HomeMy WebLinkAbout14-5077 . � � - '`"- CITY OF DIAMOND BAR . � g�I�/��
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� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � �
� �._
21810 Copley Drive,Diamond Bar,CA 91765 PRESS
�,,�,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY
BUILDING PERMIT APPLICATION .�7.-Z,o�¢
sJOB SITE ADDRESS � ���D R 1K . APPLICATION DATE: P/C#
z APN LOT TRACT ISSUEDATE: l/�� /��V/G.� PERMIT# ��—U V 7�
�
y OWNER l TYPE CONST. OCC GROUP:
— ADDRESS
J CITY ZIP TEL. QQq�?.�Of 73�0� ZONING F ONT KS RW ❑
� APPLICANT TEL. REAR ❑
�
� � SIDE/SIDE STREEf RW ❑
Q CONTRACTOR A�. � �l ✓ SIDE ❑
� ADDRESS �I 3 N•NVI. 2 ✓�'t a v pROPOSED USE
�c CITY �LIQ�IHW ZIP��TEL.7I O"'Z_ �,(� �
I � ARCH/ENG/DESIGNER �" �� G � �'
�
y
= ADDRESS
� #DWEL.UNITS #STORIES #BEDROOMS
� CITY ZIP TEL. I
OWNER-BUILDFA OECLAHATION
DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
= I hereby affirm under penatty at per�ury that I am ezempt hom the Corrt2ctor's State Llcense Law for the reason(s) SFFt/ADD/REM I
� indicated below by the checkmark(s),I have placed nezt to the applicable Item(s)[Sactlon 7031.5,Business and Garage/Carport I I
� Professlons Cade:My city a coimty that raqulres a permR to�canstruct,atter,Improve,demolish,or rapair,any .
z struchire,Prlor to Its issuance,also requires the applicaM for the parmit to flle a sig�red statemerrt that he w elre � Patio/Deck I
� Is Ilcensetl pursuarrt to the provlsla�s of the Contractw's State Llca�e Law(Chapter 9)Commencing with Sectlan w
� 7000 of Oivislon 3 of the Business and Professlons Code]or that he or she Is exempt from Ilcensure and Ne basis for � PooVSpa I
� the alleged ezemptlon.My violatio�of Section 7031.5 by any applicant for a permR sub�ects the applicant to a civil penatty C7
of not more than five hundred dollars($500). Z Re-Roof I
s I
� U I,as owner of the property,or my employees with wages as their sole compensation,will do(_)all of or(J portions, � Commerclal
y of ihe work,and the structure Is notintended or ottered for sale(Section 7044,Business and Professions Code:The �
J m IContractors'State Llcense Law does not apply to an owner of property who,through amployees'or personal eftort,builds
y or improves the property,provided that the Imprmements are not intended or offered for sale.If however,ihe bullding or I
� imprmement is sold wlthin one year ot completlon,the Owner-Builder will have the burden of prming that It was not bullt
� or impmved for the purpose of sale.�.
�
� p perty,am exclusively contracUng with Iicensed Contractors to consWct the project(Section
(J I,as owner o1 the ro Valuation: Ad Area:
Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who 1�
� buildsorlmprovesthereoqandwhocontractsformeproJectswithalicensedContractorpursuantrotheContractors'State QUANTITY DESCRIPTION FEE I
Y ucense Law.�.
� U��exempt from licensure under the Contractor's State License law for the following reason(s): � �
� U I1 �
Z By my signature below I ackrrowledge that,except for my personal residence in which I must have resided tor at least one w �� I
� year prlor to completion of the improvemerrts covered by this permtt,l cannot legally sell a structure that I have buitt as an �
owner-bullder if It has not been consWcted in fts entirety by Ilcensed conUactors.I understand that a w I
¢ copy of the applicable
Y law,Sectlon 7044 of the Business and Professions Code is avallable upon request when this applicatlon is submltted or at I
� the following Web site:http/wvnv.leginfo.ca.gov/calaw.htrnl, c�
= DATE: SIGN: m I
�
— �� LICFNSED CONTHACTOfl'S DECLAHATION �
y I hereby affirm under penatty of per�ury that I am Ilcensed under provisbns of Chapter 9(commencing with Sectbn 7000) � I
� of Division 3 of the Buslness and Professlons Code,and my license Is`ir�full force and effect.�/ � � A�L � N � � I
;n LICENSE CLASS: G Z� L1C.NO.: v�'l/�/ � �T V .Q !
� •� � /"' I
� DATE: CONTAACTOR:�_/✓v1Q �.jr /J'�J yf v I
WOfl1�H'S COMPENSATION DEC1AqATION � I
y I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARA710NS:
= I have and wlll mairdain a Certificate of Conserit to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION:
Section 3700 of the I..abor Code,tor the performance oi the work for which this permlt is issued. p�qN REVIEW:
� �I have and will maintaln Worker's Compensation Insurance,as required by Secfion 3700 of ihe Labor Code,for ELECTRIC:
� the pertormance of the work for which this permit is issued.My Workers Compensation Insurance Camer and
¢Z PolicyNumberare: PLUMBING:
y CARRIER �.Q.G Gl✓���/
� POLJCYNUMBFA ��,�/G[D� ?y� MECHANICAL: �
INSPECTION FEE:
'� (f}iIS SECTION NEED NOT BE COMPLEfEp IFhIE PBiMfT IS FOR ONE HUNDR�DOLLNiS($100)OR LESS�. ISSUANCE: ��
= I certily that In the performance of the work(or whlch this permtt Is issued,I shall not employ any person In any manner so as to
� becane subject ro the Nbrker's Compensatbn Lavrs of Calffomia.Md agree that if I shwld becrome suhject to the Walcer's SMIP:
JCampensation provisbris of Sectlon 3700 of the Laba ' I shall fortliwlth cunpy with those prp,�isions. ENERGY P/C:
L �A� ��'— � ENERGY PERMIT:
� WARNING Failure fi secure Worker's Compensation co ge is unlawful,and shall sub�ect an employer to cdminal � r�w.
� penalties and civil flnes up fi one hundred thousand dWlars($100,000�,in addition to the cost of ihe compensatlon, REfENTION FEE:_ J��
= damages as pmvided fir in secUon 3708 of the la6or code,interest,and attorney's fees. PRE-ALT FEE:
i CONSTHUCTION LENDING AGENCY BSAF:
y I hereby affirtn under penalty of perjury that there is a Construction Lending Agency for the pertormance of the vrork for
= which this permit is issued(Sec.3097,Civ.C.).
�
LENDER'S NAME: �
= LENDER'SADDRESS:
i I certify that I have read this aDP�icatbn and state that the above irrfarmation is wrrect.I a ree to com TOTAL FEES �
g pry wtth all city and ,��.�
Z county ordinances and state laws relafing to building consWction,and hereby authorize represenhatives of thls county to COM MENTS:
� errter upon the ahrne-mentioned property for Inspection purposes.
� a vt1.OV
a PERMITTEE NAME
n
n ' � y �n �/'
= SIGNATURE OF DATE RECEIPT p ./'P�I� PAID BY:J/ ���VALIDATION:
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy
CITY OF DIAMOND BAR
�INSPECTION RECORD
• � � � � � � � � � � �
,SETBA,CK/LEfT�R� � '����,���� � '��� . TRACTAND LEDGER
FOO,TINGS FORINS� . p���. � �,,.',,:4��s` ,,*������.a, ��.:�.,.�m SWITCH GEAR
„
'S � =„ ,:: �:;,,,.. ; .�e� , ,: � �. _ ��. COMMERCIAI HOOD
LAB ����� • �, � _�
, . ... .
�UG::PLUMBING .� -.�, �:����.a� . . �����,��� ,. T-BAR
..
;UG.ELECTRICAL ��,�,��"," '��,��'�:� �'�"�� � �� ° � ` �� INTERCEPTER
UFER GROUND��. ��' � �" a� � '� � �� �� � �������� HOT MOP/SHOWERPAN
�� ��;�..<�
SEWER LATERAI SEPTIC/CESSPOOI
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROQF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
�SHEAR WAl1S>IXTERIOR� � � � '� � ��:. , �- � �a� ��" POOLtSPA� ''� ���' u�§°���
� ' �
SHEAR WALtS INTER40R��� � � � ��� � �� ROUGH PLUMBING �. ��� � � �`
� ��-= � �� +� �� �-� ". � � � � r �"`°`,, ����"�"� '�' �" S�r ��"�" t
ERAM�INGNENTING ��,�� � � � ROUGH„ELECTRICAL�,�,� � ��* .� ��� ,� ��
ROl1GH NiE HAN A�;�a�;�„� �?'�+�"'�'. � � " �' '�� a�,� ROU�H MECHANICAL� f�� ���� : �` � � ��
�ROUGH EL iRfCAL��1N��}���(.' )�f��„��`,-'���� ,r.,'���;��.�� � ��°`�` � GAS�TEST ' ��� �� ��
� � ; _��
{ROtJ6H PLUM�G.�.����,��� .��.�� �� � ,. ,��g�`�`" PRE GUNITE $�� `���� ,�s�- , �
; �a , �� ��
��. ,.� � � . ��..
h.n r. . ,.. .. � >�? _wa& ... :
, R;��: � .: f p ' ` POOL PRE�DECK BONDING �� ��� ���� ���
INSULATION WAtL' �• ,� -',� � , ,
. �-
°e. z � ��� ��
INSUlATION CEILING P-TRAP�`;. � -' ���"�� ��* rex �_
_ � ,.�� ����� �; n ,
DRYWALL
�EN�E�I�taATEl,�ALARM� _. �; ��"��`� ,���,�«����� � � ����
FINAL P40L"��' T�� .:� : �, ,� ��, ��� � „�
LATH(PRE) ���` �
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1sT( )2"0( )LIFT
SCR,4TCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL D(3AIN/SEAL
GAS METER RELEASE WALL FINAL
�� �
SPECIAL INSPECTION R�fRAAtl�PL�1NINGAfWRQU� � : � .. E�`�� �
FINAL BUILOING "� ` �' ,� _ ��� p" . F.��' �``� �� :FtQUGH FIRE APPROVAL� ' ,,� ���,��° , „���
« __ � � �
�FINAI MECHANICAL���.� ,I ��,4,��'/� � ��„���� �� r' ,EINAl�FIRE DEPAFiTMENT$,.� ���` �`" .�.�� , ��
�� _�_ � .
� � �� � ���'�` FINAL�PIANNING.���` ��.������ o . ��. � ����
�
,FINAL ELECT1iICAL�;���,^ � . � �,-�� ��° � ;�� , � � ,� � �" �
- �
;FINAL PLUMBING��� � � � ����� �� g ��� � ,�INAI�EN�iNEERING/PNi„,��� `� ��'��� . �� �` � �
tT=.C:�of OCCUPANCY+���� "'� � R�� �� °�� 'FINAI.�GOMMUNITY SERVICES '� :_ � � �� ���� ����`� � �
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� ���� �����< 3 ; � �INAt��HEALTH�DE�P�T� _;� �'� ,,� ���`� � �' � 3 ��`�
��p ��_ , ,
CERT oi QGCUPANGY a.. . „:�^ , . �' � � ""� `
� « . _a ..�,r.,� -��= u�� �
FINAL lNDt1S1'itIAL WASTE � � ' .������5p':
��� .��.
COMMENTS:
._
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.
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
I
� Dud Leakage Diagnostic Test (Page 1 of 3)
Projed Name: TIM LAI Enforcement Agenty: City of Permit Number:
Diamond Bar PR20140005077
. Dwelling Address: 3414 FALCON RIDGE ROAD City: Diamond Bar 2ip Code: 91765
A.System Information .
OS Space Conditioning System Identification or Name System 1
02 Space Conditioning System Location or Area Served Location 1
03 Building Type from CF-1R '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 U_nit(VLLAHU)Credit No,credit is not taken
from CF1R? - 'r`;
r.�':
��'�,; ,
06 Duct System�Compl�ance Category �Alteration�using smoke,test ,.�, �
�'.� -�a� �... ..�`r*�'�.., . ��...< t��r���r �`'�.��> �,�. ..�s"., �`...
.., `> �: ,E., s��.� " ,
mu � �' � ��;��;�. ` � 4,... �' � :P�y�-r, �: ... .. . ,� .
MCH-20e-Sealing�All,Accessible eal s us`�ing Smoke Test�-,:f� ��3 � ���, �� -��
.,� .��f�.����'�9�� ..� ��;��' � . �.,�,�,�.. F�._< , : �,�.'�'�''°�`�,.� �r,.
N
..;�.-..._.,,.��trpe�. x �L��,,'{^;x�,*o-�ra7"Y'�r,�wa�,5���j? "�fi�ak�,n?,Q�' ��.`5#�;s:.` a '��,' �'-��?b�::�
�� : a.
�++w� �. f =_-:r�,..A� .., -,�_ ;,:�,__ _.,..... .--_ .......
B. Duct Leakage;Diagnostic Test � � � v f � �
,t. ''`�`
;"` '.. �,;;;
Ol Condenser Nominal Cooling Capacity'(ton) 5
s%,
�;:.:
02 Heating Capacity(kBtu/h) 0 �
03 Conditioned Flobr Area served by this HVAC system(ft2) 2712
04 Duct Leakage Test Condition Test final
05 Duct Leakage Test Method Total leakage
06 Leakage Factor 0.15
�� Air Handling Unit Airflow(AHUAirflow)Determination Cooling system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate(cfm) 300
10 Actual duct leakage rate from leakage test measurement 600
(cfm)
Compliance Statement:System passes using smoke test of an altered HVAC system in an existing building. No visible smoke
11 exits the accessible portions of the duct system.Smoke is only emanating from air-handling unit(AHU)cabinet and non
accessible portions of the duct system. Note-Accessible is defined as having access thereto,but which first may require
Registration Number:214-A0141785A-M2000002A-M20A Registration Date�me: 2014-12-18 08:57:01 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-OS Report Generated:2014-12-17 13:32:09
2013 Residential Compliance Schema Version:0.5515DD
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B.Duct Leakage Diagnostic Test �
removal or opening of access panels,doors,or moving similar obstructions. If access to the ducts requires an object to be
demolished or deconstructed then sealing of those ducts is not required
12 Notes:
C.Additional Requirements for Compliance
Ol 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
�Z 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.
�.:.
4:-:
04 Building cavities were not used as plenums or platform returns in lieu of ducts.
� ��:.
05 If cloth backed tap as�uc'sed it wa cs overe�with Mast��a d�dra�w�ba�ds� �� � �` �'-
�� ���`�i ' d�."4' ' -��'''� t`�a,�.:; �'�«" � ;
� ��S� v '�� ��`�,�„A �'1
06 All connectionhpoints betw en�ttie��h�a`n�dler and th�e su ply and�r turn plenums are completely sealed � ��, �
� �'�t. � �:; ��� �� .e� wrti ��,�� �,.�.. ��°�� ,.� t-�'� r«.�Y�`� `*��
4NN,},..fl,.��u� A�� '�."-§� a �:�,ti s''�' �'x�`.�+,�.R��;�f . ,.,a�:. ,�.�t�.�".- s � ,� < '.. �'„�`.�'':���"'�ia�"�.�
If the system complies usin`g}the•Srrioke Test'method3the smoke�test was.condueted in acco�dan'ce 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'v"'ehfication compliance.
,. ,a�;;
O8 Verification Status: ,;��: Pass-all applicable requirements are met
09 Correction Notes for this table: ,
The responsible persons signature on this tompliance document a�rms 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 applicab�e sections af this documen4 sfiali indicate compliance with the specifiea verificat9on protocol
requirements in order for this Certificate of Verification as a whole to be determined to be in compliance.
Ol Complies:All specified verification protocol requirements on this document are met.
Registration Number:214-A0141785A-M2000002A-M20A Registration Date�me: 2014-12-18 08:57:01 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2014-12-17 13:32:09
2013 Residential Compliance Schema Version:0.551SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurete and complete.
Documentation Author Name: Documentatlon Author Signature: �'
lan lacoby c9an�acobJr
Company: Date Signed:
Stratz Permit Service 2014-12-17 18:42:57
Address: CEA/HERS Certification Identification(if applicable): I
5858 Dovetail Drive 10059
City/State/Zip: Phone:
Agoura Hills CA 91301 818-735-7876
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. I am the certlfied.HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater).
3. The Installed features,materials,comporients,manufactured devices,or system performance diagnostic results that require HERS verification ' '
identified an this Certificate of Verification;comply with the applicable requirements in Reference Appendices RA2,RA3,and the requirements
specified on the Cemficate of:Compliance for the^bu Iding ppr�ovetl by the enfqrcement ag ne�cy'�� ; ,. '' �`�',,
n: � �'!,f•�x� � ��•� s„c ... , a � �,.a�, � E �ir�;. �s�,
4. The Information�reported on applicable sections of the Certfficate(s)�of InstallaLion(CF2R)signed and submitted by tfie person(s)responsible for the
atts�.f'� � :��i'ck„ F .� .�;' � x' '. -?�
construction o�allation c�fo��to��h�,r�g�ulrements spedRed on the Ce�ipte(s��of Compllance(CFIR)f�ap�proved�by the�enforcement agency. �
5. I will ensure�th�at a regist�ere�d cop�f.!t�h��Cert�f,f�cate of Verifitation shall,be�ed�o���inade avallable wl�the�building p';ermit(s)�,issued for the' ' �
building,and=made available;Lo the enforcementagency for;all appl�cable inspe¢tions d=understand fhat a registered copy of,ttiis,Gertificate of
uv6�uN:w.�rv� .wE�.�L w,w:2�' '�» +s�: ���rti :.� v��r u�a�ah.� �a'ra,�+=�" �c���qe
Verlflcation is requ�red to be included;wfth the d'ocumentation the bwlder pro,vides to tFie'bwldmg"owner.at occupanty:
�„ �..�.
� Builder Or Installer�information As Sh'own On The Certificate Of Installation
� �:�.� . ' ' �'.4�:
Company Name(Installing5ubcontrector,Generel Contractor,or Builder/Owner):
- r�,
CLIMATE AIR MASTERS INC "":'
Responsible Builder or Installer Name: CSLB License:
Robert Wachter 695854
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:
Stratz Permit Service
Responsible Rater Name: Responsible Rater Signature:
Ryan Faris a�f��y
Responsible Rater Certification Number w/this HERS Provider: Date Signed:
CC2006345 2014-12-18 08:57:01
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 .
responsibiliry for the accuracy of the information.
Registration Number:214-A0141785A-M2000002A-M20A Registration Date�me: 2014-12-18 08:57:01 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2014-12-17 13:32:09
2013 Residential Compliance � Schema Version:0.551SDD
i
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page i of 4)
Project Name: TIM LAI Enforcement Agency: City of Permit Number: PR20140005077
Diamond Bar
Dwelling Address: 3414 FALCON RIDGE ROAD 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 Alteration
04 Nominal Cooling Capacity(tons)of Condenser 5
05 Condenser Speed Type Single Speed
k�
06 Cooling System Zonal Control Type.`�,;, Not Zonal
07 Central Fan�lntegrated�{CFI)Ventilation System S,tatus Not a�CFI system�,��.„� �
�'.� '�..:. ^�.,. ,�"�' %�� .� ..,.. �'�:��; �� .r�,..-. � �',.
�.-; �.,.�;_.. n�, .. .�:;,.` �:� " z��:w �;.W
;� ;. N .;'
08 System Bypass Duct Status „ . No�Bypass�Duct � ' -
� .. ,
� P�f'+,���,,. ...; �
.�� �.,..
09 Date of Syste�irflowt `�� � � �� �� � �`� �"' �"� �'��5�" � `�� � ��
Rate�Measurement'. �� � '� � ��
� �`' 2�1.4 12 Zli?r � t�,� 31�,�+ F � n
'*be',�'.'r$'"c�"r.�a���.��F?�s��.�.mr,,,��.,,C, ..t�.Kr,t�.,'.�� .4�,':" �n'c, '�'K..s�R ...vte � {i�+A...�'''p`,����� .�"�t�
...,. r1 w'�:� y,r .d �..::; , �s�:."a
10 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
�z„ .
��,��,��w ��,;: ,
,.,�;;
B. Hole for the placement of a Static Pcessure Probe(HSPP),and Permanently installed Static Pressure Probe(PSPP)
xa
in the supply plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
Ol Method used to demonstrate compliance with the HSPP installed and labeled consistent with Figure RA33-1
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.
Ol Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in
verification. RA3.3.3.1.4
02 Manufacturer of Airflow Measurement Apparatus TSI _
03 Model number of Airflow Measurement Apparatus T51
04 Certification Status of the Air'flow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at
Accuracy htt
p://www.energy.ca.gov/(tbd)
Registration Number:214-A0141785A-M2300002A-M23A Registration Date/Time: 2014-12-18 08:57:01 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2014-12-17 13:32:58
2013 Residential Compliance Schema Version:O.S15DD
r.•
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-2oned 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.
Ol Required Minimum System Airflow Rate(cfm/ton) 300
02 Required Minimum System Airflow Target(cfm) 1500
03 Actual System Airflow Rate Measurement(cfm) 1581
04 Compliance Statement: System airflow rate complies
� �r;..
E.Additional Re.quirements - i����'
_ ��.
Ol 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 durmg"system?air flow rateimeasurement"identified�on this Certificate of Installaiion�
��r.,. ,F' �'�F "�`�'^m�'1%. 0`:' �"���,^ � l�`°4x �'� � '�.�: T�`>
� 4�'"r[ "`�pparatus used to perFo�`rm�"�t e airflow rate.measurement identified on this:Certificate of
The airflow ratermeasurement�a
- �- '�`, ��t� �� ��� f.��'�"a ��- �,.�s�'i r 3�,?c�r `�..-fl,���, _ .
02 Installation was calibrated in�accordance�with the apparatus,manufactur�er s�speafications and conforms to'the
r �:.�r.r,� �c;�� f� , „r ,�.,,+� ��"z c�� �` �. � .�'
4
instrumentatiorrkspecificat�onsFgiven m RA3'3 1" n"��� , � �:�€ ���`.� �: �
J""�. '.'3 ' :r ^YL�S. i. `},J _.t FS � .I �.N.�.r' :. ` at_. .
...�.,..0 ..r .^ S�._�a .x.<..'«, . , ..
'� ........... � . .
A visual inspect�omshall;confirm tFiat=bypass ducts that deliver conditioned supply air directly to the space conditioning
system return duct ai,rflow'are not u',sed on new or replacement zonally controlled systems.unless the Performance
;��;
03 Certificate of Compliance ind'fcatest,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:214-A0141785A-M2300002A-M23A Registration Date/Time: 2014-12-18 08:57:01 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2014-12-17 13:32:58
2013 Residential Compliance Schema Version:O.S15DD
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airtlow Rate (Page 3 of 4)
F. Determination of HERS Verification Compliance
All applicable sections of this document shali 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.
Ol Complies:All specified verification protocol requirements on this document are met.
'�.:.
s�r.
.. ��: •
>�s;
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. ' �«�,� .�a „ . ',� h , r. a��� �'% .
/�y� �� �' K•� �. 1 � 4 �^
�� �f:,f',. ��4�y.y��'��C �'}{ '.`,� � ni"g P�� €+1 fi� '
�d�w,R.+'?��'��9 �'.4'u'R� � ;k, ��1 x A ��'��m�a� W�'�` ;�'_+�*��`� ��' »~'+
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r�v��.w��t���+:"�'�` �� i �,��-�'�'���'�'�„ ..� � _ . . �. �� � s , 4 ,'34 �`:"��,�"
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Registration Number:214-A0141785A-M2300002A-M23A Registration Date/Time: 2014-12-18 08:57:01 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2014-12-17 13:32:58
2013 Residential Compliance Schema Version:0.51SDD
CERTIFICATE OF VERIFICATION , CF3R-MCH-23-H ,
I Space Conditioning System Airflow Rate (Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: n �
lan Jacoby c�an�acob,r
Company: Date Signed:
Stratz Permit Service 2014-12-.17 18:42:57
Address: CEA/HERS Certification Identification(if applicable):
5858 Dovetail Drive
City/State/Zip: Phone:
Agoura Hills CA 91301 818-735-7876
Responsible Person's Deciaration statement -
I certify the following under penalty of perjury,under the laws of the State of Callfornla:
1. The information provided on this Certificate of Veriflcation is true and correct.
�:;
2. I am the certified.HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater).
3. The installed features,materials,comporients,manufadured 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 requlrements , '
�. .���Ec'�-�A.�,,�a:-���s ».��, r�
specified on the Certrficate�of.Compliance for the°building;approved by the enforcement agency ���'p..
��"� �t� �" � ��_ , r �. � ��. � � t�. H, ..
4. The information reported'on�applicable sections:of,the Certiflc,ate(s),�Installation(CF2R)�signe��nd submitte,d by th'e person�s)responsible for the �
���� -a.�r �v r� nr. «� � F��
construdion�or�installation conforms.to'the requirements speafiedion the Certiflcate(s);of Compliance(CF1R);approved;by the enforcemenLagency.
�ge -� �°s"r�' it^� �"���r,� ���� �
S. I will ensure�that:a registered,copy of th(s Certificate of V�erifita�tJo�n'shall be po5ted qA made��ailable with the,bul�ding�pe�it(s)Issfued for the
building,and,made availalile Yo the�,enforcemen2�"agency:for alleapplicable.inspeetions�I�understand�that•a registered'copy of this Certificate�of.
����.t°� ��,� � ;���a �v-�::� s�ww �� ��..r,� x�sa� _ �a�- t����; �>���.
Verification is requ,Ired to be included wrth the documentation the bwlder provides to the buflding owner at occupancy. <
:.�r,._ �a,.: . - ���� �,,, ---w-..�.r=.�.-.Fr�..� a . .,.,_ - -:.
Builder Or Installer Information As Shown On The Certificate Of installation
Company Name(Installing 5ubcontractor,Generel C'ontractor,or Builder/Owner):
CLIMATE AIR MASTERS INC ��` �
Responsible Builder or Installer Name: CSLB License:
Robert Wachter 695854
HERS Provider Data Registry Information
Sample Group Number(if applicable): Dwelling Test Status in Sample Group(if applicabte)
Tested
HERS Rater Information •
HERS Rater Company Name:
Stratz Permit Service
Responsible Rater Name: Responsible Rater Signature:
Ryan Faris ��j�-�y�,"Q.
Responsible Rater Certification Number w/this HERS Provider: Date Signed:
CC2006345 2014-12-18 08:57:01
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:214-A0141785A-M2300002A-M23A Registration Date�me: 2014-12-18 08:57:01 HERS Provider:CaICERTS
CA Building Energy E�ciency Standards Report Version:2014-05-08 , Report Generated:2014-12-17 13:32:58
2013 Residential Compliance Schema Version:0.515DD
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
I Refrigerent Charge Verification (Page 1 of 4)
Project Name: TIM LAI Enforcement Agency: City of Permit Number: PR20140005077
Diamond Bar
Dwelling Address: 3414 FALCON RIDGE ROAD City: Diamond Bar 2ip 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 System 1
02 System Location or Area Served Location 1
03 Conoenser(or package unit)make or brand TRANE
04 Condenser(or package unit)model number 4TTB606A1000AA
�u:
05 Nominal Cooling Capacity(tons)of Condenser 5
06 Condenser(o�package unit)serial nuVmber 14412R25LF
. ., ., .
.�� ��.� a��,�.; ...� „��».�,,
y
07 Refrigerant TypeA� " "'� ��`�+��£��x, ��x� E»� z'��� 'R 410A � ��� �� � � � "���
,�v,.�: .���� €�.�'��r�'t��,t, :��<� r, �.��r.�`.
� 4,�y,a�` �° -"�.�� '7 � � '� �� �` "��,� r � .Mro � E x � �
OS Other Refrigerant•�Type,(if appiicable)'p�� ` ��3 Q ,„ � s� � � ��-' �
'�r`r .�o�i�,��..s.�.d:s. .ti �:�.�r.��' ��':-_;���,._�r'a�.., „rd�,s.,.. �...i''��,."� ,fe '�
09 System InstallaUo Type�� ���"�`u'L�,.i -������ `�����``�k Alteration' ���� " '
-- ���;.:
� �� t����- � �
10 Charge Indicator Di play(CID)Status;(Note:Even systems This system does not have a CID device installed
with a CID must heve ref�ige�ant cha�ge 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
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 end 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
RAl)?
13 Date of Refrigerant Charge Verification for this system 2014-12-11
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 HERS rater
reported on this Certificate of Installation
16 HERS Verification Compliance Requirement Status System does not qualify for group sampling
17 Refrigerant charge verification method used by HERS Rater. Subcool
Registration Number:214-A0141785A-M2500002A-M25A Registration Date/Time: 2014-12-18 08:57:01 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2014-12-17 13:33:26
2013 Residential Compliance Schema Version:0.551SDD
• � J
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H I
Refrigerent 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 fleld verify all information from CF2R
Subcooling Method can only be used on systems that have a variable metering device.
OS 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 calibrete their diagnostic tools.
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
Ol Date of Digital Refrigerant Gauge Calibration 2014-12-01
02 Date of Digital Thermocouple.Calibration 2014-12-01
,�, _
��_e�.
03 Digital Refngerant�Gauge�Calibration Status , .�,, Calibration is'�current � � �
i;., i ,�,;#' ,s �'tr r .;� ' �:.; �rt •:a� :���t_'� a°+:w»»''r.. .
>..�... ��,.
�4}�F' ,� ,,.,�p �#'.�.�k?' .. �y i ���d � ' .
04 Digital'fhermo�co�aple Cali�ation Status��; � Calibration�is cur�rent "�' �
� �
�',�, ;� ,��. _ <, �, ��,� ��.t�. E ���-,��.�: �;� �
�:, ,�`.�-�"`����.ot�9 ,�:_:.,�"'� .a" ,, .��:��'� `�„"" r�.a� � `���k.� �'',���' _
* �";�.w�"`�` ':�'�2�?t �,� ��'�-`� �. �.r'," �.�`.5;"y",':r '' �!��, �,..� ,�,.r: 4-,�✓ �+..a��-b��auq:r.,�„<..w:
D. Measurement Acc"ess Hole(MAH)�Verification-°HERS Raters are required to visually field verify MAH
Procedures for install_ing MAH,are spec�fied in Reference Residential Appendix RA3.2.2.3
Ol Method used to demonsfrate complience 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.
Ol Minimum Required System Airflow Rate(cfm) 1500
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 Standa�d Charge Verification Procedure are given in
Reference Residential Appendix RA3.2.2 and RA3.2.2.2
Ol Lowest return air dry bulb temperature that occurred during 76
the refrigerant charge verification procedure(degreeF)
0z Measured Condenser air entering dry-bulb temperature(T 72
condenser,db�
Registretion Number:214-A0141785A-M2500002A-M25A Registration Date�me: 2014-12-18 08:57:01 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-OS-08 Report Generated:2014-12-17 13:33:26
2013 Residential Compliance Schema Version:0.5515DD
_ _
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerent Charge Verification (Page 3 of 4)
F.Data Collection-HERS Rater must independently collect ali 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(Tuy�id)(degreeF) 75
05 Measured Liquid Line Pressure(Puq��d)(pisg) 236
06 Condenser saturation temperature(Tco�de�:o�:ac)from digital 80
gauge or P-T Table using Line FOS(degree F)
07 Measured Subcooling 5
O8 Target Subcooling ��" 5
1�}
09 Compliance Statement:Sysfem complies with Subcooling Method-Must also pass metering device verification,next
section .
�..���}i ��„�..z'"��553T"�'� �a;yr.nly �`jY' x ..�l� �;:
�..-.�.} �^_�4'. .5 . }�"'f�,.nLtY...:�.�n y. �i�..*���� ::. , da4Y�.f 9
�`:��� �K^^���� 1� i.� .Rti'�� f4�M..iN'�'V. .�4
,dY°.. t�7c ..�,dtf -; ^�,� ,�y ..- .. :�
G. Metering Device Ve�cat�on�� , i ���:^ �z,�� '" ���a �` ��
I � ., f - x , �' s -�r i . .���.rr � ..r« .� +t�� '�
„� � .� ��� " �_ � �w, .+�°'t� i�i '�� s�e+ � 3zx � �' ��'��. ._ . .
Procedures for the verif►cat�onrof�pr.oper�metenng�device operat�,on are specified in R,43:�2`2�6.2�` � �-:.
��:
- Ol Measured Suction{line`femperature(TSuc�io�)(degreeF) 48
, � ,,
r���:
02 Measured Suction line pressu�e(PSyM�o�)(psig) 103
03 Evaporator saturation temperature(Te�Po�co�,�c)from 33
digital gauge or P-T Table using line G02(degreeF)
04 Measured Superheat 15
05 Measured Superheat is between 4 and 25 deg F(inclusive) Passes CEC requirement
06 Measured Superheat is within manufacturer's specifications, Not known
if known
07 Compliance 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 Certiflcate of Verification as a whole to be determined to be in compliance.
Ol Complies:All specified verification protocol requirements on this document are met.
Registration Number:214-A0141785A-M2500002A-M25A Registration Date�me: 2014-12-18 08:57:01 HERS Provider:CaICERTS
CA Building Energy E�ciency Standards Report Version:2014-05-08 Report Generated:2014-12-17 13:33:26
2013 Residential Compliance Schema Version:O.SSiSDD
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerent Charge Verification ' (Page 4 of 4)
Documentation Author's Deciaretion Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: /'
lan Jacoby �an�acobJc
Company: Date Signed:
Stratz Permit Service 2014-12-17 18:42:57
Address: CEA/HERS Certification Identification(if applicable):
5858 Dovetail Drive 10059
City/State/Zip: Phone:
Agoura Hills CA 91301 818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of pery'ury,under.tfie laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified.HERS Rater who perfor'med the verification identified and reported on this Certiflcate of Verification(responslble reterj.
�;
3. The Installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification ' '
identified on this Certificate of Verification compiy with the applicable requirements in Reference Appendices RA2,RA3,and the requirements
specified on the Certifl�'"cate'of.,Compliance for the�buil�ding""°approvetl b"y the enforc ment agency'�-'""� "�
.���:n- 8`°v'' �r �_ ,. { : a s R�=�:7� �
4. The informat��reported omapplicable sections of tFie Certificate(s)'of Installation(Cf2R)signed�a d submltted by"the person�s)responsible for the
�� �, R �..,. ,�*�.�^ � k. sr,�... � �
construdion or installation conforms to�the requiremenu speufied�on the Certificate(s}of Compliance(CF1R)�approvedffby the enforcement agency.
t��'2 � fi��=`�'�,'r ���aar ��° �r ��s^ , � �•
5. I will ensure�thatga register�;copy�of t his Certrficate of Verifitation sF'i"all be posted or made avallable wrth the,�building°permrt(s)Issued for the'
building,and�rriade availabie�to the enforcement�agency for�allcapplicable inspections��underst d'that a register�ed coqy of this,GerCificate of
_ ''�A^�u.�3 e 44 � �7 �d�^ &��&.., w.FII�S � s�.�"�,�ii�`� a rrA-.r%a >W a1.�.���,'abr'�'�':,3.
Verification is required to be'�includetl with the documentation the builder provitles to the;bwlding owner at occupanty.
� a;x .o -:.:�� ,.� ,ar.>, .,�. .
Builder Or Installer�tnformation As Shown On The Certificate Of Installation
Company Name(Installing SubcoMractor,Generel'Contractor,or Builder/Owner):
CLIMATE AIR MASTERS INC 3��'
Responsible Builder or Installer Name: CSLB License:
Robert Wachter 695854
HERS Provider Data Registry Information
Sample Group Number(if applicable�: Owelling Tes[Status in Sample Group(if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Stratz Permit Service
Responsible Rater Name: Responsible Rater Signature:
Ryan Faris �����y
Responsible Rater Certification Number w/this HERS Provider: Date Signed:
CC2006345 2014-12-18 08:57:01
Digitally signed by CaICERTS. This drgital signatu�e is provided in order to secure the content o/this registered document,and in no way implies Registration P�ovider
responsibility/or the accuracy of the information.
Registration Number:214-A0141785A-M2500002A-M25A Registration Date�me: 2014-12-18 08:57:01 HERS Provider:CaICERTS
CA Building Energy E�ciency Standards Report Version:2014-05-08 Report Generated:2014-12-17 13:33:26
2013 Residential Compliance Schema Version:0.551SDD