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Home My WebLink About14-3917 (8) �— _ ___._ _ _ . _ _______ • " '� :='�_ C1TY OF DIAMOND BAR U E�7��I { .�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � �� '� '' ,Ej j 3;,M.;>� ' 21810 Copley Drive,Diamond 13ar,CA 917fi5' �� ( PRESS (909)839-7020 Fax: (909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ��`'�""��• BUILDING PERMITAPPLICATION � ' `I-I APPLICATION DATE: b —�� U� / P/Ck w JOB SITE ADDRESS `�� T �Cf� /� /� A z APN LOT TRACT ISSUE DATE: b " ��'� �I�PERMIT# �-(�� /�� o OWNER��A�JJ Ol.l)►l.y/-� TYPECONST. /'VI-LG�U/1/tCQ_T_OCCGROUP: y ADDR SS ��'�'� �Llhl'Y' LGC.K_- J CITY ��AA�D�PY1(L.ZIP TEL9W 1'I�'J� I�Ny ZONING SEfBACKS � FRONT RW a oAPPLICANT \L.�111n1 ��pp� IN,S TEL3�O�25SO� � REAR p � SIDE/SIDE STREET RW ❑ o CONTRACTOR��(%f1Qle( �RAL1(� SIDE /� ❑ � ADDRESS�� L.� �A � � YR+� PROPOSED USE o cirv(',c�wt�_ ziP 9 0�-32 rE�. 3�o�s3k�{o� o ARCH/ENG/DESIGNER w o ADDRESS �i DWEL.UNITS #STORIES #BEDROOMS Q CITY ZIP � TEL. � OWNER-BUILDER DECLAfiATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION o I hereby aflirm under penalty of D�lury that I am exempt hom the Coniractor's State License Law(or the reason�s) SFR/ADD/REM p inCicated below by the checkmark�s�,1 have placed naact to the aDPlicable item(s)[Section 70315,Busirress and Garege/Carport o Professions Code:My dty or county thal requires a permit ro construct,alter,fmprove,demolish,or repair,any z structure,pda to its iswa�e,also requlres the apPlicant fa the permit to file a signed statement that he or Wre � Pata/Deck � is licensed pursuant to the provlsions of the Ca�ector's State License Law(Chapter9)Commencing with Section w � 7000 of Division 3 of the Busineu and Prolessions Code]or that he or she is exempt hom licensure antl the basis tor � PooVSpa � N the alleged exemption.My violaGon of Section 7031.5 by any applicant for a pertnit subJecfs ihe aDD��t ro a civil penatry C7 N ol not more than five hundretl dollars($SQO). Z Re-Roof� ¢ Q o (,I,as owner of the properry,a my employees with wages as Ihelr sole comperisatlon,will tlo(�all of or(,portions � Commercial � of the vrork,antl the sfiicNre Is not interded w ottered tor sale(Sectbn 7044,Business and Pmtessbns CaAe:The � z Contracturs'State lJcense Law tices not a m ppry ro an owner o1 property who,through employees'or personal eBort,builds � or improves the property,prwided ihat the ImprovemenLs are not intended or offered for sale.K however,ihe builtling w � impmvemeM is sold within one year of completion,ihe Owner-Bulltler wiil have Ne burden of prming that It was rro�bultt p a imprwed for fhe purposa of sale.). V I,es own0!ol�h0 r � U p operry,am excluslvety contracUng with Iicensed ConVactors to canstruct the D�oJecl(Secibn Valuation: 0 7644,Business and Professions Cale:The Contractors'State License Law dces not appy to an owner ol property who Adj.Area: � bullds or improves thereon,and who contracts for Ihe proJects wilh a Ii�ensed Contractor pursuant to the Contrxrors'Stale QUANTITY DESCRIPTION FEE Y License Law.). o (�1 am exempt hom Iicensure under the ConVactor's State License law for the following reason(s): "'� � � LL ¢ By my sigreture below 1 acknowledge that,except lor my personal reslderKe in which I must have resfded fw at least one � o year prior to compleUm ot the improvements covered by this pertnit,l qnnot lepalty sell a sWcture ihat I have bullt as an w � owner-builder il lt has rrot beon consWcted In its entirery by Iicensed contractors.I untlerstaM ttiat a copy of ihe appllpble � � law,Sec[ion 7044 of the Buslness and Professions Code Is available upon request when this apDliation is submitted or at . a ihe tollowing Web sde:httplwvr,v.leginfo.ca.gov/calaw.himl. z � x w DATE: SIGN: m � o � � LICENSED CONTRACTOH'S DECLAFlATION � U d w I hereby afFlrm under pe�fty of perjury that I am licensetl under provision5 of Chapter 9(commencing with Sec�ion 7000) •� � of Dlvision 3 of the Business antl Professions Code,and my license is in fuU fwce and ettecL � -i � ' .�' ✓ � �� c..c . y LICENSE CLASS:C.i� LIC.NO.:�O��I Sial S� Z aV ' oZ DA7E:C.e-�S I�f CONTNACTOR:l��C3]Pl yf: I�BJ�c2.(C� � d WORI(Ep'S COMPENSATIDN OECLARATION � w. I HEREBY AFFlRM UNOER PENALTY OF PEAJURY ONE OF THE FOLLOWING DECLAFiATIONS: o I have and will maintaln a Certiflnte ol Consent to Sen-Insure ta Worker's Compensation,as provided by CONSTRUCTION: ¢ Section 3700 of the Labor Code,for Ihe performance ol ihe wwk tor which Ihis pertnit is issued. PLAN REVIEIN: � �_I have and wAI mairrtain Worker's Compensatfon Insurance,as required 6y Section 3700 ot the Labor Code,lor Z me performance ot the wak ta which this permit is issued.PAy Wwker's Compensation liuurance Carrier and ELECTRIC: ' a PolicyNumberare: PLUMBING: � CARRIER�Q�/(�V�� "' M ECHAN ICAL: � POLICY NUMBER Q 4'3�(N n'�i INSPECTION FEE: � (fH6 SEC�ION NffD NOT BE COM%.EfED IF THE PEFiMR IS FOR ONE HUNDRED DpLtl�RS($10D)OR LESS�. � � ISSUANCE: 1,r'j� o certify fhat in tice PeAormarice ot tlie work fa which this permit is issueQ I shall not employ any person in arry manner so as to SM IP: o hecome s�bJect to the WorkerS Compen,sation Lawy ol Califomia.Md agree that tt I s�oWd become subject to the WorkeYs � CamPensallon�of Sectim 370D of the Laba Code,I sha0 faUrnith compty with those D�oYisias. � J DATE �o��^{�qppliCANT:�L�[t�� ENERGY P/C: " ENERGY PERMIT: � WARNING Failure to secure Worker's Compensation cwerage is unlawlul,antl shall subject an employw to criminal w penatlies and civil flnes uv to one hunered thausand dollars(S7o0,000),in atltlition to the cost of the compensatlon, RETENTION FEE: � o darnages as prwided for in section 3708 0l the labor code,interest,end attomey's tees PRE-ALT FEE: a CONSTRUCTION LENDING AGENCY BSAF: w I hereDy affum under penalry of per�ury mat there is a Corxtruction Lending Agem.y for Ne pedormance of the work for = which th(s permfl(s issued(Sec.3097,Civ.C.). � � LENDER'S NAME � LENDFR'SADDRESS: 7�� a I certify that I have read this aDDliption and slate that the above infwmatlon is cortect.I a ree to cam TOTAL FEES � g py wiN all city and z county wtlinances and state laws relating ro building construction,and hereby authorize representatives m mfs counry ro COMMENTS: � o enter upon the above-mentioned D�Dehy for inspectwn purposes. J m iS3WS a PERM E NAME(PRINn _a�- �u v� aQ _I p � SIGNATURE OF PERMfTTEE DATE RECEIPT q D I� pAID BY:ff�'7 � VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR �` - . INSPECTION RECORD ' ' ' , � e � • - s � , • � . ''' '°. "` f�°' TRACT ANO LEDGER SETBACK/,LETTER ,>�.' '� _ � FOOTiNGS FORMS , _ - - ?� ,_= SWITCH GEAR S�B;, _- �- .,, ;: ;, ; '�; COMMERCIAL HOOD , , a:' ; � ; �.�,` T-BAR 'UG.PLUMBING _=_ � - ' " '�- INTERCEPTER UG.ELECTRICAL �'� ' ` �;� r�. :` ` - UFER GROUND�,s ''" - � r-.�:. ��.hi�. �` �_ ��. �� ,��i+ �� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ��; � ` SHEAR'WALLS�EXTERfOR; ' '`, s - ' ?UOUSPA�`- y �'; � +'" ' "`� , , , , , . _ � � , .:� _, � . . . ,. . .. SHEAR WALLS�INTERIQR= , F:', _ ROUGH PLUMBING '; - a! FRAMINGNENTING :`�z t _ < � ->5 �i � :ROUGH EL-ECTRICAL'� - � � - �r �� ._.: �� . ��N , .. � 4 r; < ;�, ,, ROUGH MECHANICALi. . �;r; : r t .,r r ROUGH MECHAtdICAL ' � � j ' ' ' � � ,� �s �'� ROUGH ELECTRICAL W(,`)C( ) ` ,�; � '" �* GAS TEST� `F' `{ � r ROUGH PLUMBING_ . .; ' ' ' c ,�� <�,�f ��`, P,RE GUNITE � ;��> �- �i ` ��' �'� � � INSULATION WALL POOC PRE'DECK,BQNOING ; r.: �, _ T'`- ti^ j^� � � ` { ` �+� INSULATION CEIUNG �p_TRP'p ;":, t ,`. � �� : � a � FENCE(_GATE/ALARM �' ` r� DRYWALL - � � LATH(PR� ;FINAL POOL � ,'. ' , ,'= � 'E F " `� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WAIL STEEL 1�T( )2N0( �LIFT SCRATCH COAT WALL BOND BEAM EIECTRIC MEfER RELEASE WALL DRAIW SEAL GAS MEfER RELEASE WALL FINAL SPECIAL INSPECTION ;RD FRAMING PLANNlNGA,PPFiOVAL - - � "� '� FINAL�BUILDING - ROUGH FIREAPPROVAL ' ° '' '� r� �: � , - ,. ' FINAL'.MECHANICAL'��: Lv f� ', _ � 'fINAI"FIRE DEPARTMENT -' �FINAL ELEC'TRICQL .��, ,'' � '� '�' _ : FINALRLANNING >' - � - - . , . _. _ ♦ . . :. = : •: „ - EINAL PLUMBING..,; ' . � ` , �.;:.,. :� FINAC ENGINEER{NG/PW.�� T.C.;of OCCUPANCY�,' ;,� -,, � ��= �' ,� � �:';, FINAL�COMMUNITY SERVICES '� CERT of OCCUPt1NCY=::„ . �F ,,' ` � �it FINAL HEALTN,DEPT r ; 1:� i ik f i' l y �FINAL'INDUSiR1Al'WASTEf= �' k �� ` Y-m � '� � , � ,r � . : . �_-��.< . h� COMMENTS: n,�, �;Lty» �98� ��1�" uw�,�s ►� 1�1 1� c _ - '� f � � Sim lified Prescri tive Certi#icate of Com liance: 2008 Residentia[HVAC CF-IR-ALT-HVAC Climate Zones 2,9 Si1e Address: � Enforcemen!Agency: Date: Permit#: � Conditioned � E ui ment T e� List Minimum Efficienc Z Floor Area Duct insulation re uirement Thermostat Packaged Unit Furnace ❑AFUE 8 COP Over 40 ft of ducts added or Setback Indoor Goil Served by system replaced in unconditioned �EER�_ HSPF (Ijnot already presem, Condensing Unit �EER . �Resistance sf space must be instollec� Other ❑R 6 (CZ 2 and 9) 1.Equipment Type:Choose the equipment being installed;if more than one system,use another CF-1 R-ALT-HVAC for each system. ' 2.Minimum Equipment Efficiencies: 13 SEER,78%AFUE,7.7HSPF for typical residential systems. . HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted.A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final,the inspector verifies that the 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 forms(no hand filled CF-4Rs allowed)are filled out and signed. Beginning October l,2010,a registered copy of the CF-1R and CF-6R shall also be on site for 5nal ins ection. 1.HVAC Changeout Required Forms: • All HVAC Equipment replaced CF-6R forms: MECH-04,MECH-2I-HERS and(for split systems)MECH-25-HERS CF-4R forms: MECH-21 and for s lit s stems MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF-6R forn�s: MECH-2]-HERS and(for split systems)MECH-25-HERS, CF-4R forms: MECH-21 and(for split systems) MECH-25 ' • Fumace For Split Systems:Duct leakage< 15 percent; RC,CCA>300 CFM/ton,TMAH For Packaged Units: Duct leakage< 15 percent � Exempted from duct leakage testing if: . ❑ l.Duct system was documented to have been previously sealed and confirmed through HERS verification,or 2.Duct systems with less than 40 linear feet in unconditioned space,or - 3.Existin duct s stems are constructed,insulated or sealed with asbestos ❑2. New HVAC System Required Forms: • Cut in or Changeout with new ducts:(all CF-6R forms: MECH-04,MECH-20-HERS and(for split systems)MECH-25-HERS new ducting and all new e uipment) CF-4R forms: MECH-20 and(for split systems) MECH-25 For Split Systems:Duct leakage<6 percent;RC,CCA>300 CFM/ton,TMAH. � For Packaged Units:Duct leakage<6 percent ❑3. New Ducts with Replacement Required Forms: ' � • Includes replacing or installing all new CF-6R forms: MECH-04,MECH-20-HERS,and(for split systems)MECH-25-HERS ducting and/or outdoor condensing unit CF-4R forms:MECH-20 and(for split systems)MECH-25 and/or indoor coil and/or fumace. Not all e ui ment chan ed. For Split Systems:Duct leakage<6 percent,RC,CCA>300 CFM/ton,TMAH • � For Packa ed Units:Duct leaka e<6 ercent 4.New Ductin over 40 feet Re uired Forms: • • Includes adding or replacing more than 40 CF-6R forms: MECH-04,MECH-2I-HERS ' ' linear feet of duct in unconditioned s ace. CF-4R forms: MECH-21 , For split s stem or packaged units: Duct leakage< 15 percent [�EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. Contractor(Documentation Author's/Responsible Designer's Declaration Statement) � • 1 certify that this Certificate of Compliance docuinentation is accurate and complete. ' I am eligible under Division 3 of the Califomia Business and Professions Code to accept responsibiliry for the design identified on this Certificate of Compl iance. • 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 I and 6 of the Cal ifornia 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 Ians and s ecifications submitted to the enforcement a enc for a roval with the rmit a lication. Name: Signature: IS �Qr---- Company: Date: C�a�a-e.� _ ,-�J Address: License: �� City/State/Zip: �w� � Phone: �1� Y 2008 Residential Compliance Forms , July 2010 f 1 .+ I ' ` � FAX Date: ^ � T ; . From: Br�ce Smyth, pha�ce Manage�ent Serv�ces, LLC . Phone: 310 838-0408, Ext. 101 Fax: 310 559.5604 � N er af pages that I'm fa�ing including cover sheet is �� / To: ��1U' � �-�"T �b I vl l � � F :�i��.,� �� 1 I'�_,. � --- �-� Thanl� you .. ��L�'�- � �� . . �-�— � t I� { - - (� �o� �� 0 ((�� X � �W �4 1 Q� �.►� �.o c� �-� ��,�w,o v� �� C� �`jl'�6�" I9 �Jtld S1IW2�3d b099695�3T� Lb�60 trT�ZfL01�T , INSTA�I„ATION CEftTIFICATE CF-6R-MECH-25-HER I , Refrigerant Charge Verificatfon -Standard M�asurement Procedure (Page i af 6) I Site Address: Enforcement Agenty: Perrt,it Number: 1204 Flintlock Rd, Diamond Sar CA 9ll65 City of biamond Bar 14-3917 Note: If i»sC�llation of a Charge Indicator Display(CID) is uCilized as an alfernative to refrigeran[charqe ver;ficaCron for compliance, a MECH-24 Certificate (rnstead of this MECH-25 Certifrrate) should be used to demanstrate comp(iance with the refrigetant tharge verffrcatron requirement. TMAH.and STMS are not required for compliance when a CIb!s urll,zed for compliance. As many as 4 systems in the dwe/ling can be documented for compliance using this form. A[tach an additiona/form(s) for any additlona!systems ln the dwe!!!ng as appllca6le. Temperature Measurement Access Hales (TMAH) and Saturation Temperature Measurement Sensora (STMS) Procedures for Tnstalling TMAH are specif;ed in Reference Resrdenria/Appendix RA3,2. If refrigerant charge verrfrcation is required for compliance, TMAH are a/sv requrred for compl;arrce, unless the 7'MAH Compltance Option is chosen. STMS are only r�quired for Complerely new or replacement space-conditior+ing systems thar ut;l;ze prescriptive compliance method. TMAH -Access Holee in 5upply and Return Plenums of Alr Handler • System Name or ldentification/Tag System 1 System Location or Area Served Whole House 5/16 inch (S mm} access hole ` 1 upstream of evaporative coil in the �Yes O Yes ❑Yes ❑Yes return plenum and labeled according ❑No ❑No ❑ No O No to Figure in Section RA3.2.2.2.2. Returr�;'�5 de of e duct syst�il� iS '- � 1a �acd�i�entireiy withln.:�ondi�io�d Q:Yes Cl,Y.&5 D Yes , ❑Yes spdt�and return afr�t�v t�nper�ture L��lo:: [�No 0 No '` ❑No to la+�rr�easured�t th��re�.+rn J��le. ' • , .: suppl � down5�1'eenum�and iab I d�acco d�� '��, ❑Y`es ❑Yes O Ye� � y p ing O No 0 No p Na �No to Figure in Section RA3.2.2.2.2. The TMAH COmpliance Option should b� Checked only if it is physicaliy imposslble to drill the tMAH as required by Section RA3.2.2.2.2. Using thi5 COmplfance Option requlres the HVAC in5taller to annotate on the HERS Provider's data registry an explanation as to why the TMAH tannot be installed on the system, and photoyraphs of the equipment on whlch the TMAH tannot be installed. Use ot this Compliance Option also requlres minimum airflow verl�cation through the direct measurement of airflow per FtA3.3 For more information see htto•Ilw�vw enemv ca aov/title24/20 8stand�rds/so cial case applianc�/. TMAH Compllance Option 0 ❑ ❑ ❑ Yes to 1 and 2,orYes to la and 2,or �hecking the TMAH Complfance Option, is �Pass 0 Pass �Pass ❑Pass a pass. ' 0 Fail ❑Fail ❑Fail ❑Fail Enter Pass or Fail Hep: 2�u-a,008296Bn-M2500001A-nu0u RegiStrtsT.ion Dat.t/Time: 2014/08/26 07:19:43 H�'•RS Peovide�: CaLCERTS, inc. � 200H Reeidentibl Complianc� 5orms March 2013 5� 3�bd SlIW�l3d b0996590T� Ltr�60 bi0ZIL9l0T INSTALLATION CERT�FICATE CF-6R-MECH-25-NERS � Refrigcrant Charge VeNfiwtion -Standard Measure�nent Procedure {Page 2 of 6) Site Addresa:.,. Enforcement Agency: permlt Number: 1204 Flintlock�Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 StMS -S'�nsor on#he Evaporator Coil I System Name or System 1 T Identification/Tag 7he sensor is factory installed, or field installed according to manuf�tturer'S specifications, or is installed 3 by methods/speclflcatlons approved by the Executive Director. O Yes CJ No O Yes ❑ No �Yes ❑No D Yes ❑No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the instailing technician and the HERS rater without changing the airflow through the condenser coil ❑Yes ❑No ❑Yes ❑ No ❑Yes ❑No O Yes 0 No II 5 The sensor measures the saturation temperature of the coif within 1.3 degrees F ❑Yes O No ❑Yes ❑ No ❑Yes ❑No ❑ves ❑No Yes to 3, 4, and 5 is a pass. ■N/A ❑N/A ❑N/A O N/A Enter N/A if STMS are not ❑pass ❑Pass ❑Pass �Pass applicable. ❑Fail O Fail O Fail ❑Fail Otherwise enter Pass or Fail • STMS-Sensar on the Candenser Coll System Name oc gystem 1 Identification�Tag...,;. ,,,, 6 The Se�iSor I5 factpry installed, or ld instaFled dCCording to.irianuf�Gturer'sSpeciflcatians� Qr is installed by m�hods/speciftcatlp,r►s approu'�d by the Execjative Directp�, fl Xi�S ❑No �Y.e5 I�Na. '. ❑Yes.:LJ No . L]Yes ❑No. The S�V15or wir.e �tgrr�ir►a��ed w '.I. a x�n�t�li�g It�cFn cfatn�nd�Eh� HeR�ater w�thout chang oFneCer. 7 The sensoc�rti� Lu ��.ac�essible ta 1ng th� a�rtlow through Che condense co �Yes ❑No O Yes ❑No O Yes �No ❑Yes ❑No 8 The sensor measures the satur�Cion temperature of the coll within 1.3 degrees F ❑Yes ❑Np ❑Yes � No 0 Yes C]No ❑Ye5 ❑No Yes to 6, 7, and 9 is a pass. p N/A �N/A O N/A ❑N/A Enter N/A if STMS are not p pass 0 Pass C]Pass ❑Pass . applicable. ❑fail ❑Fail �Fail � ❑Fdil ' Otherwise,enter Pass or Fail Reg: 2',4-A0082968A-M2500UC1A-OOOC RPgist.ratl.Un Uar.e/Ttme� 2014/08/26 6?:]9:93 HERS Provider: CAICF�March�20.t3 'L008 Residential Comqlidnce Form9 a , 90 39dd SlIW�1�d b0956559Z� Lb�6� bZ�Z?L0!0Z � INSTALtATiON GERTIFICATE CF-6R-MECH-25-HERS Refriyerant Charge Verfflcatlon - Standard Measure}�t�ent Procedure (Page 3 af f) 51te Addre�s: Enforcement Agency: Permlt Mumber: 1204 Fflntlock Rd, biamond Bar CA 91765 City of Diamond Bar 14-3917 5tandard Gharye Measurement Procedure (for use If outdoor air dry-bulb temperature ia 55�F br ab�ve) orotedures for determining Refrigerant Charge usi�g the Standard Charge Measuremertt Procedure are avallable!n ' Reference Resldentlal Appendlx RA3.Z.A5 many as 4 sysrems in the dwelling can be documented for compliance using this form, Attach an addltlpnal fprm(s}fOr any ddd�tldna�5y5[em5 in Che dwe��ng a5 dpplicable. •The system should be lnstalled and charged In accordance wlth tNe manufacturer's spaclficatlons befpre starting Chis procedure. •The-system must meet minimum airtlpw requirements as prerequisire for a valid refrigerant charge test. •If oufdoor air dry-bulb temperd[ure is leSs thdn 55°F, the Installer must use the R43.2.3 Alternd�e Charge Medsurement Procedure(Weigh-In Charging Merhod). If[he Ih/eigh-In Method is used, the dwelirng cannot be included in a samp/e group for HERS verification compliance.) Space Conditioniny Systems System Name or ldentification/Tdg System i �� System Location or Area Served Whale House Outdoor Unit Serial # 38HDC06032 ' Qutdoor Unit Make YORK Outdoor Unit Model 1933X80576 Nominal Coolin.g,.��pacity 5 Tpr►s, ;, . .,.,;. ,., ' Date oF V�Yification `' 6-30-71��a �.;` , ,,. ,. ,; � : ,: .. , Callbra�pn of Di��MO��C I1�ru!�@nts -; . . > .;. , , �. . .:.... :. .:. , .... _,::;.,,. ...:.. Date of Re�i��i�ni°�auge Calibratior� 8=1-2�i'i+�� '' ` Cmust be re-Calibrated monthly) Date oF Thermocouple Calibration B-i-2014 (must be re-calibrated monthly) Measured Temper�tur�s (°F) System Name or ldentification/Tag System 1 Supply (evaporator leaving) aly dry-bulb SiJ temperature (Tsu I db) � Retum (evaporatar entering) air ��.1 � dry-bulb temperature (Treturn db) Return (evaporator entering} air 59.5 wet-bulb Cemperature {Treturn wb� Evaporator saturation temper�ture �5 � {T�va orator sa� - Condensor saturation temperature (Tcondensor sat) Suctlon Ilne temperature (Ts�,�ion) 46.0 Liquid Line Temperature (Tliquid) Condenser(entering) dir dry-bulb g1.3 ' t temperature (Tcondenser db} _ . �� xeg: 214-A0082968A-M2500001A-OU00 RBq13trAC1011 Date/Time: 2014/09;26 0�:19:53 HER5 1?rovider: Ca1ceRT'S, '�nc. 2008 RBSS.denti.al Compliance �'ormg M9r�h 20-3 L0 �Jad SlIW�l3d b0956550t� Lb�60 bZ0Z1L91�iT INSTALWTIUN CERTIFICATE CF-6R-MECH-25-FIER Refrigerant Charye Veriflcatlon - Standard Measurement Procedure (Page 4 of 6} 51ie Addresa: Enforcement Agency: Permit Number: 1204 FlinClock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 M�nimum Airflow Requir�ment Temperature Spllt Method Calculatfons for determinin� Minimum Airflow Requirement for I R�frigerant Charge Verification.The temperature split method is specified in Reference Residential , Appendlx RA3.2. II System Name or identificdtion/T�g System 1 � Cal�ulate: Actual Temperature Split = 19.40 Treturn db - Tsu I db Target Temperature Split from Table RA3.2-3 19.3 � using Treturn wb and Treturn db Calculdte difFerence: Actual Temperature �.� Split -Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between pASS -3'F and -100°F Lnter Pass or Fafl : .� NoCe: Temperature Split Method Czlcula[!on !s not necessary if actua/Coo!!ng Coi!Airflow is verifred using one of the airflow measurement procedures speciFed in Reference Resldentia/Appendix RA3.3. If actual cooling coi!airf/ow is measured, Che value must be equa/ko or greaier[han the Calculated Minfmum Alrflow Requirement in the table 6elow. Cdlcuiatp�f Mfnimdm Airflow ReyAiirement(CF�!�I) = Namiaal.Ca#i�1ng Ca{�city(ton) X 30Q (cfm/to�) :. ,.,. , System litame or-Id��tjfic�tiaf�/Te9'::..:... ffiysten� 1-. :. , � Calculated Minimum Airflow Requlrement � (CFM) Measwred �►lrflow using RA3.3 procedures . (CFM} Measurement Method � ` Passes if ineasured airFlow is greater than or equal to rhe calculated minimurr'� airflow requirement. Enter Paas vr FAII Rey� 214-A0082968A-M2500001A-0000 Reqi4t.ration Uate/T.t:ne: 2014/08/26 D7:19:43 l HFRS ProvidPr: CAICER'fS, 'inc. 'a0i)H Residential Compliance �'orms March 20'3 80 3JCd SlIW2�3d b0956550T� Lb�60 bTE�IL�lO� INSTALLATipN CERTIFICd4TE CF-6R-MECH-25-HERS I Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Slte Addre�s: Enforcement Agency: P�rmit Number: 1�04 Flintlock Rd, Diamond Bar CA 41765 City of biam�nd Bar 14-3917 Superhe�t Charge Method Calcutations for Refrigerant Charge Verification. This procedure is required to be used for fixed onFice metering device systems System Name or ldentification/Tag System 1 Calculate: Actual Superheat = 10.3 Tsuction 'Teva orator sat Target Superheat from Table RA3.2-2 6 using Treturn wb��d Teondenser db Calculate difference: 4.30 Actual Superheat-Target Superheat = 5ystem passes if difference is between -5°F and +5°F PASS Enter Pass or Fai - Subca4ling Charge Method Calculations far Refrigerant Charge Verificatian.This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve {�XV) systems. System Name or ldentification/'Pag System 1 Calculate: Actu�l $ubcooling = ` Tcondenser sat- TIl uid Target Subcooling specified by manufacturer Calculate difference: Actu�l SubCoolfrig -:Target Subcooling � System 85es if difference ls betwe� ' -3°F an��3°F �int�r Pa�or Fail Metertng Device cutt�tions for R�friger�n harge�ler1'ffca n.7'h15 jSr`ocedure is requ�red to be used for thermostatic expansion valve (TXV) and electronic expansion valv� (EXV) systems. System Name or ldentification/Tag System 1 Calculate; Adual Superheat = Tsuction -Teva orator sat Enter allowable superheat range f�om manufacturer's,speclfications (or use range between 4°F ahd 25°F if manufacCurer's � specification is C�ot available) System passes if attual superheat is within tfie allowable supefieak range Enter Pass or Fail t�eq: 214-ROC82968A-MI50�OOlA-OOOU Registrat�vn Uate/Ti�e: 20L4/04/26 07:19:43 H�RS FrU��ider: Ca1CP,RTS, rnc., `1.008 �te5zdential L'ompl iance Forms March 2013 60 3Jad ' SlIW�i3d b09565S0Z� Lb�6� bL�ZIL�1al INSTA{.LATION CERTIFIC,ATE ��'�a-M��W-Q Space Candltlonlny Systems, Ducts and fans (Page 2 af 2) Site Addr�d�: EnfqrCeme�t Ag�ncy: Permft Number: � 1204 Flintlack Rd, Diamond 6ar CA 91765 (5ystem 1) City of Diamond ear 14-3917 - DuGtB�nd Fan6 ' §150{m): buct and Fans � 1. All air-distribution systerr� ducts and plenums installed, sealed and insulated to meet the requirements of CMC Sections 601, 502, 603, 604, 605 and Standard 6-5; supply-air and return-air ducts and plenums are Insulated to a minlmum installed level of R-4.2 or enclosed entirely in conditioned 5pdce. Openings shall be sealed with mastic, tape or other duct-closure system that meets ' the applicable requirements of UL 181, UL. i$1A; or U� 1818 or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used ta seal openings greater than �/a inch, [he combination of mastic and either mesh or tape shall be used; and � 1. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other tihan sealed sheet metal, duct baard or flexible duct shall nok be used for conveying conditioned air. Building �avities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectianal area of the ducts. �2D. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes uniess such tape is used in combination with mastic and draw bands. �7. Exhaust fan systems have back draft or automatic dampers. �$. Gravity ventllating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. ■Protection of Insulation. Insulation shall be protecYed from damage, including that due to sunlight, moisture, equipment mainCenance, and wind. Cellular foam Insulation shall be protected as above or p�inCed with a coating that is water retardant and provides shielding from salar radiatidn that can cause degrdddtiqn of the material. {� 10. Flexible ducts cannot have porous Inner cores. .i� ` �]ECLARATION STATEMEN7 .Y certlfy under penalty o(pehury,under the laws of[he State of Cafifomia,the Infqrmatlon provi0ed on this form is true enct Correct. .I am ellgible under Division 3 0(the Business and Professi0n5 Code to accept responsipility for construction,or an authonzed ` represer�taqvQ Of the person respOnSible far canstruction(responslble pefson). •I certify that tht irlStelled fedtures, materielS,COR100nents,or manuPeCCUYed devices identifiBQ Oq this certificate(tFl�fngCd�ldtion) tOnPOrTns to a�l applicahle codts eqd�CgUlatians,and thC illStdl�dtion is can5i5tent with the plans antl SDCCIFl�tions apprOVCd by the enfprcement agenCy. .I revi2w�tl a Copy of the Certific0t6 Of Gompliance(CFtR)FOfm dppro�ed by tHe enforcement agenCy tha[tdenxifies the SpeCIfIC � Y2qulrementr for the inStetlaGOn.I certify thbY the r2qUlr@ments detailed on[he CF-1R t11aC apply Co the insta110ti0n hdve been met, .[will erf6ut�th�t e completed,siqned copy of ehis In6tsllatlon Certlficate shal)be posted,or made avallable witN tNe � bYlldi�g permit(sj iscue�tor the buildinq,and M71dC dvallabte to tbe Cnfprcement aqenoy tar all applitablC I�gpections.I � underbtatld thM a 9lgned wpy O/thlf I�sta��ation C.�rtlflCdtC�s required to bC Included witR Me documentation thC bulYder ' prp�ldes to the building owner at accupintY. Company Name� (Tnstalling SuhcontraeTor or General Contractor or Builder/Owner} OIiANGE COUNTY SERVYCES INC dba GEORGE BRAZIL PLUMBINC,HEATING ANO AIR GUNDITCONING Responslble Person's Name: Responsible Person'S Slgnature: Leslle Diamond Leslie biamond CSLB Ucense: Date Slg�ed: po51[lon With CampBny(Title): 679848 6/30/201a �Pq; Z;q-A008?.966A-M6400001A-�)C00 Reqisr.ration DBt.e/Time: ?O1�/08J25 07:17:10 siFRs Yrovieer: Ca1C�KTs, Inc. � 2ppg �yygtdPntial Compliance Forms Augu�t 10Cy b0 3J17d SlIW�l3d b0996950T� Ltr�60 bTOZ!L0!@Z -. . �i .. . �.Ie.�e�r so��ro�►,a 5�,� t� ,Zo�a �� (; :��. . Dear ,��r1�- ' � o�� 11�� x�: 1 � � �-�( �--�-'.� � � Glenergy Soluttons has successfully performed a ciuct test, sea!and verificatio,�projeci ar the above address. Glenergy 1'erformed the initial test checlrec! art�' seal'ed the duct .rvstenz for leaks arrd perfprmed the post verifcation test and Refrigerarst Charge A�leasurement. We huve reeeived verifieation that the system perssed the sCuncturcls,�vr evmpliance with Ti11e 14 code, enclosed is a copy of the CF-6R and CF-4R certification forms. . ,� 1`f you have any questions,please fee!free to call our of�'ic�e. Sincerely, � :,� , L�� . Heather�vans 258D Alicia PI.,Hemet,CA 92545 Phone(951)492-1505 Healher.Lea.E�ans�gmail.com � �0 ��dd SlIW�l3d - b995655aT� Lb�69 tiT�Z!l�IaT INSTALLATION CERTIFIC�TE CF-6R-MECH-0 I Space Condltioning Systems, Dycts and Fans � {Pagc 1 of 2) 5�t8 Addrd66: -- Enf4rG�rttCnt AgCnCY:'' PErmlt NUmbpt: 1204 Flintlock Rd, Diamond Bar CA 91765 (5ystem 1) City of Diamond Bar 14-3917 Space Cqnditlonfng Systems Hesling.Equlpment ouct Efficiency Location Equip (AFUE, {2ttiC, Typg aRC i�of etc.}l,3 crawl- Heating Heating (pacKag2- CEC Certified Mfr.Nam2 Referencp Identital (�=CF-1R spat0, DUCI L4dd C3paClty heat pump) and Model Number Numberz SVstems value)4 etc.) R-value (k9tu/hr) (kBtu/hr} Split York � FUmdSC TGI.SIZ0�2DMP11B 1 80 AFUE . Attic 120 lZ0 kBtU � Cooliny Equlpment , Effldency 6ucc EQulp (SEER LOCdU0f1 TyPe and�ER) (attic, (package ARI #of I.3 uawl- CODling Cooling hedt CEC Certified Mfr,NBme Reference Identical (�=CF-1R 5pace, Duct Loed Capacity pump) and Modei Number Nurt1DCY2 Systems value)4 etC.) R-value (kBtu/hr) (k6tu/hr) �.. ,.., (. 1. If proje[C 15 new eonstruction, see Footnote5 to Standards Table I51-8 and Table 251-C for duct Celling aftemative compli�nCe. 2. ARI Referenca Number can be found by entering the equipment model number at httpr//www.aridirectory.orq/ari/dC,php# 3. Llsted efi`iciency on this p$ge musi be greater rhan or equal(?)to the value shPwn on the CF-1 R form. v, When CF-IR!s reference it is also applicable to the CF-1R, CF-ZR-AA or CF-IR-ALT � ALL B4XE5 M1.1ST BE CHECKED TO BE A VALID FQRM � � §110-�113: HVAC equipment is certified by the Califami� Energy Commission. � §150(h): Heating and/ar cooling loads cakulated fn accordance with ASHRAE, SMACNA, or ACCA. � §150(i): Setback Thermostat on all applicable heating and/or cooNng systems meet the requirements of §112(C). � §15b(j)Z: Pipe insulakion for cooling system refrigerant suction, chilled water and brine lines meets minimum requirements af Table 150-B and includes a vapar retardant or is enclosed entirely in condltloned space. , � Rey: 2ln-a0082968A-M04600C1A-OOOC �eqistr�tiian ❑ate/'Pime: 2014/08/26 07:'L7:10 HFRS Yravider: Ca10EkTS, 1qC, 2008 Reaid^ntidl ComplixnCe Forms Avgust 2009 E9 3Jdd SlIW�l3d b0956550Z� Lb�60 hTOZfl�fOT INSTALLATION CERTIFICATE CF-6R-MECW^25-HERS Refri�erant Char9e Verlflcatlon - Standard Measurement Procedure (Page 6 of G) Slte Address• Eniorcement Agency: Permit Number: 1204 Flintloek Rd, I]iampnd Bar CA 91765 City of Diamond Bar 14-3917 S�andard Charge Measurement Summary: • System shall pass both refrigerant charge criteria, metering device triteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re-measured and/ar recalculated. System Name or ldenkification/Tag Systam 1 ' System meets aH refrigerant charge and • airFlow requirements. PASS Enter Pass or fai � • (�Residential Appendlx RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70'F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met f�r all appliCable system verifications reporLed on this CertifiCate. DECLARATION STATEMENT .I certify under penalty of perJury, under the laws of the State of Califomla,the Information provided on �his farm is true and comect. .T am eliglbfe under Division 3 of the Business and Professions Code to accept resppnslbllfty for construction, or dn authorized representative of the per5on responslble for construdion (reSpDns{ble person). .I certify that the installed features, materlals,camponents, or manufadured devlces identified on this tertifiCaCe(the instatlation)conforms to all appli[able codes and regulations, and the insrallatton Is consistent with the plans and specific�EfOnS 1pprOved by the enforcement agency. .I underStpnd that a HERS rater will checK the instaklakion to vertfy�ompliance, and that that if such checking idenYifies deFects, I am required.to take corrective attion at my expense. I understand that Eneryy Comm(ssion and 11ER5 provider representatives will 8150 per�o�qudllry assurance checking of instdtla[lons, Including those approved as pa� of a sample glroup but nOt CheCkQd by a HF�iS rateF, and kf tM(�5�e instalt8ttpt�s,fail to meek the requirements of such quality a�urance theCkinq,the rec�ufretJ.correcYive actian and dddltlof�01 cheaking/testirtg of oth�r inSCall�tlons In that HERS�afrlple grpup wlll he prrforrjied at my expen5e. .I reulev�d a copY oP th�C�ctific�fie af�ompliante(CF-1R)Form apprqved,.by the enforcement agency that identif�es the speCific�'equirements,for OMe~InstapaGivn. I certiPy that�.th�requirem�t5 clutai4ed on Lhe C�-1R that apply to the. Installgqpn have Ge�l md�. .I will eqp�u��. qi�t,$;t+4rtlpwlep�d,afginyad,cpp,y af t�l�,insEailallon�erlfi!icate�h�fi be posted,,ar madie sv�ilat,Ne , with CFie buflding permit(s)issued tnr tite bullding,and made evaiWbfe to the�rtforcement ayenty/or all appllGable lnapections.I under�tatld Yhdt a slgned copy af this InStallatlon Certif3cate i9 required to be Included wlth tfie ducumentdtion the bullder provides to the building owner at occupdnty.I wlll ensure that all Installation Certificates Wil)Come frpm a HERS provider dat�reglSCry for multiple orientatlan alternatives, and beglnning October 1, 201Q,for all low-rlse res{dential buildings, Company,Name: (XnStdlHng Subcontractor or General Contractor or Builder/Owner) , QRANGE.GOUNTY SERVYCES INC dba GEORGE BRAZIL PLUMBING HEATING AND AIR con�srior�iNG • � Responsible Person's Name: Responsible Persan's Signature� Leslie.Diarnond Ixslte blamond ` CSie License:' Date Signed: position With�Company (Title): . ' �679$9$ - � ' d/30/2014 . Is this installation monitored by a Third Party Quality Name�f TPQCP (if appficable): ` Control Program (TpQCP)? ❑Yes 0 N❑ pyq: 2ih-AOCfl2568A-M2$p0001A-0000 R6gistration Ddr,g/Time: 2014109/?6 07�79:4�'� HEFS fravider�: Ca1C�RTS, inG. 2008 Residentt8i ComplianCB F6�9 �4dYeh 20i3 BT 3Jdd S.LIW�13d b09S6550�� Lti�60 bZO�!L0r'[�I : � I CERTIFICATE 0� FIELD VERIFICATION &DIAGNOSTIC TESTING CF^4R-MECH-2 Refrigerant Charge Verlflcatlan - Standard Measurement ProCedure {Page 1 of 6) Site Address: Enforcernent Agency: Permit Number: ! 1�04 Flintlock Rd, Diamond Bar CA 917b5 City of Diamond Bar 14-3917 ' Note: If ins[allatron of a Charge Indreator Display(CID) rs utilrred as an alrernative to refrigerant charge verr'frcaCion for compliance, a MECH-24 Certi�cate (rnstead of th;s MECH-25 CertiFicate) should be used to demonstrate compliance wrth the refrigerant charge verification requfrement. TMAH and STMS are not required for comp/iance, when a CrD;s utrlized for compliance. As mdr�y as 4 systems ln rhe dwelling can be documented for compliance using thrs form. Attach an additional form(s) for any additipna!systems rn the Owelling as applicdble. Temperature Measurement Access Holes (TMAH) and Saturatlon Temperature Meas�rement Sensors (STMS) Procedures for r'nstalling TMAN are specif;ed in Reference Residentia!.4pper+d;x R.43.2. If refrigerant charge verification is required for compliance, TMAH are also requireQ for compliance, unless Che 7MAH Compliance Option is chosen. STMS are only requfred for completely new or replacement space-conditionrng systems that utilize , prescriptive compliance method. TFIAH -Access Hofes ln Supply and Re#urn Plenums of Afr Handler System Name ar ldentlFcation/Tag System 1 System Location or Area Served Whole House 5/16 inch (8 mm) access hole 1 upstream of evaporative coll in the �1 Yes ❑Yes ❑Yes ❑YE5 return pienum and labeled according O No ❑No ❑tun ❑No to Figure irr�ection RA3.2-2.2.2. � _.. Retu, side of Ehe duct syste�m is 1a loc��d entirely wlthi,,,condi�io�a�d �Yes - O.Y�s C7 Yes. I�Yes spad�e and return ailflt4w t@mpe;reture ,f�'i�o. . �No 0 No C1 No to be measured.�t tl;I+E rektarn r9�le. down stream o�evapo �!e -;•..... , '':::, / jnch (,�'rnsm�a�s$; Z rative coif in tFie I�I Yes 0`fes ❑Yes 0 Yes supply plenum and labeled aC[ording �►�o ❑No ❑ No ❑No to Figure in SeCtfon R,0.3.Z.2.2.2. The TMAN Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drlll the TMAH a5 required by Section,RA3.2.2.2.Z. using this Complfance option requires the NVAC installer to annotate on the HERS Provider's data registry an � explanation ds to why the TMAH cannot be installed on the system, dnd photographs of the equipment on which the TMAH cdnnot be installed. Use of this ComplianCe Option a150 requires minimum.alrFlow verificatfon through the direct measurement of airflow per RA3.9. For more fnformation see'•� . h�D'IIL"JLNY� enetir.Qv c� aov/titlg�,4/2008standard��Gnecial case a oli�nce/; :;' � TMAH CompHance Optinn ❑ 0 � � Yes to i and 2, orYes to ia and 2,or checking the TMAH Compliance Option, is �Pass ❑Pass � p Pass 0 Pass a pass. ❑Fail p�ail ❑Fail ❑Fail Enter Pass or Fall � -T�,— - Ryy; 214-AOO.A2958A-M?.SUOOOlA-M�SA Req�4Lr.�ation �Ate/'1'ime: 2019/OD/2F 07;22:2] HF;RS ProvidAr: Ca1CI:�Februar;f 2.�'i1.i 2UOd Residenti.A1 L'cmpli.'bnee Potm9 TT �3Jt�d SlIW�3d b0996S50T� Lb�60 bZOZlL010Z CERTIFICATE OF FIEID VERIFICATION 8�DIAGNOSTIC 7ESTING GF-4R-M�CM-2 Refrigerant Charge verificatlan -Standard Measursment Procedure (Page 2 of 6) � • 51te Address: Enforcement Agency: Permlt Number: 12a4 Fllntlock Rd, D+amond Bar CA 917bS City of Diamond Bar 14-3917 'STMS-Sensor on Me Evapo�ator Coil System Name or System 1 TdentificationlTag The sensor is factory installed, ar fleld installed according ta manufacturers specificatlons, or is inskalled 3 by methads/specifications approved by the Executive Director. ' ❑Yes ❑No Q Yes ❑ No �Yes ❑No ❑Yes 0 No 'The sensor wire is terminated with d Standard mini plug suitable for connection to 8 dlgital thermom�ter. 4 The sensor mini plug i5 dCtessible to the instal{ing technician and the HERS rater without changing the airflow through the candenser coil ❑Yes O No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No 5 When attached ta a digital thermometer, Che sensor provides an indlC2t1011 Of the saturation t2mperature of the cai1. �Yes ❑No CI Yes ❑No ❑Yes ❑No ❑Yes ❑No ' Yes to 3, 4, and 5 is a pass. �N/A ❑N/A ❑ N/A ❑N/A �nter N/A if STMS are not p Pass ❑Pa55 ❑Pass ❑Pass applicable. ❑Fail ❑ Fail ❑Fait �Fail Qtherwise enter Pass or Fail STMS- $ensar on the Conde�ser Call System Name�'vr ` �y&�f 1 Tdentlfica�l�n/Tag ` ' ,..,.. The seasor is factory.+��iEall�i�; oi';f�eld installed atcarding ta.�arlufacturer'9�pecificaCfqn�, or is instalied 6 by rrt�C@lods/speciFeatiqtis dpprpti+6�d by the Ex4�rGive pirector, � ;: , �.. ,::. `. k7�"+p�..�No. �Yes O;�l:t� 0 Y��;.: No .: e5 " o , . The sensar Gv te i�'teri'�'i�nated wit a':St�ad�fd'ri�fflT plug Su i�ble or conneGk on to a digrtal ttie(`mometer. 7 7he sensoY mini plug is accessibie to the instalfing technician and the HERS rater without changing the airflow through the condenser eoil ❑Yes �No D Yes .O No �Yes ❑No D Yes ❑No When attached to a digital thermometer, the sensor provides an Indlcation af the saturatian temperature 8 of the coil. " � ❑Yes ❑No ❑Yes Q No 0 Yes ❑No O Xes �No Yes to 6, 7, and 8 is a . pas5. p N/A p N/A ❑N/A ❑N/A • Enter N/A if'STMS are not ❑pass 0 Fass ❑Pass ❑Pass applicable. ❑Fail ❑Faii ❑Fail ❑Fail Otherwise enter Pass or Fai1 Regc 214-A0082968A-M25UUOOlA-M25A ~RF�qtgT.ration Dtt¢/T�me: 2014/08/26 U7:22:27 HERS Px'uvider; CaICRRT'S, Inc. � 2008 kr.;itlential Comp1'isnce Forrna February ��1' ZZ 3J17d SlIW�l3d b09S6550T� Lb�60 trZ�Zr'L010L I INSTALLATION CE�tTIFICATE CF-4R-MECH-25 Refrigerant Charge Verlficatidn -Standard Measurement Procedure (Page 3 of 6) j Site Address: Enforcement Agency: Permit Number: 1204 FlintloCk Rd, �iamond B�r CA 91765 City of Diama�d Bar 14-3917 . 5tandard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) �I Procedures for determining Refrigerant Charge using the 5tandard Charge Measuremenr Procedure are available in ReferenCe ReSidentiaf qppendix RA3..�. AS many as 4 systems rn the dwe!ling can bP docaim�n[ed for�ompliance using thrs form. Attach an addirronal form(s)for arty addrtional systems in Che dwe!ling a5 applitable. •The system should be installed and charged rn accordance wrth the manufacturer`s specifications before s[arCrnq thrs procedure. •The system must meet minimum airflow requirements as prerequisite for a valid refrrgerant charge test. •If outdoor aly dry-bulb tempera[ure!s less[han SS�F the insta!!er mus[use the RA3.2.3 Alternate Charge Measurement Procedure(Wergh-In Charging Method). If the Wergh•Jn Method 1s used, the dwellmg cannot be included!n a sample j group for NERS verlficat�on�ompllance.)� Space Cnndltioning Systems 5ystem Name or lde�tifiCation/Tag System 1 System Locatian or Area Served Whole Mous� • Outdoor Unit Serial # YORK Outdoor Unit Mdke - 38HDC06032 Outdoor Unit Model 1933X80576 Nominal Co0ling Cdpacity 5 Tons ,. , , Date of Vs��cation 6-90-�#14 Calibratr�l� of OlapnQsf�e�Inkatrunh�nta .. • Date of Refrigerant Gauge Calibrat�on 6-1-2014 {must be re-calibrated monthl Y) , baie of TheRnocouple Calfbration 6•i-2014 (must be re-callbrated monthly) Measured Temperaturos (°F) • 5ysCem fVame or ldentlflcation/Tag System 1 ' Supply (evaporator leaving) air dry-bulb 51.7 • temperature (Tsu I db) Return (evaporator entering) air 71.1 dry-bulb temperature (�'return db) Return (evaporator entering) air 59.5 wet-bulb temperature (Treturn wb) Evaporator saturation temperature 35J (Teva orator sat) Condensor saturation tempePatUre �Tcondensor sat) Suctlon line temperature (Tsuction) 4�•� Liquid Line Temperature (T�iquid) Condenser(entering} air dry-bulb 81.3 temperature (Tcondenser db) � RPq: 2:9-AOOP,2966A-M2500001A-MZS� Regi3tration Deta/'i'ime: 20i4/OBJ2fi 07:22:2t HERS Pro�.�tder: Ca1CF,R7'S, Tn�=. 2008 RBsidenti5l Comp1i3n4e Forms FPbruasy ?0`.3 �T �Jt1d S1IW�I�d b99965591� Lb�60 bZBZIL�!�� INSTA�.�ATIpP! CERTIFICATE CF-4R-MECH-2 I ReTrf er�nt Charge Verification -Standard Measurement Procedure (Page 4 af�) Site Addresa: Enforcement Agency: Permit Number: 1204 Flintldck Rd, C}iamond Bar CA 91765 City of Diamond Bar 14-3917 Minlmum Alrflow Requirement Temperature Split Method Ca[culations for determining Minimum Airflow Requirement for Refriyerant Charge Verification.The temperature split method is specified in Reference Residential Appendix RA3.2. � ', System Name or ldentificatlon/Tag 5ystem 1 II Cafculate: Actual Temperature Spllt = 1�.� Tretum db -Tsu I db Target Temperature Split from Table RA3.2-3 19.3 using Treturn wb and Treturn db � Calculate difference: Actual Temperature 0.1 � Split -Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between ppSS -4°F and -100°F � Enter Pass or Fal Note: Temperature Sp1if Method Galcu/ation is not necessary if actual Cooling Coi!Airflow is verifled using o»e pf[he alrflow measurement procedures specified in Reference Residentra!Appendix RA3.3. I!actua! caoGny coil airflaw iS measured, the valere must be equal yd or greater than the CalculateQ Mlnlmum Airflow Requirement in the tab/e below. Calw{at�d Mi�iR►um Airflow,;i�eyuirement (CFM) = Nomir�,al CqA4ing Ca�Clty (ton) X 300 � � (cfm/totit) ; System`Ndme,.o�Idi��tifica�f¢t�/'1"ag '` Calculated Min(mum Airflow Requirement (CFM) Measured Airflow using RA3.3 procedures (CFM) � Measurement Method Passes if ineasured airflow is greater than or � equal to the calculated minimum airFlow ' requirement. Enter Pa8&or Fail • Rpq: 214-nU082968A-M2500001A-M25A Regi°"•eation p8�e/'Plme: 2o�4/081?,6 0?:22:7.7 H�RS ProuiciPr: Ce1C.'f:RTS, [nc � 206r{ ResidAflLi&1 Compl.tance Forrns Fab=�uory 20�.�� bT 3Jt1d S1IW�13d b99969501£ Lb�60 bTBZlLBIET INSTALLATIpN CERTIFICATE CF-4R-MECH-25 Refrlyerant Charge Veriflcatlon - Standard Measurement Procedure (P�ge S of 6) Slt�Address: Enforcement Agency: Permit Number: 1204 Flintlock Rd, biamond B�r CA 91765 City of Diamond ear 14-3917 Superheat Charge Method C�Icul�ti�ns far Ref�igerant Charge Ne�ific�tion. This procedure is requi�ed tb be used Par Fixed orifice metering device systems System Name or ldentification/Tag 5ystem i Calculate: Actual Superheat = ib.3 Tsuction -Teva orator sat Target.Superheat from Table RA3.2-2 8 using Treturn wb and Tcondenser db Calculate dlfference: 4.30 Actual Superheat -Target Superheat = 5ystem passes If difference is between -6°F and +6°F PASS Enter Pasa or Fai Subcoaling Charge Method Calculations for Refrigerant Charge Verificatlon.This procedure is required to be used for thermostatic expansion valve (7XV) and electronic expansion valve (EXV) systems. System Name or ldentification/Tag Caiculate: Actual Subcoaling = �condenser sat'Tli uld Target Subcooling specified by manufacturer Calculate difF+�renC�t: , Actual Sub:Gooiing -7arget Subcoiolin ,,_ - ,.. 5ystem.�i�sses if differpr�t�::is betweer+ :. -4°F and`:..;�a°F ERC,er P' - I�i�or Fail ,, Metering Oevice Calculations for Refwlgerant Charge Verificatlon.This procedure is requlred to be used for thermost�tic expansion valve (TXV) and electronic expanslon valve {�XV) systems. System Name �r ldentificationlTag Calculate: Actual Superheat = Tsuction -Teva orator sat Enter aHowable superheat range from . manufacturer's specificatlons (or use range between 3°F and 26°F if manufacturer's specification is not available) ' System passes ;f actual superheat is within the allowable superheat range Enter Pass or F3i) R�q: 214-'r.U(7R2.968A-hi2500001A-M��iA RegiSt,ration �ar.e1'Pima_; 2019/09/26 0;:22:21 He:RS �'rovitler: �a10ERT5, Tna. ?pOH Regidentiel Compli8nr..e So_-mS " PebYuary 2013 5T 3Jdd SlIW�I�d b09565501� tb�60 bT�ZItO![i INSTALLA�ION C RTIFICATE CF-4R-MfCH-2 Refrigerant Charge VerifiCation - Standard Measurement Prncedure (Page 6 of 6) Site Address: Enforcement Agency: Perml! Number: 1204 Flintlack Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 Standard Charge Measurement Summary: " System sYiall pass both refrigerant charge criteria, metering deviee criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation, if eorrective actions were taken, aN applicabie verification criteria must be re-measured and/or recalculated. System Name or ldentification/Tag System 1 System meets afl refrigerant charge and airflow,requirements. PA$� Enter Pass or Fail �ResidenCial Append+x RA9.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement '�, Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate_ DECLARATION STATEM�NT . I certify under penalty oP perjury, under the laws of the State of Californla,the information provlded on this form is true and correct- . I am the Cerkifled HERS rater who performed the verifica[ion service5 idantified and repOrted on this certifiCate {responsible rater}. . The Installed feature, material,compOne�t,or manufactured device requirin9 HERS verificatipn that is identified on this terCificate (the installation)cornplies with the applicable requlrements in Reference Residentiai Appendices RA2 and RA3 and the requirements speCified on the Certlficate(s) of Compliance(CF-1R) approved by the local enforCement agency, . The informatiqn reported on dpplica6le sections of the Installation Certificate(S) (CF-6R), signed and submiCted by the person(S) reSponSible for the Installation c4nfprms to the requirements spedFled on the Certiflcate(s} of Compliance (CF-1R) approved by the enforcemenC a ncy. Buifder or Installer informatlon as�hown on tl+Fe Installatlon G�rtificat�¢ (CF-6R) Company Name: (Installing Subcontractor or Genera4 Cpntracfor or 8uilder/(3wr►er) ' ORAN6�COUNTY S�R�IC�S�N.� � Responsible Person`s'Narti�: CSL6 ticense: Leslie Dlamond 6�9$98 HERS Provlder Data Reglstry Infarmation Sample Group # (if applicable): N/a �tested/veriFled dwelling ��ot-tested/verified dweiling in a HERS sample group HERS Rater Information CaIGERTS Certificate # CCi-1798898968 �� HERS Rater Company Name: 2nd to None HERS Ratlnys Re.sponsible Rater's Name: Responsible Rater's Signature: y Raymond Moreno Raymond Morena Responsible Rater's Certification Number w/this HERS bate Signed: 5/30/2014 Prqvider: � CC2006fl75 Ryq: ?.:14-A.00l3?.968n-M2SOOOOlA-M�SR P.eq'_strat.iUn �ata/'I'ime: 2019/08/2ti 0;:2�:21 HERS Fr�:,�rider: �,alCh',R1'S, inc "I.008 Rd3iduntiA: COmpliar.r.g s�rm.9 , FehruBry 2`.113 9T 3Jbd SlIW2�3d b0956550t� Lb�60 bi��/L910T INSTALLATION CERTIFICATE CF-6R-MECH-04 , Space Conditioning Systems, Ducts and Fans (Page 1 of 2) ' I Site Address• Enforcement Agency: Permit Number: 1204 Flintlock Rd, Diamond Bar CA 91765 (System 1) City of Diamond Bar 14-3917 Space Conditioning Systems Heating Equipment Duct Efficiency Location Equip (AFUE, (attic, Type ARI #of etc.)1,3 crawl- Heating Heating (package- CEC Certified Mfr. Name Reference Identical (>=CF-1R space, Duct Load Capacity heat pump) and Model Number Numberz Systems value)4 etc.) R-value (kBtu/hr) (kBtu/hr) Split York Furnace TGLS120C20MP11B 1 80 AFUE Attic 120 120 kBtu Cooling Equipment Efficiency Duct Equip (SEER Location Type and EER) (attic, (package ARI #of 1, 3 crawl- Cooling Cooling heat CEC Certified Mfr.Name Reference Identical (>=CF-1R space, Duct Load Capacity pump) and Model Number NumberZ Systems value)4 etc.) R-value (kBtu/hr) (kBtu/hr) �'�' .,"�;,"�' .r� � `'�. �;` �; ��" a,� ��„- � '�. a'� �$w 3 .�.'r.�+' � i I �`� �. . �y,� ,+ n � � p � � � �� ( �� .- � }fi. P��,:'2 .4x t. rcRF %��• ��37�,,.:.3: � i ��, ,.�� , ^ t�` ' p� ��j(. +� � �, ti��.,* tr' �+�:3 �7's .d�a� 9'�ya ,+�� ` i, 4,;e-�"r �.ire� .�C� anI'�. ,t, �"` ,. � p�„�Ya;C �,� :"ri�, ft x,f,�w'�C' ' S �,.' ' ..e.. E.�`,,�,? `%��`�baa'_'� Y� ., - ��; .t�, , .�. � �¢: *s.� ., 1. If project is new construcCion, see Footnotes to Standards Table 151-8 and Table 151-C for duct ceiling alternative compliance. 2. ARI Reference Number can be found by entering the equipment model number at http:j/www.aridirectory.org/a�i/ac.php# 3. Listed e�ciency on this page must be greater than or equal( ?)to the value shown on the CF-1R fo�m. 4. When CF-1R is reference if is also applicable to the CF-1R, CF-IR-AA o�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 loads 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 - minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. Reg: 219-A0082968A-M0400001A-0000 Registration Date/Time: 2019/OS/26 07:17:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 I Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 1204 Flintlock Rd, Diamond Bar CA 91765 (System 1) City of Diamond Bar 14-3917 Ducts and Fans §150(m): Duct and Fans � 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 applicable 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 ducts. �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. '� '" �� `� `�� "�� -'n ��r ,� .�� .s�� r� .��'i �' `F. f`� � FS. �� n � �� ; ', � : � � �- <:� �� ,� � � �� , s� z � � � ,� � �, . ��`�� ,*�� ,�� r�x•, �..,- a;� �' ,� � �� i. t *� ,Ed ��z � d"' � � b . . 't a°�' . I a� z ��'"�ad,S.h�' ,�, 't� .x � a�ia` � � �.�a,� �`y. �' ,lta-,� .��m' . � �}`ti � �r.��'�;a�:;;� .. .,�; '� .. �'r�,� �s�,,.r4�"9 � 3� .'� .. �r�,�—. I��-� DECLARATION STATEMENT •I certify under penalty of perjury,under the laws of the State of California,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 construction,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 installaEion) conforms to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the enforcement agency. •I reviewed a copy of the Cert(ficate of Compliance(CF-1R)form approved by the enforcement agency that identifies the specific requi�ements 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 I�stallation Certificate shall be posted,or made available with the building permlt(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 required to be fncluded with the documentation the builder provides to the buildfng owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ORANGE COUNTY SERVICES INC dba GEORGE BRAZIL PLUMBING HEATING AND AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: Leslie Diamond Leslie Diamond CSLB License: Date Signed: position With Company(Title): 679898 6/30/2014 Reg: 219-A0082968A-M0900001A-0000 Registration Date/Time: 2019/OS/26 07:17:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) I I Site Address: Enforcement Agency: Permit Number: 1204 Flintlock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 Note: If installation of a Charge Indicator Display(CID) is utilized as an aiternative ro refrige�ant charge veriFcation for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not �equired for compliance when a CID is utilized for compiiance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an � additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH a�e specified in Reference Residentia/Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance, unless the TMAH Compliance I Option is chosen. STMS are only required for completely new or replacement space-conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or ldentification/Tag System 1 System Location or Area Served Whole House 5/16 inch (8 mm) access hole 1 upstream of evaporative coil in the �Yes ❑Yes ❑Yes ❑Yes return plenum and labeled according ❑No ❑No ❑ No ❑No to Figurey,in.-Section RA3.2.2.2.2. � ,��._.� �y.� ��>�.�.� -��,, Retur�side of the duct system is�' � �, , � ��: s,4E,�' ;'��y �' � locatecl entirely within conditioned�� C7 Yes � �� ❑Yes i ��Yes�y � ❑Yes 1a spacegand retum airflow teinpevature ��=No��" �,� � No �� 0 No � � �� ❑ No r .Er�� ..E��- to be�measured at the'�return g Ile �� '. �� a '��:� � �"� � ' �� z;�� 5/16 inch (8�`mm)�aecess�hole � � �'��';._ �`�� '��'�� ' � � � "�� `�` �� v;� 'v.� . �,o k �;�:.�;�� ... i 3,�. 3� �� ' �`..M„_-� �` �' .,."°-�� Z downstream of evaporative coil in"the ��Yes� � � � _� ❑Yes` ��'" ❑Yes� D�Yes supply plenum and labeled according ❑ No ❑No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. The TMAN Compliance Option should be checked on/y if it is physically impossible to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum afrflow verification through the direct measurement of airflow per RA3.3 For more information see htto•//www enerqy ca aov/title24/2008standards/soeciat case ap�liance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, o� checking the TMAH Compliance Option, is �Pass ❑ Pass ❑ Pass ❑ Pass a pass. ❑ Fail ❑ Fail ❑ Fail ❑Fail Enter Pass or Fail Req: 214-A0062968A-M2500001A-0000 Reqistration Date/Time: 2019/08/26 07:19:93 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 1204 Flintlock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 STMS - Sensor on the Evaporator Coil System Name or System 1 Identification/Tag 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑Yes ❑ No O Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No 5 The sensor measures the saturation temperature of the coil within 1.3 degrees F ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No Yes to 3, 4, and 5 is a pass. � N/A ❑ N/A ❑ N/A ❑ N/A Enter N/A if STMS are not ❑ pass ❑ Pass ❑ Pass ❑ Pass applicable. Otherwise enter Pass or � Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil System Name or System 1 ' Identification/�Tag��.� �� 7 -�„, �;�- , �� .,;t gr,� _ _ �, . , ..r ,, _ . �, . _,_ �: ,-.��,�. , , � „ ��,,. 6 The sensor is factory installed�oc field installed according to rnanufacturer's�specifications, or is installed by metliods/specifications appi-oved,b the Execufive Director: �� ` � Y � , x> � �� °�� The sensor w�re is termmate�th a❑st nd"ard mi O Y us ❑ No �� ❑Yes ,❑ No ' O Yes ❑ No , ,��., �' „ � , �- ��, . ��- �H � > .� � p g "table�for connection to a digital�thermorneter. � 7 The sensor min��plug<is�accessible°to�,theminstalling�technician�"and the�HERS�'�ater wifhout changing�ttie .� .� airflow through the condenser�coil"�' �� " � � �Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No 8 The sensor measures the saturation temperature of the coil within 1.3 degrees F O Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No Yes to 6, 7, and 8 is a pass. ❑ N/A ❑ N/A ❑ N/A ❑ N/A Enter N/A if STMS are not ❑ pass ❑ Pass ❑ Pass ❑ Pass applicable. Otherwise enter Pass or � Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 219-A0082968A-M2500001A-0000 Registration Date/Time: 2019/08/26 07:19:93 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) i Site Address: Enforcement Agency: Permit Number: 1204 Flintlock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's speciFcations before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. •If outdoor air dry-bulb temperature is/ess than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure(Weigh-In Cha�ging Method). If the Weigh-In Method is used, the dwelling cannot be included in a sample group for HERS veri�cation compliance.) Space Conditioning Systems System Name or ldentification/Tag System 1 System Location or Area Served Whole House Outdoor Unit Serial # 38HDC06032 Outdoor Unit Make YORK Outdoor Unit Model 1933X80576 Nominal Coolin;g;�Capacity 5 Tons ,;� =;�-�' _ �°"�;- :-.�7 � w.:.� � _ �. , . � �,�� ,,•�'; ,�_,�. �.�- . «;�ti;� ,� .� �, � .;��, , : 4 . Date of Uerification� � �'�� 6 30 2014 ' '`�' �; ..,r� ,��.. �,°.�. t� Y'';F� a�.. .�.v� '�1 a�, 1�Yy�,.. � .� .�.�, ....�g�.H �i d"L�1"- � �� `j $'.� y� ` �.tl a&. � � . ,s{j "�� hi 3'�:i , � r � � Calibration of D�agnostic Instruments �€� � � ��; � � s � t��, � .; � � ...�. ��S' <`;�,. ` ' �, .':'. a�,i �-'�49 �'�� °;i� . ��;_ . E . r�u�v"�u�t.:�',Y� �w" .v'�^ Date of Ref�igerant°'Gauge�"Caliti�ation��.�� ;�6`-1-2014�� " (must be re=calibrated monthly) ��' Date of Thermocouple Calibration 6-1-2014 (must be re-calibrated monthly) Measured Temperatures (°F) System Name or ldentification/Tag System 1 Supply (evaporator leaving) air dry-bulb 51.7 temperature (Tsu I db) Return (evaporator entering) air 71.1 dry-bulb temperature (Treturn db) Return (evaporator entering) air 59.5 wet-bulb temperature (Treturn wb) Evaporator saturation temperature 35.7 �Teva orator sat) Condensor saturation temperature (Tcondensor sat) Suction line temperature (Tsuction) 46.0 Liquid Line Temperature (T�iquid) Condenser (entering) air dry-bulb g1.3 temperature (Tcondenser db) Reg: 214-A0082968A-M2500001A-0000 Registration Date/Time: 2019/OS/26 07:19:93 HERS Provider: Ca10ERTS, Inc. 2006 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refri erant Charge Verification - Standard Measurement Procedure (Page 4 of 6) � 9 Site Address: Enforcement Agency: Permit Number: 1204 Flintlock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 Minimum Airflow Requirement Temperature Split Method Cafculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification.The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or ldentification/Tag System 1 Calculate: Actual Temperature Split = 1g.40 Treturn db -Tsu I db Target Temperature Split from Table RA3.2-3 19.3 using Treturn wb and Treturn db Calculate difference: Actual Temperature O.1 Split -Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between pASS -3°F and -100°F Enter Pass or Fail Note: Temperatu�e Split Method Calculation is nor necessary if actua/Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be equa/to or greater than the Calculated Minimum Airflow Requirement in the table below. � �,:,�- -��.�� ,.�, , .. �, -- .._� � � _ �- � �� .r;� �s . � Calculated�Minimum Airflow,Req rement<(CFM) — Nommal Cooling Capac�ty (Yon) X 300 (cfm/ton").� �,. �� , �>�� yg �z�'� � ;� �M� ��<-� z�' ^ ,� ` �� ;. � ;�y � � � System�Name or<`Identification/Tag�;�'- �`� � System 1 �� "� � �" ` ,� �°'�� ; . �^�:�.-_� �.�- �� .�� _� �w � � Calculated Minimum Airflow Requirement (CFM) Measured Airflow using RA3.3 procedures (CFM) Measurement Method Passes if ineasured airf�ow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Reg: 219-A0082968A-M2500001A-0000 Registration Date/Time: 2019/08/26 07:19:93 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 1204 Flintlock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or ldentification/Tag System 1 Calculate: Actual Superheat = 10.3 Tsuction - Teva orator sat Target Superheat from Table RA3.2-2 6 using Treturn wb and Tcondenser db Calculate difference: 4.30 Actual Superheat - Target Superheat = System passes if difference is between -5°F and +5°F PASS Enter Pass or Fail Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is re uired to be used for thermostatic q expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or ldentification/Tag System 1 Calculate: Actual Subcooling = I Tcondenser sat- Tli uid � Target Subcooling specified by ' � manufacturer Calculate difference: Actual Subcooling�Target Subcooling�-;;;' `A` ��- -�.�� „ '°� �� --�: � �s�.; System pes'ses if difference is between �' 7� -3°F and�+3oF �,, �a-�, F � ,� - :��- e � � � ��E te Pa°ss or Fail � �� `� � � � � '��. .�� .' >; �:� �': �� ,.. '�� ;� ,�„ �' . � �' ;; _ . Metering�Device Calculations for�Refrigerant,Ch"arge Verification'.Th�is procedure�is%required to be �-� "�� used for thermostatic expansion"`valve (TXV) and electronic expansion valve (EXV) systems. System Name or ldentification/Tag System 1 Calculate: Actual Superheat = Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range between 4°F and 25°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range Enter Pass or Fail Reg: 219-A0082968A-M2500001A-0000 Registration Date/Time: 2019/08/26 07:19:93 HERS Provider: Ca10ERT5, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 1204 Flintlock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re-measured and/or recalculated. System Name or ldentification/Tag System 1 System meets all refrigerant charge and airflow requirements. PASS Enter Pass or Fail � Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. DECLARATION STATEMENT .I certify under penalty of perjury, under the laws of the State of California, 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 construction, 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 specifications approved by the enforcement agency. .I understand that a HERS rater will check the installation to verify compliance, and that 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�b�ut not checked,�by a HERS rater, and�;ifthose installations fail��o��meet�the requirements of such quality ass,,,u�ance checking, the required�correctiJe actiorr�„and additional,:checking/testmg,�of otheri��installations in that HERS sarriple group�will be performed�aC;my expense � �� '�� ;. x� y,,,�� .I reviewed a copy of the Certificate of Compliance (CF iR) form approved,tiy the enforcement agency�that identifies the specific�requirements�for the installation:I certify that�th�e requirements cletailed on the CF-1R that�apply to the„, �� installation have been met`�" �'.� �� ,E.� ;= �c �a - � �i �a r;� _�`�" ,�:� 9 ,�� '�� ' ., .I will ensure that?'a coriipleted;'�signed copy qf;this Installation�Certificat,shallybe posted, or maile,available ,,,, with the building permi't(sj issued forthe building,°,arid�made�availatile to the enforcerii'ent agency for'"all `"' ''� applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentatlon the builder provides to the building owner at occupancy.I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, Z010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ORANGE COUNTY SERVICES INC dba GEORGE BRAZIL PLUMBING HEATING AND AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: Leslie Diamond Leslie Dinmond CSLB License: Date Signed: position With Company (Title): 6�9898 6/30/2014 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑Yes ❑ No Reg: 219-A0062968A-M2500001A-0000 Registration Date/Time: 2019/OB/26 07:19:43 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2013 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) I Site Address: Enforcement Agency: Permit Number: 1204 Flintlock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 I Note: If installation of a Charge Indicato�Display (CID) is utilized as an a/ternative to refrigerant char e I 9 veriFication for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the ref�igerant charge verification requirement. TMAH and STMS are not � required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) , Procedures for installing TMAH are specified in Reference Residentia/Appendix RA3.2. If refrigerant charge I verification is required fo�compliance, TMAH are also required for compliance, unless the TMAH Compliance Option is chosen. STMS are on/y required for completely new or rep/acement space-conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or ldentification/Tag System 1 System Location or Area Served Whole House 5/16 inch (8 mm) access hole 1 upstream of evaporative coil in the �Yes ❑Yes ❑Yes ❑Yes return plenum and labeled according ❑ No O No ❑ No ❑ No .g . • RA3.2.2;2.2. , � �.� ction .,�. :��. .,.;.w . �� sv. .wa� � r ,.,;_. o i ure��n�Se � ,�, ��. Return�"�"side of the duct system is`�� } � � located:entirely within�conditionetl ❑Yes � ❑Yes � - ❑Yes��3 ❑Yes la s ace�and return airfiow tem erature ��"Na>�' � � �� ' P ""� ❑ No � No �� , � � ,,: P�,�� ❑ No � to be�measured�at the return gnlle. 1 ��x.� � ��'� �� . �� a� , � a. , ., �e.��. ��.� � ,,. :w,. .�r�'� � 5��-6 I�t1C�l �8�(Tlillr��`dCC25$�`�`f10�@ '�� :��r�"'�a�, ... E..•;�""�, '' �`" �'°'v�:a.,�� ` "'' t downsE�eam of evaporative`•coil in the �Yes � ❑?Yes + € �;"� ❑Yes '" �❑'Yes� ��w � 2 supply plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should be checked on/y if the HERS Rater is able to confirm that it was physically impossible for the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information see httn•//ww�� enerav ca aov/titl 24/2008s andards/ o ial ca aoolian P/ TMAH Compliance Option ❑ p � � Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is � Pass ❑ Pass ❑ Pass ❑ Pass a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 219-A0082968A-M2500001A-M25A Registration Date/Time: 2019/08/26 07:22:21 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms February 2013 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 1204 Flintlock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 STMS - Sensor on the Evaporator Coil System Name or System 1 Identification/Tag 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No 5 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No Yes to 3, 4, and 5 is a pass. � N/A ❑ N/A ❑ N/A ❑ N/A Enter N/A if STMS are not ❑ pass ❑ Pass ❑ Pass ❑ Pass applicable. Otherwise enter Pass or � Fail ❑ Fail ❑ Fail ❑ Fail Fail STMS - Sensor on the Condenser Coil SyStefl'1 Ndfll2°OI"��re� ,,.. � � „ -�,�� -- i ��,x'.e t�'x <i� S.:, �.S')ISt8R1 1 r` �� i � � � Identificatio"n/Tag � � �`` 4 �� ' �,. ��.� ��,� � � �� 6 The s�ensor is factory,�installed~, or�field installedtaccortiding to'manufacturers specifications, or is installed � by meth'ods/s �ec�ficat�ons a ,� roued b the Executive'�Direct`or ;, � � �� ' ,�. � . ,, ,,, P PP Y , , �,�� ❑Y.es ❑ No:;# �i0 Yes� ❑''No �� ❑Yes,?�� No ,�,Q:Yes ❑�No� ,�'�,' ...w_ , _ . w� ._. r � . � .. The sensor�wire`is�terminated,with`°a°'standard�mini``plug suita6le foF connection to a'"digital th`ermom'eter:""'� 7 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑Yes ❑ No ❑Yes ❑ No 0 Yes ❑ No ❑Yes ❑ No 8 When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. � ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No i Yesto6, 7, and8isa pass. ❑ N/A ❑ N/A ❑ N/A ❑ N/A Enter N/A if STMS are not ❑ pass ❑ Pass ❑Pass ❑Pass applicable. Otherwise enter Pass or � Fail ❑ Fail ❑ Fail ❑Fail Fail Reg: 219-A0082968A-M2500001A-M25A Registration Date/Time: 2014/08/26 07:22:21 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-4R-MECH-25 I Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 1204 Flintlock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with Che manufacturer's speciFcations before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. •If outdoor air dry-bulb temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure(Weigh-In Charging Method). If the Weigh-In Method is used, the dwelling cannot be included in a sample group for HERS veriFication compliance.) Space Conditioning Systems System Name or ldentification/Tag System 1 System Location or Area Served Whole House Outdoor Unit Serial # YORK Outdoor Unit Make 38HDC06032 Outdoor Unit Model 1933X80576 Nominal Cooling Capacity 5 Tons k" Date of Verification�'' �% < 6-30 2014 c�� ` ,�b r . , � . n � .° ,�_ �� , � ��,r' �a" ,�'' � ��.. ' �_. � ;�� , , ; , , �° �d a�� x �; �;� ; . � �� lr t � �l`... . �'� � P � Zk'^ �� .. ..x�� Calibration of Diagnostic Instruments �'� ��„a ,�_ '�a �'..'.. ��-_ �y, - �� .� � � ,:� �,=':��` -��'� �a..^�n-=�.�� `� .��.: "i#,� ...:;:?u��H,. ''..: x:v;�a r,.�. �=x�.,m�,�• ,.,��_ .�.�:�.r:. ��:kv�.-t.�m� "�-�.; ` �" �� ' Date of Refrigerant Gauge^�Calibration`'� � 6-1-2014 ' (rnust be re-calibrated monthly) �" Date of Thermocouple Calibration 6-1-2014 (must be re-calibrated monthly) Measured Temperatures (°F) System Name or ldentification/Tag System 1 Supply (evaporator leaving) air dry-bulb 51.7 temperature (Tsu I db) Return (evaporator entering) air 71.1 dry-bulb temperature (Treturn db) Return (evaporator entering) air 59.5 wet-bulb temperature (Treturn wb) Evaporator saturation temperature 35.7 (Teva orator sat) Condensor saturation temperature (Tcondensor sat) Suction line temperature (Tsuction) 46.0 Liquid Line Temperature (Tliquid) Condenser (entering) air dry-bulb g1.3 temperature (Tcondenser db) Reg: 219-A0082968A-M2500001A-M25A Registration Date/Time: 2019/08/26 07:22:21 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) ISite Address: Enforcement Agency: Permit Number: I 1204 Flintlock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for � Refrigerant Charge Verification.The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or ldentification/Tag System 1 Calculate: Actual Temperature Split = 19.40 Treturn db - Tsu I db Target Temperature Split from Table RA3.2-3 19.3 using Treturn wb and Treturn db Calculate difference: Actual Temperature 0.1 Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -100oF PASS Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actua/Cooling Coil Airtlow is verified using I one of the airflow measurement procedures speci�ed in Reference Residential Appendix RA3.3. If actua/ cooling coil airf/ow is measured, the va/ue must be equal to or grearer than the Ca/culated Minimum Airf/ow Requirement in the table 6e/ow. ,,.� ...:� �a.��> . .. ,.;�° �� ,' ;3 .- � r ; � �, °� . ,�� ,�� `��, a Calculated�Minimum A�rflow Requ�rement�`(CF�)�= Nominal Cooling Capacity (ton) X 30,0 (cfm/ton):> � �. �� .� ��w;��-�`�� w � � r� �" �� .� �� .��;' �. �� ;: System Name or ldentificatio'�n"$/�Tag� �;, g�`� L, � ��,' � �� , � ' � � �� "�� -��` ';�° � � z, . r . � � ,r r Calculated Minimum Airflow Requirement (CFM) Measured Airflow using RA3.3 procedures (CFM) Measurement Method Passes if ineasured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Reg: 214-A0082968A-M2500001A-M25A Registration Date/Time: 2014/08/26 07:22:21 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) I Site Address• Enforcement Agency: Permit Number: 1204 Flintiock�Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or ldentification/Tag System i Calculate: Actual Superheat = 10.3 � Tsuction ' Teva orator sat Target Superheat from Table RA3.2-2 6 using Treturn wb and Tcondenser db Calculate difference: 4.30 Actual Superheat - Target Superheat = System passes if difference is between ', -6°F and +6°F PA5S Enter Pass or Fail Subcooling Charge Method Calculations for Refrigerant Charge Verification.This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or ldentification/Tag Calculate: Actual Subcooling = Tcondenser sat- Tli uid Target Subcooling specified by manufacturer �„�_,�.�� ,. Calc�late diff.erence:�` �; ;�> '`��'� `"�� '�� " ��` Actual Suti'cooling -�Target Subcooling:'= �� `-� �` � S'ystem�passes if difference#is betw�eerr-' E,;;a�" t��F�,� �� }: ,' ¢�� -4°F and�+4°F r � �� r , _ �� .� : � � � �f ��:Enter Pa`ss or Fail ,�� t ��, .,�, �u �;��,. ;� , : �'•�� T,',�� .'�."f�:� �'�� i ��_;, v!.t . �`ta�: .a . . '�a3'�:� . .. .- � .. �... ,,�t Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or ldentification/Tag Calculate: Actual Superheat = Tsuction ' Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range Enter Pass or Fail Reg: 219-A0082968A-M2500001A-M25A Registration Date/Time: 2019/08/26 07:22:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: ' 1204 F�intlock Rd, Diamond Bar CA 91765 City of Diamond Bar 14-3917 Standard Charge Measurement Summary: I System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coi{ airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re-measured and/or recalculated. System Name or ldentification/Tag System 1 System meets all refrigerant charge and airflow requirements. PASS Enter Pass or Fail � Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. , DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California,the information provided on this form is true and correct. � . I am the certified HERS rater who pertormed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residentiai Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF-1R) approved by the local enforcement agency. . The information reported on applicable sections of the Installation Certificate(s) (CF-6R), signed and submitted by the person(s) responsible for the installationrconforms to the.requirements specified on the Certificate(s) ofs,Compliance (CF-1R),_approved'6y the enforce ent�agency. � �.�� ,�,;,'�; ,� �-"' �'u,� s ,::�� Builder,or Installer infor,_"mation:as`shown on the Installation Certificate;(CF-6R)'� Company?Name: (Installing Subcontr.`actor or General Contractor or 8uilder/Owner) ` �, _ n � ._ . ORANGE COUNTY�aSERVICES INC� � ,'�: � ,� ,'' �'. i,,„;,�u° ' ��' � ��` �� 'x�N . ResponsiblePerson;s:Name. ; .' ��'; ��` s��' GSLB¢License.'`�°.�,3� ..<�� '�", ., ��U, �;ti," '�"' °,?P"`��.:�'� Leslie Diamond � � �� 679898 � HERS Provider Data Registry'Information Sample Group # (if applicable): N/A �tested/verified dwelling �not-tested/verified dwelling in a HERS samp�e group HERS Rater Information CaICERTS Certificate # CC1-1798898968 HERS Rater Company Name: 2nd to None HERS Ratings Responsible Rater's Name: Responsible Rater's Signature: Raymond Moreno Raymond Moreno Responsible Rater's Certification Number w/this HERS Date Signed: 6/30/2014 Provider: CC2006075 Reg: 214-A0082968A-M2500001A-M25A Registration Date/Time: 2014/08/26 07:22:21 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms February 2013