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Simpiifed Prescriptive Certificate of Compliance: 2008 Residential HVACAIterations CF-iR-ALT-HVAC
Climate Zones 2,9
Site Address: Enforcement Agency: Date: Permit#:
402 CARPIO DR Diamond Bar, CA 91765 City of Diamond Bar Mar 6, 2013
Duct insulation Conditioned Floor
Equipment Typel List Minimum EfficiencyZ requirement Area TheRnostat
p Package Unit
�Furnace �AFUE 78% ❑COP Served by system �Setback
�Indoor Coil �SEER 13.0 ❑HSPF ❑R 6(CZ 2 and 9) If not already present must be
�Condensing Unit ❑EER 173 Sf installed)
❑Resistance
❑Other
1.Equipment Type:Choose the equipment being installed;if more than one system,use another CF-IR-ALT-F1VAC fur each system.
2.Minimum Equipment Efflcrencies: 13 SEER, 78%AFUE, 7.7HSPF fur typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options.The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall
be left on site for final inspection and a copy given to the homeowner. At final,the inspector verifies that the worlc listed on this
form was in fact the work completed by the installer.The inspector also verifies that each appropriate CF-6R and registered CF-4R
forms(no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010,a registered copy of the CF-iR
and CF-6R shall also be on site for final inspection.
�1. HVAC Changeout Required Forms:
.All HVAC Equipment CF-6R forms: MECH-04� MC�V �, �_�� EXEMPTED and (for split systems) MECH-25-HERS
replaced CF-4R forms: M=�-,�EXEMPTED and (for split systems) MECH-25
.Condenser Coil and/or CF-6R forms: MECH-04� MC!`LI_'11_LJCDG' EXEMPTED and (for split systems) MECH-25-HERS
.Indoor Coil and/or CF-4R forms: M=�-,�.EXEMPTED and (for split systems) MECH-25
.Furnace
For Split Systems: Duct.leakage:<_15�ercent; RC, CCA > 300 CFM/ton,TMAH
C....�....L.......� 11�:�... 11...-F I..�L...:��-:.� 1C .. n�
Exempted from duct leakage testitig:::if:::
�1:Duct systein vtiias doccttnented ta have been previously sealed and confirmed through HERS verification, or
Q Z, Duct systems with�ess thari;:40 linear feet in unconditioned space, or
�3. Existing duct systems are constructe�f, insulated or sea�ed with asbestos
❑4;The�,,systeri'i>wiH not be Ducted (�e;,Uucttess M�m;Spl�t Systern) {Atso�xerript#rom-Refr�geranf Charge)
.,...:,.. =
❑2.NewkFtVAC System Requ�i+ed�'urms f �,,��' , ��� : �`
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•CUt th�OYt`Changeout with `y ��4�C� , � �"` � _ '�-� r
new ducts (all new E� CF 6R ft�rtns MECH-04, EXEN1�7`E13 and {�far split systems�MECH 25 h+ERS
ducting and a11 n�w.�,; y CF-4R tort�is �G��EX�MPTED and F(far splrt systems`}£M�C �(�1�� �� �3� �
equ�pment;) � - � _,=; .., � -�^ ,�;== a�. _: .z�k��.;��, = � �� t: xR ,,,
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For Split Sy"stems ;burt::leak�ge t:;6��rcent RC;;CEA?>:300 C�Ntfton,TMkH
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For Packaged tlnits: buct leakage;< 6 percent . ..
:.:...::..:..::... ;;:.:.: .
�3.:.New;:Ducts'With.Repiacement: Requ�red Forms:
..:.....:...:.......
.Includes replacing ar:'instailing alis:;:.
new ducting and/or outdonr :° - CF-6R forms: MECH-04, Mc�u_�,-�_�� EXEMPTED and (for split systems) MECH-25-HERS
condensing unit and/or+ndqor.cor!,:. CF-4R forms: MECH 21 and (for split systems) MECH-25
and/or fumace.Not all equipment.:::
changed,
For Split Systems: Duct leakage < 6 percent; RC, CCA>_ 300 CFM/ton,TMAH
For Packaged Units: Duct leakage < 6 percent
❑4. New Ducting over 40 feet Required Forms:
.Includes adding or replacing more CF-6R forms: MECH-04� MC!`LI „ u�oc EXEMPTED
than 40 linear feet of duct in CF-4R forms: M=,.,�,��EXEMPTED
unconditioned space.
For split system or packaged units: Duct leakage < 15 percent
❑EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's/Responsible Designer's Declaration Statement)
.I certify that this Certiflcate of Compliance documentation is accurate and complete.
.I am eligible under Divlsion 3 of the California Business and Professions Code to accept responsibility for the design identffied on this Certificate of
Compliance.
.I certify that the energy features and performance specificatlons for the design identified on this Certificate of Compllance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulatlons.
.The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance
forms,worksheets,calculations,plans and specifications wbmitted to the enforcement agency for approval with the permit application.
Name: Ashley Smith Signature: Ashley Smith
Company: SERVICE CHAMPIONS INC Date: Mar 6, 2013
Address: 22911 SAVI RANCH PARKWAY License: 799170
City/State/Zip: YORBA LINDA/CA/92887 Phone: (714) 777-7777
Reg: 213-A0013862A-000000000-0000 Registration Date/Time: 2013/03/06 09:17:26 HERS Provider: Ca10ERTS, Inc_
2008 Residential Compliance Forms July 2010
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