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HomeMy WebLinkAboutPR 15-351U n w z z z z 2 n M L z J x i Y i z x x L z z J ¢ :n n BTU: r� fir' CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 (909)'839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOB SITE ADDRESS K �N #--r APN k- it LOT TRACT OWNER O 1� 4 ADDRESS CITY A/AYfilr�raci�&'t-L ZIP - APPLICANT p , TELL. 9 7- Z / CONTRACTOR r ,�-��'� _ /T6- ADDRESS )0�90 r C 9--S' l✓�" CITYA,7-A L©i14- ZIPd9*_TEL.3Z.T ZI ARCH/ENG/DESIGNER 7%%b/ ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the checkmark(s), I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). U I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property, who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). U I am exempt from licensuro under the Contractor's State License law for the following reason(s): By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit,) cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the following Web site: http/www.leginfo.ca.gov/calaw.html. DATE: SIGN: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. LICENSE CLASS: L�Z� LIC. NO.: DATE: CONTRACTOR: 7 WORKER'S COMPENSATION C TION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Cade, for the per of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are: CARRIER —_Jx* POLICY NUMBER s/ (THIS SECRON NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS). I certify that in the performance of the work far which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation Laws of California. And agree that if I should become subject to the Worker's Compensation provisions of Section 3700 of the Lab1r Code, I shall forthwith comply with those provisions. DATE: Z^I/— APPLICANT: 'L/� WARNING: Failure to secure Worker's Compen n coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cast of the compensation, damages as provided for in section 3708 of the labor code, interest, and attorneys fees. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above -mentioned property for inspection purposes. Cahn 2�- PERMITTEE NAME (PRINT) SIGNATURE OF PERMITTE DATE PRESS FIRMLY APPLICATION DATE: a k , 15 P/C# ISSUE DATE: a I S PERMIT# Fib TYPE CONST. OCC GROUP: �- ZONING SETBACKS FRONT RW REAR SIDE/SIDE STREET RW SIDE ❑ ❑ ❑ El - PROPOSED USE # DWEL. UNITS # STORIES If BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport w Patio/Deck LL Pool/Spa solailia ZRe -Roof J 5 Commercial m Valuation: Adj. Area: QUANTITY DESCRIPTION FEE a U F�- U J w z J d Q � CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: S 5 �- SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE-ALT FEE: 4 pp BSAF: TOTAL FEES COMMENTS: RECEIPT# J \ 4-S PAID BY: e" \49 VALIDATION:_ WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD GETBAGKI�LE7TER ;,� `. fOOTINGC r&4q' - UG. PLUMBING : p' UG. ELECTRICAL IFFR GF101'iN❑ SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXT nuUun tM, I MnUxL Vy ROUGH PLUMBING: INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION .FINAL iL PLUMBING of OCCUPAN( COMMENTS: TRACT 7 T-BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED 3 DEMOLITION ROOF DRAINS ROUGH CONDUIT POOL/SPA ROUGH PLUMBING: ROUGH ELECTRICAL . ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P-TRAP FENCE / GATE/ ALARM FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1 ( ) 2NO( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC) (Page 1 of 3 ) Project Name: 23601 golden springs dr #a-1 I Date Prepared: 2015-02-10 1 A. General Information MR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one MR-ALT-02 document for each dwelling unit. 01 Project Name 23601 golden springs dr #a-1 02 Date Prepared 2015-02-10 03 Project Location 23601 golden springs dr #a-1 04 Building Type Single family 05 CA City Diamond Bar 06 Dwelling Unit Name 23601 golden springs dr #a-1 07 Zip Code 9i765 08 Dwelling Unit Conditioned 900 Floor Area (ft2) Number of space conditioning 09 Climate Zone 9 IO (SC) systems in this dwelling 1 unit. B. Space Conditioning (SC) System Information 01 02 03 04 OS 06 07 08 09 30 Is the SC Installing a SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type whole house whole house 900 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib) This section does not apply to this project. Registration Number: 215-A0040862A-000000000-0000 Registration Date/Time: 2015-02-10 13:50:34 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Schema Version: O.SSISDD HERS Provider: CaiCERTS Report Generated: 2015-02-10 13:48:36 CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)lE and F) 01 02 03 04 05 06 07 08 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Dud or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value Central split All new Central split All new Less than or whole house HP heating HSPF 7.7 HP cooling SEER 13 Setback equal to 40 R-6 components components feet Reauired Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Dud insulation requirement for new plenums: R6. CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of dud length is replaced. -Leakage rate compliance: 515%, or 5 10% leakage to outside, or seal all accessible leaks. CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH-25 is required. Exceptions: -Dud systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MECH-25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 1S0.2(b)1C) This section does not apply to this project. Registration Number: 215-A0040862A-000000000-0000 Registration Date/Time: 2015-02-10 13:50:34 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-10 13:48:36 Schema Version: 0.551SDD CERTIFICATE OF COMPUANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC) (Page 3 of 3 ) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: n , Zabatta, John �jZ" Company: Signature Date: ZABATTA HEATING AND AIR CONDITIONING 2015-02-10 13:50:34 Address: CEA/ HERS Certification Identification (if applicable): PO BOX 9368 City/State/Zip: Phone: ALTA LOMA CA 91701 (909) 989-9200 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 Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. S. i will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable Inspections. 1 understand that a registered copy of this Certificate of Compliance is required to be Included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Zabatta, John Company: Date Signed: ZABATTA HEATING AND AIR CONDITIONING 2015-02-10 13:50:34 Address: License: PO BOX 9368 561159 City/State/Zip: Phone: ALTA LOMA CA 91701 1(909) 989-9200 Digitally signed by Ca10ERT& This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0040862A-000000000-0000 Registration Date/Time: 2015-02-10 13:50:34 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-10 13:48:36 Schema Version: 0.551SDD CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostit Test 4 (Page 1 of 3 ) Project Name: 23601 golden springs dr #a-1 Enforcement Agency: City of Permit Number: PR15-351 Diamond Bar Dwelling Address: 23601 golden springs dr City: Diamond Bar Zip Code: 91765 #a-1 A. System Information 01 Space Conditioning System Identification or Name,,, whole house 02 Space Conditioning System Location or Area Served whole house 03 Building Type from CF-111 Single family ` 04 Verified Low Leakage Ducts in Conditioned Space No, credit is not taken (VLLDCS) Credit from CF1R? 05 Verified Low Leakage Air Handling Unit Credit from No, credit is not taken CF1R? 06 Duct System Compliance Category Alteration MCH-20d - Complete Replacement o. Altered Duct. System B. Duct Leakage Diagnostic Test O1 Condenser Nominal Cooling Capacity (ton) 2 02 Heating Capacity (kBtu/h) 24 03 Conditioned Floor Area served by this HVAC system (ft2) 900 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test. Method Total leakage 06 Leakage Factor 0.15 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Cooling system method OS Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage Rate (cfm) 120 10 Actual duct leakage rate from leakage test measurement (cfm) 33 11 Compliance Statement: System passes leakage test Registration Number: 215-A0040862A-M2000002A-M20A Registration Date/Time: 2015-02-23 08:57:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:55:02 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3 ) y. B. Duct Leakage Diagnostic Test 12 Notes: 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. 05 If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection porits between the air handler an'd he supply,:and`ietu`rn plenumsare let 'I sealed. If the system complies using the smoke Test method, thb smoke test was`conducted in accordance with the requirements 07 of Reference ResidentiaLAppendix:RA3 1 4.3.6. S.yst6 s that comply using smoke test shall noCbe;mclud`e"d in sample groups for HERS':verification compliance ;; 08 Verification. Status: Pass - all applicable requirements are met 09 Correction Notes for this table: The responsible persons 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. 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. 01 Complies: All specified verification protocol requirements on this document are met. Registration Number: 215-A0040862A-M2000002A-M20A Registration Date/Time: 2015-02-23 08:57:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:55:02 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3 ) Documentation Author's Declaration Statement 1. ('certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: John Kwan Company: Date Signed: J.K. Air Balancing & Duct Testing 2015-02-23 08:57:00 Address: ,L CEA/ HERS Certification Identification (if applicable): 9040 Telstar Ave #137 3012 City/State/Zip: Phone: El Monte CA 91731 626-274-0522 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 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 verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certrficateiof Compliance•for the building"approLed by the enforcement, agency "= 4. The.information reported on applicable section`s;of,the Certificates) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or.installation conforms tot erequirements specifiedror the Cer`tificate(s) of Compliance (CF1R) approvedby the enforcement agency. 5. 1 will ensure that a registered copy of this Certificate of Verification shall be posted of made available with the building permits) issued for the building, and made available,to the eriforcement•agency'for all applicable inspections I understand that a.,registered copy of this Certificate of Verification is re wired to be induded with the documentation tFie builder rovitles to t ` g Q p he buiWin owner at occupancy, Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): ZABATTA HEATING AND AIR CONDITIONING Responsible Builder or Installer Name: CSLB License: John Zabatta 561159 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: 1.K. Air Balancing & Duct Testing Responsible Rater Name: Responsible Rater Signature: John Kwan Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005646 2015-02-23 08:57:00 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0040862A-M2000002A-M20A Registration Date/Time: 2015-02-23 08:57:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:55:02 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate y_. (Page 1 of 4 ) Project Name: 23601 golden springs dr #a-1 Enforcement Agency: City of Permit Number: PR15-3S1 Diamond Bar Dwelling Address: 23601 golden springs dr City:. Diamond Bar Zip Code: 91765 #a-1 A. Ducted Cooling System Information 01' System Identification or Name -� whole house 02 F0 System Location or Area Served whole house 3 System Installation Type Alteration 04 Nominal Cooling Capacity (tons) of Condenser 2 05 Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated (CH) Ventilation System Status Not a CFl system,, 08 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. 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 RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. Airflow Rate Measurement Type used for this airflow rate Flow Grid according to procedure in RA3.3.3.1.2 O1 verification. 02 Manufacturer of Airflow Measurement Apparatus TEC .63 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: 215-A0040862A-M2300002A-M23A Registration Date/Time: 2015-02-23 08:57:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:55:39 2013 Residential Compliance Schema Version: 0.51.SDD 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) 300 02 Required Minimum System Airflow Target (cfm) 600 03 Actual System Airflow Rate Measurement (cfm) 656 04 Compliance Statement: System airflow rate complies E. Additional Requirements Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in O1 the system during>system'air flow rate measurement identified on this Certificate of Installation: The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of 02 Installation was calibrated in accordance with the apparatus. manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on new or replacement zonally controlled systems unless the Performance 03 Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on 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/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: 215-A0040862A-M2300002A-M23A Registration Date/Time: 2015-02-23 08:57:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:55:39 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF VERIFICATION CF3R-MC14-23-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. 01 Complies: All specified verification protocol requirements on this document are met. Registration Number: 215-A0040862A-M2300002A-M23A Registration Date/Time: 2015-02-23 08:57:00 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:55:39 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 4 of 4 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: John Kwan Company: Date Signed: J.K. Air Balancing & Duct Testing 2015-02-23 08:57:00 Address: CEA/ HERS Certification Identification (if applicable): 9040 Telstar Ave #137 City/State/Zip: Phone: El Monte CA 91731 626-274-0522 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 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 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. 4. The information reported on applicable sections'of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. 1 will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(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 Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): ZABATTA HEATING AND AIR CONDITIONING Responsible Builder or Installer Name: CSLB License: John Zabatta 561159 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information' HERS Rater Company Name: J.K. Air Balancing & Duct Testing Responsible Rater Name: John Kwan Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005646 2015-02-23 08:57:00 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0040862A-M2300002A-M23A Registration Date/Time: 2015-02-23 08:57:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:55:39 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 1 of 4 ) Project Name: 23601 golden springs dr #a-1 Enforcement Agency: City of Diamond Bar Permit Number: PR15-351 Dwelling Address: 23601 golden springs dr #a-1 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 whole house 02 System Location or Area Served whole house 03 Condenser (or package unit) make or brand. DAY AND NIGHT 04 Condenser (or package unit) model number N4H324AKF200 05 Nominal Cooling Capacity (tons) of Condenser 2 06 Condenser (or package unit) serial number E145001873- ` 07 Refrigerant Type R-410A 08 Other Refrigerant Type (if applicable) 09 System Installation Type Alteration 10 Charge Indicator Display (CID) Status (Note: Even systems with a CID must have refrigerant charge verified by installer) This system does not have a CID device installed 11 Is the system of a type that the minimum airflow can be verified using an approved measurement procedure (RA3.3 or RA3.2.2.7)? Yes, this is a ducted system and one of the system airflow rate measurement procedures in RA3.3 or RA3.2.2.7 can be used to verify system airflow rate 12 Is the system of a type that approved refrigerant charge verification procedures can be used to verify compliance with the refrigerant charge verification requirements when temperatures are greater than or equal to 55F (RA3.2.2, or RA1)? Yes, one of the Refrigerant charge verification procedures from RA3.2.2 or RA1 is applicable to this system and can be used to verify compliance 13 Date of Refrigerant Charge Verification for this system 2015-02-23 14 Refrigerant charge verification method used. Subcooling (outdoor temperature must be equal to or greater than 55 degF) 15 Person who performed the Refrigerant Charge Verification reported on this Certificate of Installation HVAC system installer 16 HERS Verification Compliance Requirement Status System qualifies for group sampling 17 Refrigerant charge verification method used by HERS Rater. Subcool Registration Number: 215-A0040862A-M2500002A-M25A Registration Date/Time: 2015-02-23 08:57:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:56:27 2013 Residential Compliance Schema Version: 0.551SDD CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 2 of 4 ) Standard Charge Verification Procedure - CF3R-MCH-25b - Subcooling Method B. Metering Device Verfication - 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 O1 Date of Digital Refrigerant Gauge Calibration 2015-02-02 02 Date of Digital Thermocouple Calibration 2015-02-02 03 Digital Refrigerant Gauge Calibration.Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is cu'rrent D. Measurement Access Hole (MAH) Verification - HERS Raters are required to visually field verify MAH Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 O1 IMethod used to demonstrate compliance with the I MAH installed and labeled consistent with Figure 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. O1 Minimum Required System Airflow Rate (cfm) 600 02 System Airflow Rate Verification Status System complies with minimum airflow rate requirements 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 65 the refrigerant charge verification procedure (degreeF) 02 Measured Condenser air entering dry-bulb temperature (T 73 condenser,db) Registration Number: 215-A0040862A-M2500002A-M25A Registration Date/Time: 2015-02-23 08:57:00 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:56:27 2013 Residential Compliance Schema Version: 0.551SDD CERTIFICATE OF VERIFICATION CF3R7MCH-25-H Refrigerant Charge Verification (Page 3 of 4 ) 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 (Tliquid) (degreeF) 62 05 Measured Liquid Line Pressure (Pliqufd) (pisg) 203 Condenser saturation temperature (Tcondensor, sat) from digital 72 06 gauge or P-T Table using Line F05 (degree F) 07 Measured Subcooling 10 08 Target Subcooling 13 09 Compliance Statement: System complies with Subcooling 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 Measured Suction line temperature (Tsuction) (degreeF) 56 02 Measured Suction line pressure (Psuctfon) (psig) 102 03 Evaporator saturation temperature (Tevaporator, sat) from digital gauge or P-T Table using line G02 (degreeF) 32 04 Measured Superheat 24 05 Measured Superheat is between 4 and 25 deg F (inclusive) Passes CEC requirement 06 Measured Superheat is within manufacturer's specifications, if known Yes, documentation to be provided upon request tO7Compliance Statement: Metering device verification passes H. 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. 1 01 1 Complies: All specified verification protocol requirements on this document are met. Registration Number: 215-A0040862A-M2500002A-M25A Registration Date/Time: 2015-02-23 08:57:00 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:56:27 2013 Residential Compliance Schema Version: 0.551SDD CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 4 of 4 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: John Kwan Documentation Author Signature: Company: Date Signed: JX Air Balancing & Duct Testing 2015-02-23 08:57:00 Address: CEA/ HERS Certification Identification (if applicable): 9040 Telstar Ave #137 3012 City/State/Zip: Phone: El Monte CA 91731 626-274-0522 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 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 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. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction' or, installation conforms to the requirements specified on the Certificate(s) of Compliance (CF111):approved by the enforcement agency. 5. 1 will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(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 Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): ZABATTA HEATING AND AIR CONDITIONING Responsible Builder or Installer Name: C51-B License: John Zabatta 561159 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: J.K. Air Balancing & Duct Testing Responsible Rater Name: Responsible Rater Signature: John Kwan Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005646 2015-02-23 08:57:00 Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0040862A-M2500002A-M25A Registration Date/Time: 2015-02-23 08:57:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:56:27 2013 Residential Compliance Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CFZR-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3 ) Project Name: 23601 golden springs dr #a-1 Enforcement Agency: City of Diamond Bar Permit Number: PR15-351 Dwelling Address: 23601 golden springs dr #a-1 City: Diamond Bar Zip Code: 91765 A. System Information 01 Space Conditioning System Identification 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 (VLLDCS) Credit from CF1R? No, credit is not taken 05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit from CF1R? No, credit is not taken 06 Duct System Compliance Category Alteration MCH-20d -Complete Replacement or Altered Duct System B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 2 02 Heating Capacity (kBtu/h) 24 03 Conditioned Floor Area served by this HVAC system (ft2) 900 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Leakage to the outside 06 Leakage Factor 10.1 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Default air flow method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 45 10 Actual duct leakage rate from leakage test measurement (cfm) 33 L11 Compliance Statement: System passes leakage test Registration Number: 215-A0040862A-M2000002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - Report Version: 2014-05-08 Report Generated: 2015-02-23 08:47:31 2013 Residential Compliance Schema Version: 0.51SDD 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 Building 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 RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS verification compliance. The responsible persons signature on this"compliancedocument affirms that all applicable requirements in this table have been met. f Registration Number: 215-A0040862A-M2000002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:47:31 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (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:s:r�G%�GGfI� John Zabatta Company: signature Date: 2015-02-23 08:58:08 ZABATTA HEATING AND AIR CONDITIONING Address: CEA/ HERS Certification Identification (if applicable): PO BOX 9368 City/State/Zip: Phone: ALTA LOMA CA 91701 1(909) 989-9200 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 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. 3. The constructed or installed features, materials, components or, manufactured.devices (the installation); identified on this Certificate of Installation conforms to all applicable codes and regulations;: and the installation conforms to the,requirements given on the plans and specifications approved by the enforcement agency. 4. 1 understand.that a HERS rater will check the installation to verify compliance,.and.that if such checking identifies defects; I am required to take corrective action at my expense. I understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. 5. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction 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 permit(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 building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: John Zabatta d>l!� Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) OWNER ZABATTA HEATING AND AIR CONDITIONING Address: CSLB License: PO BOX 9368 561159 City/State/Zip: Phone: Date Signed: ALTA LOMA CA 91701 (909) 989-9200 2015-02-23 08:58:08 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0040862A-M2000002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:47:31 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 3 ) Project Name: 23601 golden springs dr #a-1 Enforcement Agency: City of Diamond Bar Permit Number: PR15-351 Dwelling Address: 23601 golden springs dr #a-1 City: Diamond Bar Zip Code: 91765 A. Ducted Cooling System Information 01 System Identification or Name whole house 02 System Location or Area Served whole house 03 System Installation Type Alteration 04 Nominal Cooling Capacity (tons) of Condenser 2 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 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. 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 RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate Flow Grid according to procedure in RA3.3.3.1.2 verification. 02 Manufacturer of Airflow Measurement Apparatus TEC 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: 215-A0040862A-M2300002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:49:05 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 2 of 3 ) 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) 300 02 Required Minimum System Airflow Target (cfm) 600 03 Actual System Airflow Rate Measurement (cfm) 656 �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 airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of 02 Installation was calibrated imaccordance with the apparatus manufacturer's specifications and`.conformsxo the instrumentation specifications given in R"A3.3.1. A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on new or replacement zonally controlled systems unless the Performance 03 Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on 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/cfm) 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: 215-A0040862A-M2300002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:49:05 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF INSTALLATION CF2R-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: /)S=J" John Zabatta O�% GWi Company: Signature Date: 2015-02-23 08:58:08 ZABATTA HEATING AND AIR CONDITIONING Address: CEA/ HERS Certification Identification (if applicable): PO BOX 9368 City/State/Zip: Phone: ALTA LOMA CA 91701 1(909) 989-9200 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 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. 3. The constructed or.installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 understand that a HERS rater will checkthe installation to verify compliance, and that if such checking identifies defects; I am required to take corrective action at my expense: I understand that Energy Commission and HERS Provider representatives will also perform quality.assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if,those installations fail to.m_eet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. S. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction 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 permit(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 building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: John Zabatta Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) OWNER ZABATTA HEATING AND AIR CONDITIONING Address: CSLB License: PO BOX 9368 561159 City/State/Zip: Phone: Date Signed: ALTA LOMA CA 91701 (909) 989-9200 2015-02-23 08:58:08 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0040862A-M2300002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:49:05 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 1 of 5 ) Project Name: 23601 golden springs dr #a-1 Enforcement Agency: City of Diamond Bar Permit Number: PR15-351 Dwelling Address: 23601 golden springs dr #a-1 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 whole house 02 System Location or Area Served whole house 03 Condenser (or package unit) make or brand DAY AND NIGHT 04 Condenser (or package unit) model number N4H324AKF200 05 Nominal Cooling Capacity (tons) of Condenser 2 06 Condenser (or package unit) serial number E145001873 07 Refrigerant Type R-410A 08 Other Refrigerant Type (if applicable) 09 System Installation Type Alteration 10 Charge Indicator Display (CID) Status (Note: Even systems with a CID must have refrigerant charge verified by installer) This system does not have a CID device installed 11 Is the system of a type that the minimum airflow can be verified using an approved measurement procedure (RA3.3 or RA3.2.2.7)? Yes, this is a ducted system and one of the system airflow rate measurement procedures in RAM or RA3.2.2.7 can be used to verify system airflow rate 12 Is the system of a type that approved refrigerant charge verification procedures can be used to verify compliance with the refrigerant charge verification requirements when temperatures are greater than or equal to 55F (RA3.2.2, or RA1)? Yes, one of the Refrigerant charge verification procedures from RA3.2.2 or RA1 is applicable to this system and can be used to verify compliance 13 Date of Refrigerant Charge Verification for this system 2015-02-23 14 Refrigerant charge verification method used. Subcooling (outdoor temperature must be equal to or greater than 55 degF) 15 Person who performed the Refrigerant Charge Verification reported on this Certificate of Installation HVAC system installer �16 HERS Verification Compliance Requirement Status System qualifies for group sampling Registration Number: 215-A0040862A-M2500002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:52:48 2013 Residential Compliance Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 2 of 5 ) Standard Charge Verification Procedure - CF2R-MCH-25b - Subcooling Method 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 2015-02-02 02 Date of Digital Thermocouple Calibration 2015-02-02 03 Digital Refrigerant Gauge Calibration -Status : Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current D. Measurement Access Hole (MAH) Verification Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 01 Method used to demonstrate compliance with the MAH installed and labeled consistent with Figure 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) 600 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. O1 Lowest return air dry bulb temperature that occurred during 65 the refrigerant charge verification procedure (degreeF) 02 Measured Condenser air entering dry-bulb temperature (T 73 condenser,db) Registration Number: 215-A0040862A-M2500002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:52:48 2013 Residential Compliance Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 3 of 5 ) 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. 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method 04 Measured Liquid Line Temperature (Trquid) (degreeF) 62 05 Measured Liquid Line Pressure (Prquid) (pisg) 203 06 Condenser saturation temperature (Tcondensor, sac) from digital gauge or P-T Table using Line F05 (degree F) 72 07 Measured Subcooling 10 08 Target Subcooling 13 09 Compliance Statement: System complies with Subcooling 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 Measured Suction line temperature (Tsuction) (degreeF) 56 02 Measured Suction line pressure (Psuctlon) (psig) 102 03 Evaporator saturation temperature (Tevaporator, sat) from digital gauge or P-T Table using line G02 (degreeF) 32 04 Measured Superheat 24 05 Measured Superheat is between 4 and 25 deg F (inclusive) Passes CEC requirement 06 Measured Superheat is within manufacturer's specifications, if known Yes, documentation to be provided upon request 07 Compliance Statement: Metering device verification passes Verification of Charge Indicator Display - CF2R-MCH-25d - 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. Registration Number: 215-A0040862A-M2500002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:52:48 2013 Residential Compliance Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 4 of 5 ) 1. Charge Indicator Display Additional Requirements This section does not apply to this project. Registration Number: 215-A0040862A-M2500002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:52:48 2013 Residential Compliance Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 5 of 5 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: , r John Zabatta D'�/ Company: Signature Date: 2015-02-23 08:58:08 ZABATTA HEATING AND AIR CONDITIONING Address: CEA/ HERS Certification Identification (if applicable): PO BOX 9368 City/State/Zip: Phone: ALTA LOMA CA 91701 1(909) 989-9200 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 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. 3. The constructed or.installed.features, materials, components or manufactured devices (theinstallation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 understand that a HERS rater will check the installation to verify compliance; and that if such checking identifies defects; I am required to take corrective action at my expense. I understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations,, including those approved as part of,a sample group but not.checked by,a HERS rater, and if those installations fail,to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. 5. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction 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 permit(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 building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: John Zabatta 7 Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) OWNER ZABATTA HEATING AND AIR CONDITIONING Address: CSLB License: PO BOX 9368 1561159 City/State/Zip: Phone: Date Signed: ALTA LOMA CA 91701 (909) 989-9200 2015-02-23 08:58:08 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0040862A-M2500002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-02-23 08:52:48 2013 Residential Compliance Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space. Conditioning Systems, Ducts, and Fans (Page 1 of 7 ) Project Name: 23601 golden springs dr #a-1 Enforcement Agency: City of Diamond Bar Permit Number: PR15-351 Dwelling Address: 23601 golden springs dr #a-1 City: Diamond Bar Zip Code: 91765 A. General Information 01 Dwelling Unit Name 23601 golden springs dr #a-1 02 Climate Zone 9 Number of space conditioning (SC) 03 Dwelling Unit Conditioned Floor Area 900 04 systems being altered in this dwelling 1 (ft2) unit. 05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT) 06 Method used to calculate HVAC loads NotApplicableEquipmentChangeout 07 Calculated dwelling unit Sensible 08 Calculated Dwelling Unit Heating Load Cooling Load (Btuh) (Btuh) MCH-01b Prescriptive Alterations -Space Conditioning Systems Ducts and Fans B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 Are all of the system's components and ducts CFA served Is the SC Installing a Installing new or SC System SC System by this SC system a refrigerant Installing new SC Installing more entirely replaced? Identification or Location or -Area System ducted containing system than 40 feet of new duct (entirely new Name Served (ft2) system? component? components? ducts? system? system) Alteration Type Altered space whole house whole house 900 Yes Yes Yes No No No conditioning system Registration Number: 215-A0040862A-M0100002A-0000 Registration Date/Time 2015-02-23 08:58:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-02-23 08:46:56 Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of 7 ) C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 07 08 09 10 11 12 Heating Cooling New or New System Altered Heating Minimum Altered Cooling Minimum Required Replaced Duct Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Duct R- or Name System Type Component Type . Value System Type Component Type Value Type Length Value whole house Central split All new heating HSPF 7.7 Central split All new cooling SEER 13 Setback LTE40Ft R6 HP HP components components D. Installed Heating Equipment information 01 02 03 04 05 06 07 System Identification or Name Heating Efficiency Type Heating Efficiency Value Heating Unit Manufacturer Heating Unit Model Number Heating Unit serial number Rated Heating Capacity, Output (BTUH) whole house HSPF 7.7, DAY AND NIGHT FEM41324000A A150372354 24000 Notes: E. Installed Cooling Equipment information: 01 02 03 04 05 06 07 08 Condenser or Package Unit Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity or Name Type Value Manufacturer Model Number Serial Number Conditions (BTUH) (ton) whole house SEER 13 DAY AND N4H324AKF20 E145001873 24000 2 NIGHT 0 Registration Number: 215-A0040862A-M0100002A-0000 Registration Date/Time 2015-02-23 08:58:08 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-02-23 08:46:56 Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 3 of 7 ) E. Installed Cooling Equipment information: O1 02 03 04 05 06 07 08 Condenser or Package Unit System Identification or Name Cooling Efficiency Type Cooling Efficiency Value Condenser or Package Unit Manufacturer Condenser or Package Unit Model Number Condenser or Package Unit Serial Number System Rated Cooling Capacity at Design Conditions (BTUH) Condenser Rated Nominal Capacity (ton) Notes: F. Extension of Existing Duct System, Greater Than 40 Feet This section does not apply to this project. G. Installed Duct System information: This section does not apply to this project. H. Installed Air Filter Device Information This section does not apply to this project. I: Air Filter Device Requirements This section does not apply to this project. Registration Number: 215-A0040862A-M0100002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-02-23 08:46:56 Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts,_and Fans (Page 4 of 7 ) J. HERS Verification Requirements 01 02 03 04 05 06 07 08 09 10 MCH2O MCH21 MCH22 MCH23 MCH25 MCH28 Exemption from Minimum Exemption R-Value for AHU Fan AHU SC System SC System From Duct Duct Ducts In Ducts Located Efficacy Airflow Identification or Location or Area Leakage Leakage Conditioned In Cond Space (W per Rate (cfm Refrigerant Return Duct Design Name Served Requirements Test Space Verification cfm) per ton) Charge Table 150.0-C or D whole house whole house No Yes Not No No Yes Yes No exemptions applicable Registration Number: 215-A0040862A-M0100002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-02-23 08:46:56 Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 5 of 7 ) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may.be exempt from these requirements. Heating Equipment 01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations, 02 Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b). 03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 150.0(h)1 and 2). 04 Furnace Temperature Rise: Central forced -air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet -to -outlet temperature rise specification. See Section 150.0(h)4: 05 Standby Losses and Pilot Lights: Fan -type central furnaces may not have, continuously;burning pilot light. Section 110.5 and Section 110.2(d). Cooling Equipment 06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section 150.0(j)2 and 3, and Section 150.0(m)9. O8 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A. 09 Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section 150.0(h)1 and 2. Air Distribution System Ducts, Plenums and Fans 10 Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be required by the prescriptive or performance requirements. See Section 150.0(m)1. Registration Number: 215-A0040862A-M0100002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CalCERTS CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-02-23 08:46:56 Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 6 of 7 K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. it Connections and Closures: All installed air -distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CIVIC Sections 601.0, 602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006-2006: Supply -air and return -air ducts and plenums must be insulated to a minimum installed level of R-6.0 or enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference Residential Appendix RA3.1.4.3.8. Heat Pump Thermostat 12 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c). 13 The thermostat shall be installed in accordance with the manufacturers published installation specifications 14 First stage of heating shall be assigned to heat pump heating. 15 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met. The responsible person signature on this compliance.document affirms that all applicable requirements in this table have been met. Registration Number: 215-A0040862A-M0100002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CaICERTS 1 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-02-23 08:46:56 Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 7 of 7 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation. Author Name: Documentation Author Signature: Zabatta, John 6lGN/i:�2��3lKiGW Company: Signature Date: ZABATTA HEATING AND AIR CONDITIONING 2015-02-23 08:58:08 Address: CEA/ HERS Certification Identification (if applicable): PO BOX 9368 City/State/Zip: Phone: ALTA LOMA CA 91701 (909) 989-9200 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 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. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5. 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(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 building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Zabatta, John �lG1�i:r�!%6LGGLl� Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): ZABATTA HEATING AND AIR CONDITIONING OWNER Address: ' CSLB License: PO BOX 9368 561159 City/State/Zip: Phone: Date Signed: ALTA LOMA CA 91701 (909) 989-9200 12015-02-23 08:58:08 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0040862A-M0100002A-0000 Registration Date/Time: 2015-02-23 08:58:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-02-23 08:46:56 Schema Version: 0.551SDD