort7errosecurethecnnrenrolfhisreq�srereddocummLeiMmnoway�mpl�esRep�slralronPmnder respons�brl�ry lor fhe eccurary o/the mlamanon Regis[2[ion Number 215-A0147662A-M2300002A-M23A Regis[2[ion Date/ilme 2075-06-76 73 28 47 HERS Prwider CaICERTS CA Building Energy Effnency5tandards Report Version 2014-OS-08 Report Genera[ed 2015-0616 08 35 48 2013 Residentlal Compllan[e Schema Verslon 0 SSSSDD e � C£RTIFICATE OF VERIFICi4TION CF3R-MCH-25-H RehlgeraM Charge Verlflcaticn {Page 1 of 4 j Projeci Name. EIfZABETH MESIC Enforcement Agency: City of Pe�mtt Number. PRS51322 Diamond Bar Dweihng Address' 300 50UTH pROSPECiOR City� Diamond ear ZIp Code: 91765 ROAD UN�T N30 A.System Information HERS Rater to field-verlfy ail system Information,discrepancies to be noted by overwrlting entry. 01 System tdendfication or Name System 1 OZ System Lpcation or Area 5erved Lowtion 1 03 Condenser(or peckege unit)make oe brand AMANA 04 Condenser{or package unit)model number RC824A2A OS Nommal Gaohng Capacity(kons)of Condenser 2 O6 Condenser{orpackageund)senalnumber 9505294622 '� r . � ^a •Y � YP ��A � C1 ` C ( � ft-410A, � � lt� s;� �,'_� 02 itefr� erant T e ,, f � `"y �F �'� ' �'' , , r ik8 Other Refr�gerant Type{if�pplacabie) ��� _:��ti'r.3 �..� �'`; � :., ., i. C 1�/f �; L r . �.'a C) 09 5ystem instatlation Type � � �- U~� m=Aiterabon �� �� `f J �} �- �� 10 Charge indicator Dasplay IGIO}Status{Note Even systems This system does not hare a ti0 devite mstalied with a Cip must have refr�gerant cherge ver�f�ed by�nstaiier} Is the system of a type that the mm�mum a�rflow can be Yes,this�s a ducteti system and one of the system a�rflaw 11 ver�fied usmg an approved measurement praedure{RA3 3 rate measurement protedures m RA3 3 ar RA3 2 2?can be ar RA3 2 2 7}? used to ver�fy system a�rflow rate is the system of a type that approved refragerant charge Yes,ane of the Refrigerant cha�ge verficanon procedures venficat�on procedures can be used to verify complFance from RA3 2 2 0�RA1�s apphcable to th�s rystem and can be 12 w�th the refr�gerant cMarge veriE�cation requirements when used to ver�fy compl�ance temperatures are greater than or equal to SSF{RA3 2 2,or RAi)? 13 Oate of Refr�geram Charge Verificauon for this system 2015-06-11 1& Refrigerem tharge verrfication metMad used Subtoolmg{outdoor temperature mu5t be equal to or greater than 55 degFy i� Person who performed the Refrigerant Cherge VenficaUan HERS 2ter reported on th+s Cert�frcate oP Installation S6 HERS VenficaUan Cornpbance Requirement Status System does not qualify for group sampbng 17 Refngerant cbarge venficatwn method used bY HERS fiater Subcoal Re&sTrot�onNum6er 215-A0147662A-M2500002A-M25A Regiskration0ateffime 20t5�06-t8t328a7 HERSProvider CaICERiS CA Bulldmg Energy EfficienCy Standards Report Version 2014-OS-0S Report Generated 2015•O6d6 OB 36 12 2013 ResidenGal Camphance Schema Verswn 0 551SDQ . . CERTIFICATE flF VERIFICkTIOM CP3I4-MCM-25-M Refrlgerant Charge Yertflcatlon (Page 4 of 4} OocumenWNon Author's DeciaratFan StatemeM 1.1 certify that this CeRrficate of Veriflcatian d�umerrtatian Is accurate�nd compiete. �atUmentatlon Author Name Documet�t2flon Avthor Signature /^ Ian Jacoby �an�acob Compam1 Date Signed Strau Perma Semce 2p�5-pfs-i6 fl8 36 41 Address CEAj HERS Lertfitation IdenUflcation(�f appircabk) 5858 Dovetad Dnve CItyJState2�p ihorre Agoure Hills CA 91301 81$-735-7876 Responsible Person's Dedaration statement 1 certify the tollawing under penaltyofper�ury,mrder the laws af the State bf Callfomia I 7he in(ortnatlan provided on Ch�s CertlFlcate o(VenNCation rs true and cwrect 2 I am the certlfled HERS Rater who pertormed the vedfKatlon IdeMliled and reported on this CertHiq[e of YetlflcaHon(respansibk racer) 3 7he lastalled fea[ures,materlals,components,manuf8ctured dev�ces,or system per(arcnance diagnostic resulh that requve HERS venflcatlon Identifled on this CertiFlcate of Veriflcatlon comply wrth the applicable requlrements In Reference Appendices RA2,RA3,and the requlrements specifled on the Cenlficate af Compllance far the bullding appmved by the enforcement agency 4 The In(o�mati0n repOrtBd on 8ppllCable Sedlo�5 af the Cenlflcati(s)pf InstallaUo61Cf2R)slgned 0�d Submttte`ty'by the pers6n�s)responslble for the construcclon or Installafion confams to the�iequlreme[rts tpeciRed on`the Certlflcate�s)qf Complfance�CFXp)approved by the e�orcemeirt agency 5 I wlll ensure that a reghtered mpy of this tartiFlrate af YerlfYtaUon�ahait be pO9CM7,qr madOa�aN0b,1e with the buddrng peen+It(sl�issued roithe bullding,andmadeauaila6fetotfieentnrcementagen'sy`farallgppilc�6lelnspecUans tunderstandthataregtyteredcopypf,[h(s,Cert7[Icateof_ � Veriflcatlon Iz requ�red to belnduded wltbthe C«umentationttie 4utlder prwldes to[he buflding owner at acupa� ' '� " �'" '� ..o Builder Or Instafler Information Ai Shown On,The`CertificaYe'Of Installatlon` '`"� t�`t " "� "" ' � Comparry Name(Installing Subtafrtrec[o5 General CAntractw,or Bullderjowner� SERI±IGE CHAMPIONS INC Respans}ble 6ufider o�Instailer Name C5L0 ticense Kara 8rumbaugh 749176 HERS Provider Oata Registry i�rfarmatlon Sampie Group Numbe�(if�pp8tabiej OwCi4ng IMt$Satui in 52mpie Group{if epp�3cable} Tested HERS Rater Informatlon HERS Rater Compamf Name Stratx Permrc Sernce Rcspo�si4le Rxter Name Respans�Me Rater 5ignature �,,y'/ Garrett Wdl�3m5 �C•G(/�7fG�.t�RMGQ' ResponslbleftaterCertlfraUonNumtcerwlthlsMERSPrav�der DateSi�ned CC2006208 2415-46-16 13 26 d� Orgrta(tyargned4yCRtGERfS ihiadqrtelsigneture�apronded�nordnrosecurethccontrntoffMsreg�stereddacumenLandinnoweyunpl�ecRegr6(rehanPror�der respons�Ml�ry(or Me eccurary alt6e mPormalron Regixtretion Number 215-A0147662A-M7500002A-M25A Registration Date/T+me 2tl7 5-08-16 13 26 A7 HERS Pmvider Ca10ERT5 CA BuAlding Energy Effic�ency Scandards Report Versi�n 20i4�S-48 Report Generated 2015-tl6�i6 OS 36 12 2013 Res�demial Campltance Schema Version 0 553500