HomeMy WebLinkAbout15-0080 (2) {��. CITY t7F DLAI4tONI}BAR , � �!l;�.��
D�PATfTNENT q�COMMUNITY&DEYELqPMENT SERYICES ������"�
', �, zlszs copfey n.�ve,oiamnna sar,cA 9176s o � �'' � PRES.S
(909)839-?020 Fax{4Il9)$61-3117 Buddtng Inspectwn Hothne{909}839-702? � Z" �
`•^' BUI(.DING PERMIT APFLICATION FIRMLY
�+ JOBSITE «�+� -^{� APPLICAT!QN�,� NUMB R� t�
o ADDFIESS �U ti. 1 Y\ 3f'(3����! OATE i-
r� — ISStJE TYPE p�
APN LO? 7RAC7 DA'TE CONST CsfiOUp
q OWNEFi Y ...........
o nooaEss c�'��-�'c��taa x+���1_� ZONlNO serar,cres
z CI ZIP TEL � FFONT RW ❑
pQ APP�ICANT TELp�,� _41�.i.11a4�'��, REAR ❑
� �"T'—' ' SIDEP3IDESTREET RW ❑
CpN'rfiAGT4H � t..'. SIDE ❑.._
¢ ADD SS �,,.y, �p
� GITV � I TEl S�.t,.^3'IG•. PR4POSEQUSE�,f� .. s TDYL ...._:yi+~°�--i-
� oesiaNEar tJ� iP. �{'i�'�" rroow�. -��,�7� .h`-1tv-�"A�`��Si�a�vf �
� ADDRESS UNITS STOFiIES �BE6ROQMS
CiTY �^ ZIP TEI. "
�
�n bESCRIPTIOH SQ Ft PACTOR PSF AC}J AREANAIUATIQN
� OWNER BNLDER 6ECtAAATipH """" ""'
� &FR/fi�OtAEM �.
...... ....... �
p �x�er ur�nu�wo-cm�aurv or r+�wxr nut�rk�ar ra�a+m�awrwc*ou u Qerepe+Carpart
W CEN9filMYRaqTNEI'-0ILOMMPEi90F.f��M1i60U9INE44NAlPflMF9510NSfA0EFM(pT/Ofl {j� .
t� [>31.Wrv5N&YrP[IX�PEB�pEmeimcwaSiFUCi/1tE0.WPPovFOHkA.i9+�NftfiPAW�W'f31A� (y� �������"".
W TA&PNApT61T5iS611AMGE4£9(iE9tkHE5THEAVP414ANffOqSUCHPEM.imTOGI�EA&tl1iD � PBIIONBCh
.� BTitTE4ENi ThfAT NE f%i BME`B IlC�H55p PVAWUR t0 ME PPp(�SpNS pF Tnf CpxFM�ipp9 U � .'.'.�...
� GENBEtXN{RIAPTEPY�COMNEIIGY¢3HilkSERKWMM10F01N50k�#iNE8iS1NE88MbP116 � PUOVaP6
ff.95iDriS WDEIOnMxrxE on9�6�9 EzftwilrfEPEfMw.�u�oT+ffi bW&WRTNEhLtE0E0 F.IRMo
tY]HNNVIXATNXfOFbECTIWTOfi58xFt�'tAPPIGNtFOPAPEPoIIF&�tEGTBYNEMPLiCN(fi0 Z RBP90t
� AGYM.FEHN.iYa'ty�TMOP6MFMRN6tRRd�PEddaLLMBIW06i}
a piMOXMEHCqMERMPEPY'(CPMTEt�.OYEE3WRHWA0FSA9TNE9k9SkEWMPENS�iqH d �me�CiBl
� WILLD9TafiWqNt,N81fi#STPUGN�ISNOTB!}IIAE��POREF�WqSME(6EG1014&184 �!
� Ni89M� 'tA�ET1EW'ItRW�0R4t1GEN96LM1WWEBN01MPtYT{fMlONNEPpi ?
YRbPEM1i1'Nfq&A184�IMPMJEBTRiEdi NIDKHOOOEBdUGVN1f4tMWftFCNNEM19EtF911
Q 111PIXb11W5QqNptOhNEYPLOYEESPfqYDEOtN.QBUGMiMPqOY[MEN19UiEH0T�4011 m
QOFF6FEtlRMBNESH6WEkE0.THEBtILLWNGIXiNAPlkZVEidENi1869LPWITMNIXiEYEift9P(AAtPIE
� TYMlM60NR1FAM�'ipEflN2ttMVGTNEBU1�NOiPAWaYG1NAYME418HEDDtQTBtNDOF
= MYPbVEFqPME>UAtUSF4F&ME1.
� OlA90WNEPOiTHEPtOpEFfYILEY2116M1IIY�'Y11AiCIW61MHLICGM�CiVttPAtif�R9 V0V/HtbeY A[�AREA
fR
roa0N4TInlCTMEW#.UEG�(SEGlweusmEssttm OpDE1HEIXN+iRiGTOH3Li
� CENiEV.WfIpE81#TM4tTttlAYffM1EPOFARroPERttWHtI�VItD90%iMP0.0VEg1HF,ftEffiiAtB}
vppCqrttq.�C'gFa�etrctiarm�qrgwmH�mnrwcnata{sFucEn�pnupgUurtrar��p,�,p, q�qN�Ty ,(7E5CHIPTION FEE
� Td�9110EN96Uw� J
� �7
OIAYbfEMPi1MDEAy[C B{PCFOWTlNSMEtEp� Q
U
u� ¢
OATE 6'ANEfl U
�.Q ueEHSEocorrTnacTOAs�c�van� w
R IF�AEBTMfNWUtqEflPENN.MOFPEFWPYiHAiI/JIIICFHSfOJWIEflPflWi&6Y80FCNAA'Eq �
� Pi�N���6ECTONi00%�UnEYJ�JaOFiH[BVBIHEA9NX}mGFE4SKKi5WDENIP Z
X MlIICEpSEQWFUt.COPLEN/An�EFFCCT m
� LiCENSE CLASB e_�_yJ_UG NO j
U OAYE ��`�^�� canpsc d
uf Y1nYy�+'
� WOAKEAS C�MPENSA7KiNDEC1.AR I ",j'"" � t
t
� IHERE9YAF%0.N4MOEflPEkXi'l6FPENUIIYDNEO£iHEI4�LOWYlfiOECLM4i1CN3 �
d ,�_IINVENqNXLWWiMIFCEFiIFI'U.iEOF�NeENi1080.GMIRUREFIXINC�NttlflS =
t d'.MPENB}}YM/&PPW'IDFIIBY9EC11CW9M+6GTi#UHONGMQGOflTxEPEpFOPodaf{GE U
� tlFiMENONKFOflWHIXMiMI9PEPMITI51Sflk0 W
� �
NA WA�.L4Nufufu�tt'4�ERYGOMPEN9:t�icAtNStAfU�CE MflEOWPED9v56G��
6 OPQYYHEI.iEdi{WEF00.1NEPEXiO@YI�fE�1HEW9WtW0.YMICHhMSPEXNRii
J SUE6MVW0�ifER�,{0�8.�PAPG-N�BAT�qN-iN15U0.wCEC�4PR1EHlNlV0.ICYMAIBEfl�1HE CON57RUCTION
j G3WiiEN �*a�+'�" '�'7 ip.� PLANI�IREW
2 ���M�EA�-4� �++i�"�' ELECTRIC
¢
� {ire89ECnO+raH�w«mStE�m6TEP6YAf6fdtaxEHt#i�RNL4NL9p�arttwL� PLUMBING
Z �r.EaiuYTtniwlHFnE1+�+�FOFlxexwixronxtrtCNteN9PfAxrt191S3uEo� MECHANICfW •'�'�
(7 SiNiAflCfTfJJP10YNAPEli9CHWNttMMMEF9A.44i68EfAYEW&ECTT6TNE
y rortSiatEN4�+PEN9�TqNl.�wS�C+uWPHrA+�+D.wFEE1tu1�i&WiDeEIXpME IMS�ECTONFEE
�CTT0INE NLpKE0.5GGYPENL,iC�v O�Y+SqN49F BEGYtIXV iroP9F TI£tA&SR Y�
Q `CODE(]IB�N�.4�LPo�`'N'TNWITHGtlMPLTYP 1tW5EaqOV1&i6N8 (� ���NCE � i r7
p MTE `^�, -a�T- APRICANf �Z.y� SAVP
� B,ER4Y P�
WAPolItiD.FM4UNET98ECUAESWPNERSCAYPFNSAT AFAE19uWAWft%,MMFB%t418F
y_ BUBIEETANEW0.4YEflT4CPNM4PE�I1iiES+WSL� LF4WG UPro0N6�+llNpNE6Tt�8eN0 ENERQYPEfl#AIT
� Cp1A(L{fINOW1 W.bOITd#AiOiME�'+�OFCAYP i��MAfiEBM#RdfqEPi6RW
� SEl"ix.INitOpOFTNEtM�N4O0E WiEPES�/+�OAnONMETBFEE9 p���FE� �{
� CONSTRVCTiONtENWN6A0EWCY pqE-AITFEE .
Q FMEHE9YAFFIRMUi�EFi4fNKiY9FPEPlURIilLVhiEflESA4-0pSTPLCtIW4GiDW9MKNCY
RtATiEPERPoPAINN:E V'TXEXpPN�WHN}i iHW PEPoETq tY6I�iED{9EC f00)pY G}
� it� p.
� tE+t�6ft'§NNAi N i _ rT�
� l4�FRSMOflEB! 'i
� ��nrnuri��.vn+w.rn��.�nr+�:r.re,H..n�,�so-+�wroiw.,ur+�acaw�� 74TAL FEE$
iw
i+cn�e rawua�vwrm u.�cmv.m�evom.xrwiessxvo eu�uv.s AEurwarosunaxo C-'--�
� CDHSTX(#.i�iFNDHEREtlYW1H9PoZE4k'PflESEYTAiNESKlHIS�tfiTY1QEM(EflUWNIIHE
Z aEpvEUFNtqNE6pPoJCENttipP�MaPEG4�OpPweosES �p3AMENT$
= I ��L��"L�. �"'��t'1t+��bnt�
m 'i pE lnEf N4ME(PFeup �
� ' 1,�—�-L�_
�„
�, �E�� o,�
� '.,,. RECFT NO a' pA1Q B 4AlIDAiION
WHf entCapy,VELLOW-�FinenceCOQyPINN--AseesewCqryQOLOENROD-FiieCapyGREEN-AppllcaMefapy
����IQ� CITY OF•DIAfV�OiVD BAR
IiVSPECTIOfd RECORD ,�
;�� DI��3paG�00a o �4C� OanpQ�W OanpQG�00a o �4Q Oa�3pQ�W
SET BACK FLOOR JOIST
FTGSlFORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID HT BOND BEAM
ROOF SHEATHING S FT BOND BEAM
FRAMINGNENTILATION FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT LATH/SIOING,p �j �i 7 POOLFENCING
WALL INSULATIO a � ' POOL FINAL
CEILING INSULATIO `Y n R;) � � y OFF SITE IMPS
DRYWALL NAILING � � �� ' � DEDICATIONS
SEWER FINAL ENG
SEPTIC TANK LANDSCAPE/IRRIG
SEEP PIT/L L ON SITE IMPS
GAS AIR TEST FINAL ZONING
FINAL CONST FIRE DEPT FINAL
FINAL HEATING �� '�S� � HEALTH DEPT FINAL
FINAL ELECTRIC DEV FEES PAID
FINAL PLUMBING _ ENERGY _ _
(c��o <
COMMENTS
SEPTIC TANK SIZE
SEEP PIT/U SIZE
G1
_
,�,''7,i Q
���
,��*,
'; . � ,�_
� �
� �
� ^` S � -c � a
o � � � � � � �
� d � O � c no
a � rv
� �, .. rd � �
�,
LL 0 � � e d y w ( 6 .1
ti d � W3 `A' �
a � � i �'
� � �
E m �� �
z E _
� $ � � ^. g c
m �
ar m � � � w�' �
M M1
� N w` � � £
_a Q � � pp � � _� �
m � N iA S eQ.� �e,i Cf � "G � T^
6 C
C C 'R7
� � � � �
3� � z =y �
a � g3y� � 9 s ��� �� �
3 E C $ ` `� �`� rv
2 • 'i'�
� � r x ;s� � 6g �� � � �
a 3 B. � � a m Ti � o a �`�
v � °e° m,�"'� ` � „ ` tQl� n d 4
e� � a v '�2'i '' £ � E '� N � � o 0
� e � $ � g ��� � `� � � � � � Ms`
,� e S � o � ;� 6 • y � R� � � �
3 w � � � �, ��
u ■ c � � e+p� o a z�t
.� o �'��� `$�� wi p
� � �"� S s _ • Q} ^JC� �
� � � � t
� �� x E � }£y� � �p �
C � ,� � Y � Q 6
°.� �d �N � '� c E
iMf .' ar ' � �
� g c
+�
� � E � � � f��� � R � �
� � � .� � �
�
$„.�, ,� � .. = l � .� E a
-3�' � C�"t w m of " � r'
� �p � � �
�g .y a
� —1 vr n
� � � p ' � C y� �� p $ �
� y' N Y' N y� � OY K �i'
� G Q y� � � _�^ Si � .+l.� °'
� t�j � a Q �c � ,3.^�� '^ �
LL �' o p�`,� � � � �,�q � `"° � �
o ii � '°y�" � C d ,y �p a' w
� � 5 � � �' -k � 3 ro � w �� £ E K � c
m g �
� t� z c � E +� 6 � Ki �i a � a � Z 5 �
a 'U .t �i 4i7 � s�
�.�' 6 4 t`� �°a � � e S O ap 9 tJ
�
s
� Q
� � �
m � �
� � �
� �= '�� �'� � �
� � ��a`� � �
s � �
� � � �
�, � ��� �a � �� �
�� � `� �� � �
�'�' V w �� � � '� �
� �' ����� � �
,dn �`a � w � �
Mf g d +'�+r � '&
� � ��� . � �
"°1 a �, .� oQ
�" °d ✓` � N p"il
p � �rx, �$m ' �4 � �`�"o
K �� � � �� � � �
� � .
~+ £ �
� .pp n � o �S.
p �i tai '�' � o �2 ��t
�� � , �� �� ��
y, ,� 8 �
qE, � '3 VS �� �'S � g
� � � a �r � '" `'' _ ��
6 w � y . ��
&�+ ¢{
� � � � .�5 � .�"� t^ . ' � O i �
°� ?� 'fii sni 0 "*' '� .�+ . ' �� '� �'�'�, �
� � � �� ��� � � �� a
� �� � �'" °° � �� � � ��� � �� � ��
" � �. ,�•--�.,
�
.y� � .`- �' "� �� � � .,,�, 1 '��s � s� � �,
+:yy �y �gp � $( YyZ5 � �
.'� � F' ti '+f�Y m Gc�$ ts � '� �j T' �'a�,3 p
A*�" d �' is. t '4 � � } �' �q "'n "1�.
d `Si\4 � � e+` Z� ��. � .1��� ���� a �f��* �^ N
dr � � "'+� � �' *� ¢g � � ` � .�_� � �g � �
� m�� � � r 2
� � �r `"' �rg"-- �g�,y "' w
y O L� M4 Y � �r� i� ' fi� � � L � �
T,_i �.r � "4 '�`, � � ++ �r�+� � ���y x �
i� � �� � m� � ���� �� w TiZ+ �'r '�$�
Y F
�, � � �, � � �� � � � �"���s �'� �� x �
� ° �� Y ���s�g�g���� � ;� � a
o ��* �� � ° r� �, "'��j���ffim�����_���
°t.t 2 � �� � ,.��a�4�`��j v , �
�� � � ��_ � �
� � �
� � � �� � �
� � �. �
� � � . .
W � � � w
f� � P � p
j � �k � � w
LL¢ � Y k � .6p1 Q N
Y � � �
� ,e "'
a f
a � e �a � O
y � � � � L
� � � � � `
� � �
� �
�� s s� � � �'� �
" r � �� � ` Q��
� q g � y �� �
m � . � c 5
� o � `� �� i
� � � � �� ��' � �� �
s 4 � 8 � � � $(9b�� :;
� E �� � o ° � � t.�C $a�S'� � °�
9 4 �^ , TM � ry
� " s 2L �� � •� ���p �¢ ~ o
� � Q '� � $g_ � O q, � Ma
4Gt n c � '.�! � « � � � h' �'$ i#1 � � �
Y ��
�µ Y � O 8
�N � 01 g € 4 511 L �-1 N
� d Y� �tti F 9p G ¢ g 'j � �e4 y I"� 11{ N
� ��Yjep = � � § ��� ��p L` �u � � �
�` � wt4 �A�C 6� ,� a �� �by� � � N � 'q C�Y � � � � ?
� S '� �L !H � �� YO y w
� _ `_ � ��� � ��
� � � ���� � a
� ��
� � � s �� �.�� s � '�'��
� � '� 8 � ��� �'�� ��/� � �n
� � t9 v .7p a a 'c �$ VJ �� ^J u
m � Sg � LyE � �� °
� E � vegt� � � a
" " � � e � � � �� �+� � �
'� �i v � Q a � " -
t a „ ° � F .�r1 � g �(� �' �
� � p � F d �� �� � �
� _ � � � � �� A� ��'
� � � y �
�� _ � �� � �tl � s � � n
c u a o ?'= �� g B< — M o
�y = � � a � ` �F �� �'�` � +�^ �
� � � � � �� � �a� r� �� � �
� � 'G v � W Mt � n � =F � 'Ye�• Q �
ty 1pV�, Q '" z �' � gL '� � s', g,cy �a$'�' �"' m
w N Q � r� � N �i � .`-� a ER_ � � m '�^ � �'°
� .$ � 3 m � � g °' �-` a� _ � �`' S rn ' �
qyt a � .cQ � � C a� a � F ' � �� 3 � 2 � $ S C' .g.t'�. � aWe
� 3� � � � '_ °t °' P'`'y � � � ' n` > � � R
� � � s � �' � �� � � � � �
�° � � as � Q � � 8 � .. .� � d ,� � s � �,
�"' " � .i � 3c 3Si �� a�t � �' � 8e�c $ n va '� 5
tERT1FICATF OF VERIfICATION Cf3R•MCH-23-H
Space Condltioning System Afrflow Rate {Page 1 of 4}
ProjectName� Deaton Enfor[ementAgency Diemond PermltNumber. 15-0OSO
Bat Budding Department
DWeIIitYg AdtIIC5S: 522 TOM4(.t7 Ctry. piamand Bar 2ip Cade: 91?65
' A.Dueted Coahng System informatian
01 System idenbfication or Name System 1
i 02 Syxtem tocat�on or Area Served 2000
''����, 03 SysSem installation Type Replacement
'�� Od Nammal Coohng Capac�ty{�c�ns)of Condenser 5 0
OS Condenser5peedType Single5peed
06 Cooling System Zonal tontrol Type Not Zanal
�? Centra)Fan integrated(CPI)Ventilat�on System Status Not e Cfl systam
't_� �__j _,� ��.�..�
QS 5y9Y8m 6yQass[?uct SCaY�s � _._.� T Np4Byp8Sq 6ucC �� t l
J 4
i t
09 Dake of SySter�i Avflovz ; te PRe ur eem h't ' - ' "2015-61-42-�—�-�' � �r 1'/ � �1
10 A�rflow Ra�P tocot ut�Iiz�i ) _ _ RA3.3 procedures fo a�`r#Iow�irate measur1menY
t -
8.Haie for the ptacement of a Static Pressure Probe�ei�VD}�u���n��leQ`�(�}�`r��1�i obe{PSPPj
in the supply plenum.
Procedures for instalbng HSPP or PSPP are speaf�ed in RA3 3 1 1
�1 Method used to demonstrete compliante w�th the H�PP�nstalled and labeled consistent w�th F�gure RA3 3-1
HSPPjPSPP requirement
C.Airttow Rate Measurement Apparetus and Procedure Infmmatian
Instrument Specificatwns are grven in RA3 3 11,and system airftow rate measurement apparatus mfarmation is given
inRA332
�f A�rflow Rate Measurement Type used farthis airflow rete Flaw Grid accordmg to procedure m RA9 9 31?
veriFicat�an
02 Manufackurer af Airflow Measuremer�t Apparatus True Flow
03 Mode)num6er of Airflow kieasuremant Apparatus DG?04
Q4 Certd�cation Status of the A�rtlow Measuremem Apparatus Certifled by ManuFacturer and hsted on CEC Webs�te at
Accuracy http Jjwww energy ca gavJ(tbd)
Registratwn Number 325-A1�03517A�M2300844A�MT3A Registration patejiime 2415-0142 1436 27 HERS Prov�der USERA
CA BWtdmg Energy Etfrc�ency Standards Repnrt Yersian 20]445-0& Repc�rt Generated 2015-0242 14 3b 35
2013 ftes�dentral Comp6ance Schema vers�nn tl SSSPp
CEATIFItAiE OF VEAIFICATION CF3R-MCH-23-H
Space Conditionmg System 1Urtlow Rate (Page 2 of 4}
MCH-23a Forced Air System pirflow Rate Measurement-Newly Installed Non•2oned Systems or 2oned Multi-Speed
Compressor
D. Farced Air System Airflow Rate Measurement
The procedures for Sys#em Airflaw Rate Venficax�an are specif�ed in Referente Residential Appendix RA3 3
01 Required Minimurn System A�rflow Rate{zfmjton} 350 0
02 Required Mm�mum System A�rflow Tar$et(cfm} 1750
03 Actual System A�rflaw Rate Meesurement(cfm} 1883
OA Comp6ance Statement Sysiem a�rflow rate compl�es
E.Addlt�anal Requirements
01 Am f�fters that meet the appl�cable reqwrements of 5tandards Section 150 0(m�12 or 150 0{m)13 were properly mnalled�n
the system dunng system airflow rate measuremenk identrf�ed on tha Certficate of Installatiqn
S
x---;
The a�rflo � rate measur�ma�nt�p5retus u5ec� o perform the airFlow rate measu�'ement identrfied o�this Gertrficate of
02 InstallaGo was calibrat d in acaprdBnCe with the apparetus manufactu�rer's speuficatidY�s and conforms to the
mstrumen atron spen6t tions giv"'�n ur 8� ' -----� � _.., � � � � ��
A wsual ms ctia 's1fiS11 firrz� �t oypass cts that deliver cond�boned supply a�r d�rectly to'the space condiUonmg
sysiem return uct'ai ow are not used`on new or`re lacement zoPrally`co Lrolted aystems uale'ss the Per�orma'nce
03 Certrficate of Campbante indicatea an allowance fo�(a��/V l���ss����n the
Performance Cerhfitate ot Comphance,the airfkow rete shall mnform to the speofications listed on the Certdicate of
Comp6ance
04 A1t regastets were fuliy open durmg the diagnostrc test
OS System fan was set at max�mum speed durmg the d�agnosttc test
Ob if fresh a�r duct ts pert of the HVAC system tt was nat ciased dunng the d�agnast�c test
07 Airfiow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Ef#icacy tested velue
Mufti-speed mmpressor space cooling systems or var�able speed wmpressor systems shall venfy air#low{�#rn jton}and fan
US efficacy(Wattfcfmy wiih system operatmg m coohng mode at the max�mum compressor speed and the m2ximum air
handler fan speed
09 VerrficaUon Status Pa55•all applicable reqwrernents are rnet
10 Correct�on Notes
The respuns�ble person's s�gnature on this compliance dpcument affirms that alI appl�table reqwrements In th�s table have
6een met unMss otherwise noted in tbe Yenflcation 5tatus and the Carrestions Notes m this table.
Reg�siratron Numbet 315-A1003517A-M2300b44A-M23A Reg�stration 6atejTime 2Q75-01-12 Sd 3fi 21 NER5 fhov�det USERA
CA Bu7idmg Energy Effiaenty Standards Report Vers�on 2074-OS-a8 Repori Generxted 2015-0Sd2 14 38 35
2013 Residt+r�Gal Com{��ence Sthema Ven�on 0 Si5D0
CERTfFICATE OF VERIF4CATION CF3R•MCH-23-H
Spate Condrcioning Sy�em Airflnw Rete (Page 4 af 4}
DocumeMat�on Author's Declarat�on 5tatement
1. I cert�fy that this Certtttcate�f Veriflcat�on documentatian is accurete and complete.
Documentatian Autlror Name Documer�tation Author Signature x
r ta "'
Jason Iskades F f,r`��+'j�'..��
Cflmparry Dam Signed �'f ,r'ff[:.,.^'� ' '
Athens Airinc 2015-QI-12
Rddress CEAJ HERS CertifisaGon Idenuficat�on(�(apPi�wble)
21151 Laguna Ct 140809143d
C�tyjStateJtlp Phone
Apple Valley CA 923D8 760-486-5544
Responsible Person's Decfaration statement
1 settNv the foilow�ng uMer penalty af perJury,u�e�the iaws of the State of Catt(orm�
1 1'he lntormaUan prov�ded on this fertiflcate af Ueritptian Is true and carreU
? i am the certlFled HERS Rater who peAormed thever�fica[ion identified and reported on this Certiflmteof Veriflcation(respansible raler}
3 The rnsWiled features,mateAais,tomponents,ma�ufactured devices,w system performance diagnast�c results that reqvi�HERS ve��fiwtron
�denk�fiied on this CertrfioteofUerificatlon wmplywdh Ure appllwhle reqairememS m Re�erence Appendrces(iA2,qA3,and the req��remcnts
spe�ifled on tbe Cert�fiqte of Comphance for the huilGmg approved by the eMercemem agenq
4 The int —d�ln report n a ptic3ple i2u(ons Of�the Certiflca4e(s)o(In`stallatton(CF2R1 slgneE and su6mltted by the`per5ph{s)respanslble for the
canstru onprmstallati caMorms`to e'rEqn�'��`tsspecifledontheCertiRcate(s)afCompliancc�CFit{)apprpved4ytheenforcementagency
5 Iwdlens retsataregnte�retl�pY fth�.CertAicatebfVartfltxtbnshallb,pA3ted,nrrtwadeavailablew�tt�the6uildingpermN�Sl�ssuedforthe
buildmg, ndmadeavada�letothe rcemema`�cylara%appllw4leinxpeR�onS iunderstandthatareguste�wpyqftFu'SCertifloteflf
Verlficati nesfreqwredta elriciuCedwthihe ume}txtaanzhc6udderprovidesiothebuit4ingov,nerat�pancµ--� �
Builder Or Insta Infor�in o owe O e Certifipte Of Instatla#ion . �,/ t � ��
CompaeryNameflnstaiNngSubcontracMr,GeneraiContreclar,arBuilder�r�, ��ergy Raters Association
RighT�tne Home Sernces
ReaponS�ble 8uilder or Instalier Name t�4,8llcense
Jim McEl�got 878533
NERS Provider Data Registry Information
Sample 5roap Number�if apphcab�e} QiupHing TeSt Status in Sampie Group(If dppltcdhk�
31s-1319 Tesced
HERS Rater I�formation
MERS Nater Campany Name
Athens Av knc
Rxsponsible flater Mame Responsibie RamrS�gnature
lasoa Iskades ' { �
awr.lekstl9e J6n i2 P916
ResponsihlcRaterCertNitatmnNumberw/thISHERSProvtder pate5�gned
iaoao�ia�a aois-oi-iz
?� r rra
�, � I � � "TAna da,ptet s�gnaturo Is provtded ut wdsr to sesure
fha cpotant W!!tk regrbfered documgru,and fn no
�_ � way imphes Reg�stretron Pro�der reaponslblGry Por
U S Energy Ratero Ao9ociatien �e eccuracy ofthe u�twma4on"
Registrebon Number 315•A300351?A-M2300644A-M23A Registration DateJTlme 2015-01•12 14 36 27 HERS Provtder U5EkA
fA BuJdu�g E�ergy Efficienty Standards RepoR Version 2�1A-OS-0$ Report Generated 2015�01•12 14 36 35
2�13 Res�dent�ai Compitance SChema Ver5i4n O SSSDO
.
CER7IFICATE pF VERIFItAT16N CF3R-M[H-23-H
Space Condfkionmg System Airflow Rate �Page 3 of 4)
P.petermination of HERS VeriBcatlon Complfance
AII appi�cable sectrons of this document shaii�nd�cate compiGence w�th the specified venficatian protocol
reqmrements m order for this Certificate of Venficat�an as a whole to be determined ta be in camg6ance
01 Cnmp6es At!specd�ed verrfication protow!requxrements c�n th�s dncument are met
' y.`^h, �� �
i � � �� /
�
_,____�. � / �
i � � �
�
� r �,
� __._.._....... � s ����� y ��
,�
U.�. Energy Raters Association
Registration Num6er 315-A1tltl3517A�M2300644A-M23A Registraqon Date/Time 2015-01d2 14 36 27 HERS Provider USERA
CA Bmldmg Energy Efflc�ency Standards Report versian 2014-OS-08 Report Generated 2015•q1-12 1A 36 3S
2013 ReS�denAal Comphanc8 xhema version 0 S15DD