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HomeMy WebLinkAboutPR16-104CITY OF DIAN40ND BAR DEPARTMENT OF COMNfUNI'PY it-DDEVELOPMENT SERVICES w 21810 Copley Drive, Diamond Bar, -CA 91765 fD (909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-7027 PRESS BUILDING PERMIT APPLICATION FIRMLY JOBSITE • V ADDRESS APN LOT TRACT OWNER UKdA ADD SS CITY z10 q1V fELLW' 2N1A JL 0 APPLICANT TEL. A It CONTRACTV9 ADDR S 117 l� ' CITY ZIP 1 0 TEL.U'14041Z. ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMITTO CONSTRUCT, ALTER, IMPROVE, DEMOLISH, OR REPAIR ANY STRUG TUBE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW (CHAPTER D (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO. FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CML PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (5500).): ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044. BUSI- NESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF, HOWEVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044. BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LI- CENSE LAW DOES NOT APPLY TO AN OWNER OFA PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRAC- TORS LICENSE LAW.). ❑ 1 AM EXEMPT UNDER SEC. B. d P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER 8 (COMMENCING WITH SECTION 7000) OF DIVISION 3 O THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULLFO C''E77A//NyyD EFFECT. LICENSE LAS �/J1J LIC. NO. _ DATE b CO NTRACT0 WORKERS' COMPENSATION DECLARTION 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 WORKERS• COMPENSATION, AS PROVIDED BY SECTION 37DD OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE. AS REQUIRED BY SECTION 3700 OF THE LABOR CODE. OR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUEO. MY ERS' COI P 1SATION INSURANCE CARRIER AND POLICY NUMBER ARE: CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE CAAFLETED OF THE PERMIT IS FORONE HUM1DRED DOLLARS (5100)OR LESS} I CERTIFY THAT IN THE PERFORMANCE OF WORK FOR WHICH IS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY AN R SO AS TO BE E SUBJE T THE WORKERS' COMPENSATION LAWS OFC IFOR A AND AGREE A IF ISH BECOME S EJECT T THE WORKERS' COMPENS ION P OVISIONS OF S ON 37 THE LABOR 1 DE, I S LL FORTHWITH COMPLY W T. p NS. DATE: • APPLICA T. WARNING: FAILURE O SECURE WORKERS' PENSATION COVERAGE IS UtAWFUaND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 3087, CIV. C.). LENDERS NAME LENDERS ADDRESS 'I CERTIFY THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. 1 AGREE TO COMPLY WITH ALL CRY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABO E -MENTIONED PRO ERTY FOR I PECTION PURPOSES. v� a i rl L PE E N E ( INT) I SI RE OF PERMITTEE DIfE APPLICATIO�1 PERMIT p(R P/C DATE / \q - \ NUMBER llo ISSUE TYPE `�\ OCC DATE �4- I 1 b CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ �U- PROPOSED USE IN NO. DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM U) Garage/Carport WPatio/Dock V- Pool/Spa 0 Z Re -Roof Commercial m Valuation ADJ.AREA QUANTITY DESCRIPTION FEE J Q ' U tr It F _P U W CnO I W . 0 Z MIS Ineu m a FV-4"AAU 40.Q00 6 U a 0 SZoom 8 7V U i... o twtb co W CONSTRUCTION. PLAN. REVIEW ELECTRIC .PLUMBING MECHANICAL G 9R 40 .. 40 a• INSPECTION FEE ISSUANCE SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE: b0 PRE -ALT FEE: TOTAL FEES 13a, a4, COMMENTS RECPT NO. a °J �-� PAID BY A"St— VALIDATION_ I WWE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN—Applicant's Copy CITY OF Dii�Wf6N" D'BAR INSPECTION RECORD • SET BACK b e ® e '� s o ® FLOORJOIST FHA REQMTS UNDER FLOOR DUCT FTGS/ FORMS/STEEL ELECTRIC GROUND GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT. BOND BEAM ROOF SHEATHING 18 FT. BOND BEAM FRAMING/VENTILATION ROOF COVER ROUGH HEATING j FINAL BOND BEAM PRE -GRADING BENCHING —_ _--_ _--_-- — _ ROUGH ELECTRIC _ _ _ _ _ -- --- ROUGH GRADING _ ROUGH PLUMBING ' FINISH GRADING SHOWER/TUBTEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. NAILING DEDICATIONS— _DRYWALL SEWER _ _ — – FINAL ENG. _ SEPTICTANK _ LANDSCAPE/IRRIG. SEEP PIT/L.L. _ _ ON SITE IMPS. GAS AIR TEST „ q c r „ , ,., FINAL ZONING FINAL CONST. –' •. s'; FIRE DEPT. FINAL FINAL HEATING :'IN f_ ..� HEALTH DEPT. FINAL FINAL ELECTRIC " ` ". DEV. FEES PAID FINAL PLUMBING ENERGY FINAL PLANING FINAL ENGINEERING ® e COMMENTS _ SEPTIC TANK SIZE SEEP PIT/U SIZE — CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 8 ) Project Name: Kim Residence Enforcement Agency: City of Diamond Bar Permit Number: PR2016-104 Dwelling Address: 21333 Chirping Sparrow Rd City: Diamond Bar Zip Code: 91765 A. General Information 01 Dwelling Unit Name Kim Residence 02 Climate Zone 9 03 Dwelling Unit Total Conditioned Floor 2037 04 Number of Space Conditioning 1 CFA served Area (ft2) Installing a Installing new SC Systems in this Dwelling Unit. Installing 05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT) 06 Method used to Calculate HVAC Loads ACCA_ManualJ 07 Calculated Dwelling Unit Sensible 34571 08 Calculated Dwelling Unit Heating Load 44738 Name Cooling Load (Btuh) System (ft2)ducted (Btuh) components? 10-9 Dwelling Unit Number of Bedrooms 4 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 SC System SC System CFA served Is the SC Installing a Installing new SC Installing more Installing Installing Identification or Location or Area by this SC a systemsystem refrigerant - than 40 feet of entirely new entirely new SC Alteration Type Name Served System (ft2)ducted containing components? ducts? duct system? system? system. component. Entirely new or complete System 1 Location 1 2037 Yes Yes Yes Yes Yes Yes replacement space conditioning system Registration Number: 216-A0084427A-M0100002A-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2016-03-30 10:03:56 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 HERS Provider: CaICERTS Report Generated: 2016-03-28 16:55:37 c CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of 8 ) C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 07 08 09 10 11 12 13 Heating Efficiency Type Heating Efficiency Value Heating Unit Manufacturer Heating Unit Model Number Heating Unit serial number Rated Heating Capacity, Output (BTUH) System 1 AFUE 0.8 Trane TUD2C080ACV42 14272N11 -1G Central Fan Notes: Condenser Rated System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity or Name Type Integrated Manufacturer Model Number Serial Number Conditions (BTUH) Heating System 1 SEER 16 Cooling 4TTR70048A100 New or 48000 (CFI) System Altered Heating Minimum Altered Cooling Minimum Required Replaced New Ventilation Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Duct Duct System or Name System Type Component Type Value System Type Components Type Value Type Length R -Value Status All new All new System 1 Central gas heating AFUE 0.78 Central cooling SEER 13 Setback GT40Ft R6 Not a CFI furnace componen split AC components system is 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) System 1 AFUE 0.8 Trane TUD2C080ACV42 14272N11 -1G 64000 Notes: Condenser Rated System Identification Cooling Efficiency Cooling Efficiency Package Unit 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) System 1 SEER 16 Trane 4TTR70048A100 15211YGT2F 48000 4 Registration Number: 216-A0084427A-M0100002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:55:37 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 3 of 8 ) E. Installed Cooling Equipment information 01 02 03 04 05 06 07 08 04 Condenser or Package Unit 06 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 01 02 03 04 05 06 07 08 09 Method of Can RA3.3 compliance with Airflow SC System SC System duct and filter Number of Air Protocols be Identification or Location or Area Supply Duct Supply Duct Return Duct Return Duct grille sizing Req's Filter Devices on used to test Name Served Location R -Value Location R -Value in 150.0(m)13 System this system? HERS verified fan Conditioned Conditioned efficacy (W/cfm) 1 Yes System 1 Location 1 space -entirely R-8 space -entirely R-6 and airflow rate (cfm/ton) Notes: Registration Number: 216-A0084427A-M0100002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:55:37 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 4 of 8 ) H. Installed Air Filter Device Information 01 02 03 04 05 06 07 allowable clean -filter pressure drop at the design airflow rate applicable to each air filter device shall be determined, and all system air filter device locations shall be 02 labeled to disclose the applicable design airflow rate and the maximum allowable clean -filter pressure drop. The labels shall be permanently affixed to the air filter device, readily legible, and visible to a person replacing the air filter media, and the air filter devices shall be provided with air filter media that conforms to these Determined Design 03 All system air filter devices shall be located and installed in such a manner as to allow access and regular service by the system owner. The system shall be provided with air filter media having a designated efficiency equal to or greater than MERV 6 when tested in accordance with ASHRAE Standard 04 Determined Design Allowable Pressure SC System Identification or SC System Location or Air Filter Identification Air Filter Device Air Filter Device Airflow Rate for Air Drop for Air Filter Name Area Served or Name Type Location Filter Device (cfm) Device (inch W.C.) System 1 Location 1 Glas Flos Furnace Mounted Hallway 1600 0.12 Notes: I. Air Filter Device Requirements The system shall be designed to ensure that all recirculated air and all outdoor air supplied to the occupiable space is filtered before passing through the system's 01 thermal conditioning components. The system shall be designed to accommodate the clean -filter pressure drop imposed by the system air filter device(s). The design airflow rate and maximum allowable clean -filter pressure drop at the design airflow rate applicable to each air filter device shall be determined, and all system air filter device locations shall be 02 labeled to disclose the applicable design airflow rate and the maximum allowable clean -filter pressure drop. The labels shall be permanently affixed to the air filter device, readily legible, and visible to a person replacing the air filter media, and the air filter devices shall be provided with air filter media that conforms to these determined or labeled maximum allowable clean -filter pressure drop values as rated using AHRI Standard 680. 03 All system air filter devices shall be located and installed in such a manner as to allow access and regular service by the system owner. The system shall be provided with air filter media having a designated efficiency equal to or greater than MERV 6 when tested in accordance with ASHRAE Standard 04 52.2, or a particle size efficiency rating equal to or greater than 50 percent in the 3.0 to10 micron range when tested in accordance with AHRI Standard 680. The system shall be provided with air filter media that has been labeled by the manufacturer to disclose the efficiency and pressure drop ratings that conform to the 05 required efficiency and pressure drop requirements for the air filter device. The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 216-A0084427A-M0100002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:55:37 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 5 of 8 ) J. HERS Verification Requirements 01 02 03 04 0S 06 07 08 09 10 MCH20 MCH21 MCH22 MCH23 MCH25 MCH28 Exemption from Minimum Exemption R -Value for AHU System SC System From Duct Duct Ducts In Ducts Located AHU Fan Airflow Identification or Location or Area Leakage Leakage Conditioned In Cond Space Efficacy Rate Refrigerant Return Duct Design Name Served Requirements Test Space Verification (W/cfm) (cfm/ton) Charge Table 150.0-C or D System 1 Location 1 No Yes No No Yes Yes Yes No exemptions Exemption Notes: Registration Number: 216-A0084427A-M0100002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:55:37 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 6 of 8 ) 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 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency 01 Regulations. Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant 02 to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b). 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 03 150.0(h)1 and 2). Furnace Temperature Rise: Central forced -air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum 04 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 a continuously burning pilot light. Section 110.5 and Section 110.2(d). Cooling Equipment Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency 06 Regulations. 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 07 150.0(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. 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 09 150.0(h)1 and 2. Air Distribution System Ducts, Plenums and Fans 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 10 required by the prescriptive or performance requirements. See Section 150.0(m)1. Registration Number: 216-A0084427A-M0100002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:55:37 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 7 of 8 ) 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. 11 Connections and Closures: All installed air -distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC 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: 216-A0084427A-M0100002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:55:37 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 8 of 8 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Ramirez, Connie Company: Signature Date: COMFORT CLIMATE CONTROL INC 2016-03-30 10:03:56 Address: CEA/ HERS Certification Identification (if applicable): P 0 BOX 215 City/State/Zip: Phone: AZUSA CA 91702 1626-815-1632 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: Ramirez, Connie Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): COMFORT CLIMATE CONTROL INC Owner Address: CSLB License: P 0 BOX 215 1641060 City/State/Zip: Phone: Date Signed: AZUSA CA 91702 1626-815-1632 12016-03-30 10:03:56 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: 216-A0084427A-M0100002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:55:37 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3 ) Project Name: Kim Residence Enforcement Agency: City of Diamond Bar Permit Number: PR2016-104 Dwelling Address: 21333 Chirping Sparrow Rd City: Diamond Bar Zip Code: 91765 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 03 Building Type from CF -111 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 Replacement MCH -20d - Complete Replacement or Altered Duct System B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 4 02 Heating Capacity (kBtu/h) 64 03 Conditioned Floor Area served by this HVAC system (ft2) 2037 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.06 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Cooling system method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 96 10 Actual duct leakage rate from leakage test measurement (cfm) 91 11 Compliance Statement System passes leakage test Registration Number: 216-A0084427A-M2000002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:56:18 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CFZR-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) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation 02 Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 If a complete replacement, 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 compliance document affirms that all applicable requirements in this table have been met. Registration Number: 216-A0084427A-M2000002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:56:18 2013 Residential Compliance Schema Version: 2013.1.007 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: Connie Ramirez Company: Signature Date: 2016-03-30 10:03:56 COMFORT CLIMATE CONTROL INC Address: CEA/ HERS Certification Identification (if applicable): P 0 BOX 215 City/State/Zip: Phone: AZUSA CA 91702 626-815-1632 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: Connie Ramirez Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Owner COMFORT CLIMATE CONTROL INC Address: CSLB License: P O BOX 215 641060 City/State/Zip: Phone: Date Signed: AZUSA CA 91702 626-815-1632 2016-03-30 10:03:56 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: 216-A0084427A-M2000002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:56:18 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 3 ) Project Name: Kim Residence Enforcement Agency: City of Diamond Bar Permit Number: PR2016-104 Dwelling Address: 21333 Chirping Sparrow Rd City: Diamond Bar Zip Code: 91765 A. Ducted Cooling System Information O1 System Identification or Name System 1 02 System Location or Area Served Location 1 03 System Installation Type New 04 Nominal Cooling Capacity (tons) of Condenser 4 05 Condenser Speed Type Multi -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 2016-01-15 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. O1 IMethod used to demonstrate compliance with theI 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 Powered Flow Capture Hood according to procedure in verification. RA3.3.3.1.3 02 Manufacturer of Airflow Measurement Apparatus TSI 03 Model number of Airflow Measurement Apparatus 8371 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/title24/equipment_cert/ama_fas /index.html Registration Number: 216-A0084427A-M2300002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:59:33 2013 Residential Compliance Schema Version: 0.555SDD CERTIFICATE OF INSTALLATION CF211-MCH-23-1-11 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) 350 02 Required Minimum System Airflow Target (cfm) 1400 03 Actual System Airflow Rate Measurement (cfm) 1501 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 01 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 03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance 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: 216-A0084427A-M2300002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:59:33 2013 Residential Compliance Schema Version: 0.555SDD 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: Connie Ramirez Company: Signature Date: 2016-03-30 10:03:56 COMFORT CLIMATE CONTROL INC Address: CEA/ HERS Certification Identification (if applicable): P O BOX 215 City/State/Zip: Phone: AZUSA CA 91702 1626-815-1632 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: Connie Ramirez Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Owner COMFORT CLIMATE CONTROL INC Address: CSLB License: P O BOX 215 641060 City/State/Zip: Phone: Date Signed: AZUSA CA 91702 626-815-1632 2016-03-30 10:03:56 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: 216-A0084427A-M2300002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 16:59:33 2013 Residential Compliance Schema Version: 0.555SDD CERTIFICATE OF INSTALLATION CF211-MCH-22-1­1 Space Conditioning System Fan Efficacy (Page 1 of 3 ) Project Name: Kim Residence Enforcement Agency: City of Diamond Bar Permit Number: PR2016-104 Dwelling Address: 21333 Chirping Sparrow Rd City: Diamond Bar Zip Code: 91765 A. Ducted Cooling System Information 01 System Identification or Name System 1 02 System Location or Area Served Location 1 03 System Installation Type New 04 Nominal Cooling Capacity (tons) of Condenser 4 05 Condenser Speed Type Multi -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 2016-01-15 10 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement B. Fan Watt Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2. 01 1 Fan Watt Verification Device Used. Portable watt meter MCH -22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor C. Forced Air System Fan Efficacy Measurement The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3 01 Actual Tested Watts 451 02 Actual Tested Airflow from MCH -23 (cfm) 1501 03 Required Fan Efficacy (watts/cfm) 0.58 04 Actual Fan Efficacy (watts/cfm) 0.3 05 Compliance Statement: System fan efficacy complies Registration Number: 216-A0084427A-M2200002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 17:01:53 2013 Residential Compliance Schema Version: 0.52SDD CERTIFICATE OF INSTALLATION CF2R-MCH-22-H Space Conditioning System Fan Efficacy (Page 2 of 3 ) D. Additional Requirements O1 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 216-A0084427A-M2200002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 17:01:53 2013 Residential Compliance Schema Version: 0.52SDD CERTIFICATE OF INSTALLATION CF2R-MCH-22-H Space Conditioning System Fan Efficacy (Page 3 of 3 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Connie Ramirez Company: Signature Date: 2016-03-30 10:03:56 COMFORT CLIMATE CONTROL INC Address: CEA/ HERS Certification Identification (if applicable): P 0 BOX 215 City/State/Zip: Phone: AZUSA CA 91702 1626-815-1632 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: Connie Ramirez Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Owner COMFORT CLIMATE CONTROL INC Address: CSLB License: P 0 BOX 215 641060 City/State/Zip: Phone: Date Signed: AZUSA CA 91702 626-815-1632 2016-03-30 10:03:56 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 noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-A0084427A-M2200002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 17:01:53 2013 Residential Compliance Schema Version: 0.52SDD CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 1 of 4 ) Project Name: Kim Residence Enforcement Agency: City of Diamond Bar Permit Number: PR2016-104 Dwelling Address: 21333 Chirping Sparrow Rd City: Diamond Bar Zip Code: 91765 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 01 System Identification or Name System 1 02 System Location or Area Served Location 1 03 Condenser (or package unit) Make or Brand Trane 04 Condenser (or package unit) Model Number 4TTR7048A1000 05 Nominal Cooling Capacity (tons) of Condenser 4 06 Condenser (or package unit) Serial Number 15211YGT2F 07 Refrigerant Type R -410A 08 Other Refrigerant Type (if applicable) 09 System Installation Type New Charge Indicator Display (CID) Status (Note: Even systems This system does not have a CID device installed 10 with a CID must have refrigerant charge verified by installer). Is the system of a type that the minimum airflow can be Yes, this is a ducted system and one of the system airflow 11 verified using an approved measurement procedure (RA3.3 rate measurement procedures in RA3.3 or RA3.2.2.7 can be or RA3.2.2.7)? used to verify system airflow rate requirements. Is the system of a type that approved refrigerant charge Yes, one of the Refrigerant charge verification procedures verification procedures can be used to verify compliance from RA3.2.2 or RA1 is applicable to this system and can be 12 with the refrigerant charge verification requirements when used to verify compliance temperatures are greater than or equal to 55F (RA3.2.2, or RA1)? 13 Date of Refrigerant Charge Verification for this system 2016-01-15 14 Refrigerant charge verification method used. Subcooling (outdoor temperature must be equal to or greater than 55 degF) Person who performed the Refrigerant Charge Verification HVAC system installer 15 reported on this Certificate of Installation 16 HERS Verification Compliance Requirement Status System qualifies for group sampling MCH -25b - Refrigerant Charge Verification - Subcooling Method Registration Number: 216-A0084427A-M2500002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 17:10:30 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 2 of 4 ) l B. Metering Device Verification Subcooling Method can only be used on systems that have a variable metering device. 01 Refrigerant metering device Thermostatic Expansion Valve (TXV) rO2Subcooling 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 2016-01-04 02 Date of Digital Thermocouple Calibration 2016-01-04 03 Digital Refrigerant Gauge Calibration Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current ID. Measurement Access Hole (MAH) Verification I Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 01 I Method used to demonstrate compliance with theI 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) 1400 02 System Airflow Rate Verification Status System complies with minimum airflow rate requirements F. Data Collection and Calculations Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3.2.2. 01 Lowest return air dry bulb temperature that occurred during 71 the refrigerant charge verification procedure (degreeF) 02 Measured Condenser air entering dry-bulb temperature (T 76 condenser, db) 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method 04 Measured Liquid Line Temperature (Tuqud) (degreeF) 89 05 Measured Liquid Line Pressure (Pi qud) (pisg) 291 Registration Number: 216-A0084427A-M2500002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 17:10:30 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 3 of 4 ) 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. 53 Condenser saturation temperature (Tcondensor, sat) from digital 97.5 06 gauge or P -T Table using Line F05 (degree F) Evaporator saturation temperature (Tevaporator, sat) from digital gauge or P -T Table using line G02 (degreeF) 07 Measured Subcooling 8.5 08 Target Subcooling 8 Passes CEC requirement Compliance Statement: System complies with Subcooling Method - Must also pass metering device verification, next 09 section G. Metering Device Verification Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2 01 Measured Suction line temperature (Tsuction) (degreeF) 53 02 Measured Suction line pressure (Psuction) (psig) 117 03 Evaporator saturation temperature (Tevaporator, sat) from digital gauge or P -T Table using line G02 (degreeF) 40 04 Measured Superheat 13 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. I. Charge Indicator Display - Additional Requirements This section does not apply to this project. Registration Number: 216-A0084427A-M2500002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 17:10:30 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 4 of 4 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Connie Ramirez Company: Signature Date: 2016-03-30 10:03:56 COMFORT CLIMATE CONTROL INC Address: CEA/ HERS Certification Identification (if applicable): P O BOX 215 City/State/Zip: 1626-815-1632 Phone: AZUSA CA 91702 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: Connie Ramirez Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Owner COMFORT CLIMATE CONTROL INC Address: CSLB License: P O BOX 215 641060 City/State/Zip: Phone: Date Signed: AZUSA CA 91702 626-815-1632 2016-03-30 10:03:56 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: 216-A0084427A-M2500002A-0000 Registration Date/Time: 2016-03-30 10:03:56 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-28 17:10:30 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H (Page 1 of 1) Project Name: Kim Residence Enforcement Agency: City of Diamond Bar Permit Number: PR2016-104 Dwelling Address: 21333 Chirping Sparrow Rd City: Diamond Bar Zip Code: 91765 HERS measure was verified using the methodology defined for the untested features included in a sample group. This measure passes through its relationship with the actual one tested and passed. Therefore no data is included on this Certificate of Verification. Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: ^ Stefanie N Forhan Company: Maximum Performance Housing, Inc. Date Signed: Address: CEA/ HERS Certification Identification (i app ica e): 224 Amherst Road City/State/Zip: Costa Mesa CA 92626 Phone: 949-254-4114 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 Compliance 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): COMFORT CLIMATE CONTROL INC Responsible Builder or Installer Name: CSLB License: Connie Ramirez 1641060 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) 216-01418 Not tested HERS Rater Information HERS Rater company Name: Maximum Performance Housing, Inc. Responsible Rater Name: Responsible Rater Signature: Jayme Carden Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005489 2016-03-30 10:13:45 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: 216-AO084427A-M2000002A-M20A Registration Date/Time: 2016-03-30 10:13:45 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-30 09:33:29 2013 Residential Compliance Schema Version: 0.52SDD CERTIFICATE OF VERIFICATION CF3R-MCH-23-H (Page 1 of 1) Project Name: Kim Residence Enforcement Agency: City of Diamond Bar Permit Number: PR2016-104 Dwelling Address: 21333 Chirping Sparrow Rd City: Diamond Bar Zip Code: 91765 HERS measure was verified using the methodology defined for the untested features included in a sample group. This measure passes through its relationship with the actual one tested and passed. Therefore no data is included on this Certificate of Verification. Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Stefanie N Forhan Company: Maximum Performance Housing, Inc. Date Signed: -49-42 Address: CEA/ HERS Certification Identification (i app ica e): 224 Amherst Road City/State/Zip: Costa Mesa CA 92626 Phone: 949-254-4114 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 Compliance 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): COMFORT CLIMATE CONTROL INC Responsible Builder or Installer Name: CSLB License: Connie Ramirez 1641060 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) 216-01418 Not tested HERS Rater Information HERS Rater Company Name: Maximum Performance Housing, Inc. Responsible Rater Name: Responsible Rater Signature: Jayme Carden Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005489 2016-03-30 10:13:45 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: 216-A0084427A-M2300002A-M23A Registration Date/Time: 2016-03-30 10:13:45 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-30 09:35:13 2013 Residential Compliance Schema Version: 0.52SDD CERTIFICATE OF VERIFICATION CF3R-MCH-22-H (Page 1 of 1) Project Name: Kim Residence Enforcement Agency: City of Diamond Bar Permit Number: PR2016-104 Dwelling Address: 21333 Chirping Sparrow Rd City: Diamond Bar Zip Code: 91765 HERS measure was verified using the methodology defined for the untested features included in a sample group. This measure passes through its relationship with the actual one tested and passed. Therefore no data is included on this Certificate of verification. Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Stefanie N Forhan C�1/ Company: Maximum Performance Housing, Inc. Date Signed: Address: CEA/ HERS Certification Identification (i appica e): 224 Amherst Road City/State/Zip: Costa Mesa CA 92626 Phone: 949-254-4114 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 Compliance 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): COMFORT CLIMATE CONTROL INC Responsible Builder or Installer Name: CSLB License: Connie Ramirez 1 641060 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) 216-01418 Not tested HERS Rater Information HERS Rater Company Name: Maximum Performance Housing, Inc. Responsible Rater Name: Responsible Rater Signature: Jayme Carden Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005489 2016-03-30 10:13:46 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: 216-A0084427A-M2200002A-M22A Registration Date/Time: 2016-03-30 10:13:46 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-30 09:36:39 2013 Residential Compliance Schema Version: 0.52SDD CERTIFICATE OF VERIFICATION CF3R-MCH-25-H (Page 1 of 1 ) Project Name: Kim Residence Enforcement Agency: City of Diamond Bar Permit Number: PR2016-104 Dwelling Address: 21333 Chirping Sparrow Rd City: Diamond Bar Zip Code: 91765 HERS measure was verified using the methodology defined for the untested features included in a sample group. This measure passes through its relationship with the actual one tested and passed. Therefore no data is included on this Certificate of Verification. Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Stefanie N Forhan CC1/ Company: Maximum Performance Housing, Inc. Date Signed: Address: CEA/ HERS Certification Identification (i appica e): 224 Amherst Road City/State/Zip: Costa Mesa CA 92626 Phone: 949-254-4114 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 Compliance 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): COMFORT CLIMATE CONTROL INC Responsible Builder or Installer Name: CSLB License: Connie Ramirez 1641060 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) 216-01418 Not tested HERS Rater Information HERS Rater Company Name: Maximum Performance Housing, Inc. Responsible Rater Name: Responsible Rater Signature: Jayme Carden Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005489 2016-03-30 10:13:46 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: 216-A0084427A-M2500002A-M25A Registration Date/Time: 2016-03-30 10:13:46 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-03-30 09:41:39 2013 Residential Compliance Schema Version: 0.52SDD