HomeMy WebLinkAbout15-0351CITY OF DIA!4t6NI}BAIt
BEFARTMENT OF COMMUNITY 8c DEYELOPMENT SERV(CES
21810 Copley Dnve,IH mood Ber,CA 41765 p E
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CITY OF DIAMOND BAR
INSPECTION RECORD
o e • a • r
SETBACK/LETTER TRACTAND LEDGER
FOQTtP1G5 FORMS SWITCH GFAR
SlAB COMMERCIAL HOOD
UG PLUMBING T-BAR
UG ELECTRICAL INTERCEPTER
UFERGROUND HOT MOP/SHOWERPAN
SEWERLATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HEflS REPORT RECEIVED y 3
SEWER CLfNJOUT DEMOLITION
ROOF SHFATHING ROOF DRFUNS
FLOOR SHEATHING ROUGH CONDUIT
SHEAR WA11S IXTERIOR POOL/SPA
SHEAR WALLS INTEflIOR ROUGH PIUMBING
FRAMNJGNEN7If i ROUGH ELECTRICAL
ROUGH MECHANICAL . • ` • °` ' ROUGH MECHANICAL
ROUGH ELECTRICAL W C( J , 'GAS iEST
ROUGH PLUMBING f r, PHE GUNItE
INSULATION WALL 9 u > > " " POOL PRE DECK BONDINGt
INSULATION CEILING P-TAAP
DRYVJALL FENCE/GATE/ALARM
LATH PRt FINAL POOL
LATH EXTERIOR WALLS
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1'T( )2N0 )LIFT
SCRATCH COAT WALL BOND BFAM
ELECTRIC MEfER RELEASE WALL DRAIN/SEAL
GAS METER RELEhSE WALL FINAL
SPECIALINSPECTION RO FfiAMPJGPLAPI NNGAPPRWPI
FINALBUIL ING Z3 r ROUGHFIREAPPROUAL
FINAL MECHANICAL FINAL FIRE OEPARTMENT
FINAL EtECTHICAL FINAL PLANNING
FINAL PLUMBING FINAL ENGINEERING/PW
TC ofOCCUPAMCY FINALCOMMUNITYSEHVICES
CERL af OCCOPANCY PINAL HEALTH REPT,
FINAL INOUSTRIAL WASTE
COMMENTS
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CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test Page 1 of 3
ProJect Name. 23601 golden spnngs dr i1a-1 Enforcement Agency City of Permit Number. PR35-351
Diamond Bar
Dwelling Address 23601 golden springs dr City. Diamond Bar Zip Code• 91765
i1a-1
A.System Information
Ol Space Conditioning System Identificat on or Name,, whole house
02 Space Conditioning System Location or Area Served whole house
03 Building Type from CF-1R Single family
04
Verified Low Leakage Ducts in Conditioned Space No,credit is not taken
VLLDCS)Credit from CF1R7
OS
Verified Low Leakage Air Handling Unit Credit from No,credit is not taken
CF1R7
s o .
06 Duct System Complfanc€Category
F , Alteretion E '
T
MCH-20d-Complete Replacement or Altered Duct System
B. Duct Leakage Dlagnostic Test
Ol Condenser Nominal Cooling Capaury(ton) 2
02 Heating Capaaty(kBtu/h) 24
03 Conditioned Floor Area served by this HVAC system(ft2) 900
04 Duct Leakage Test Condition Test final
OS Duct Leakage Test Method Total leakage
06 Leakage Factor 0 15
Av Handling Unit Airflow(AHUAirflow)Determination Cooling system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate(cfm)120
10 A tual duct leakage rate from leakage test measurement 33
cfm)
11 Compliance Statement System passes leakage test
Regis[ration Number 215-A0040862A-M2000002A-M20A Registration Date/Time 2015-02-23 OB 57 00 HERS Provider CaICERTS
CA Bwlding Energy Effiuency Standards Report Version 2014-05-08 Report Generated 2015-02-23 08 55 02
2013 Residential Compliance Schema Version 0 S15DD
CERTIfiCATE{?F VERIpICATIt}N Cf3R•MCN-20-N
Duct Leakage Olagnositit Test Page 2 of 3}
B,4uct leakage Diagnostic Test
iz Notes
C.Additional Requirements for Compliance
Ol System was te5ted m Rs normal operation condrtion No temporary tapmg allowed
Outside air{3A)ducts fpr Cemral Fan IMegrated(fl}ventllaUon systems,shall not be sealed/taped off during duct leakage
Z testing GFI QA ducts that utilize controlled motonzed damp rs,that open only when OA veMdation is required to me t
ASNAAE Standard 62 2,and close when 4A ventciation s ot requ red,may be configured to the closed posR on during duct
Ieakege testing
Q3 A1!Supply and retum reg ster boois were sealed to the drywall
04 Bwlding cev t es w re not used as plenums or ptatform returns in iieu of ducts
OS If cloth backed tape was used it was covered with Mast c and drew bands
O6 Alt cflnnection pomts'6etween the air handler and the supply and retuFn pienums are tompletely sealed
If the system camphes using the 5moke 7est method;the smoke test was conducted in accordance w th the requirements
p7 of Reference Resideotial,Append x,RA3 1 4 3 6 Systems that camply usmg smoke test shail not be included n sample
groups for HERS venfica#ion comphaDce
p8 Ver ficetian Status Pess-all apphca6le requ rements are met
09 Correction Notes for th s ta61e
The espansible persans sig ature on thls compbance document afflrms that ail app6cable reqwremenis m th s table have
been met unless otherwise nated in the Veriflcatlon SWtsas and the Correct}ans Notes In thls table
D.Dete minatian af HERS Verification tompl ance
AII applicabie sectians af this document shaii mdicate compllance with the specified veriflcat{on protocai
requirements in arder for this Cert flcate flf Ver ficat an as a whaie to be determmed to be m compiiance,
Ol Camphes All specrfred verifitat on prototol reqmrements on this document are met
Rzg strabon Number 215•A0040862A-M200 2A-M20A Reg stration Oate1'F me 2015-42-23 Q&57 HERS Provider Ca10ER75
CA 8uddtng Energy Eff c ency Standards Report Version Zqi4-05-48 RepoR Generated 2015-02-23 68 55 42
2ti13 Resedent al Comptlanee Schema Version 6 515dD
v
CERTIFICATE OF VERIF1CATiON CF3R-MCH-20-H
Duct LeakagQ Diagnostic Test Page 3 tif 3}
Documentarion Author's Deciaration Statement
I
1. f certify that this CeRificate of Veriflcation documentatlon Is accurate and complete.
Dacumeota[ionAuthorName DocumentatlonAutharSignature
lohn Kwan
Comp2ny DatE Slgnpd
J K Air 0aiancing&Duct Testmg 2p15-2-23 Q8 57 OQ
Addreu w CE+VHENSCeRiflcaUonldentlficatton(Ilappl qbVe}
9044 Te1sWr Ave#137 3912
c cytsu,tefz a vnone
EI M nte GA 91731 626-274•0522
Responsib}e Person's Declaration statement
i certrFy the folWwing under p2nairy otoeryury,under the laws ot the Statg of CaUtorn a
1 Tfie informafwn provided on thls tertiflt2te of venflCaHan is true and tOrcCct
2 1 am thg cemfipd HER5 Rate whd perform0d the ver fiG tlan fdentl(Ied and repMted on thi5 tertlficatc ot Venflcatlon{responsible rater}
3 The mstalled Fea[u2s,matenafs,campone ts,manutactured devices,Or SyStem pCrtormanGC d agno5tk¢Sutts that 2qulre HENS Ypnfira[on
identilied an this Cert ficate of ven0catlon comply with the appllc3bie requtrements m Refcrpnce Append¢s flA2,RA3,and the reqwrements
speafledanthe,CertlflGtte'ofCompllantetorkhtbulldingapproved6Ytheenfortem¢ntagency ` k 'r+
4 ThemformaUanreported'onappOcabiesectlonsoltheCertiflc te(s}ot nstallaYion CF?R)zignedandsu6mlt4edby iheperson{5lresponsibleforthe
constructlon or mstatia4om m iorms to the tequ rements sReclfied an Fhe Ceitiflcate{51 ot Canpllancc{CfIR)approred by thc enforerment agency
5 1 wtll ensure tfiat a registered capypf this Certihcate of Venfrcation ehall de posted,or maGt avafla6te w th the bi#idmg permrt(s+issued Far tfie
bwidmg,andmadeavallzbletotheentartementagencytar,al!'applKab einspectwns lunde"rstaroithataregksteredCOPyofthlsCerHticateof
Verification s requlreG 4o be i xtUded ivhh the documentali the twdder prwidet Sn the buiWing owner at occupancy
Builder Or 1nsbller lnformetion As Shown On The Certlflcate Of Instailation
Crnnparry Name(tmstalhng Subwnimcta,Geners Contfactor,or Bmlde JQwner}
ZABATTA HEA71N6 AND AIR CQNDiTIONING
PesponsibleBu Iderarinri3llerName CSl9titense
j Jal nZabatta 56ll59
HERS Pravider Data Registry Informatfon
Sample GroUp Number(f appl¢able dwell ng 7est Status in Sample Group(f xppl¢ahte)
Tested
HERS Rater IrEformat on
HENS Rater Comparry Name
1 K Air Balanting&Duct 7est ng
Respanz btepaterName ReSponsibleBater5lgnature
lbhn Kwan
Hespa sible Ratee Certifiwdfln Number wJ this HERS Provider IIate S gned
GC2005646 2015-p2-23 08 5T 00
D grtaNysignedbyCelCERTS Ttnsdignats!gnatureieprorrdrdmorderlosecuretlrcconterttolihrsreQ+slerrddocumer+tandtnnawayunpheaRegrat aironFrarrdet
mspana+MOty Mr the eccuxacyatthe rrtformeNon
Reg stration Number 215-AW40862A-M2dOQ042A-M2QA Regiskrat on Rate/Ame 2015-02-23 OB 57 00 HERS Arwider CaICERTS
C+8u lding Energy£Hicsenty Standerds Report Version 2014-OS-08 Report Ge erated 2035A2•23 e SS 02
2013 Residential Compliance Schema Version 4 51500
CERTIFICATE pF VERIF4CATION CF3R-MCN-23-N
Space Gondit3anrng System AlrRow Rate Page 1 of 4}
Pro ect Name. 2360i gotden spnngs dr qa-1 EnfarcemeM Agency City of Permit Namber. pR15-351 ',
Diamond Bar
Gwelling Address. 23601 golden sprmgs dr City. D amond Bar I p tade: 41765
a-1
I A Ducted Cooling System informatian
Ol System Ident 6tatinn or Name whole house
42 System Location ar Area 5erved whole housx
03 SysteminstallationType AlteratFon
QC Nommal Coohng CapeCity(tons)af Condenser 2
OS Condenser Speed Type Stngle Speed
06 Coofing System tonal Contro)Type Nat 2onal
0? Cent al Fan 9ntegrated{CFI)Ventitation 5yftem Status, ' Not a CFI system
I
08 System Bypass Duct Stetus
f `
No Bypass DucN
i , _
04 4ate af System Airflow Hate Measurement 2015•D2-23
10 Airflow Rate Prokoc 7l utdized RA3 3 procedures for a rflow rate measurement
8. Hate far the placement of a Statfc Pressure Probe{HSPP},nd Permanently Installed Static Pressure Probe{PSFPi
in the supply pienum.
I Procedures for mstalt ng HSPP or PSPP are spec fied m RA3 3 1 Z
al
Method used to deroQnstrete comphance wdh the HSPP installed and Iabeled wnsistent with Hgure RA3 3-]
HSPPf PSPP reqmrement
C.Airfiow Rate Measurement Apgaratus and Procedure Infarmation
Instrument Specifications are given in RA3 3 1 ],and system airflow rate measurement apparatus information s given
inRA332
01
A rflaw Rate Measurement Type used for this a rflow rate Plow Grid accardmg to protedure m RA3 3 3 12
venfication
02 Manufacturer af Airflow Measurement Apparetus TEC
03 Model number of Airflow Measurement Apparatus DG7pfl
Certrf cation Status of the Airflow Measurement Apparatus Ceriifled by Manufacturer and listed on tEt Wehsite at
Accuracy http JJwww energyca govJ(tbd)
RegiStratwn Number 215-A004688?A-M2309942A-M23A Reg+stration OatelTime 2fl15-02-23 b8 5T W HERS Frovider CaICERTS
CA Bwid ng Energy Eff ciency Standards Repart versron 2014-OS-08 Report Ganerated 3415-02-23 09 55 99
3013 RBsident al{omplience Schema YerSbn 0 51SD0
CER7IPICATE OF VERIFICA710N CF3R-MCH-23•N
Space Cond fiomng System A rfbw Rate Page 2 of 9}
MCH-23a Forced A r Syatem A rflow Rate Measuremen#-Newly Installed Non-Zoned Systems or Zoned MuFti-Speed
Compressor
D Forced A r Systern A rflow Rate Meawrement
The protedures far System Aieflaw Rate Verrfication are specrfted in Reference Res dentiai Appendrx RA3 3
Ol Requrzed Mm mum System A flow Rate(cfmjtan} 300
OZ Reqwred Minimum System A rflow Target{cfm} 640
03 Actual System Airflow Rate Measurement(cfm} 656
04 Comphance Statement 5ystem a+rflow rate complies
E.Add t anal Requ rements
1 Air fdters that meet the applicable requ rements of Standards Section 15Q Q(m)12 or 150 0(m 13 were properly mskelled m
the system dunng system air flow rate meawrement identifted on this Certifitete of Installation
7ha airffow rate measurement apparetus used to perform the airflaw rate measurement identdied on thfs Cert ficate of
i fl2 Installation was cahbrated m accordance wrth the aPParatus manufacturer's speuficatians and conforms to the
nstrumentat on speaf cat ons giaen in RA3 3 1
A u sual Gnspection sha0 confiem that bypass ducts thak deliver conditioned suppiy air d eectly to the space eonditioning
system return duct a+rflow are not used on new or replacement zonally controlied systems uniess the Performance
Q3 Cert ficate of Compl enca mditates an allowance for use of a bypass duc[ When a bypass duck s accounted for on the
Performance Certrficate of CampEiance,the airflow rate shall canfarm ta the specificabons listed on the Certificate of
Camphance
04 AII reg sters were fully open durmg the d agnosttc test
OS System fan was set at max mum spe d dvnng the diagnost r test
05 If fresh air dutt s part of the HVAC sy5tem rt was not dosed dunng the d agnosbc test
07 Airflow rate and fan watt draw shall be s mulkaneous measurements when uted to caiculate the Fan Effiwcy tested walue
Muiti-speed compressor space caoling systems or variabie speed compressor eystems shall verify eir fiow(cfmJton)end fan
08 eFFuacy(Watt/cfm)wdh system operetmg m coohng mode at the maximum compress r speed and the mawmum air
handlerfan speed
09 Verificat on Status Pess-alI applicable reqwrements are met
10 Corred on Notes
fhe respc ns 61e perspn"s signature on th s compllance documeM affirms that all appUcabCe requirem nts{n this table have
been met unless otherw35e noked In the Verification Statua and tfie Correctwns Notes in this table.
RegiStrotmnNumbet 215•A094p862A-M23DQOOZA-M23A RegiisttationDatejT me 2015-02-230&5700 HERSFrotnde CaICERTS
CA Budd ng Energy Effiaency Standards Report Ve s an Z014-OS-pB Report Generated 201502-23 08 55 39
2Q13 Hesidenhal Comphance Schema Vers on 0 SiSDD
CEPITIFitATE OF VERIFICA7ION CF3it-MCH-23-H
Spaze Cnnd tlaning System Airflow Rate Page 3 of 4}
F.Oeterminat on of HERS Verification Campl ance
All appbcable sections of khis document shall ind cate comphance wrth the specified venfi at on protocol
requirements m order for th s Certiftcate of VenficaU n as a whole to be determmed to 6e n compliance
ai Camphes AII specified venficat on pratocoi reqwrements an th s dacument are met
fteg strat onNumber 21S•A44d6862A-M2300002A-M23A Regist2tion0a[ejT me 2015-02-23q85700 HER4Provider CaICERiS
CA Buridmg Energy Effiuency Standards fteport Verswn 202G OS-OS Report Generated 2015-02 23 OS SS 39
20i3 Resident aitompiiance Schema Version 6 SSSDD
CERTIFICA7E OF VERIFICA710N CF3R-MCH-23-H
Space Cond t omng System A rflow Rake Page 4 of A
Dncumerrtatian Author's Declarat an Statement
1. I cert fy that this Cert ficate of Verification documentation ix accurate and rnmplete.
oowmentandnAuthartaame bocumemat onAvihor;igndture
Jahn Kwan
Company C/ate3igned
J N Air Balancmg&Duct Testmg 2015.02•23 OS 57 04
I Address CEqtHEltStertificanon7dentificat on(ilapplicable}
4040 Telstar Ave#137
GryjS4etejZip Phone
EI Mflnte CA 91731 626-2740522
Respons ble Person's Declaration statement
tertdy the foltow ng under penalty at per ury,under the faws of the Stace otCahfom a
1 Thg mfprmallon Rrowded on th 9 CerbfiCate of Venficavon s true and correCt
2 amthecettifiedHERSFtaterwhnperformeathevenfrcadonidendfiedandreportedflnthisCerti4cateoiVcnficat on respons bierater}
I 3 The mstalled features,matenais,companents,manufactured devices,r sYstem performance diagnostic resuits tha[reqaire HERS renflta4on
I. idenUfied on thrs CBrtrf te O Vprificakmn compty with the apRhcable reqw(emenC3 m Refereate AppendiCeS HA2,RA3,and the reqmrement5
speofed on the Cert ficate of CompLance fOr the 6midmg apprpvgd by the enfortement agenqr
d The mFarmatwn reported on appNCable sections ot the Certrficate{s aF Usialianon(CF2R s gned anA submitted by the personjs responS dle Yvr the
Construct on or msiallation conforms ta the re mrements spec 5ed on the Cern(cate(s)of Compliance(CF1Rj approved by tbe enforcement agency
5 I wdi ensure that a regrstered copp af th n Cenitiwre of venP cat on shali 6e postetl,or made ava lable wilh the Gmitlmg Rermit(s)ssued Por the
buiWing,and made avalla6le ta the enforcement agency for a appiicable inspections i under5[and that a regEstered mpy of this CertiF tate of
VeriEicatron is required to be mciuded wRh Me documentaban the bwlder provides ro ihe hudd ng owner at ocmpanty
Butlder Or installer Informettan As Shown On The Certificate Of installatwn
Comparcy Name(Installmg Submntractar,General Contractor,or BwiderjOwner)
ZABA'STA HEATIN6 AND AIR COHDITfQNIN6
ResRansibie Builder or Instalier Name CSt9 t cense
1ahnZabatta 561159
HER5 Prov der Data Registry Informatwn
ample Group Number{d apphcabie) DwellingTest Status m SamplQ Group{rf appf wble)
Tested
H@RS Rater Intormation
HEftS RakBr Company Name
1 K Air Balancing ffi Duct TesUng
Respflnsi6leRaCerName ResponsibleHa[er5+gnature
lohn Kwan
kespons bleRaterCertificatronNumberwJttr sHEftiPrwide I)e e5 gned
cc2aasea zo s-o2-23 08 57 00
Orqrtattys pnedbyCalCER7S ThrsdrgRalsipnature sprov dedrno dertosecureihecontentatth srep slereddocument.andmnowaY mF e9 stralinnPmvMer
responsibiltly fqr the accaracy otthe m/armanon
RegistrationNumber 215-A004Q852A•M23QOQ42A-M23A Reg strat onDatel'fime 2075-02-23Q85700 HERSPro+nder CaICER75
CA Butlding Energy EfficienCy 5[andards Repork Vers an ZOld-05-08 Report Generated 2015-fl223 OS 55 39
2013 Resident 2l tomplianCe Schema Version o 515do
CERTIFICATE OF VEHIfICATION Cf3R MCH-25-H
Refngerant Charge Ver ficatron Page 1 of 4)
proaect Name 23601 golden spnngs dr#a-] Enforcement Agency City of perm t Ptumber PRIS-351
oiamond Ber
DwelUng Address 2360I goiden spnngs dr Cdy Diamand Bar Zip Code 91755
s a-1
A System Information
NERS Rater to f eld-ver fy ali system mfarmation,dlscrepancies to be noted 6y overwr tmg entry.
01 System Identrfication or iJame whole hause
02 System Lacat on or Area Served whole house
fl3 Conden5er{or package un t}make or brand DAY ANO NIGHT
04 Condenser{or package unrt}modei number N4H324ANF2fl0
OS Nommal Coolmg Capac ty(tqnsj of Condenser 2
06 Corxlenser(or package unitj serial number E145001873
O7 Hefrrgerant Type R-410A
OS pther Retngerant Type(f appl ca6le
fl4 Systeminstallat onType Alteration
14
Charge Indicator Display{CID)Status{Note Even systems This system daes not have a CID device installed
w th a CID must have retngerant charge venfied by msta[Ier)
1s the system of a rype that the minimum a rflow can be Yes,this is a ducted system and one of the system a rflow
11 venfied us ng an approved meesurement procedure(RA3 3 rate measureme tt procedures in RA3 3 or RA3 2 2 7 can be
or RA3 2 2 7} used to venfy sYstem airflow rate
Is the system of a tyRe that approved refngerant charge Yes,one of the Re(ngerent charge venf caUon procedures
venf caUon procedures can be used to venfy comp6ence frorn RA3 2 2 or RA1 is apphcahle to this system and can be
12 with the reingerant charge verificat on reqwrements when used to venfy campliance
temperatures are greater than ar equal to SSf{RA3 2 2,or
RAS}
13 Date af Refrigerant Charge Verification(or th s system 2015-02-z3
1
RePngerant charge ven(icarion method used Subcoohng outdoor temperature must be equal to or
greatee than 55 degF}
15
Person who performed the Refrigerant Charge Venficat on HVAC system mstaller
reported an this Cert fitate of Installat on
16 HEftS Venficatwn Comphance fteqwrement Status System qualifles for group samp6ng
17 Re(ngerant charge ven5cat on method used by HERS Rater SubcoQl
Registranon Number ?SS-A9040862A-M250DDo2A M25A Reg strat on OateJ'f me 2015-02-23 OB 57 00 liERS Pro der Ca10ERT5
CA 8wldmg Energy Effic ency Standards Report Version zoia•as•as Report Generated 2015 02-23 0&56 27
2013 Res dential Comphence Schema Version 0 5515D4
CERTIFICATE OF VERIFICATIQN CP3R•MCH-25-H
Refrigerant Charge Verrficatian ip 6e 2 of 9}
Standard Charge Yerification Procedure-Cf3R-MCH-25b-Subeooling Methad
B.Metenng Devicx Venc atian- HER5 Rater is requtred to v sually field verify all mformat on from CF2R
Suk cool ng Method can anly be used on systems that have a var able metenng device
Ol Refngerant metenng dewce Thermos#atic Expansion Vakve(TJ(V)
42 Sutxool ng Method appl cabd ty status Subcoaling Method s applicable to this system
C.Instrument Calibration-HERS Ratars are required to cel brate their diagnast c tools
Procedures for mstrument cai+brat on are g ven in Reference ResidenUal Appendix RA3 2 2 an 1 RA3 2 2 2
61 6ate of Digital Refngerant Gauge Cai hratwn 2015-02-02
62 Date of Digitai Shermocouple Cai bratian 2015•02-42
Q3 D gital Refngerant Gauge Cal}brakon Status Ca66ratran s current
Od pigital Thermocouple Celibrat on 5tatus Cal brat on is current
D. Measurement Access Hole{MAH)Ver f catton-HERS Raters are reqwred ta v sually f eld verify MAH
Procedures for mstalimg MAH are spec fied n Reference Residentiai Appendix RR3 2 2 3
Ol
M thod used to demonstrate comphante with the MAH installed and labeled cansistent with Figure 3 2-1
Measurement Access Hole(MAH)requ rement
E Mmimum System A rflow Rate Ve ficat on
Procedures for ver fying m mmum systern airflow are specifted in Reference Resident ai Appendix RA3 2 2 7
Ol Mmimum Reqmred System Airflow Rate(cfm} 604
fl2 System Airflow Rate Yenf cat on Status System complies wikh mrnimum airflow rate requirement5
F.Data Caliect an-HERS Rater must mdependentiy caliect ai1 data m this se t on,
Procedures for deterrnm ng Refngerant Charge usmg the Standard Charge Ver fication Protedure are g ven rn
Reference Residentia)Appendix RA3 2 2 and RA3 2 2 2
1 owest return a r dry bulb temperature thet qccurred dunng 65
the refrigerant charge venfication proceduee(degreeF}
fl
Measured Candenser air enter ng dry•bulb kemperature(T 73
condenser db}
Registratian Mum6er 215-A0040862A•M250b002A-M2SA Reg strat on DatejT me 2015-02-23 08 S?00 HERS Prowder CaICERTS
CA Building Ene(gy EHiciency Standarcls Report Yets on 2414A5•08 Raport Generated 2015-02 23 OB 56 27
2013 ResEdent ai Comphance Schema Vers on Q 557SDD
CERTIPICATE OF VERIFICATION CF3R-MCH-ZS-H
Rafngerant Charge Verlficat an Page 3 of 4)
P.pata Cotlection-HERS Rater must independently collect aII data m this xection.
Procedures for determm ng Refngerant Charge using the Standard Charge Yer ficebon Procedure are given m
Reference Resident al Appendix RA3 2 2 a d RA3 2 2 2
i 43 Outdoor Temperature 4uahficadon Status Outdoor temperature is wrthin range for using Subcoolmg
refngerant tharge ver fiteSion method
04 Measured i.quid Line Temperature{ToaU d)(degreeP} 62
OS Measured Lrqmd tme Pressure{Fi n,e) (pisga 203
06 Condenser 5aturatwn temperature{Tconee sw e)frflm digitaf 72
gauge or P-T T2ble using i.me FOS(degree F)
07 Measured 5ubcoolmg 10
08 Target Subcoohng 13
Q Compl ance S#atement System camphes with Subcoohng Method-Must alsa pass metenng deuice verrf cation, next
section
G. Metering Devlce Verficatian
i Procedures far the venficaLon af proper metenng dev ce operation are specrfied in RA3 2 2 6 2
OS Measured Suction Ime tempe ature iTsona(degreeF} 56
02 Me25ured Suction Itne pressure tP:euo}{ps g) 102
p
Evaporator saturahon temperature(Te vwat«,sac}tram 32
d3g tal gauge or P-T Table using hne i02{degreeFj
04 Measured Superheat 24
OS Measured Superheat is between 4 and 25 deg F imclus ve} Passes CEC reqmrement
d
Measured Superheat is wrthm manufacture's specifications, Yes,dowmentation to be prov ded upon request
rf known
07 Compl ance Statement Metenng device verificat on pasees
H Determ n t on of HERS Verification ComplEance
Aii appiccable sect ons of th s dacument shall nd cate compliance wrth the xpecif ed verificatlon protacol
requ rements in arder far th s tertificate of Ver hcation as e whale to be determined to be in compl ance.
61 Campbes All spec fied venficat on protocol requvements on this document are met
Registrabon Number 215 A0040662A-M25QOQ02A-M25A Reg sttatmn Date/Time 2415A2-2308 57 QQ HERS Provider Ca10ERTS
CABuildingEnergyEffic encyStandards ReportVersion 2014-d5•68 ReportGenerated 2015-02-23 065627
2013 Resident ai Gompfiance 5chema Versron 0 SSSSDD
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refngerant Charge Venficatlon Page 4 of 4)
Documentation Author's Declaretion Statement
1. I certify that this Certificate of Venfication documentation is accurate and complete.
Documen[atlonAuthorName DocumentanonAu[hor5igna[ure
JohnKwan
Company Da[e Sisned
1 K Air ealanang&Duct Testing 2015-02-23 08 57 00
Address CEA/HERS Certillcanon Identif¢anon(if appliwble)
9040 Telstar Ave H137 3012
G[y/State/Zip Phone
EI Monte CA 91731 626-274-0522
Responsible Penon's Declaretion statement
I certdy the followmg under penal[y oF per ury,untler[he laws o([he Sta[e of Cahfornia
1 The mformaUon provided on this Certfcate of VenGcallon rs ttue antl wrrec[
2 I am the certrfied HERS Rater who pertormed the venRcanon idenufied and reported on thls Certrf¢ate of Verrf¢anon(responsble rater)
3 7he ms[alled features,materials,components,mawtacturetl devices,or system pertormance diagnostic results that reqwre HERS venfication
tlen[died on this Certificate of VenGcanon comply wnh the appl¢able reqwrements in Reference Append¢es RA2,RA3,antl[he reqwrements
speciGed on[he Certifica[e of Compliance for[he bwlding approved by the enlorcement agency
4 7he mformanon reported on appllcable sectlons of the Certiflcate s of Installauon(CF2R)signed and submltted by Ihe person s)responvble for the
construcnon or installanon conforms to the reqmrements spealietl on the Certificate s)o(Compliance(CF1R)approved by the enforcement agency
5 I wdl ensure Iha[a regislered copy oF this Cerbfiwte of VenfiwGon shall be postetl,or made avadable wuh[he buJdmg permu(s)issued(or[he
bmltlmg,antl made avadable to the enforcement agency(or all appliwble mspecnons I understand that a regisrered copy of this Cernflwte of
Venfiwuon is reqmred to be mcluded wrth the documentauon the bmlder provides ro the bwlding owner at occupancy
euilder Or Installer Information As Shown On 7he Certificate Of Installat on
Company Name(Installing Subcontractor,General Contractor,or Bwlder/Owner
ZABATfA HEATING AND AIR CONDITIONING
Responsible Bwlder or Installer Name CSLB L¢ense
John Zabatta 561159
HERS Provider Data Registry Information
Sample Group Number(d apphcable) Dwelhng Test Status m Sample Group(d appLwble)
Tested
HERS Rater Information
HERS Rater Company Name
J K Av Balanung&Duct Testing
Responsble Rater Name Responsible Rater Signature
John Kwan
Responsble Rater Cerhfcanon Number w/this HERS Provider Dale Signed
CC2oo5546 2015-02-23 08 57 00
D grtally siqned by CaICERTS Thw diqtlal signa ure s pronded m ortler m secure Ihe contem o/fhis regisrered document and n no way mp0es Negist2hon Prowder
responsibd ry lor fhe accurecy o/Ihe m/ortnauon
Registration Number 215-A0040862A-M2500002A-M25A Registration Date/Time 2015-02-23 OB 57 00 HERS Provider CaICER75
CA Bwlding Energy Effuency Standards Report Version 2014-OS-OS Report Generoted 2015-02-23 OB 56 27
2013 Residenual CompLance Schema Vermon 0 SS15DD
CER7IFttATE QF{NSTAltAT10N CF2R-MfH-20-H
Dud leakage Diagnost[c Test Page 1 oI3}
ProJect Plame 23601 galden spnngs dr+ta-1 Enforcement Agency City af Perm{t Number PRSS-351
Diamond Bar
Dwelimg Address 23601 golden spnngs dr Caty. D amond Bar Z p Code 91785
a-1
A System InformaUan
OS Space Cond bomng System idenkif cat on or Name whole house
02 Spaw Conditioning System locaUon or Area Ssrved whoie house
03 BuildingTypefromCF-1R Singiefamdy
p§
Verified Low Leakage Ducts in Condiboned Space No,credtt Es not taker
VLLOCS}Gedit from CFSR7
OS
Yerif ed Low Leakage A r Handhng Unrt{VLIAHUJ Credrt Na,credrt is nat taken
fram GFSR?
06 Duct System Compliance Category Alteranon
MCH-20d-Complete Replacemertt or Altered Duct System
B. Duct Leakage Diagnostic Test
01 Condenser Nammal Coo ing Capacity(ton) Z
02 Heatmg Capac ry(kBtufh) 24
03 Conditro ed Floor Area served by this HVAC system(h2} 900
04 Quct I.eakage Test Condrtipn Test final
OS Duct leakage Test Method Leakage to the outside
O6 Leakage Factor 0 1
Q
Ai Handlmg UnFt Airflow{AHUAirflow)Determ nation Default air flpw method
Method
48 Measured AHUA rfIow This field ar section is nok applicable
04 Caiculated Targat AElowabie Du t I.eaka e(cFm) 4S
ia ACtual duct Ieakage ake frpm leakage test m8 surtment 33
cfm}
11 Compl ance Statement System passes ieakage kesk
Reg StraUOn NumbB 215-A+i0662A-M2444442A-44 Reg stratwn DatelT me 2015-02•23 08 58 48 NERS Prowder CatCfRTS
CA Bwidmg Enee$y Efficiency 5qndards Repart Vers an 2QiA•QS-08 Rpport Ge erated 2015-02 23 p8 A7 31
2013 Res dent ai Compl ance Schema Vernon 4 SSSt?D
CERTIFICATE OFINSTALLATION CF2R-MCH-20-H
Duct Leakage Dlagnostic 7est Page 2 of 3)
C.Additional Requirements for Compliance
Ol System was tested m rts normal operation condrtwn No temporory tapmg allowed
Outside av(OA)ducts for Central Fan Integreted(CFI)venUladon systems,shall not be sealed/taped off durmg duct leakage
QZ tesLng CFI OA ducts that utdae controlled motonzed dampers,that open only when OA ventdation is requved to meet
ASHRAE Standard 62 2,and close when OA ventilation is not reqwred,may be conf gured to the closed position during duct
leakage testmg
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 rt was covered with Mashc 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 reqwrements
07 of Reference Residential Appendiz RA3 1 4 3 6 Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance
The responsible persons signature on this compliance document affirms that all applicable requvements m this table have
been met.
RegiStranon Number 215-A0040862A-M2000002A-0000 Registration Date/Time 2015-02-23 08 58 08 HERS Provider CaICERTS
CA Building Energy Effiaency S[andards Report Version 2014-OS-08 Report Generated 2015-02-23 08 47 31
2013 ReS dential Compliance Schema Version 0 S15DD
CERTIFICATE OF INSTALtATION Cf2R-MtN-20-H
Quct i.eakage Diagoastic Test page 3 of 3
Documentet on Author's Deciarat o Statement
2. I certify that th s Certificate of Installation documentetion u eccurate and complste.
Oocumentatwn Author Name baGumenta2ion Author SignatureG Yifaw'iG.tZC i{.LslohnZabatta
company siBnature oate 2015-fl2-23 08 58 08
ZABAI7A HEATING AND AIR CQNDITIONING
Addrnss CEA1 HEtiS tertrficat on Idennficatlon{if app cable
PO BOX 9368
Gtyl9tatejZ p Rhone
ALTA{,pMA CA 91701 409j 989-920D
Responsible Persan's Declaration statement
E certdy the kliawmg under penaity of Der ury,under the aws of the Stace of Cahforroa
i ThemformatwnprovidedonthisCertificatgo(installat o rstrueandcorrec[
2 1 am etig ble under Ow sion 3 of[he Business and Pro(essions Code m the applrzable ciassd canon m aaeRC eespansibilrty for the system des gn,
construchon,or mstaliation of features,matenals,mmR4nents,or manufaccured dev¢es for ehe scope of work zdenbFled on this Cemficate of
Instalia2ion and attest to the deciarot ons m Shis statemenk(respflnsi6le buelderjmscalierJ,oiherwise I am an authorned represenkative of the
respqns kl8 budderJinstaller
3 The tonstnicked or mstalfed tearnres,materials,comparenis pr manu(actured devxes(the ins[allaUonj dentrf ed on this Cert ficate of Ins[alfa[ron
confarms to a!I app6wbie sodes and mgulations,and the nstal7at on eon(orms to the reqmrements iven on the planS and SpeC+fKaUons approved by
the enfortement agency
4 !understand that a MERS rater wdi theek the nstallat on to verrfy compliance,and that d such Uexkmg dentihes defec[s,I am requved ta take
correct ve attwn at my expense 1 understand that Energy Cammuswn antl HERS Prowder representat ves wdf alsa periorm Guai ty assurence checbng ;
of m tailatwns,mduding those aPPsoved as part o(a sample group 6ut not checked by a HER$rateq and if[hose mstallaUons fad to meet the
requ rements of wch quaiiey assuanee checking,the requrred corcect ve action antl additionat chec ngfie5tmg pt qther nstallations n that HERS ',.
sampie grauP wJl be Pertarmed at my expertse
5 7 revrewed a tppy of the Cemftate of Cornpl an4e apprpved by the en dreement agenty that idenS 0e5 the SReGfic feqmremeMs fqr thc scope of '',
constructian o mscatiallon ide nfred on khts Cen#cate af Instaliation,and I have ensured that the requirements thaz apply to the canstructwn or ,
I Vnstallation have been mei
6 will ensure that a reg stered topy of thGs tcrhfltaRe of InstaUatwn shall be Rosted,ar made avaOable wuh the Guild ng permit(s)issued for the
puiidmg,and made avmlable to the enforcement agenry fqr aIl appbcable nspecaans 1 understand[hat a reg 5tcred mpy p!this Cert(sate of I.
I. Installanan is reqwred ta be included w th the documentatmn the budder provides to the hmiding owner at oaupancy
Responsibte 0udderJlnstai{er Name Respons ble Du tderJlnstaller 5ignature
JohnZabatta
CampanyName (nsta16ng5obcantroctororGeneraifonkractnror PasitionWithCampany(Title)
Bu IderlOwner OWNER
ZAOATfA HEAT(NG AND AIR CONDITIpNING
Address CSLB L cense
PO BOX 9368 561159
Crtpjsta[e/2ip Phone Date S gned
AI.TA LOMA CA 91761 9Q9)989-9200 2015-02-23$ 58 08
Thvd Party Qua6ty Contr l P ogram{TP4CP)StaNs Name af TPQtP(d appl caGle)
Pulrtat7ysignedbyCa(GERTS Th sdigRalsignaturersprovidedmaidertusezuretheconienloffh+sregntereddo4umenLandrnimwaymrpLesReg stratroe Ftwidet
respartsibthry tor tha accuracYolthe m(ormana r
RegastreUonNumber 215-ADDA0862A-M200 02AD C10 Reg stratwnDate(T me F0 5-02•29085808 HERSPrqvider CaICERiS
CA Build ng Energy Eff c enty Standards Report Versipn 2014-OS-OS Report Generxted 2Q15-02 Z3 OS 47 31
2Q13 Resident al Campliance 5cheme Vers on o 515trQ
CERTIFICATE OFINSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate Page 1 of 3
ProJect Name• 23601 golden springs dr qa-1 Enforcement Agency City of Permit Number PR15-351
Diamond Bar
Dwelling Address 23601 golden springs dr City Diamond Bar Z p Code. 91765
qa-1
A. Ducted Cooling System Information
Ol System Identification or Name whole house
02 System Location or Area Served whole house
03 System Installation Type Alteration
04 Nominal Cooling Capauty(tons)of Condenser 2
OS Condenser Speed 7ype Single Speed
06 Coohng System Zonal Control Type Not Zonai
07 Central Fan Integreted (CF1)VenUlaUon System Status Not a CFI system
OS System Bypass Duct Status No Bypass Duct
09 Date of System Airflow Rate Measurement 2015-02-23
10 Airflow Rate Protocol utilized RA3 3 procedures for airflow rate measurement
B. Hole for the placement of a Static Pressure Probe(HSPP,and Permanently installed Static Pressure Probe(PSPP)
in the supply plenum.
Procedures for installing HSPP or PSPP are specified in RA3 3 1 1
Ol
Method used to demonstrate compliance with the HSPP installed and labeled consistent with Figure RA3 3-1
HSPP/PSPP requ rement
C.Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3 3 1 1, and system airflow rate measurement apparatus information is given
in RA3 3 2
Ol
A rflow Rate Measurement Type used for this airflow rate Flow Grid according to procedure in RA3 3 3 1 2
verificaUon
02 Manufacturer of Airflow Measurement Apparatus TEC
03 ModelnumberofAirflowMeasurementApparatus DG700
04
CerOficaOon Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Websrte at
Accuracy http//www energy ca gov/(tbd)
Registretion Number 215-A0040862A-M2300002A-0000 Registration Date/Time 2015-02-23 OB 58 OB HERS Provider CaICERTS
CA Build ng Energy Effiaency Standards Report Version 2014-OS-08 Report Generated 2015-02-23 OB 49 OS
2013 Residential Compliance Schema Version 0 S15DD
CERTIFtCATE OFINSTALIATION CF2R-MCN•23-N
Spate Condltian ng System Airflaw Rate Page 2 of 3)
MGH-23a Forced Air System Airflaw Rate Measureme t-Newly I stalled Nan-Zoned Systems or Zo ed Multl-Speed
Campressor
D. Forced Air System A rfiow Rate Measurement
The procedu es for Sys#em A rflow Rate Venficat on are specified in Reference Residential Appendix RA3 3
Ql Required Minimum System Airflow Rate{cFmJion} 3Q0
Q2 Required M nimum System Airflow Target{cfm} 600
03 Actual System Airflow Rete Measurement{cfm) 656
6A Comphanee Statement System e rfiow rate complres
E.Additional Requiremenu
01 Atr falters that meet the appi[able requ rements of Standards Setnon 150 0(m}12 or 150 O m}13 were properly mstalled m
the system during system air flow rate measuremeM denti5ed on this Certrficate of tnstallat oo
The airfl w rete measurement apparatus used to perform ihe aerflow rate measurement identified on this Certrficate of
02 Instaliat on was calikreted m ascordance w th the apparatus manufacturer's spec 6cat ans and conforms to the
instrumentaUon spec ficatiffns given in RA3 31
R visual mspect on shall confirm that bypess dusts that dehver conditEoned supply air d reetly to the spa[e tffnd Aornng
system rekurn duct a rflow are not used an new or replacemeni zonally controlled systems unless the Performance
03 Certrficate of Compliance ind cstes an allawence far use ot a bypass duct When a bypass duct is accounted Far an the
Performante Cert ftcate of Compl ance,the airflaw rate shall conform ta the specificatwns I stQd on the Ceriificate af
CompbanCe
04 A1I reg sters were fulEy open dunng the diagnos[ic test
OS System fan was set at max mum speed during the diagnosUc test
06 If Fresh a r duct is part of the NVAC system it was ncai closed dunng the diagnostic test
il7 Airflaw rate and fan wat[draw sha11 be smultaneous measuremeMs when used ta calculate the Fan Eff cacy tested value
Multi-spaed compressor spece cooCmg systems ar var able speed tampressor systems shall verify a r flow(cfmJtanJ and fan
08 efficacy(Wattjcfm}with system ffperahng m coaling mode at the max mum compressar speed and the maximum a r
hendlerfanspeed
The respanstble persads s gnature on th s complaance documeM aff rms that aII apphcable reqwreme s m this table have
kreen met
fteg straUon Number 275-A 040862A-M2304002A•0000 fteg 5tratipn Date(T me 2015 02-23 Q&56 Q$ HERS F owder CaICERTS
CA 8uald+ng Energy Effic ency Standards RepaK Vers on 2014-65-68 NBpoR Generated 2015-02-23 0$49 OS
2013 Res dential Compliance 5chema Version 0 SiSQD
CEftTIPICATE OF JNSTALLATIi7N CF2R-MCH-23-H
Space Conditionmg System A rflow Rate Page 3 of 3)
Documentation Author's Declarat an Statement
1. I certify that this Certi#rcate of Installat on documeMabon accurate and complete.
Documentatmn Authar Name Dorumentabon Au[har SignatureL YdF'/GtI 7lohnZabatta
Campauy Sig ature oate 015-02-23 0$ 58 0$
ZABATfA NEATING AND Alft CONDITI4NING
Address CEN HER5 Ccrt hc kron Idennficat on i f aRP icahiej
Po aox essa
CityJStatejZrR Phone
ALTA I.6MA CA 9]701 949J 989•92
Respons ble Person's Declaratian statement
i certify the fallowmg under penalty o(perlur/,under[he laws of the State of Caldom a
1 The mfarmanon provided on th s Cert f caCe o(Instaliatwn s true and careet
2 I am e6glble under Dwision 3 oF the 8usmpss and Protesvons tode in the appl cabte ciassd wnon to actepi responsibihty for the system des gry
cons[ruttwn,or nstaliation o Peatures,matenals,components or manufactured dewces for the scope atwork denvfied on thrs tert ficatc of
InsWllatwn and attest to the declaraNans m th s statemenS(rcspans b e bwlded nstalier},otherwise I am an authoraed repmsentaUve of the
re3ponsbie budderf nStaller
3 The construc[ed or mstalled features,matenals,components ar manu(acNred devices{[he InstallatronJ identr6ed an this Cert ficate oF Instalianon I
conformsto all app6cabie codes and regulat ans,and the Installanon conforms to the requ mments given on the plans and speci6cahons approved 6y I
she en{arcement agency
4 1 understand that a HERS raterw ll check thp mstallat on m verdy compi ance,and that dsuch fiecking denNfies detects,l am requued ta take
correctave 2ctfon at my expense 1 understa d that Energy Commisson and NERS prvvider representanves wlll also perform qva0ty assurance check ng ;
oP+nsSaliaUons,inciudmg those appraved as part oPa zamR e grnup but not checked by a HERS rater,and if[hose mstatlations Fad ka meet the
reqwrements at such quahtY assurunte checking,the required correc4ve actian and addr[onal checkmgtresbng of other mstaliat+ans m 4bat HERS
sample groupwdi 6e perfofrned at myexpense
5 I reviewed a m(ry ot the Cert cate ot Compl anee approvrd by the enlmcement agenty thaS idennfies the spenfic requuemen[s for the scope oF
cAnstruc4ion o m5ta 2b9n denufied on th s Cert icate o(InStallat on,and I htve ensured that the reqmrements that 2pp y to the constructlon or
mstallation have beQn met
6 1 w ll ensure tiwt a reg stered copy of th s Cert+6taSe of Instaliat on shali be posled,ur made ava iabie w th the 4u lding Rerm t(s)issued for the
bu+ding,and made avadadle t the enfarcement agency tor aIl appi cabtc rospestrons I unde`stand that a reg stered capy of tMs Certihtate of
InsSailatwn s reqmred ta h0 mcluded vnth the documentation the budder prov des to the bu td ng awner ak accupancy
Responsible Bodde Jinstaller Name Respons ble Butlder(fnstailer S gnature
John Zabatta
Company Name pnstaibng Suhconvactor arGeneral{ontractar or Posit on W th Campany(i tlej
Budderi0wner OWNER
ZA8,9TTA HEATING AND AIR CQNDITEONING
Address CSt6 Ucense
PO 80Jt 4368 561159
Gty(StatejZip Phone Oate Signed
ALTA L4MA f1k 91701 9pgJ g$9-9200 2415-02-23 08 58 O8
Thrrd Party qua6ty Control Program{TP CP}5taros Name af TPQCp(t apphcabie}
Dig laHy z gmd 4yCa7CEAT5 1fis d+qrtatajg+rature is pmnded m oNer to secure the corrtent at ihta egislered docummt andm no way rcnptres Regzsfrabon Prowder
resparrsrbdrtq fat 1he eccuracyallhe mtormairon
Regastrat on Number 215 A0040862A-M?300002A•OD00 Reg strabon 6atelTime 2{I15-02-23 08 5$t58 HEftS Frovider CaICERTS
CA&wid ng Energy Eff crency Standards Report Version 2014-5-08 Repart Generated 2015-02-23 0&49 OS
2013 Res dent al Compl ance Scfiema Version 0 51500
CERTIFICATE QFINSTALIATION CF2R-MCN-25-H
Refr gerant Charge Verihtatton Page 1 af 5]
pro ect Name 23601 golden sprmgs dr ita-1 Enfortement Agency City of Petmit Number PR15-351
Diamand Bar
DwellmgQddress 23601 gofden sprmgs dr Gty Diamond Bar Zip Code• 41765
a•1
A System information
Each system requirmg refngerant charge verification w ll be documented an a separake certif cate
OS Syskem Identificatro or Name whote hause
02 System Location m Area Servet! who3e house
03 Condenser tor package umtJ make or brand DAY AND NIGHT
04 Condenser(or patkage un t}model number NAH324AKF200
OS Nom nal Coolmg Capaary(Sons}of Condenser 2 I,
05 Condenser(or package ur rt)serial number E145001873
07 RetngerantType R-416A
OS Other Refrrgerant Type(if appiicab(e)
09 System Instaliat on Type AlteraUon
10
Charge 4nd cator Display{C1D}Status(Nate Even systems This system does not have a CID dewce installed
with a CID must have refrigerant charge verified by mstaller
Is the system ot a type that the mm mum airflow can be Yes,this is a ducted system and one of the rystem airFlow
il venf ed usmg en approved measurement procedure tRA3 3 rate measurement procedures in RA3 3 or RA3 2 2 7 can be
or RA3 2 2 7y? used to venfy system a rfiow rate
I5 the system of a type that approved refngerent charge Yes,one af the Refngerant charge verrficatan proceduree
verifi[ahon procedurgs can be used to venfy compliance from RA3 2 2 or RA1 is applicab(e[o this system and can be
12 wrth the refngerant charge venficatiqn rpqwrements when used to venfy campbance
Semperatures are greater than or eqval to SSf(RA3 2 2,or
RAl)3
13 Date of Refrigerant Charge Venf cation for this system 2015-02-23
14
Refrigerant charge venfication method used Subcoahng(o tdoor temperature must be equai to or
greatee than 55 degF)
1
Person who performed the Refngerant Charge Yenf{cat on HYAC system instailer
reported on this tertif+cate of Installat on
16 HERSVenficaOonCompbanceReqwrement5tatus Systemquahfiesforgrflupsampling
Reg strat on Number 215-A0040$62A M2500002A-0000 Registrat on Oate/Time 2078-02-29 08 58 08 HERS Prow der taiCERTS
CA Bwldmg Energy Effinency Standards fteport Vetsion 2014-OS-OS Report Generated 2015•02 23 a8 52 48
2013 Resident al Comphance Schama Vers on 0 5515D0
CERFIFICATE OF IN5TALtATION CF2R-MCH-25-H ,
Refr gerant Charge Ver ficatian Page 2 of 5}
Standard[harge Verification Procedure-CF2R-MtH-25b-Snbcoaling Method
B.Metering Dev ce Verficatio
Su6cooling Method can oniy be used on systems that have a variable metenng deviee
01 Refr gerant metermg dev ce Thermostat c Expans on Velve{TXV)
02 Subcoolmg Method applica6drty status Subcoaling Method 5 apphcable to th s system
C.InstrumeM Cabbration
Procedures for instrument calibration are g ven m Reference Res dent al Append x RA3 2 2 and RA3 2 2 2 I
41 Oate of O grtal Refngerant Gauge Calibretitin 2015-02-02
02 Date of Oigrta)Thermocouple Calihrahan 2015•Q2-02
d3 Digital Refrigerant Gauge Cahbratron Siatus Ca6bretwn s current
p4 D g tal Thermocouple Cehbrat on Status Calrbration is current
D.Measurement Access Hole(IYZAH Ver ficabon
Procedures for nstalling MAH are specrf ed m Reference Residential Append x RA3 2 2 3
Oz
Method used to demonstrate comphance wRh the MAH mstalled and labeled consistent wrth F gure 3 2-1
Measurement Access Hole(MAHy requvement
E. Mrn mum Sysiem Alrfiow Rate Vertfication
Procedures tor venfy ng min mum system airflow are specif ed rn Reference Res dential Appendix RA3 2 2 7
01 tvSin mum Requved System Air{low Rate{cfm) 600
02 System A rflow Rate Ver fication Stakus SySkBm mmplies bwth m mmum a rflow rate requirements
F.Data Codes#on an I Calculat ons
Procedures Por determinEng Refr gerant Charge us ng the Standard Charge Ven6catian Procedure are g ven in
RePerence Resrdential Appendix RA3 2 2
Ol owest return a r dry bulb tempereture that accurred during 85
the reh gerant cbarge venfication procedure(degreeP}
z
Measured Condenser a r entenng dry-bulb temperature(T 73
mndenser,d4)
Registrat nNumber 215-A0090662A-M2500002A-OOQQ Registratronoete/T me 2015-02-23 08 58 08 HERSProvider Ca10EftTS
CA B ilding Energy Eff c ency Stendards Report Vers on 2014•65-08 Report Generated 20i5-02-23 S2 46
2013 ftesident a!Comp6ance Schema Version O SS15DD
CERTIFICATE OFINSTALLATION CF2R•MCH-25-H
RefngeraM Charge Ver ficaUon Page 3 af 5)
F Data Collect on and Calculations
Procedures for determimng Refrigerant Charge using the Standard Charge Verification procedure are given in
Reference Residential Appendix RA3 2 2
03 Outdoor Temperature Qual ficabon Status Outdqar temperature rs wrtb n renge far usmg Subcao6ng
refragerant charge venfication method
09 Messured L qwd Ltne Temperature{Toq m(degreeF) 62
05 Measured L qu d Une Pressure(Peqom}{pisgJ 203
06 Condenser saturat an temperature(T o d,s sae)from digrtal 7Z
gauge or P-T Ta61e using Lme FOS(degree F)
Q7 Meesured Subcooling 10
48 TargetSubcoo6ng 13
09 Compliance StatemenT System complGes wikh Subcoo6ng Method•Must also pass metering dev ce venficatlon,ne tt
sectwn
G Metering Dev ce Verftcation
Procedures far the venfication af proper metenng devite operation are specified n RA3 2 2 6 2
01 Measured 5uct on line temperature{Tsucno) (degreeF} S6
02 Measured Suckion Ime ptessure Psucnon}(psig) 102
3
Evaporator saturakaon temperature(Teva+acw,sat)from 32
digital gauge or P-T Table using line GQ2(degreeFj
04 Measured Superheat 2&
OS Measured Superheat is between 4 and ZS deg F{inclusive Passes CEt requ rement
O6 Measured Superheat s wrthin menufacturer's specificabons, Yes,documentation ro be provided upon request
d known
07 Compl ance Statement Metenng devize venf catwn passes
V r ficaUon of Charge Indicator O spiay-CF2R-MCH-ZSd•CID
H.Charge Indlcator Display
Procedures for the Gharge Indicator Dispiay Verification are detailed m RA3 4 2
Th s sectmn dpes not epp(y co this pro ec[
Reg straUonNum6er 215-A0 40862A-M25 42A 0000 RegistreAonClatejTime 2015-02-236&5868 HERSarov der CaICERTS
CA Buddmg Energy Eff+crency Standards Report versran 2Q14Q5 8 Raport Generated 2015-02-23 OS 52 4g
20Y3 Res dential Compl ance Schema Versoon Q SS15DD
CERTtFKATE OF tN5TAt1ATION CF2R-MCH-25-H
RefrlgeraM Charge Veriflcat an Page 4 of 5}
i Charge indicator Display Additional Reqwrements
This seckion does nat app(y to this pro ect
Registret an Number 215-A0040$62A-M25D04D2A•Oa00 fteg+sCretion atejT me 2015•D2-23 48 5S 40 HERS Prov der CaICERTS
fA Bu iding Energy Eff ciency Standards Repon Vers on 2014-DS-B Report Gerterated ZO15A3-23 ti8 52 48
2013 Res dent al Compliante Schema Versron D SSi5D4
CERTIFICATE OFINSTALLATI4N CFZR-MCH-25 H
Refr gerant Charge Venficatlan SPage 5 of 5 j
Oocumentatron Author's peciara#ian Statemen#
I 1. I certify that th s Certrf cate of Installetian documsntatfon Is aaurate and compiete.
DOCumentanan Aulhpr Name Documentacian Author S gnature 8k0Y/ohn Zabatta
Company Signature ate 2015-42-23 08 58 OS
ZABATTA HEATING AND AIR CONDI7iOMING
Address CEA/HERS Cert f catwn Identiheahon(f applicabie}
Po Box saes
City(SkztejZ D Phone
ALTA tOMA CA 91701 909}9$4•926Q
Responx ble Person's peclaration statement
1 temfy thc fpilowing under penaity et per ury,under the Iaws oF the State of Cairfam a
1 7he inlarmanon provrded on this Certrfiwte ot Installatwn s true and correct
T 1 am e ig ble under O wSion 3 flt the 8usmess and PrafesHons Code m the appl ca6le class F catmn to arce0t reSponS 6Jity Fot the 5yStem dengn,
canstructwn,ar mstallabon nf features,matenals,camponent5,ar manutattured dewces for the scope of vrork dentified on this CerdficxCe of
Instailatwn and attest ta the declarations in this statement jresponsihle bwlderjinstalfer,otherwrse C am an authorixed representat ve af the
respons bie budderfmstalier
3 The construc[ed or mstalled teatures,matenals,components or manu(acYured devmes the instailanon}idcntifled on th s CertrfFcate of InstaBation
contnrms to all applacable codes and regulaLons,and the instaltation cc+nforms to the reqmrements grven on Ihe D ans and sR t Finacmns approved by
lhe enforcement agency
A i understanE xhat a NEftS rater wili cMnck the mstaliation to ver fy complaance,and that 4such ahecking idendfies defe<ts,am reqmmd ta take
mrrecUve actifln at my mpense i unders[and that Energy tommission and HENS Pravtder representatives w II aiso perfnrm qua ity assurance checking
o(mstaliat+ons,mdudmg ihose aFProred as part of a sample group but not checked by a HE85 rater,and if thnse msta8ations tad ta meet the
reqmrements of such quahty assuronce checking,the reqmred corrective act on and addNonal checkingJtesting af other inatailatrons m that NERS
sampie group wdi be pertormed at my expense
S 1 rev ewed a copy pf the Cemkcate of CamO nce approved by ihe en(arccment agenty that idenid es the spec fic requiremen[s for the 6cope oF
epnstrucbon or mstalianon ident fied an this Certdicate W Instailatron,and 1 Aave ensured that ihe requ rements that apR Y tb the const uction or ',.
nstatlauon have been met
b I will ensure that a registered copy f this CerUficate a[tnstallauon sha 1 be posted,or made avadable w0.h the budd ng perm t(x}is+,ued(or the
buddmg,antl made avada4le to the enfo cement agency fpr all app6cab e spect ons I undentand that a reg xtered copy oiih s CeruLca[e of
Instaliation is required m 6e indutled w th the dacumenWtion the 6uilde p av des t0 the bu ld ng awner at occupancy
Responsi4le 6udder/Installer Name ResDonsible 9uilderJlnstaller Signature
lohn Zabatta
Compa rv Name Ilnstai6ng Subcoa[racror or eneral Cantracmr or Pnsinan Wrth CAmparry{Trtle
9u lderjOwrrer OWNER
ZABATTA HEATING AND AIR CQNDITIONIN
Address C5L8 License
PO BO7{93fi8 561159
Gty/StateJZip phone Dete S gnetl
ALTA IOMA CA 417p1 909}489-92pQ 2015-02-23 08 58 48
Th rd Party q,uah[y Control Frogram(TPQtPj Status Name otTPQCP(if ap0 able}
digrtatty s gned by CatGERis Th s diqitat s grrarure rs p av+ded in order ta sec re tAe co»tenl at fhrs registered documen and n na way rmpl ea ReQrarnt on Prov der
responsrMkry tor thc xcmacyotthe m/ormatron
Registrazion Number 275-A6040862A M2500002A-DOOD Registre6on 6are/Ame 267&62-23 OB 68 08 HERS Prowder CzICERTS
CA Bwiding Energy EffinenCY SWndards Report Vers+on ZO]4-05 08 Report Generated 2015-02-23 08 52 A$
2013 Residential Compl ance Schema Veraibn 0 SS15D0
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