HomeMy WebLinkAbout14-4649 (2)CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
w" 21810 Copley Drive, Diamond Bar, CA 91765 PRE$$
(909) 839-7020 Fax: (909) 861.3117 Budding Inspection Hodme (909) 839.7027FIRMLY
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SETBACKS LETTER TRACT AND LEDGER
FOOTINGS FORMS SWIFGH GEAR
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SPECIAL INSPECTION NO RM1NIGPLMNINGAPPROVAL
FINAL BUILDING ROUGH FIRE APPROVAL
FINAL MECHANICAL ( FINAL FIRE DEPARTMENT
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FINAL PLUMBING FINAL ENGINEERING/ PW
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CERT. of OCCUPANCY FINAL HEALTH DEPT
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CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3 )
Project Name. Lacabanne
Enforcement Agency. Diamond
Bar Budding Department
Permit Number. 14.4649
Dwelling Address* 976 Summitridge Dr
City. Diamond Bar
21p Code, 91765
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Home
03
Budding Type from CF -1R
Single family
04
Verified Low Leakage Ducts in Conditioned Space
(VLLDCS)Credit from CFSR?
No, credit is not taken
05
Verified Low Leakage Air Handling Unit (VLLAHU) Credit
from CF1R?
No, credit is not taken
O6
Duct System Compliance Category
Alteration
MCH -20d - Cop to Repfa ' e o Itered'Duct System
B. Dud Leakag
01
Condenser Nominal Cooling Capacity (ton) U.S.M4rgy
Raters Association
02
Heating Capacity (kBtu/h)
80000
03
Conditioned Floor Area served by this HVAC system (ft2)
2000
04
Duct Leakage Test Condition
Test final
05
Duct Leakage Test Method
Total leakage
O6
Leakage Factor
15
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow
0
09
Calculated Target Allowable Duct Leakage (cfm)
300
10
Actual duct leakage rate from leakage test measurement
(cfm)
192
11
Compliance Statement System passes leakage test
Registration Number 314-A1001531A-M2 14&0000 Registration Datejrme 2014-09-28 1128 24 HERS Provider USERA
CA Building Energy Efficiency Standards - 2013 Residential ReportVernon 2014 -OS -08 Report Generated 2014-09.28 1129 23
Compliance
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3 )
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition No temporary taping allowed
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage
02
testing CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet
ASHRAE Standard 62 2, and close when OA ventilation is not required, may be configured to the closed position during duct
leakage testing
03
All supply and return register boots were sealed to the drywall
04
Budding cavities were not used as plenums or platform returns in lieu of ducts
05
If cloth backed tape was used it was covered with Mastic and draw bands
06
All connection points between the air handler and the supply and return plenums are completely sealed
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
07
of Reference Residential Appendix RA3 14 3 6 Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance
The responsible
a n's sign re o h puce document afflrms that all applicableeregeiremonts in this table have
been met.
F ?
U.S. Energy Raters Association
Registration Number 314-A10D1531A-M2000414&0000 Registration Date/Time 201409.28 1128 24 HERS Provider USERA
CA Building Energy Efficiency Standards- 2013 Residential ReportVersion 2014-05-08 ReportGenerated 2014-09-28 112923
Compliance
CERTIFICATE OF INSTALLATION CF2R•MCH-20-H
Duct Leakage Dtagnostic Test (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation Is accurate and complete.
Author Name
DocumJimM
Documentation Author signature
Jim McEllgot
Efigot
Signature Date
Company
RlghTime Home Services
2014-09-28
Address
CEA/ HERS Certification Identification (if applicable)
3030 Myers St
878533
City/State/Zip
Phone
Riverside CA 92503
951.276.9744
Responsible Person's Declaration statement
1 certify the following under penalty of perjury, under the laws of the State of California
1 The information provided on this Certificate of Installation is true and correct
2 1 am eligible under Division 3 of the Business and Professions Code In the applicable classification to accept responsibility for the system design,
construction, or Installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of
Installation and acres; to the declarations ,n this statement (responsible burhsertimstailen, otherwise I am an authorized representative of the
responsible buikierjmstaller
,..t
3 The co d or Instal ores eirais, c e anti manufactured davIc` i it a ns Ii la`npideardled on tT e ,I.cate of Installation
conform two I appiu'abie San re TTonr a installation conformsllo the rtquiramemtgrven}pn the planand Specifications approved by
the enfc nt agency 1 ',') !I fr f
4 1 unde nd at a HERS eriviA c k the insta n to derify compllaMe, and that if such checWng)dentdies detects, am ulred to take
correct, a nat mye a sunders nif^nre ne Cpmils5ion arid' HERS Provider representatives will al u5 periomrquaht assurance checking
of mstail o ind in as app as part a mplegroupbut not dce��ked ya HERSrefena'n��deifthos€InSteNattoosfail to meet the
'o t
requirem ation'sm that HERS
aN u equii comedy a on no dditlanalchec�dng astin, ofother Install'
i
sample group armed at my 1 _�_. -�.-J 1 _.1
5 1 reviewed copy ofthe tltFstype of
pf Compliance approved scope pgaTr(Ytl@�(Iie �ggeyr
onideCertificate ejpE
construction or irrstallatWn identified on this Certificate of In44lfinga S ei e a ruction or
Installation have been met
6 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permd(s) issued for the
building, and made available to the enforcement agency for all applicable Inspections I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the budding owner at occupancy
Responsible Builder/installer Name
Responsible Builderlinstaller Signature
Jim McEhgot
T
an MC EI of Ss 2ifi4
Company Name flnstalhng Submntmaoror Genesi Contraotoror
Position With Company Irtle)
Builder/Owner)
Install Manager
RighTime Home Services
Address
CSLB License
3030 Myers St
878533
CityAtate/zip
Phone
pate Signed
Riverside CA 92503
951-276-9744
2014-09-28
Third Party Quality Control Program (TPQCP) Status
IName of TPQCP (if applicable)
USERKTM
the This stendigital Signaturethisregistered
Provided m enter to secure
the content or fhla reglaterad document, end m Be
way implies Reglstrahon Provider responsibility for
U S. Energy Raters Aaooctotton the accuracy of the information
Registration Number 314-A1001531A-M20DD414B-0000 Registration Date/rime 2014-09-28 1128 24 HERS Provider USERA
CA Budding Energy Efficiency Standards- 2013 Residential Report Version 2014.05.08 Report Generated 2014.09.28 1129 23
Compliance
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3 )
Project Name: Lacabanne
Enforcement Agency Diamond
Bar Building Department
Permit Number, 14-4649
Dwelling Address. 976 Summitridge Dr
City Diamond Bar
Zip Code: 91765
A. Ducted Cooling System Information
O3
System Identification or Name
System 1
02
System Location or Area Served
Home
03
System Installation Type
Alteration
04
Nominal Cooling Capacity (tons) of Condenser
so
O5
Condenser Speed Type
Single Speed
06
Cooling System Zonal Control Type
Not Zonal
07
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
08
System By as ct Stats S _
Du
�7
Nq,Bypass Duct
09
Date of Sy
to
Airflow t Me uremen
10
Airflow Ra P ocol a d
RA3.3 procedures'tor�lrflow�ate-nea3urreme,t
B. Fan Watt Measurement Apparatus and ProcedurUn Wprgy Raters Association
Instrument Specifications are given in RA3 3 1, and system fan watt measurement apparatus information is given in
RA3 322
I O3 I Fan Watt Verification Device Used I Portable watt meter
MCH -22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3 3
O3
Actual Tested Watts
740
02
Actual Tested Airflow from MCH -23 (cfm)
1811
03
Required Fan Efficacy (watts/cfm)
58
04
Actual Fan Efficacy (watts/cfm)
41
OS
Compliance Statement
System fan fan efficacy complies
Registration Number 314-A3001531A-M22000838-0000 Registration Date/Time 2014.09-28 1129 26 HERS Provider USERA
CA Building Energy Efficiency Standards - 2013 Residential Report Version 2014-05-08 Report Generated 2014-09-28 1130 25
Compliance
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3 )
D. Additional Requirements
01
All registers were fully open during the diagnostic test
02
System fan was set at maximum speed during the diagnostic test
03
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test
04
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value
05
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfmlton) and fan
efficacy (Wattjcfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed
06
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow, (cfm/ton) and fan efficacy
(Wattjcfm) criteria in every zonal control mode
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
47 =#;M - 1 e .#
Registration Number 314-A1001531A-M2200083B-0000 Registration Date/Time 2014.09.28 1129 26 HERS Provider USERA
CA Building Energy Efficiency Standards -2013 Residential Report Version 2014.05.08 Report Generated 2014-09-28 1130 25
Compliance
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 3 of 3 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name
Documentation Author Signature
Jim McEllgot
Signature Date
Company
RlghTlme Home Services
2014-09-28
Address
CEA/ HERS Certification Identification (if applicable)
3030 Myers St
878533
City/State/Zip
Phone
Riverside CA 92503
951-276-9744
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California
1 The Information provided on this Certificate of Installation Is true and correct
2 I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design,
construction, or Installation of features, materials, components, or manufactured devices for the scope of work Identified on this Certificate of
Installation and attest to the declarations In this statement (responsible builder/Installer), otherwise I am an authorized representative of the
responsible builder/Installer
�1
3 The con ru d or instal ea ures terlals, c en or man ttured devic—Is t a nhTstallatio Hilenhfed on t6 si—Ce ifcale of Installation
i,
conform to applicable d s an re tTons,�od ttte installation conforms the regwrements'grven�on the plans and spenFlcahons approved by
the enfo emL
ry1!I _ _4
1 underst ndS tar II c �k the Insta n to verify wmphance, and th t If ssch che'cking Identifies dbfe5t\ m\ cored to takecorrecdv attkan IundersfBrCtfret#ne yCommission and'HERS Proderrepre�ta4veswilllsrfoquht�assurancechecking
of install Ion osapp d as part' asmple group but not the ked 4y a HERS rater, antl If those Installatlonsfail tomeet therequirem us
ssu e c t th equ led cniredrve action and 9ddibonal cheddng/testing of other mstallsaVtioniin that HERS
1 1 1
sample group a ormed at my ex
S Irevlewed atopy of the Certificate of Compliance approvedp�[fnfytl�}W�Q�(�(pk Elle scope of
construction or installation identified on this Certificate of In Aa h, ed a e r��ructmn or
installation have been met
6 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made evadable with the building permitis) issued for the
building, and made available to the enforcement agency for all applicable Inspections I understand that a registered copy of this Certificate of
Installation is required to be Included with the documentation the builder provides to the building owner at occupancy
Responsible Builder/installer Name
Responsible Builder/Installer Signature
Jim McEllgot
T
Im MCEII of (Sep 9 2014
Company Name (Installing Subcontractor or General Contractor or
Position With Company (Title)
Builder/owner)
Install Manager
RlghTlme Home Services
Address
CSLB Ucense
3030 Myers St
878533
City/State/Zip
Phone
Date Signed
Riverside CA 92503
951-276-9744
2014-09-28
Third Party Quality Control Program (TPQCP) Status
IName of TPQCP (if applicable)
TLI
provide
RK way digital
plies signature is Provider
In order to secure
U S IE the content of this registered document, and in no
way Implies ofth information Prouder re;oonsrfNhty for
U S Energy Raters Assoclatlon Me accuracy of the Mformaaon'
Registration Number 314-A3001531A-M2200083B-0000 Registration Cate/Time 2014-09-28 1129 26 HERS Provider USERA
CA Building Energy Efficiency Standards - 2013 Residential Report Version 2014-05-08 Report Generated 2014-09-28 1130 2S
Compliance
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning system Airflow Rate
(Page 1 of 3 )
Project Name: Lacabanne
Enforcement Agency: Diamond
Bar Building Department
Permit Number.
14.4649
Dwelling Address. 976 Summitridge Dr
City. Diamond Bar
Zip Code:
91765
A. Rucked Cooling System Information
01
System Identification or Name
System 1
02
System Location or Area Served
Home
03
System Installation Type
Alteration
04
Nominal Cooling Capacity (tons) of Condenser
50
05
Condenser Speed Type
Single Speed
06
Cooling System Zonal Control Type
Not Zonal
07
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
OB
System By
asIDuct Stat s l ,__�
No„)lyp ss Duck
09
Date of Sy
a Airflow to Me uremen `--"
�2014.0�48--- -'�' �r
10
Airflow Ra P ocol lad
RA3,3 proceduree'tnr\a rflow rate -measurement
B. Hale for the placement of a Static Pressure Prob*rPP)FeKWWnHO;Ml&ft&Qgk- Mbe (PSPP)
in the supply plenum.
Procedures for installing HSPP or PSPP are specified in RA3 3 11
OS Method used to demonstrate compliance with the HSPP Installed and labeled consistent with Figure RA3 3.1
HSPP/PSPP requirement
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3 3 11, and system airflow, rate measurement apparatus information is given
inRA3 32
01
Airflow Rate Measurement Type used for this airflow, rate
Flow Grid according to procedure in RA3 3 312
verification
02
Manufacturer of Airflow Measurement Apparatus
True Air
03
Model number of Airflow Measurement Apparatus
DG700
04
Certification Status of the Airflow Measurement Apparatus
Certified by Manufacturer and listed on CFC Website at
Accuracy
http //www energy ca gov/(tbd)
Registration Number 314-AS001531A-M23004998.0000 Registration Date/Time 2014-09-28 T11 30 3 HERS Provider USERA
CA Budding Energy Efficiency Standards - 2013 Residential Report Version 2014-05-08 ReportGenerated 2014.09.28 113129
Compliance
CERTIFICATE OF INSTALLATION CFZR-MCH-23-H
Space Conditioning System Airflow Rate {Page 2 of 3 j
MCH -23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Venfication are specified in Reference Residential Appendix RA3 3
01
Required Minimum System Airflow Rate (cfmAon)
300
02
Required Minimum System Airflow Target (cfm)
1500
03
Actual System Airflow Rate Measurement (cfm)
1811
04
Compliance Statement
System airflow rate complies
E. Additional Requirements
OS
Air filters that meet the applicable requirements of Standards Section 150 0(m)12 or 150 0(m(13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of installation
The airflo
ra a measur
`t L
mgnt p@ratus uss o perform thea flow rate measuiemen identrfieo an this Certificate of
02
installauo
w Cal rat
i ac ce with the apparatus rn lnufacturer`sspecif riitimis and conforms to the
instrumen
ati n specific
ti ns giv nur 1
A visual ins Irss cis thatdelliVarCco"rdtioned,supply ajr �irectlyttWthe space, cond uomng
system return u a ow are not use n new or relacement zonally controlled systems unless the Performance
03
Certificate of Compliance indicates an allowance I taEMrWVRateMAGSG0jajkMn the
Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of
Compliance
04
All registers were fully open during the diagnostic test
05
System fan was set at maximum speed during the diagnostic test
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
08
efficacy (Watt/dm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed
The responsible person's signature on this compliance document affirms that all applicable requirements In this table have
been met.
Registration Number 314-A7001531A-M23004998-0000 Registration Date/nme 2014.09.28 T1130 3 HERS Provider USERA
CA Budding Energy Efficiency Standards - 2013 Residential ReportVersion 2014.05.08 Report Generated 2014-09-28 11 31 29
Compliance
CERTIFICATE OF INSTALLATION CFZR-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation Is accurate and complete.
Documentation Author Name
Documentation Author Signature
Jim McE6got
Signature Date
Company
RlghTime Home Services
2014.09.28
Address
CEA/ HERS Certification Identification (d applicable)
3030 Myers St
878533
City/Stategip
Phone
Riverside CA 92503
951.276.9744
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California
1 The information provided on this Certificate of Installation is true and correct
2 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design,
construction, or Installation of features, materials, components, or manufactured dewces for the scope of work identified on this Certificate of
Installation and attest to the declaratmns in this statement (responsible budder/installer), otherwise I am an authorized representative of the
responsible budder/installer
3 The can ruQ d or nista! featores atenals, n tl or mantlewe's (the InstailaUon) identified on fhisiticate of Installation
cools to (applicableEsan re fa'`Ttlons d Installattonconforms�othq re44ement5'given'a H plani ands ped6cadons approved by
Hecolo nt aganq ( -i j ��
4 lunderst nd to HERSwrll the lnsta nmyerify compllance,antl th�tffsuth zffecking�denbfiesdefeGs,l�m required to take
cortectiv a ona[my exIundersCa neComHER$Proyiderrepresenttlalrform qualnchecking
ofinstallirxludmgap;daspartamplegroupbnotd ¢Y aHEf calcc, alui rf those inStalladpas H tottherewrem '6 au th qulred coned v7 -e sctinnbnd eddltional dseekingjtestirtg of other instatlaziann that HERSsampgroud
at my ex L . - -. �!_ S J
S I reviewed a copy of the Certificate of Compliance approvedttnf t fpk scope of
tAfe
construction or installation identified an this Certificate of in a 6, it 11fe Ma ems[ ruction or
Installation have been met
6 1 will ensure that a rfestered copy of this Certificate of Installation shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections I understand that a registered copy of this Certificate of
installation is required to be Included with tta documentation the budder provides to the building owner at occupancy
Responsible Budderjimtalier Name
Responsihie Budder/Installer Signature
Am McEllgot
,m face 5e 8 2014
Company Name (installing Subcontractor or General Contractor or
Position Wsh Company (Title)
Buihfer/Owner)
Install Manager
RlghTime Home Services
Address
CSLB License
3030 Myers St
878533
City/State/Zip
phone
Date SignedRiverside
CA 92503
951.276-9744
2014-09-28
Thad Party Quality Control Program (TPQCP) Status
Name of TPQCP (if applicable)
USIER11 TM 11 tfedi dWaMend slgnaeoreisonsd ded docutorderfo incurs
Q
the coolant of dila reglsforad document, and in no
way emses Replslrahon Provider resportslblgfy for
U S Energy Raters Association the accuracy of the information '
Registration Number 314-ASDD1531A-M2300499B-0000 Registration 0atejrme 2014.09.28 T11 30 3 HERS Provider USERA
CA Building Energy Efficiency Standards- 2013 Residential Report Version 2014-05-08 Report Generated 2014.09 28 113129
Compliance
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4 )
Project Name- Lacabanne
Enforcement Agency. Diamond
Bar Building Department
Permit Number.
14-4649
Dwelling Address: 976 Summnndge Dr
City: Diamond Bar
Zip Code,
91765
A. System information
Each system requiring refrigerant charge verification will be documented on a separate certificate
01
System Identification or Name
System 1
02
System Location or Area Served
Home
03
Condenser (or package unit) make or brand
Amana
04
Condenser (or package unit) model number
ASX160601FA
05
Nominal Cooling Capacity (tons) of Condenser
so
06
Condenser (or package unit) serial number
1407246398
07
Refrigera71 e T7=4
oA f
08
Other Refr
ge nt Type { a I p6bl_
\\i
l
09
System Ins
aIi ion Typ '
Alteration
Charge Indicat � _ CID} Statu Nate Even stems-
This sygtem'does na hav b W"device mStalle�
10
with a CID must have refrigerant charge verified by lUiteur)
nergy Raters Association
Is the system of a type that the minimum airflow can be
Yes, this is a ducted system and one of the system airflow
11
verified using an approved measurement procedure (RA3 3
rate measurement procedures in RA3 3 or RA3 2 2 7 can be
or RA3 2 2 7)?
used to verify system airflow rate
Is the system of a type that approved refrigerant charge
Yes, one of the Refrigerant charge verification procedures
verification procedures can be used to verify compliance
from RA3 2 2 or RAS is applicable to this system and can be
12
with the refrigerant charge verification requirements when
used to verify compliance
temperatures are greater than or equal to SSE (RA3 2 2, or
RA1)7
13
Date of Refrigerant Charge Verification for this system
2014-09-18
14
Refrigerant charge verification method used
Subcoolmg (outdoor temperature must be equal to or
greater than 55 degF)
15
Person who performed the Refrigerant Charge Verification
HERS rater
reported on this Certificate of installation
16
HERS verification Compliance Requirement Status
System does not qualify for group sampling
Standard Charge Verification Procedure - CF2R-MCH-25b - Subcooling Method
Registration Number 314-A1001531A-M2500285B-QDDQ Registration Datentre 2014-09-28 11 31 46 HERS Provider USERA
CA Building Energy Efficiency Standards - 2013 Residential Report Version 2614-05-08 Report Generated 2014.09.28 1132 46
Compliance
CERTIFICATE OF INSTALLATION CF2R-MCH•25•H
Refrigerant Charge Verification (Page 2 of 4 )
B. Metering Device Verfication
Subcooling Method can only be used on systems that have a variable metering device
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3 2 2 and RA3 2 2 2
01
Date of Digital Refrigerant Gauge Calibration
2014-09-02
02
Date of Digital Thermocouple Calibration
2014-09-02
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measureme it ccess H e (Mj to ----
Procedures for n Ilmg M H �re eZedc eference Residdntial Appendix RA3' 2 2 3
Method u d _demo a Bance h he' •� MAji ml; lied an labeled consistent w th Figure 3 2-1
01 Measurem ccess H (M uirem 1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3 2 2 7
01
Minimum Required System Airflow Rate (cfm)
15000
02
System Airflow Rate Verification Status
System complies with minimum airflow rate requirements
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3 2 2
01
Lowest return air dry bulb temperature that occurred during
720
the refrigerant charge verification procedure (degreeF)
02
Measured Condenser air entering dry-bulb temperature (T
750
cond"m db)
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tliqugl) (degreeF)
770
Registration Number 314-A1001531A-M250028SB-0000 Registration Date/Time 2014.09.28 11 31 46 HERS Provider USERA
CA Budding Energy Efficiency Standards - 2013 Residential Report Version 2014-05-08 Report Generated 2014-09-29 1132 46
Compliance
CERTIFICATE OF INSTALLATION CUR -MCH -25-H
Refrigerant Charge Verification (Page 3 of 4 )
01
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3 2 2
05
Measured Liquid Line Pressure (Piu;wd) (pisg)
2560
06
Condenser saturation temperature (Tcondensor, sat) from digital
gauge or P -T Table using Line FOS (degree F)
860
07
Measured 5ubcoolmg
90
08
TargetSubcoahng
70
09
Compliance Statement System complies with Subcoohng Method - Must also pass metering device verification, next
section
G. Metering Device Verfication
Procedures for the verification of proper metering device operation are specified in RA3 2 2 6 2
01
Measure
u i on line f mp rat re sirctbn (d rCeF)
"6110 7-
02
02
Measured
iuctlion line p es4ure�Fs (ps
(
•115 0' _ / /�
I / 't
03
Evaporates ration t p rat (Tevap t ,se ) from
380
digital gau or - e mg e r F)
ti 4
04
Measured Superheat U.S. E
Fwav Raters Association
05
Measured Superheat is between 4 and 25 deg F (inclusive)
Does not pass CEC requirement
06
Measured Superheat is within manufacturer's specifications,
Yes, documentation to be provided upon request
if known
07
Compliance Statement Metering device verification passes
Verification of Charge Indicator Display - CF2R-MCH-2Sd - CID
H. Charge indicator Display
Procedures for the Charge Indicator Display Verification are detailed in RA3 4 2
This section does not apply to this project
1. Charge indicator Display Additional Requirements
This section does not apply to this project
Registration Number 314-A1001531A-M25002858- Registration Date/Time 2014-09-28 113146 HERS Provider USERA
CA Building Energy Efficiency Standards - 2013 Residential Report Version 2014-05-08 Report Generated 2014-09.28 1132 46
Compliance
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 4 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of installation documentation is accurate and complete
Documentation Author Name
Documentation Author Signature
I1f
Jim McEhgot
L
Signature Date
Company
RlghTtme Home Services
2014-09-28
Address
CEA/ HERS Certification identification (d applicable)
3030 Myers St
878533
city/Statobie
Phone
Riverside CA 92503
951-276.9744
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California
I The information provided on this Certificate of Installation is true and correct
2 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design,
construction, or Installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of
Installation and attest to the declarations in this statement (responsible budder/installer(, otherwise I am an authorized representative of the
responsible builder/installer
r instal ealures teAals, c n or mann actured devi[�s't e InSta aYi6ft}ident ed on tKts ifiwte of Inskaliahon
des d in3tallation by
3 The coZnUdataHERS
ceinforlicable a re alfa , e conformsio the requtrensentSBWen n the plants and specincadorn approved
the enagency 1
am
4 I unde£ S a Jllc the Nista n to verify corrpiliance, and that if such check ng yi ofiesslerterrts, I rtgvped to take
correct my ez n Iundersurh ne Cammisstonand'HERSPro4ldermpresentat eswllfal 'perform quatityassurance checking
of instudin n app d as part a mple group but not the ked #y a HES rater, and If thosd inshedhomi fall to meet the
requirWh ssu c t quiredcdFFEMeaG o and additional chec�ingjteshngof,otber mstattatkm;m that HERS
samplormedatmye
5 1 renewed a copy of the Cernficate of compliance approved�tt�a t scope of
pigr �4► !.
el$li
construction or installation Identified on this Certificate of 1 ff s, ed a coon or
illte
mstaflahon have been met
6 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or mark available with the building perm t(s) issued for the
budding, and made available to the enforcement agency for all applicable Inspections I understand that a registered copy of this Certificate of
Installation Is required to be included with the documentation the builder provides to the budding owner at occupancy
Responsible Builder/installer Name
Responsible Budder/Installer Signature 71&& f4 aL
Jim MCEligot
MMC MAM(Sepfile2014)
Company Name jinstalhng Subcantmctoror General Comraaoror
Position With Company (Title)
Balder/owner)
Install Manager
RlghTtme Home Services
Address
CSLB License
3030 Myers St
878533
City/State/Zip
Phone
Date Signed
Riverside CA 92503
951-276-9744
2014.09-28
Third Party Quality Control Program (TPQCP) Status
I Name of TPQCP (d applicable)
Tillie
`Tera dishiefcontent
sgnatare is prodded m ew.order
and
Ma eontent W rhtx regfstetad dopament, grid in no
way imptrea Regratronon Provider reAaonsfili ty for
USER
r600clattord the accuracy of Ste mformatron'
Registration Number 314-A1001531A-1025002858.0000 Relpstratinn DatejTme 2014-09-28 113146 HERS Provider USERA
CA Budding Energy Efficiency Standards - 2013 Residential Report Version 201405-08 ReportGenerated 201409-28 11 32 46
Compliance
CERTIFICATE OF VERIFICATION
CF3R-MCH-20•H
Duct Leakage Diagnostic Test
(Page 1 of 3 )
Project Name- Lacabanne
Enforcement Agency. Diamond
Bar Budding Department
Permit Number:
14-4649
Dwelling Address. 976 Summitridge Dr
Clty. Diamond Bar
Zip Code.
91765
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Home
03
Budding Type from CF -1R
Single family
04
Verified Low Leakage Ducts in Conditioned Space
(VLLDCS) Credit from CF1R7
No, credit is not taken
OS
Verified Low Leakage Air Handling Unit Credit from
CF1R7
No, credit is not taken
06
Duct System Compliance Category
Alteration
MCH-2Od - C pl to Repla eme o Itered uct System I y�
B. Duct Leakag D_i -
01
Condenser Nominal Cooling Capacity (ton) U.S.Mherav
Raters Association
02
Heating Capacity(kBtu/h)
80
03
Conditioned Floor Area served by this HVAC system (ft2)
2000
04
Duct Leakage Test Condition
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
15
07
Au Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow
0
09
Calculated Target Allowable Duct Leakage Rate (cfm)
300
10
Actual duct leakage rate from leakage test measurement
(cfm)
192
11
Compliance Statement System passes leakage test
12
Notes
Registration Number 314-A1OM531A-M2000249A-M20A Registration Date/Time 2014-09-28 1133 30 HERS Provider USERA
CA Budding Energy Efficiency Standards - 2013 Residential Report Version 2414-05-08 Report Generated 2014.09.28 1134 30
Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3 )
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition No temporary taping allowed
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage
02
testing CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet
ASHRAE Standard 62 2, and close when OA ventilation is not required, may be configured to the closed position during duct
leakage testing
03
All supply and return register boots were sealed to the drywall
04
Building cavities were not used as plenums or platform returns in lieu of ducts
OS
If cloth backed tape was used it was covered with Mastic and draw bands
06
All connection points between the air handler and the supply and return plenums are completely sealed
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
07
of Reference Residential Appendix RA3 14 3 6 Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance
08
Verificatio St tus
i i--
-Pass -all applicable requirements aremet
09
Correctio No esforthi to
le
The responsible is f e o q- a document affirms that all applicable require ents in t�ls�a le have
been met unless o ` " `�'�"r'h' ed in th n Status and the Corrkctions Notes 4this table. i
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol
requirements In order for this Certificate of Verification as a whole to be determined to be In compliance.
101 I Does not comply One or more specified verification protocol requirements on this document are not met
Registration Number 314-A1001531A-M2000249A-M20A Registration Date/Time 2014-09-28 1133 30 HERS Provider USERA
CA Building Energy Ef0ciency Standards - 2013 Residential Report Version 2014-05-08 Report Generated 2014-09-28 1134 30
Compliance
CERTIFICATE OF VERIFICATION CF31R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Verification documentation is accurate and complete,
Documentation Author Name
Jason Iskades
Documentation Author Signature "
�',/,r/.�/✓
Date Signed
Company
Athens Air Inc
2014.09-28
Address
CEA/ HERS Certification identification (if applicable)
21151 Laguna Ct
1408091430
City/State/Zip
Phone
Apple Valley CA 92308
760-486-5544
Responsible Person's Declaration statement
I certify the following under penalty of perjury under the laws of the State of California
1 The information provided on this Certificate of Verification is true and correct
2 1 am the certified HERS Rater who performed the verlficatlon identified and reported on this Certificate of Verification {responsible rater)
3 The installed features, materials, components, manufactured devices, or system performance duserostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency
ficab ectlons etfiRE'ar—eIs}3TTns�37F5t sn(77R gne atW sukmitted by thr is) responsible for the
mint on rmstaliatiroffheTeq is spepifled onthe Cettt)kate(sy of Complharxg( iR)approved by the enforcement agency
4 Them reporteTtf
5 I will ens tat a registy f O c I l ate f Verification shall beposted, iu made available with the building isi issued for the
perr
building, rid ideavilhe fomementa cY for?ail appilcabielnspectconllIudtte'iirWhd i6tdregotereb copy of thikenificate of
Verifccati nfs uired ttidedw a tation thrbuiidprprovides to the bufidlpgo ner at occudaJnc4..---J
Budder Or Insta " �I r .' n o n - e Certificate Cif installation ) f
Company Name (installing Subcontractor, General Contractor, or iullderl,+r Energy Raters Association
RlghTime Home Seances
Responsible Builder or Installer Name
CSLB Llcense
R1ghrme Home Services
878533
HERS Provider Data Registry Information
Sample Group Number (if applicable)
Dwelling Test Status in Sample Group (if applicable)
314-0430
Tested
HERS Rater Information
HERS Rater Company Name
Athens Air Inc
Responsible Name
Responsible Rater Signature 1
Jason SkeRater
Jason Iskades
til .L-��GS�
exon tsketlaP(Sep,?8 2614
Responsible Rater Certification Number w/ this HERS Provider
Date Signed
1408091430
2014.09-28
sliptat
er to
ure
"ymeyftel ReWsfners Providdmordnsiffe for
Me coolant of this registered document, and m no
wayan)#res of
amort anon erresponubrNY roc
US S Energy R9teto Aasxiatlon U S the accuracy of the Inlbrnt4tw+t'
Registration Number 314-A1D01531A-M2000249A-M20A Registration Date/rime 2014-09-28 1133 30 HERS Provider USERA
CA Building Energy Efficiency Standards- 2013 Residential ReportVersion 2014-05-08 ReportGenerated 2014-09-28 11 34 300
Compliance
CERTIFICATE OF VERIFICATION
CF31R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3 )
Project Name* Lacabanne
Enforcement Agency. Diamond
Bar Building Department
Permit Number, 14-4649
Dwelling Address: 976 Summitridge Or
City. Diamond Bar
Zip Code, 91765
A. Ducted Cooling System Information
01
System Identification or Name
System 1
02
System Location or Area Served
Home
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
50
05
Condenser Speed Type
Single Speed
06
Cooling System Zonal Control Type
Not Zonal
07
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
08
System By as Duct Stat s
l
_i
iypass Duct_ %
\\
09
Date of Sy
a Airflow t
Me uremen
'2014 -09 -18 --JJ
f
30
Airflow Ra P ocoI rz
t _
/
RA3,3 procedureor`a rflowRa*)e measurement
B. Fan Watt Measurement Apparatus and ProcedurUn Iajergy Raters Association
Instrument Specifications are given in RA3 3 1, and system fan watt measurement apparatus Information is given in
RA3 322
01 1 Fan Watt Verification Device Used I Portable watt meter
MCH -22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified In Reference Residential Appendix RA3 3
O3
Actual Tested Watts
74000
02
Actual Tested Airflow from MCH -23 (cfm)
1811
03
Required Fan Efficacy (watts/cfm)
58
04
Actual Fan Efficacy (watts/cfm)
41
05
Compliance Statement
System does not comply with fan efficacy requirement
Registration Number 314-A1001531A-M2200053A-M22A Registration Date/Time 2014-09-28 1135 05 HERS Provider USERA
CA Building Energy Efficiency Standards - 2013 Residential Report version 2014-05-08 Report Generated 2014-09-28 1136 06
Compliance
CERTIFICATE OF VERIFICATION CF3R-M0H-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3 )
D, Additional Requirements
01
All registers were fully open during the diagnostic test
02
System fan was set at maximum speed during the diagnostic test
03
if fresh air duct is part of the HVAC system it was not closed during the diagnostic test
04
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfmjton) and fan
05
efficacy (WattJcfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed
06
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow, (cfm(ton) and fan efficacy
(WattJcfm) criteria in every zonal control mode
01
Verification Status
Pass - all applicable requirements are met
08
Correction Notes
The responsible on's sign to a (s eomp)(a a document affirm that all apply iequiremehts i this table have
been met unless otherwise n in e 8 cats status and theSorrections Notes in thisbie f i�
E.Oeterminati a„ e,, ca a` r
All applicable se - ` ' locum H dica a compliance witl4th&speafiedv r icatron protocol- -
requirements in order for this Certificate of Venficattf.6f EIAeWVd rtt Asstwftan
01ICompliance Statement00es not comply One or more specified verification protocol requirements on this document are not
met
Registration Number 314-A1001531A•M2200053A-M22A Registration Date/Time 2014.09.28 1135 05 HERS Provider USERA
CA Budding Energy Efficiency Standards- 2013 Residential Report Vernon 2014-05-08 Report Generated 2014-09-28 113606
Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 3 of 3 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name
Documentation Author Signature 77
Jason Iskades-
�- _
Date Signed
Company
Athens Air Inc
2014.09.28
Address
CEA( HERS Certification Identification (ifapplicable)
21151 Laguna Ct
1408091430
Cny/State/Zip
Phone
Apple Valley CA 92308
760-486-5544
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California
I The Information provided on this Certificate of Verif ciefon is true and correct
2 I am the certified HERS Rater who performed the verification Identified and reported on this Certificate of verification (responsible rater)
3 The Installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS venticatron
Identified on this Certificate of Venfiation comply with the applicable requirements in Reference Appendices RA2, RAR, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency
4 The lido repone n lab{ ns•-efthe rt }a}"prinst'gilai n signed arsd submitted by th��Qhi(s} responsible for the
constru n r mstaltatio w fo to M is specified on the Certiffatd(s) of Compliance (C�IR) ap; vv d try tfie enforcement agency
5 t will ens ret at a registepy tis ertihate f VerlRakHsn shag b§tpasted, ox mafe availa6te witf} the buRding pe-?mh(s} issued for the
building, int ade avaiM le the to[cement a cY for�ait applicable IAspection 1 unCer tgRC trM a'regestere�t c.�thtCertifkate of
Veri iad b required to e l cluded w m idem tho bWlderprouldes to the twlldltig gwner at occfu, Porn
l
Builder Or Insta In n e GertiKeate of installation y
_• w T
Company Name (installing Subcontractor, General Contractor, or Buildel,+i$1t, Energy Raters Association
RighTime Home Services
Responsible Builder or Installer Name
CSLB Ucense
RighTime Home Services
878533
HERS Provider Data Registry Information
Sample Group Number III applicable)
Dwelling Test Status In Sample Group ld applicable)
314-0430
Tested
HERS Rater Information
HERS Rater Company Name
Athens Air Inc
Responsible Rater Name
Responsible Rater Signature
Jason Iskades
aon le�sdeS.5i,/2a (GS
2019
Responsible Rater Certification Number ie/this HERS Provider
hate Signed
1408091430
2014.09.28
RK
tfidsntorif sfgaatureIs sprovidedrn ciderto secure
U S ilio content of this regtafared document, and in no
way hnphes Reprieved Provider responsibility for
US Energy Raters Aa sociauon tha accuracy of tho BNomtat/on "
Registration Number 314-A1001531A-M2200053A-M22A Registration Date/Time 2014.09.28 1135 05 HERS Provider USERA
CA Building Energy Efficiency Standards - 2013 Residential Report Version 2014.05.08 Report Generated 2014-09.28 113606
Compliance
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 4 )
Project Name: Lacabanne
Enforcement Agency, Diamond
Bar Building Department
Permit Number
14-4649
Dwelling Address- 976SummitndgeDr
City, Diamond Bar
Zip Code,
91765
A. Ducted Cooling System information
01
System Identification or Name
System 1
02
System Location or Area Served
Home
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
50
05
Condenser Speed Type
Single Speed
06
Cooling System Zonal Control Type
NotZoneControlled
07
Central Fan Integrated (CFI} Ventilation System Status
Not a CFI system
O8
System By F Duct Stats
C 7
_NoypS$ss Duct
09
Date ofS to Airflow t
Me uremen 1014.09-18--�—"�
/ Ij �t
SO
Airflow RaP ocal a i _
hh „_ .tea
RA3.3 plroceduresfor�arfiowa a n/ easur;ment
B. Hole for the placement of a Static Pressure Prob*§PP)AWFfiWnHiktIt4ftAA? klttMbe (PSPP)
in the supply plenum.
Procedures for installing HSPP or PSPP are specified in RA3 3 11
01 Method used to demonstrate compliance with the HSPP installed and labeled consistent with Figure RA3 3-1
HSPP/PSPP requirement
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3 3 11, and system airflow rate measurement apparatus information is given
inRA3 32
01
Airflow Rate Measurement Type used for this airflow rate
Flow Grid according to procedure in RA3 3 3 12
verification
02
Manufacturer of Airflow Measurement Apparatus
True Air
03
Model number of Airflow Measurement Apparatus
DG700
04
Certification Status of the Airflow Measurement Apparatus
Certified by Manufacturer and listed on CEC Website at
Accuracy
http //www energy ca gov/(tbd)
Registration Number 314A1001531A-M2300197A-M23A Registration Date/rime 2014-0328 1136 22 HERS Provider USERA
CA Building Energy Efficiency Standards • 2013 Residential Report Version 201405-08 ReportGenerated 2014-09.28 11 37 21
Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 4 )
MCH -23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3 3
01
Required Minimum System Airflow Rate (cfm/ton)
3500
02
Required Minimum System Airflow Target (cfm)
1750
03
Actual System Airflow Rate Measurement (cfm)
1811
04
Compliance Statement
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150 0(m)12 or 150 0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Installation
The airfio
i
ra a measur mEnttp ratus u 0 perform the airfl' w rate measuremen identifle6 on t is Certificate of
02
Installatio
wallcahbrat d irif ac ce wi the apparatus manufactyrer'sspea6cstio s and c6nfo�ms to the
nstrumenl
atidn specific ti ns given4nAAq ---� `\ / U
A visual ins Mi I, -fir at, ss cts that`tlelive� conditioned supply air tllrecdytothe spac conditioning
system return uc a ow are not use on new orrep4lacement zonally controlled systems unless the Pe&rmance
03
Certificate of Compliance indicates an allowance fojA&aEmWv atemss$ n the
Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of
Compliance
04
All registers were fully open during the diagnostic test
05
System fan was set at maximum speed during the diagnostic test
O6
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton( and fan
08
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed
09
Verification Status
Pass - all applicable requirements are met
10
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements In this table have
been met unless otherwise noted In the Verification Status and the Corrections Notes in this table
Registration Number 314-A1001531A-M2300197A-M23A Registration Date%Tme 2014-09-28 1136 22 HERS Provider USERA
CA Building Energy Efficiency Standards - 2013 Residential ReportVersion 2014-05-08 ReportGenerated 2014-09-28 11 37 21
Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (page 3 of 4 )
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol
requirements in order for this Certificate of Verification as a whole to be determined to be in compliance
101 I Does not comply One or more specified verification protocol requirements on this document are not met
U.S. Energy Raters Association
Registration Number 314-A1O01531A-M2300197A-M23A Registration DateJnme 2014.09.28 113622 HERS Provider USERA
CA Building Energy Efficiency Standards- 2013 Residential Report Vernon 2014 -OS -08 Report Generated 2014-09-28 1137 21
Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 4 of 4 i
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Verification documentation Is accurate and complete,
Documentation Author Name
Documentation Author Signature
Jason Iskades
Date Signed
Company
Athens Air Inc
2014.09-28
Address
GFA% HERS Certification Identification (if applicable)
21151 Laguna Ct
1408091430
City/State/Zip
Phone
Apple Valley CA 92308
760-486-5544
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California
I The information provided on this Certificate of Veriflmtlon is true and correct
2 I am the certified HERS Rater who performed the verification identified and reported on this Certificate of VerlRwtlon (responsible rater)
3 The uncoiled features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
Identified on this Certificate or Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency
4 In report¢ n IKablargame; atthe erfiff teisionn—s aalratelan("-sg'-ga dand 5u mined by th lIMEh(s) responsible for the
canstru rimouillatiommnfor to he�ga is spedfied on the CerNRciv:4 of Camptiattre( 1Rl approved by the enforcement agency
S I will ensat a registe d Copy fth ertihcate fVerifiotionshall tb posted, or made available will the buildfngpermi[Isi Issued for the
F
ode avalla let the forcementa cy forlall appiinhle Inspections I uriambd iitat a refpsterebzZN ttfifCertrficate of
of
required to el ludedw hthee um tation thebuddiRp'rovides tc the buildlpg aW at occuliandy
,
Builder Or lnsta In n own O e Certiiiiicaie df installation
Company Name (installing Subcontractor, General Contractor, or Builder". Energy Raters Association
RighTlme Home Services
Responsible Budder or Installer Name
CSLB uceme
RighTlme Home Services
878533
HERS Provider Data Registry Information
Sample Group Number (if applicable)
Dwelling Test Status in Sample Group (If applicable)
314.0430
Tested
HERS Rater Information
HERS Rater Company Name
Athens Air Inc
Responsible Rater Name
Responsible Rater Signature
Jason Iskades
asoniakadea (Sep 20 2024
Responsible Rater Certification Number w/ this HERS Provider
Date Signed
1408091430
2014-09-28
RL -C TM
1.1 the c dyNar Signature is proverod doci in erdarto secure
m irdi
U S E Ute aonfeM alUus reprstarad daaument arW m r+a
way enpfies Reglstrafivrt Peuwdarrospons Urty for
LLS Energy Raters Aosodatlon Me accuracy of Cha mtoaaan
rm
Registration Number 314-A1001531A-M2300197A-M23A Registration Date/Time 2014-09-28 113622 HERS provider USERA
CA Budding Energy Efficiency Standards - 2013 Residential Report Version 2014-05-08 Report Generated 2014-09-28 1137 21
Compliance
CERTIFICATE OF VERIFICATION
MR -MCH -25-H
Refrigerant Charge Verification
(Page 1 of 4 )
Project Name, Eacabanne
Enforcement Agency. Diamond
Bar Budding Department
PermitNumber.
14-4649
Dwelling Address- 976 Summitrndge Dr
City, Diamond Bar
Zip Code.
91765
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
System Identification or Name
System 1
02
System Location or Area Served
Home
03
Condenser (or package unit) make or brand
Amana
04
Condenser (or package unit) model number
ASX160601FA
05
1 Nominal Cooling Capacity (tons) of Condenser
S 0
06
Condenser (or package unit) serial number
1407246398
07
Refrigera a11410lf
�---_
08
Other Refr
ge nt Type (f
l
apph bl
L--
., `�\ \
09
System Ins
all Lon Type
~Alteration
Charge Inch . CID) Statu given systems -
Th{slsyftemMoes ndt ha'v6 a 01Y' device in5taite�d
10
with a CID must have refrigerant charge verified by E}ter)
nergy Raters Association
Is the system of a type that the minimum airflow can be
Yes, this is a ducted system and one of the system airflow
11
verified using an approved measurement procedure (RA3 3
rate measurement procedures in RA3 3 or RA3 2 2 7 can be
or RA3 2 2 7)7
used to verify system airflow rate
Is the system of a type that approved refrigerant charge
Yes, one of the Refrigerant charge verification procedures
verification procedures can be used to verify compliance
from RA3 2 2 or RAS is applicable to this system and can be
12
with the refrigerant charge verification requirements when
used to verify compliance
temperatures are greater than or equal to 55F (RA3 2 2, or
RAI)?
13
Date of Refrigerant Charge Verification for this system
2014.09-18
14
Refrigerant charge verification method used
Subcooiing (outdoor temperature must be equal to or
greater than SS degF)
15
Person who performed the Refrigerant Charge Verification
HERS rater
reported on this Certificate of Installation
16
HERS Verification Compliance Requirement Status
System does not qualify for group sampling
17
Refrigerant charge verification method used by HERS Rater
Subcool
Registration Number 314-A3601531A-M2500223A-M25B Registration Date%rme 2014-09.28 1138 43 HERS Provider USERA
CA Building Energy Efficiency Standards - 2013 Residential Report Version 2014.05.08 Report Generated 2014-09-28 1139 42
Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerant Charge Verification (Page 2 of 4 )
Standard Charge Verification Procedure - CF3R-MCH-25b - Subcooling Method
S. Metering Device Vellication - HERS Rater is required to visually field verify all Information from CF2R
Subcooling Method can only be used on systems that have a variable metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system
C. instrument Calibration - HERS Raters are required to calibrate their diagnostic tools.
Procedures for instrument calibration are given in Reference Residential Appendix RA3 2 2 and RA3 2 2 2
01
Date of Digital Refrigerant Gauge Calibration
2014-D9-02
02
Date of Digital Thermocouple Calibration
2014-09-02
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Them couple C ibretio St t i —
t
Calibration is currents
D. Measureme t ccess Ho a �MA ) Ver'IFif to - HERS Raters are required to visually field verifyMA'
Procedures for i ' ai i g _ are ` a i ference Residential Appends RAS 2 2 3 / C
' 01 ( Method used to demonstrate compliance with the U..`5. 3 2-1
Measurement Access Hole (MAH) requirement
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3 2 2 7
01
Minimum Required System Airflow Rate (cfm)
1500
02
System Airflow Rate Verification Status
System complies using Table 150 0-C or D alternative return
02
duct design criteria
F. Data Collection - HERS Rater must independently collect all data in this section.
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3 2 2 and RA3 2 2 2
01
Lowest return air dry bulb temperature that occurred during
720
the refrigerant charge verification procedure (degreeF)
02
Measured Condenser air entering dry-bulb temperature IT
750
condenser, db)
Registration Number 314-A3001531A-M2500223A-M25B Registration Dateffime 2014-09.28 1138 43 HERS Provider uSERA
CA Budding Energy Efficiency Standards - 2013 Residential ReportVersion 2014-05.08 ReportGenerated 2014-09.28 11 39 42
Compliance
41 a
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 4 )
j y
n bf device operation specified A3 2 2-12d
F. Data Collection - HERS Rater must Independently collect all data in this section.
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3 2 2 and RA3 2 2 2
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tequid) (degreeF)
770
05
Measured Liquid Line Pressure (Ph,W) (pisg)
2560
06
Condenser saturation temperature (Tmndensec sat) from digital
gauge or P -T Table using Line FOS (degree F)
860
07
Measured Subcooling
90
O8
Target Subcooling
70
09
Compliance Statement System complies with Subcooling Method -Must also pass metering device verification, next
section
G. Metering D loeVerficallo,qI`
Procedures for he
j y
n bf device operation specified A3 2 2-12d
verificati
preters are In-
01
Measured S cu,- o e er 7e,, d, n greeF)
'6178
N,A
02
Measured Suction line pressure (Psuaicn) (psig) U.S. E.Mrgy
Raters Association
03
Evaporator saturation temperature (Tewporator sat) from
380
digital gauge or P -T Table using line G02 (degreeF)
04
Measured Superheat
230
05
Measured Superheat is between 4 and 25 deg F (inclusive)
Passes CEC requirement
06
Measured Superheat is within manufacturer's specifications,
Yes, documentation to be provided upon request
if known
07
Compliance Statement Metering device verification passes
H. Determination of HERS Verification Compliance
In order for the system to comply with HERS Verification Requirements, this Certificate of Verification must indicate
compliance with all requirements for: Instrument Calibration (C), Measurement Access Holes (D), Airflow Rate (E),
and System Refrigerant Charge (F).
IOS I Complies All specified verification protocol requirements on this document are met
Registration Number 314-A3001531A-M2500223A-M25B Registration Date/Time 2014-09-28 11 38 43 HERS Provider USERA
CA Building Energy Efficiency Standards - 2013 Residential Report Version 2014 -OS -08 Report Generated 2014-09-28 1139 42
Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-2S-H
Refrigerant Charge Verification (Page 4 of 4 )
Documentation Author's Declaration Statement
I. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name
Documentation Author Signature -r
Jason Iskades
Company
Date Signed
Athens Air Inc
2014.09-28
Address
CEA/ HERS Certification Identification (if applicable)
21151 Laguna Ct
1408091430
City/Stat lzip
Phone
Apple Valley CA 92308
760-486-5544
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California
I The Information provided on this Certificate of VenBcaion is true and correct
2 1 am the candied HERS Rater who performed the venflcatlan IdeMRied and reported on this Certificate of Venficatiot (responsible rater)
3 The installed features, matedws, components, manufactured devices, or system performance diagnostic results that require HERS venfaatron
Identified on this Certificate of Verification comply with the applicable requirements In Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency
4 The info report,Tnhtali(,'ofstions`Ish ertifit3fes(sVeRtsat.(72Rjsig�and submitted by thr.�oh(s) responsible for the
constru on rinstallat rrrt{ta jhET , specdied on thrr mikatq(s) of Compliance (6,111) approved by At, enforcement agency
5 I will ens ret at a ragas[y ftliificate Verification shall b posted, or made availablewith the building perimth) issued for the
building, rid a availhe forcem,nta cy for{ag appRphle insFectram i uifiJdrtefRl titanregisters& copy of thl}[erttFlcate of
Verificat n is required tuded w um ation the hililderprovafes tar the bualdlita owner at oau63"
Builder Or Insta e I oro- IT - own a Certificate Of stallationy ,1
Company Name (installing Subcontractor General Contractor, or Budded,. Energy Raters Association
RlghTime Home Services
Responsible Builder or Installer Name
CSLB License
RlghTime Home Services
878533
HERS Provider Data Registry Information
Sample Group Number ¢f applicable{
Dwelling Test Status in Sample Group (d applicable)
314-0430
Tested
HERS Rater Information
HERS Rater Company Name
Athens Aar Inc
Responsible Rater Name
Responsible Rater Signature
Jason IskadeseS
aswipurdea 28 2014)
Responsible Rater Certification Number w/ this HERS Provider
Date Signed
1408091430
201409-28
TM
intrannav lithftureasfiaddedJitwdarforecurs
USERK the content otflfta rag dorarrrfant acid &i ra
way hayhas Regtsfrabon, fbeuvidarruapo igtbAfty for
U.S- Energy Raters A000etatlon the accuracy of the mtomtoLan "
Registration Number 314-A3001531A-M2500223A-M25B Registration Date/Time 2014-09-28 1138 43 HERS Provider USERA
CA Building Energy Efficiency Standards -2013 Revdentiai Report version 2014.05.00 Report Generated 2014.09.28 113942
Compliance