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WNITE-Deparenent Cppy YELLpW-FlnerceCopy PINN-Aases�or Gopy GOtDENRpO-fiAe C.pry CiREEN-APWM.ent a Gapy
CITY OF DIAM{}ND BAR
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FDDTINGS FORMS I SWITCN GEAR '
SIAB COMMERGAtH60D
UG PLUM8IN6 T-BAR
UG ELEGTRICAI, ; INTERCEPTER '���
UFERGRQUND ''��, HOTMOPISFIOWEFPAN ''�
SEWER tATEFAL SEPTICICESSPOOL
MAIN WATER LINE HEft5 REPtiBT RECENED r �
SEWER CI EANdtiT ! 'DEMOUTION
ROOF SNEATHIN� i H06F DRAINS
�F(,OOR SHEATNIN6 (. ROUGH CONOUCT '��
SHEARWALLSFJtTERIOR �' POOVSPA ' �I
SHEA(i WALLS INTEPoOR ROUGH P(.41M8ING
FRAMItdGNEN7ING ROUGH EI.EC7RIC�t,
ROUGH MEGHANiCAI_ '::ftdUGH MECHANIGAL
f10UGH ElEG7RICAt W S C f 1 ; GAS TEST
RQUGH PLUMBING PHE fiUNITE
INSUtATION WALL POOL FRE DEiK BONDING
1NSULATi6N CEIUNG ��, P-'fAAP '�
DRY'NAL� ''�: FENCEfGD,TFIAl.Afi.;9 �
LATH(PRE) i �fiNAL POOL
IATHEXTERIOR ! WA�LS
(ATH INTERIOfl ''�. WALL F06TING/STEEL ��
GAS TEST WAL�STEEL i�'( )2"e( }LIFT
SCRATCN GOAT �.''.... '�.,WpLL BON6 BEAM
ELEC7RIG METEfi HELEASE WAII DFiAIM!SEAL
GAS METER REtEASE WAI.L FINAL
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FiNat.MECNANtGAL � /,�A f„'�..–^- � NOUGH FIREAPPR04AI. i '
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FINAL FIRE QEPRHTMENT '��
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FINALPLUMBING �',. FINALENGlNEfAIHGIPW �'I '.
T G of�GCUPANCY ; FINk1.COMMUNITY SERVIGES '
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FINAL INDUSFRIAL WASTE
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a
CERTIFICATE OF VERIFICATION CF3R•MCH-20-H
Dud leakage Diagnastic Test 4Page 1 of 3)
PreJed Hame� YANG 1iN Enfarcement Age��y� Gity of Aermk Number 150835
Diamond ear
Owelling Address. 225G SHADY HItlS DRIVE CI#y Diamond Bar 21p Code: 91365
A.System Information
OS Space Cond�tiomng System ident�ficat�an or Name System 1
42 Spate CondRion�ng System r.acation or Area Sen+ed tocatwn 1
Q3 Bwldmg Type from Cf•1R Smgle famdy
� Verif�ed I.ow Leakage Ducts m Conditianed Space No,tred�k�s not taken
{VlL�CS]Credd from CF1R?
OS Venfied Low Leakage Air Handbng Llnit{VI.IAHU}Credrt No,credit is not taken
from CF1R?
06 Duct System Compliance.Category _ �, Aiterabon us�ng smoke tesk, f _
, ,.
MCH-20e-Sealing All Accessilile l.eaks ustng Smake,Test .
� � r
B. Duct Leakage Diagnostic Test
OS Gondenser Nommal Coohn$Capaaty(ton} 3
02 Heating Capac�ty(k8tu(hJ 70
63 Cond�tioned Floor Area se�ved 6y this HVAC system{ft2j 1038
04 Duct leakage Test Conditaon Test finat
OS Ouct�eakage Test Methad Total leakage
06 leakage Faetor 0 iS
07 A�r Handhng Unrt AFrflaw{AHUA�rflow}Determ�nat�on Coalang system method
Methad
OS Measured AHUAirflaw Ttus field or section is not appbcabie
04 Calculated Taeget Allowable Ouct Leakage Rate(cfmj 180
1� Actuat duct leakage rete from leakage test measurement 2ia
(cfmJ
Comphance Statement System passes usmg smoke test of an altered HVAC system in an ex�sting budding No visible smoke
11 exrts the accessible portions of the duct system Smoke is only emanating from airvhandhng umt(AHU)cab�net and non
accessible portona of the duct system Note-Accessible is defined as having access thereto, but which first may require
Registration Number 215-AOp293$4A•M?000002A-M20A Reg�strat�on Date(Time 2015-02•25 14 19 07 HERS Provider Ce10ER75
CA Bwldmg Energy Eff�c�ency SWndards Repurt Version 2014-05-OB Report Generated 26]5-02-25 14 15 20
2�13 Resideniiel Comphenee SchemB Vers�ao 0 SSiSDD
`t:ER7IFItATE OF VERIFICATION CF3R-MCH•20-H
Ouct leakage Dlagn�tic Test {page 2 of 3)
B. Duct leakage D�agnostic Test
removal or apernng of access panels,doors,or mov�ng simdar ntutruct�ans If access ta the ducts requ�res an ob�ect to be
demohshed or deconstructed then sea6ng of those ducks is not reqwred
12 NOtCS
G.Additlonal Requiremetrts for Campfiance
Ol System was tested in rts narmal operation condiban No temporary tap�ng altowed
Outs�de air(D,4}dutts for Central Fan Integrated(CFI)ventdation systems,shall not be sealedjtaped off durmg duct leakage
03 test�ng CFI OA ducts that utdixe wntrolled motorized dampers,khat open only when OA ventdat�on rs reqwred to meet
ASHRAE Standard 62 2,and close when OA ventdat�on is nat requved,may be configored to the dased position dun�g duct
leakage tesking
03 All supply a�d retum register boots were sealed to the drywall
04 Budding cavrties were nat used as plenums or plat(arm retums m 6eu of ducis
OS �f cioth backed tape was used it was cavered w�th Mastic and draw bands
Q6 All connect�on points between the au handier and tfie supply and return plenums are completely iealed
If the rystem wmphes usmg the Smoke Test methad,the smoke test was conducted m accordance wrth the requ+remenu
0? of Reference Ras�denriaf Appendix RA314 3 6 Systems that comply us�ng smoke test shali not be induded in sample
groups for HEitS ver�flcabon complience
08 Venf�cat�r�n 5tatus Pass-aIl apphcable reqmrements are met
09 Correctron Notes for th�s table
The responsible perscns slgnature on th�s comphance document affirms that aII appl}cable requ'aements in this table have
been met uniess othexwrise noted tn the Vetification SWtus and the[orrect�ons Nates In th�s table.
D.Determinatian af HERS Veriflcatfon CompHance
AII applica6le sections of this document shall indicate compliance with the speclfied veriflcation protaco!
requtrements in order for this Certificate af Verificatian as a whole to be determined ta 6e En compliance.
01 Compl�es All spec�Fied venfieatipn protocol requirements on this documen[are met
RegistratronNumber 215-AQ0293&tA-M2�{1QO�A-M20A Reg�strat�onDatejYime 207Sd2•251A7907 HERSprovider CaICERTS
CA Bwld�ng Energy Effitiency Standards RepoR Version 2014-OS-08 Report 6enerated 20i5-02-25 14 15 20
2413 Res�dent�al Comp6�nce Schema Yersion 0 SSi50p
`�ERTIFIt.ATE Qf YERIfICA710N CF3R-MCH-2�-H
Duck i.eakage Dlagnostic Test (Page 3 of 3 j
Dowmer�tation Author's Declaration StatemQnt
1. I certify that this Certifirzte of Yerification documentation is aaurate and wmplete.
Qpcumeniaflon AutharName Daumentannn+tuUw Agnature ���,.
fan lacaby c�an�aco�
Campa'ry Date iigned
Strakx Permit Service 2015-02-25 14 18 45
Address CEAj HERS fert�flcatipn Ide�tdkatian(if applicable}
5858 Dovetad Dnve 10059
GryjStateJZiP Phone
Agoura Hcils CA 913p1 818-735-7676
Respons�ble Person`s Dedaratwn siatemerrt
1 tertdy the foilovnng under penalry M perjvry,under tl�e laws of the State qf Calito��w
3 The mfp�matwn provided an th�s Cert�icate of Venficaaon�s true and correct
2 !am the cert�fled HERS Nater who performed the verificati4n identifi�and re�rted nn tMs Cemficete pt Venficat�on(responsible rater}
3 The installed teatures,matenais,rom�nents,manufactured dev�ces,ar system perFormance diagrrostit resutts that require HERSverifrcat�on
�dentrfied on thls Cert�fiwte of Verificabon comply with the aRR�rca6le reqwrements in ReEerence Append�ces RA2,RA3,and the reqmrements
zpecfied on the Cert�flcaSe of Cempliance for the bu�ldmg approrred bythe enforcement agency "-'� ��- -
4 The mformatron reparted on applica6le Sections pf the Cert�flcate(5}af Inataliition(Cf2Rj s�gned arW submitted 6y the persan;sj responsihle ForYhe
consCruzt�an'er Installatwn mMomts to the reqwremenn speGf�ed on the Certrfiwte(s)o(CarnpNance{CF3Rj approved bythe entorcement agency
5 1 wiil ensure th2t a registered`copyof this Certfficate nf Verficatipn shail be pasted,or made avadahie vnffi che 6ulldmg perma{sj�ssuedfar the
6uilding,arximadeavallab'fetathetnfnrcementagencyfor2ilapplicableinspect�ons IunderstandthaCareSSSeredsopyafth�sCertrHqteof
Venflcation�s reqvired tq 6e Included with the dpcumenqtwn the 6udder provldes ta tbe hmiding nwner at occupancy
6ullder Or Instalter Infarmatian/ls Shawn On The Certificate f!f Installation
Comparry Name(instalhng SubCq�tractar,fieneral ConYr;rctor,vr BwlderJQwner)
A G HEATING&Alft CONDfT14FiiNG
Responsible Bwlder ar instailer Name GSl,6licen;e
RAVIT MICHEL 55822q
HERS Provider Data Regiskry InformaUon
Sampte Group Numher�if app6tabie} pweiimgTest Scatus in 5arnpie Group(rf applxahie}
Tested
HERS Rater Information
HERS Rate�Company Name
St�atz Permrt Service
Responsibie Rater Name Respons�ble Racer Sig�rature
Robert Scherzrnger i��
Respanvble Bater Cert�flcatmn Number wj thts NEBS Provlder Date Signed
CC20Q6349 2015-02-25 14 19 07
Agiraltys�gnedGyCatC£RTS Th�sdq+tatsrgnaturersprovrdeQmoMtrtasecurethsconfentafrMsrey�yterMdocvm�t�dNnawayrmptiesRegrstraroonFrovrdpr
respan8r6,tqy far ths aceuracy of the ratdmatmn
Registrat�an Number 215-A002438dA-M2006002A-M2�A Registrat�an Date/Time 2015-02-25 14 19 pl HER5 Prov�der CaICERTS
CA 8uildmg Energy EffciencySWndards Report Vers�on 2014-OS-OB Report Generated 20Y5�02-25 l�15 20
20Y3 Revdent�al Compbance Scbeme Versmn 0 SSiSQD
CERTIFICATE 4F VERIFIG4TION CF3R-MCH-23-H
Space Condlttoning System Alrflow Rate (Page i of A j
Pra�ed Name. YANG 1IN EnforcemeM Agency C�ty of Permrt NUmber I50$35
piamond ear
Owelling Address: 2256 SHADY HILLS pRIVE tity: p�amond Bar ZIp Code: 91765
A.bucted Caoting System Information
Ol System Identification or Name System 1
d2 System LocaUon or Area Served LncaUon i
03 System Instaflatmn Type Nterat�bn
fl4 iVominal Cool�ng Capeuty(ta�sj of Cpndenser 3
OS Condenser Speed Type Smgle Speed
D6 CaolGng System Tonal Gontral 7ype Not Zonal
07 Central Fan Integrated(CFIj Ventilatwn System Status. Not a CFI system _ _
1
. - �
08 System Bypass DuctStatus�: r � No 0y{sass Duct ,
44 Date of Systein A�rflow Rate Measurement , , 2015-02-ZO ,
10 Auflow Rate Protocol utit�zed RA3 3 procedures for a�rflow rate measurement
B, Hole far the placement af a Static Pressure Probe(HSPP),and Permanently[nstafled 5tatic Pressure Probe{PSPpa
in the supply plenum.
P�ocedures for�nstall�ng HSPP or PSPP ere specified m RA3 3 1 1
41 Method used tb demonstra[e comphance wiih the HSPP mstalled and Iabeled tansistent wdh Figure RA3 3-1
HSPPfPSPP requirement
C.AfrFlow Rate Measuremeot Appantus and Prccedure Information
Instrument Specificarions are given�n RA3 3 i 1,and system airfiaw rate measurement apparatus mformation�s given
�n RA3 3 2
�1 A�rflow Rate Measurement Type used for this airflow rate Tradat�onal Finw Capture Hoad according to procedure m
vCr�fication RFl3 3 3 14
42 Manufacturer of A�rflow Measurement Apparatus TSi
�3 Madel num6er of Airtlow Measurement Apparatus 751
0� Certrfiicatron Status af the Airflow Measurement Apparatus Certified by Manufacturer and hsted on CEC Websrte at
Accuracy http/Jwww energy ca govJ(tbd}
Registration Number 215-A0o2S3&tA-M2300802A•M23A Regtxtretlon patefTime 2015-02•25141907 HERS Provider CatCERTS
CA Bmlding Energy Effioency StanGards Report Version 2Did-OS•08 Repart Generated 2015-02-25 14 17 17
2413 Reside�ai Camphance Schema Vers�on 0 SSSDD
CERTIFICAT£OF VERIFiCAT14N CP3R-MCN-23-N
Space Condirioning System Alrflow Rate {Page 2 of 4)
MCH-23a Forced Air System Airflow Rate Mea�urement-Newl�r InstaOed Non-Zoned 5ystems or 2oeed Muki-Speed
Gampressar
D.Farced Air 5ystem Airflow Hate M�easurement
The procedures for System Airflow Rate Venfication are specif�ed m Reference Residenttai Append�x RA3 3
OS Reqwred M�nimum 5ystem A�rftow Rate�cFmJto�} 3Q0
02 Requ�red Minimum 5ystem kirflaw Target(cfmj 900
03 Act�al Systern AMrfto+,v Rate Measurement{cfmj 1800
44 Compliance 5tatemerrt 5ystem airflow rate complMes
E.Additional Requirements
OS ���filters that meet the applicable reqwremeMs of Standards Secbpn 150 0(m)12 or SSQ 0(mj13 were properly instatled m
the system dunng system air flow rete measurement ident�lied on this Certificate of lnstallation.
The airflow rate measurement apparatus used ta pe,rfarm the avFlow rate measuremeM rdentrfied on this Cert�ficate nf
'; 02 lnstallation was cab6rated in accardance wrth the apperatus manufacturer's speaficaUorts and confprms to the �
mstrumentat�on specificat�ons g�ven m RA3 3 1 '
A v�sual mspeck�on shall confirm that bypass ducts that de6ver conditioned supply a�r directly to the space cond�tiomng
system retum duct a�rflaw are rtot used on new or replacement zonally controlled systems unless the Performance
03 Certrficate of Cnmpl�ance mdreates an ailrnvance for use of a bypass duct When a hypass duct�s accounted for on the
Perfarmance tert�ficate of Compliance,the airClow rate shall conform to the specifications hsted on the Certificate of
Campliance
04 All registers were fuily open dunng the diagnost�c test
OS System fan was set at rnex�mum speed dunng the diegnostic test
05 If fresh air duct is part of the HVAC system�t was not clpsed durEng the d�agnost�c test
47 Airflow rate and fan watt draw shali be simultaneous measurements when used to calculate the fan Efficacy tested value
wiulto-speed compressor space cooiwg systems ar vana6le speed campressor systems shall venfy air flow�dm jton)and fan
il8 efficacy(WattJdm►vnth system operating m coo6ng mode at the maximum compressor speed and the maximum air
handler fan speed
09 Venficabon 5tatus Pass-all appltcable requ�remeMs are rnet
14 Corcection Notes
The responsibte peeson's signature an this comphante document affirms that a(I applicable requirements in this ta61e have
been met unfess ottrerwise nated In the Verlflwticn Stetus and the CoTrect�ons Notes In thls table.
Reg�strat�onNumber 235-A0624384,4-M2300�2A-M23A Registrat�onDate/T{me 241�2-25�4196? HERSProvGder CaItERTS
CABu�fidingEnergyE�aencySiandards Reportlkrsion 2014•OS-06 RepoKGenerated 2035-0245 141717
2Q73 Residential Compl�ance Schema Version U SSSOD
CERTIfICATE OF VERIFIfAT10N CF3R-MCFk-23-H
Space Candlticning Sy3tem Airfloxr Rate {Page 3 cT 4}
F. Determinatian of HERS Ver��tion Gsmpfiance
Al)appl�cable sections of th�s document shaH mdicate rnmp6ance wEth the spec�fied ver�fication protocol
requirements�n order#or this Cert�ficate of Venfication as a whole to be determined to be m comphance
�l Comphes AtI speafied verification protacol requ�tements an this document are met
_. . _ ... _ _ , _ , — _ � �.
� .
s � , , ,
.R �f ; . '
` r.
Reg�strat�an Numher 215-A602938dA-M23Q0002A-M23A Reg�stration DatefTime 201502•25141907 HERSProwd�r Ca10ERT5
CA 8uddmg Energy€ffiaenty Standards Repart Vers�on 2014-05-08 Report 6enereted 2015�92•25 14 ll 17
2013 ReS�dentwl Compi�ance Scheme Yernon 6 SiSbD
. • .
CERTIfItATE OF VERIFICATION tF3R-MCH-23-H
Space Corul�Uoning System Airflwv Rate (Page 4 0{4)
Documer�Wtion Author's Declaratian Statement
L I certify that this Certificate of Verificatiun documentatian is acturate and complete.
DocumentaGon Author Name bocumentauon Author S�gnature �/ �
Ian lacoby tYax�aeab�c
Campany Dete 5�$nCd
Stretx Permit Sernce 2Q15-p2-25 14 18 45
Address tEAj NEqS 4ert�f'icatwn Idenirf¢atmn{if applmable)
5858 Qovetad prive
GrylStateJTip Plrone
Agoura H�IIs CA 91341 818-735-787b
Respansihle Persods Oeclaratio�statement
�cert�fY the Poilowmg under penalty of pequry,under the laws of the5tate of Californ�a
1 The mtmm8tion prowded on thts CertiflWte of VeriFpt�on is true and carrect
2 I am the cenified HER4 Rater wbo pednrmed theven5cation Identified�nd reported on this Cert3ficaSe of Venhcannn{responsible rater)
3 The mstalled teatures,materwls,compnnents,manuhctured dences,orsystem perFarmance d�agnort�c results that requ�re tiERi ver�f�twn
�dent�f�ed on this Ce`Ufirate of Venficanun camply v+�th the appikable reqWrements in ReferenceAppendices NA2,RA3,and the requiremmts
spec�fied nn the Certficate of Compl�ance for the bu�iding appraved by the enforcement agency � '��� '
'�,, 4 The mformat�on reported on appl�c26te secdons of Che Cert�Ficate(s)of lnstalletion�CF2A)s�gned and submrt,ked bY the person{sj respnns�6le for the
��'��, constructwn or mstailanon cu�ortns to the requirements spet(fied an the Certd�cate(s}of Compliance(CF1R)dRpraved 6y the enforcement agenty
5 I wdl ensuw'that a reg�srered mpyof th�s Cert�icate af venfiratlnn sba�l be posted,nr made a'vailable w�th the bullding perm�t(s)�ssued for tbe
6udding,x�r3madea�rdlla6fetatheehforcementagencyfarai4apphwbleinspectmns IundersWndthata�eg�steredropyofth�sCertrficateof
Venficatmn is rer�wred tu 6e mcluded vnth the dneumenpUon the 6uilder prnmles to the 6udding 9wn`er at aiupanry
Builder Or ins#aller Information As Sh+own Qn The tertifica#e Of Installatioa
Compa�rv Name{InstalLng Subcontractar,General Contractey or Bmlder)Ownerj
A G HEATtNG&AIR CONDIT�C}NlNG
Respans�6te Burlder ur{nstailer Name CSLB Ucense
RAVIT MICHEL 55822D
HERS Provider Data Registry#nformation
Sample Graup Number{�f app6cablej Dweibng test Status m Sampk Group(rf applirabie)
Tested
HERS Rater information
HERS Rater Campany Name
$trat:Perm�t Service
Respanvble Rater Name Responv6le Rater 5ignature d��!���
Robert Scherzinger /�BDk'i�`�C�GOt �
RespQnsi6le Rater Certificauon Num6er wJth�s HERS Prowder Oate Signed
CC2q06349 2(}15-42-25 1A 1$07
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responsi6i67y for the arturaty a/the m(wmatwn
RegiStration Number 215-A002438AA-tvi230f1IX72A-M23A RegistraGon DatelTime 2015-02-251d 19 07 HERS Provider GatCERTS
CA 8uddang Energy Effiaency Standards Report Version 2474-OS•08 Report Generated 2Q15�02•25 14 77 77
2013 Residennai Gompbance Scbema Vers�an 4 SSSDD
C£RTIFIC/lTE QF VERIGICATION CF3R-MGH-25-H
Refrigerant Charge Verifica#ion (Page i ofi 4 j
Prn�ect Name: YANG JIN Enforcement Agency Gty of Permrt Number i5d83S
Diamond Bar
Dwelling Address- 2256 5Nd,DY HILLS DRIVE Clty: Diamond Bar Zip Code: 91765
A.System information
HER5 Rater to field-verify alI system inforrnation,discrepancies to be eoted hy overwriting entry.
01 System ident�fication or Name System 1
02 System locatian or Area Served location 1
q3 Condenser(or package umt)make or brand IENNOX
' 44 Candenser(or package urnty model num6er XC14-03b-23�,4�8
�5 Nominal Goolrng tapacdy(tons)of Condenser 3
06 Condenser{or packa�e un�tj serial nurnber SS14K03669
07 Refngerant Type ' ^r ;� � R-410A
.
! a8 Other Refngerant lyPe(ifapp6tabte) `
d9 System installatian Type Aiteration
1p Gharge indicator Display�tID)Status(Note Even systems This system does npt have a UD dev�ce mstalied
w�th a GID must have refngerant charge venfied by mstaNer}
is the system of a type that the minimum airflow cen be Yes,th+s�s a ducted system and one of the system airflaw
11 verrfied usmg an approved measurement procedure(RA3 3 rete measurement procedures in RA3 3 or RA3 2 2 7 can 6e
or RA3 2 2 7j� used to ver�fy system a�rflow rate
Is the system of a type that approved refrigerant charge Yes,one of[he Refr�gerant charge venf�cation procedures
venfication procedures can 6e used to ver�fy compliance from RA3 2 2 or RAS is applicahle to this system and can be
12 w�th khe refngerant charge veriticat�on reqmrements when used to rrenty comphance
temperatures are greater than or equal to SSf(RA3 2 2,ar
RAS)3
13 Date of aefr�gerant Charge Venficatmn far thrs system 2015-02-�0
14 R�fngerant charge ver�ficat�on method used Subcoaling(outdoor temperature must be equal to ar
greater than 5�degF}
� Person wha performed the Refrtgerant Charge VenficatMon HERS rater
reported on th�s Certificate of Installation
1G HER5 Ver�fication Compl�ante Reqwrement Status System does not qualsfy for group samphng
17 Refngerant charge ver�ficat�an method used 6y HERS Rater Submol
Reg�stratwn Number 215-A0029384A-M25[m002A-M25A Registrat�nn DatejTime ?415-02•25 14 1907 HfRS Provider CaICERT5
CA 8udding Energy Efficiency Skandards Repart Version 2p14•05-OS Report Generated 2075•02-25 14 17 45
2013 Resident�ai Camphance 5chema Vers�on 05515DD
CERTIFIUITE OF VERIFICATION CF3R-MCH-ZS-H
Refrigeront Cfiarge Verlflcatlon {Page 2 of 4)
Standard Charge Verificatian Procedure-GF3R-MCH-256-Su6c�ling Meth�1
B.Metering Device Verfication-HERS Raker is required to visually field�rify ail(nformatton from CF2R
Subcooling Methcd can only be used on systems that have a variahie metering device.
OS Re(ngerant metering dev�ce Thermostatic Expans�on Vaive(TXV)
02 Su6coobng Method appl�cabdrty sta[us SubeooHng Method�s app6ca61e ta th�s system
C.instrument Cal�bratian-HERS Raters are required to calibrate their diagnostic tools.
Pracedures for tn�trument cah6rat�on are grven m Reference Residentiat Appendix RA3 2 2 and RA3 2 2 2
01 Date of Qig¢aI Refngerant Gauge Ca6brahon 2Qi5-02-01
02 Date of Digrtal Thermocoupie Calrbration 2015-02•61
03 Ctigital Refrigerant Gauge Cahbratwn Status Cahbratian is current �
, .
6d Digital Thermocoupie Cahbration Stakus ` Calibration is current "
d. Measureme�t Access Hole{MAH)Veriflcatian-HERS Raters ere required to visually field verlfy MAH
Procedures for mstailmg MAH are specified m Reference ResidenUa)Appendix RA3 2 2 3
Ol Method used to demonstrate compllance wtth the MAH�nstalled and labeled consistant wdh F�gure 3 2d
Measurement Access Ho1e(MAH)requuement
E.Minimum System Airfiaw Rate Verification
Procedures for venfymg minimum system a�rflow are spec�fied m Reference ResidenUal Appendix RA3 2 2 7
61 Mmimum Requered System A�rilow Hate(cfm} 900
02 5ystem airflow Rate Venficatron Status System comphes wrth m�mmum airflow rate requvements
F.bata Calfectb�-HfRS Rater musk independently coilect eIi data in this sectian.
Procedures for determmmg Refr�gerant Cherge using the 5tandard Charge Venfication procedure are given m
Reference Res�dentiai Append�x ftA3 2 2 and RA3 2 2 2
01 lowes[return arr dry bula temperature that acwfred durmg 70
the refngerart cbarge ver�ficat�on procedure{degreeFj
p2 Measured Condenser a�r entermg dry-bulb temperature(T 72
moaensn,db)
Regtictratron Numher 215-A00�4384A-M2SOOQQ2A-M25A Reg�straaan DateJT�me 2015-Q2-25 14 19 07 HERS Provider CaIGERTS
CA Bu�Iding Enplgy Efhciancy SW ndards Report Version 2014-QS-D8 Raport Genereted 2035-42�25 14 17 45
2013 Resident�al Campl�ance Schema Version 0 SSS5DD
CERTIfICATE OF VERIFICATION CF3R-MGH-25-H
Refrigerant Charge Verification {Page 3 of 4)
F. pata Collection-HERS Rater must independently collect eH dab in this section.
Procedures for determming Refr�gerant Charge us�ng the Standard Charge Venfication Procedure are g��en m
Reference ResidenUal Append�x Rp3 2 2 and RA3 2 2 2
' 03 Outdoor Temperature Quahf�cation Status Outdoor temperature is withm range for using Subcoolmg
refngerant charge verrficet�on method
64 Measured LMqurd Line Temperature(Ti����d)(degreeF) 74
; OS Measured Uqu�d Lme Pressure(Pi�y��a)(pisg) 327
I 46 �ondenser saturaban tamperature(Tco�ac�so,:ae}from dig�#aI 78
gauge or P-T Table usmg Line FOS(degree Fj
07 Measured Subcaal�ng 4
08 TargetSubco�ling T
pg Comp6ance Statement System comphes w�Kh Subcooling Method-Must also pass metenng device ver4fication, ne�et
section . . . - — ,
G. Metermg pevice Ve�cation ,
Procedures for the�er�ficatwn of proper metermg device operation are speufled in RA33 2 6 2
01 Measured Suckion I�ne temperakure(Twaion}(degreeF� 61
02 Measured Suct�on 6ne pressure(Psuam�}{psig) 106
03 Evaporator 3aturat�on temperature(Te�a��ca.,:M)frorn 36
digdal gauge or P-T Table uvng 6�e GD2(degreeF)
04 Measured Superheat 25
OS Measured Superheat fs aetween 4 and 25 deg F(inclusive� Passes CEC requirement
06 Measured Supefieat�s within manufacturer's spec�ficat�ons, Not known
�fknown
0? Comphance Stakement Metenng devite verification passes
N.petermination of HERS Ver�fication Compiiante
All applica6le sections of this document shall indiwte rnmpliance with the specifled verifl�atian protocol
requirements in order for this Certificate of Verifiwt�on as a whole xo be determined to be in compliance.
41 Complies AI!spec�fied verificat�on protocol reqwrements on this document are met
R¢gistt2t�On PfUmbef 215-A{}02438AA-M25000D2A-M25A Reg�stration 6ateJT�me 2p15-02-25 14 19 07 HERS PrpvideP CaICEftTS
CA Buddmg Enefgy Efft��ency Standards R2pOtk VCrS�On 2014-05�08 Repart Generated 2015-02-25 S4 17 AS
2073 Residential Compl�ance Schema Vzrsron 0 5515DD
.
CERTiFIC11TE OF VERIFttAT10N CF3R-Mp1-25•H
RefrtgeraM tharge Veriflcation (Page 4 of 4)
D�cumerrtation Autho�'s Declaratian Statemem
1.{certify that this Certificate of Verification dacumentation is accurate and camplete.
Documenta[ion Authqr Name DocumenWt�on Authpr Signature rY �-
lan Jacoby cran�aco6�r
Company Date S�Bned
Stratr Permrt Serwte 2015-02-25 14 18 45
nddress CEAI HERS Certd�cat�on Identrficadon pf apphcable}
5858 Dovetad Dnue 10059
C�tylSTate(Zap Phane
Agoura Hdis CA 41301 81$-735-78?6
Respoes�bie Person's Declaration statement
I cerc`fy the fotiawmg under pen�ity of peryury,under the iaws o#the SWte of Cahfornra
1 The mformatWn prrn�ded on Shis Certrflcate nf Verification�s true and correct
2 1 am the Gertrfied HERS R2ter who perfarmed the venf�catwn ideM�cM and repoRBd on thts Cert�ikate of Venficabon{respons�Me ater}
3 The instalied features,materials,tamptanen[s,manufactured devices,ar systern perfrnmance diagnpsqt resNts that requ�re HERS ver�ficatian
idennfied nn Shrs CerUFlsatc of Venfica�wn cvmplywrch the appbnble requiremencs in Reference Appendices RP.2,RA3,and the reqwrements
spes�hed on the Certrficate pf Comp6ance for the buddmg approve4 by[hg enfprcertient agency 'f
4 The inFprmatipn reported on appliwble sections of the CertiFlcate�sj of Installation(CF?Rj signed and submitTed 6y the persan(s�responsible tor the
sonsirucdon or In3tallaGan confisrm3 to the requiremen[s spesified on tbe CertVficaSeis)qf Compliance(Cf1R)apprwed by khe enforcerrent agency
5 I w�n ensure tha[a registered copy of this Cert�frwte otverificatlon shail be Aosted,or matla avndable with the bmldmg permrt(s1�ssued far the
bmldmg,and made arallatile tu the enfarcement agency for al�appifcable inspectians I undersWnd that a registered copy of this Certificete af
venFlca6on is repurted ta be Ineluded wrth the dacumentauon the 6udder pravldes ta the budding owner at oCcupancy '
Builder dr Installer lrrformation As Shown dn Ttte Cert�wte Of Installation
Campam�Name pnstalhng 5ubsontra�tw,General Cantrector,or Budderl0wnerM
A G HEATING&AIR CONDtTI0NIN6
Rezpon�7ble gu�kde�or Instailer Nart� CStB ticense
RAVIT MICHEL 558224
HERS Provider Daka Reglstry information
Sample Group Num68�{�f app6ta41e} pweliing Test SWtus m Sample Group(rf apD���b�e}
Tested
HERS Rater Informatton
HERS Rater Company Name
Stretz Permrt SernCe
Respons�ble Rater Name Responsible pater SignaNre �����
Robert Stherz�nger
Res{wnsible Pater CertiflcaGan Numbe�w/this HERS Promder Clata S�gned
CC2006349 �p'�5.p�_�� 14 19 Q7
D�g+tBNys+gsedBY��TS Thtsdtgt.ttseqnature+aprorMedmordprtosecweihe�ntmtofttusrey�s[emddocumer+Lar+dmrwwaymrptresRegrstretronFmxdpr
respons+hrkty foe the aauracyfff the mformarmn
Registration Number Z15-A0�29384A-M?SOaQ07A-M25A Registrat+an DatejTlme 2415-02-25 74 19 07 HEHS Provider CatCERTS
CA Budding Energy Effieie»tY Standards Report Versron 2014��5-Q8 Report Generated 2015•02•25 14 17 45
2013 Residential Campliance Sehema Versian �SSSSDD