HomeMy WebLinkAbout12-1140 , ' _��_ CITY OF DIAMOND BAR
� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � �I
21810 Copley Drive,Diamond Bar,CA 91765
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(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS ,
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Simplified Prescriptive Certificate of Compliance: 2008 Residentia/HVACAIterations CF-iR-ALT-HVAC
Climate Zones 8
Site Address: Enforcement Agency: Date: Permit#:
2658 BRAIDED MANE DR Diamond Bar, CA 91765 City of Diamond Bar Sep 7, 2012
Conditioned Floor
Equipment Typei List Minimum Efficiency2 Area Thermostat
❑Package Unit
0 Fumace �AFUE 78% ❑COP Served by system
0 Indoor Coil 0 SEER 13.0 ❑HSPF 0 Setback
0 Condensing Unit ❑EER ❑Resistance Sf If not already present, must be installed)
❑Other
1.Equipment rype:Choose the equipment being installed;if more than one system,use another CF-IR-ALT-HVAC for each system.
2.Minimum Equipment Efiaenocs:i3 SEER, 78%AFUE,7.7HSPF for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are THREE HVAC alteiation 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 work 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 I
forms (no hand filled CF-4Rs allowed)are filled out and signed.Beginning October 1, 2030,a registered copy of the CF-3R
and CF-6R shall also be on site for final inspection.
0 1.HVAC Changeout Required Forms:
.All HVAC Equipment CF-6R forms: MECH-04, MECH-25-HERS
replaced CF-4R forms: MECH-25
.Condenser Coil and/or CF-6R forms: MECH-04, MECH-25-HERS
.Indoor Coil and/or CF-4R forms: MECH-25
.Furnace
For Split Systems: RC,CCA >_ 300 CFM/ton,TMAH
❑2.New HVAC System Required Forms:
.Cut in or Changeout with
new ducts: (all new CF-6R forms: MECH-04,MECH-25-HERS
ducting and all.new . CF-4R forms: MECH-25 . ., ._,_, .,.. ; - �-
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equipment) � ' -
For Split Systems: RC, CCA >_ 300 CFM/ton;TMAH ' ,
For Packaged Units: No Testing Required
❑3.New Ducts with.Replacement Required Forms:.
.Includes replacing or instatling_a1P new ducting and/or outdoor condensing"unit end/or indoor coil CF=6R forms: MECH-25-HERS
and/or furnace. Not all equipment changed. CF-4R forms: MECH-25
For Split Systems: RC, CCA >_ 300 CFM/[on,TMAH
For Packaged Units: No Testing Required
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
.I certify that this Certificate of Compliance documentation is accurate and complete.
.I am eligible under Division 3 of the Califomia B�siness and Professions Code to accept responsibility for the design identified on this Certificate of
Gompliance.
.I certify that the energy features and perFormance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24,Parts 1 and 6 of the California Code of Regulations.
.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 submitted to the enforcement agency for approval with the permit application.
Name: JON MEIZ Signature:JON MEIZ
Company: METZ AIR COIYTROL Date: Sep 7,2012
Address: 14732 CE(YTRAL AVE License: 741824
City/State/Zip: CHINO/CA/91710 Phone: (909)628-9525
Reg: 212-A0049681A-00000000-0000 Registration Date/Time: 2012/09/07 14:37:16. HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010
INSTALLATION CERTIFICATE CF-6R-MECH-04
Space Conditioning Systems, Ducts and Fans (Page 1 of 2)
Site Address:
2658 BRAIDED MANE DR, Diamond Bar CA 91765 (System �nforcement Agency: Permit Number:
1� City of Diamond Bar 12-1140
Space Conditioning Systems
Heating Equipment
Duct
E�ciency Location
Equip (AFUE, (attic,
Type ARI #of etc.)1,3 crawl- Heating Heating
(package- CEC Certified Mfr.Name Reference Identical (>=CF-1R space, Duct Load Capacity
heat pump) and Model Number Numberz Systems value)4 etc.) R-value (kBtu/hr) (kBtu/hr)
Split TRANE
Furnace TUD2C100B9VSVBA 1 80 AFUE Attic R-6 5 Tons
Coo/ing Equipment
Efficiency Dud
Equip (SEER Location
Type and EER) (attic,
(package ARI #of 1,3 crewl- Cooling Cooling
heat CEC Certified Mfr.Name Reference Identical (>=CF-iR space, Duct Load Capacity
pump) and Model Number Numberz Systems value)4 etc.) R-value (kBtu/hr) (kBtu/hr)
Split , ` TRANE � , , .
A/C 4TTX6060E1000BA ' � i 1 16 SEER Other R-6 5 Tons
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1. If project is new construction, see Footnotes to Standards Table I51-8 and Table i51-C fo�duct ceiling alternative
compliance.
�.ARI Reference Number can be found by entering the equipment model number at
http://www.aridirectory.org/ari/ac.ph p#
3. Listed e�ciency on this page must be greater than or equal(?)to the value shown on the CF-iR form.
4. When CF-iR is reference it is also applicable to the CF-iR, CF-iR-AA or.CF-iR-ALT
ALL BOXES MUST BE CHECKED TO BE A VALID FORM
� §110-§113: HVAC equipment is certified by the California Energy Commission.
� §150(h): Heating and/or cooling toads calculated in accordance with ASHRAE, SMACNA, or ACCA.
� §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of
§112(c).
� §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets j
minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in
conditioned space. I
Reg: 212-A0049681A-M0400001B-0000 Registration Date/Time: 2012/11/17 11:19:08 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
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INSTALLATION CERTIFICATE �� CF-6R-MECH-04
Space Conditioning Systems, Ducts and Fans (Page 2 of 2)
Site Address:
2658 BRAIDED MANE DR, Diamond Bar CA 91765 (System Enforcement Agency: Permit Number:
1� City of Diamond Bar 12-1140
Ducts and Fans
§150(m): Duct and Fans
�I 1. All air-distribution system ducts and plenums installed, sealed and insulated to meet the
requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply-air and return-air
ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in
conditioned space. Openings shall be sealed with mastic, tape or other duct-closure system that meets
the appticable requirements of UL 181, UL 181A, or UL 1816 or aerosol sealant that meets the
' requirements of UL 723. If mastic or tape is used to seal openings greater than �/a Inch, the combination
of mastic and either mesh or tape shall be used; and
� 1. Building cavities, support platforms for air handlers, and plenums defined or constructed with
materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying
conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities
and support platforms shall not be compressed to cause reductions in the cross-sectional area of the
d u cts.
�2D. Joints and seams of duct systems and their components shall not be sealed with cloth back
rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands.
� 7. Exhaust fan systems have back draft or automatic dampers.
�8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated dampers.
� Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight,
moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or
painted with a coating that is water retardant and provides shielding from solar radiation that can cause
degradation of the material.
� 10. Flexible ducts cannot have porous inner cores. , _ .- -. .
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DECLARATION STATEMENT
.I certify under penalty of perjury,under the laws of the State of Califomia,the information provided on this form is true and correct.
.I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construdion,or an authorized
representative of the person responsible for construction(responsible person).
•I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)
conforms to all applicable codes and regulations,and the installation is consistent with the plans and specificatio�s approved by the
enforcement agency.
.I reviewed a copy of the Certificate of Compliance(CF-1R)form approved by the enforcement agency that identifies the specific
requirements for the installation.I certify that the requirements detailed on the CF-1R that apply to the installation have been met.
.I will ensure that a completed,signed copy of this Installation Certificate 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 signed copy of this Installation Certificate is requfred to be included with the documentation the builder
provides to the building owner at occupancy.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
METZ AIR CONTROL
Responsible Person's Name: Responsible Person's Signature:
]ON METZ JON METZ
CSLB License: Date Signed: Position With Company(Title):
741824 9/27/2012
Reg: 212-A0049681A-M0400001B-0000 Registration Date/Time: 2012/11/17 11:19:08 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
