HomeMy WebLinkAbout15-0276 � (_.i , �-"*:. „ ,,, CITY OF DIAMOND BAR ` '
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� � :': DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
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�� � 21810 Copley Drive,Diamond Bar,CA 91765 PRESS
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�''��'� BUILDING PERMIT APPLICATION FIRMLY
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z APN LOT TRACT ISSUE DATE:�/ a�� PERMIT# I�-���
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� OWNER�14-�?�t P�UI C'1 TYPE CONST. OCC GROUP:
n ADDRESS �3��( �� <'�C/i79� .OIL �T�7
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= APPLICANTS�h�'�- 7_14-C�/�-�C/�� TEL. 2-L -/I— REAR ❑
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� CONTRACTOR Zi����} ��-, � /�-�� SIDE ❑
� ADDRESS P•6L�X �3�,�
� CITY /A-LY LGNq(d. ZIP�cjZLTEL. 3Z�627�'��-�Z PROPOSEDUSE
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� ADDRESS
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Q oWNEH-BUILDEp DECu1HATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION �
j I hereby affirm under penalry of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFFVADD/REM � I
� indicated below by the checkmark(s),I have placed nezt to the applicable item(s)[Section 7031.5,Business and Garage/Carport ' I
� Prafessions Code:My city or county that requires a permit to construd,alter,improve,demolish,or repair,any
� s6uclure,prior to its issuance,alsa requires the applicant for 1he pertnit ta file a signed statement that he or she � Patio/Deck I
i is licensed pursuant to the provisions of the Cantractor's STate License Law(Chapter 9)Commencing with SecBon W
� 7000 of Divisian 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa . I
� the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 I
= of not more than five hundred dollars($500). � ZQ Re-Roof
� ()I,as owner of the property,or my employees with wages as their sole compensation,will do(J all of or(�portions � Commercial I
y of the work,and the struc[ure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I
Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds
� or improves the pmperty,provided that the improvements are not intended or offered for sale.If however,the building or I
� improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built
� or improved for the puryose of sale.). I
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(J I,as owner of the property,am exclusively cont2cting with licensed Cont2cGors to construct the project(Section Valuation: Ad Area:
z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who 1• I
� buildsorimprovesthereon,andwhoconhactsfortheprojeclswithalicensedContradorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE � I
License Law.). �� I
� (,1 am exempt from licensure under the Contmctor's State License law for the following reason(s): � I
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1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I
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� year prior to completion of the improvements covered hy this permit,l cannot legally sell a structure that I have built as an w .I
owner-builder if it has not been constructed in its entirety 6y licensed contractors.I understand that a copy of the applicable
� law,Sedion 7044 of the Business and Professions Code is available upon request when this application is submitted or at I
I X the following We6 site:http/www.leginfo.ca.gov/calaw.html. � I
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= DATE: SIGN: �
LICENSED CONTMCTOH'S DECLAHATION �
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� I hereby affirm under penalty of pery'ury that I am licensed under provisions af Chapter 9(commencing with Section 7000) �
n of Division 3 of the Business and Professions Code,and my license is in full force and effect. J v I
� LICENSE CLASS: C�� LIC.NO.: �6�" I �
z DATE: �.^Z�I S CONTRACTOR: � I
¢ WOHKEH'S COMPENSA ECLAHATION � I
� I HEREBY APFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: I
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� I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION:
� Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�,qN REVIEW:
> _�C_I have and will mainTain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,fur
� the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC:
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¢ PolicyNumberare: PLUMBING:
� CARRIER S T�l"'�L ��
�+ MECHANICAL: �y'7
� POLICYNUMBER���H 9 �a/7%�/ �
INSPECTION FEE:
� (I}iIS SECTION NEED NOT BE COMPLEfED IFTHE PFAMfT IS F9R ONE HUNDRFD DOLLARS($100)OR LESS). �� Q��
ISSUANCE: {� I
� I certify ihat in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as Tu
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become subject tn the Worker's Compensation Laws of Calitomia.And agrce that if I should become subject to the Worker's SMIP:
J Compensation provisions of Section 3700 of the Labo�Code,i sha�i roru�wim comPiy wim mose Provisions. ENERGY P/C:
J DATE: p p��S`� APPUCANT: / i ENERGY PERMIT:
�
� WARNING:Failure to secure Worker's Compensati c e2ge is unlaw�ul,and shall subject an employer to criminal RETENTION FEE: a
y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition lo the cost of the compensation,
= damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE:
i CONSTRUCTION LENDING AGENCY BSAF:
y I hereby affirm under penalty of perjury that there is a Construction Lending Agen�y for the performance of the work for
= which this permit is issued(Sec.3097,Civ.C.�.
�
LENDER'S NAME:
r LENDER'S ADDRESS:
i I certify that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES i ,(�
� county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COM MENTS: �
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� enter upon the above-mentioned property for inspedion purposes.
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� PERMITTEE NAME(PRINn
= SIGNAIURE OF PERMITfEE � / `l D�'2' ,� RECEIPT# ` 7 PAID BY:__��__VALIDATION:
WHITE-DepaRment Copy,YELLOW-Finance Copy,PINK-Assessor Copy,GOLDENROD-File Copy,GREEN-ApplicanYs Copy
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CITY OF DIAf5A0(VL BAR ' � �
INSPECTIUN RECORD
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SETBA�Ki L€TTER ��' '� � � �' � TRACT AND LEDGER �
FOOTINGS��ORMS�" SWITCH GEAR
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SLAB, ���� e> COMMERCIAL HOOD
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UG<PIUMBI�G T-BAR
IJ��ELEG7RIGAL, . � INTERCEPTER
IiFER GROUND,� � �� HOT MOPISHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL I
MAIN NJATER LINE NERS REPORT RECEIVED I
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
�SHEAR WALLS EXTERIOR POOUSPA �
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SNEAR WALL-`S iNTERIOR � ROUGH PLUMBING � �
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RQUGH ELEGTRIC,4L W( )C( t GAS TEST
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INSULATION WALL POOL PRE DECK BONDING �
INSULATION CEILING P-TRAP
DRYUVALL FENCE/GATE/AI1#RM
LATH(PRE} FINAL P40L
tATH EXTERIQR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL t�( )2N°( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE ' WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION R0.FRAMW6 PLANNINGAPPROVAI. ���"�� � � �
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,. ✓' ROUGH FIRE APPROVAL . z ���<<x ,. .___
�INA1.BUILDING., �� � _ �,
�` � �° �FINAL FIRE DEPARTINENT � ����, . � "�
FINAL MECHANICAL�x �����,'` . �
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, _ FINAL PLANNING ° > , � =:
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T�G�of OCGUPANGY ^: �' ��-` ,���� .�* FINAL GOMMUNITY SERVICES .� .a� ,�, �:�
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G��3T"4f�OCCUPli1�C1� ��� ' � � � �� FINAL HEALTH DEPT, `� `� a�` .
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COMMENTS:
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CERTIFr�ATE OF�VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: 23611 Golden Springs Dr.#i-7 Enforcement Agency: City of Permit Number: 15-0276
Diamond Bar
Dwelling Address: 23611 Golden Springs Dr. City: Diamond Bar Zip Code: 91765
#i-7
A. System Information
01 S ace Conditionin S stem Identification or Name WHOLE HOUSE
P g Y
02 Space Conditioning System Location or Area Served WHOLE HOUSE
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 Unit Credit from No,credit is not taken
CF1R?
• 06 Duct System Compliance Category Alteration
� . '
MCH-20d-Complete Replacement or Altered Duct System - -
B. Duct Leakage Diagnostic Test
01 Condenser Nominal Cooling Capacity(ton) 2
02 Heating Capacity(kBtu/h) 24
03 Conditioned Floor Area served by this HVAC system (ft2) 900
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) 120
10 Actual duct leakage rate from leakage test measurement 33 �
(cfm)
11 Compliance Statement:System passes leakage test '
Registration Number:215-A0031949A-M2000002A-M20A Registration Date/Time: 2015-02-05 09:04:28 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 09:02:51
2013 Residential Compliance Schema Version:0.51SDD
i i
� '
CERTIFI'CATE OF 1/ERIFICATION CF3R-MCH-20-H
I Duct Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
12 Notes:
C.Additional Requirements for Compliance
O1 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.
04 Building cavities were not used as plenums or platform returns in lieu of ducts.
05 If cloth backed tape was used it was covered with Mastic and draw bands.
06 All connection points between the air handler end'the'supply and"return plenums are completely sealed.
If the system complies using the Smoke Test method;`the smoke test was conducted in accordance with the requirements
07 of Reference Residential Appendix RA3.1.4.3.6.Systems that,comply using smoke test shall not be included in sample
groups for HERS verification compliance. ' '
08 Verification Status: Pass-all applicable requirements are met
09 Correction Notes for this table:
The responsible persons 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.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall 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.
O1 Complies:All specified verification protocol requirements on this document are met.
Registration Number:215-A0031949A-M2000002A-M20A Registration Date/Time: 2015-02-05 09:04:28 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-OS Report Generated:2015-02-05 09:02:51
2013 Residential Compliance Schema Version:0.51SDD
, � .,
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 accurate and complete.
' Documentation Author Name: Documentation Author Signature: �
JohnKwan
Coinpany: � Date Signed:
J.K.Air Balancing&Duct Testing 2015-02-05 09:04:28
Address: CEA/HERS Certification Identification(if applicable):
9040 Telstar Ave#137 3012
City/State/Zip: Phone:
EI Monte CA 91731 626-274-0522
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 certified HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater).
3. The installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2,RA3,and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Ce�tificate(s)of Installation(CF2R)signed and submitted by the person(s)responsible for the
construction or,installation conforms to the requirements specified on the Certificate(s)of Compliance(CF1R)approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted',or made aVailable with the'building permit(s)issued fo�the
building,and made available to the enforcement agency for all applicable inspections:I understand that a registered copy of this Certificate of
Verification is required�to be included with the documentation the builder provides to tfie building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
, Company Name(Installing Subcontractor,General Contractor,or 6uilder/Owner):
ZABATTA HEATING AND AIR CONDITIONING
Responsible Builder or Installer Name: CSLB License:
lohn Zabatta � 561159
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:
J.K.Air_Balancing& Duct Testing
Responsible Rater Name: Responsible Rater Signature: �
John Kwan '
Responsible Rater Certification Number w/this HERS Provider: Date Signed:
CC2005646 2015-02-05 09:04:28
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document,and in no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number:215-A0031949A-M2000002A-M20A Registration Date/Time: 2015-02-05 09:04:28 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 09:02:51
2013 Residential Compliance Schema Version:0.51SDD
CERTIFICATE OF VERIFICATION � CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 4)
Project Name: 23611 Golden Springs Dr.#i-7 Enforcement Agency: City of Permit Number: 15-0276
Diamond Bar
Dwelling Address: 23611 Golden Springs Dr. City: Diamond Bar Zip Code: 91765
#i-7
A. Ducted'Cooling System Information
O1 System Identification or Name WHOLE HOUSE
02 System Location or Area Served WHOLE HOUSE
03 System Installation Type Alteration
04 Nominal Cooling Capacity(tons)of Condenser Z
05 Condenser Speed Type Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fan Integrated (CFI)Ventilation Sysfem Status Not a CFI system.
08 System Bypass Duct Status No Bypass Duct
09 Date of System Airflow Rate Measurement 2015-02-05 �
10 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
B. Hole for the placement of a Static Pressure Probe(HSPP),and Permanently installed Static Pressure Probe(PSPP)
in the supply plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method used to demonstrate compliance with the HSPP installed and labeled consistent with Figure RA3.3-1
HSPP/PSPP requirement
C.Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given
in RA3.3.2.
O1 Airflow Rate Measurement Type used for this airflow rate Fan Flowmeter according to procedure in RA3.3.3.1.1
verification.
02 Manufacturer of Airflow Measurement Apparatus TSI
03 Model number of Airflow Measurement Apparatus ACCU BALANCE 802083
04 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at
Accuracy http://www.energy.ca.gov/(tbd)
Registration Number:215-A0031949A-M2300002A-M23A Registration Date/Time: 2015-02-05 09:04:28 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards � Report Version:2014-05-08 Report Generated:2015-02-05 09:03:20
2013 Residential Compliance Schema Version:0.51SDD
+, ,
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 4) .
MCH-23a Forced Air System Airfiow Rate Measurement-Newly Installed Non-Zoned Systems or Zoned Multi-Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
O1 Required Minimum System Airflow Rate(cfm/ton) 300
02 Required Minimum System Airflow Target(cfm) 600
03 Actual System Airflow Rate Measurement(cfm) 638
04 Compliance Statement: System airflow rate complies
E.Additional Requirements
O1 A�r filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate'of Installation.
The airflow rate measurement apparatus used to perform fhe airflow rate measurement identified on this Certificate of
02 Installation was calibrated in accocdance with the apparatus manufacturer's specifications and conforms ho the
instrumentation specifications given in RA3:3.1.
� A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
� system return duct airflow are not used on new or replacement zonally controlled systems unless the Performance
03 Certificate of Compliance indicates an allowance for use of a bypass duct.When a bypass duct is accounted for on the
Performance Certificate of Compliance,the airflow rate shall conform to the specifications listed on the Certificate of
Compliance.
04 All registers were fully open during the diagnostic test.
05 System fan was set at maximum speed during the diagnostic test.
06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow(cfm/ton)and fan I
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:215-A0031949A-M2300002A-M23A Registration Date/Time: 2015-02-05 09:04:28 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 09:03:20
2013 Residential Compliance Schema Version:0.515DD
+ ., .
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 4)
F. Determination of HERS Verification Compliance
All applicable sections of this document shall 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. '
O1 Complies:All specified verification protocol requirements on this document are met.
Registration Number:215-A0031949A-M2300002A-M23A Registration Date/Time: 2015-02-OS 09:04:28 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 09:03:20
2013 Residential Compliance Schema Version:0.51SDD
, , .
. '
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
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: �
John Kwan
Company: Date Signed:
J.K.Air Balancing& Duct Testing 2015-02-05 09:04:28
Address: CEA/HERS Certification Identification(if applicable):
9040 Telstar Ave#137
City/State/Zip: Phone:
EI Monte CA 91731 626-274-0522
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 certified HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater).
3. The installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2,RA3,and the requirements
specified on the Gertificate of Compliance for the 6uilding approved by the enforcement agency.>,
4. The information reported on applicable sections of the Certificate�s)of Installation(Cf2R)signed and submitted by the person(s)responsible for the
construction or installation confo�ms to the requirements specified on the Certificafe(s)of Compliance(CF1R)approved by the enforcement agency.
5. I will ensure.that a registered copy of tliis Certificate of Verification shall be posted,:or made available with the building permit(s)issued for the
building,and made available to the enforcement agency for alf applicable inspections.I understand that a registered copy of this Certificate of
Verification is required to be induded with the documentation tHe tiuilder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name(Installing Subcontractor,General Contractor,or 6uilder/Owner):
ZABATTA HEATING AND AIR CONDITIONING
Responsible Builder or Installer Name: , CSLB License:
John Zabatta 561159
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:
1.K.Air Balancing& Duct Testing
Responsible Rater Name: Responsible Rater Signature: �
JohnKwan
Responsible Rater Certification Number w/this HERS Provider: Date Signed:
, CC2005646 2015-02-05 09:04:28 �
Digitally signed by CaICERTS. This digital signature is provided in order to secure[he content of this registered document,and in no way implies Registration Provider
responsibility/or the accuracy of the in(ormation.
Registration Number:215-A0031949A-M2300002A-M23A Registration Date/Time: 2015-02-05 09:04:28 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 09:03:20
2013 Residential Compliance Schema Version:0.515DD
:� ,
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
II Refrigerant Charge Verification (Page 1 of 4)
Project Name: 23611 Golden Springs Dr.#i-7 Enforcement Agency: City of Permit Number: 15-0276
Diamond Bar
Dwelling Address: 23611 Golden Springs Dr. City: Diamond Bar Zip Code: 91765
#i-7
A. System Information �
HERS Rater to field-verify all system information,discrepancies to be noted by overwriting entry.
O1 System Identification or Name WHOLE HOUSE
02 System Location or Area Served WHOLE HOUSE
03 Condenser(or package unit) make or brand DAY AND NIGHT
04 Condenser(or package unit) model number N4H324AKF
05 Nominal Cooling Capacity(tons)of Condenser 2
06 Condenser(or package unit)serial number _ E142820842
07 Refrigerant Type . R-410A
OS Other Refrigerant Type(if applicable) �
09 System Installation Type Alteration
10 Charge Indicator Display(CID)Status(Note: Even systems This system does not have a CID device installed
with a CID must have refrigerant charge verified by installer)
Is the system of a type that the minimum airflow can be Yes,this is a ducted system and one of the system airflow
11 verified using an approved measurement procedure(RA3.3 rate measurement procedures in RA3.3 0�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 and can be
12 with the refrigerant charge verification requirements when used to verify compliance
temperatures are greater than or equal to 55F(RA3.2.2,or
RA1)?
13 Date of Refrigerant Charge Verification for this system 2015-02-05
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:215-A0031949A-M2500002A-M25A Registration Date/Time: 2015-02-05 09:04:28 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 09:03:49
2013 Residential Compliance Schema Version:0.5515DD
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerant 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 field verify all information from CF2R
Subcooling Method can only be used on systems that have a variable metering device.
01 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 calibrate their diagnostic tools.
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
O1 Date of Digital Refrigerant Gauge Calibration 2015-02-02
02 Date of Digital Thermocouple Calibration 2015-02-02
03 Digital Refrigerant Gauge Calibration Status Calibration is current '
04 Digital Thermocouple Calibration Status Calibration is current
D. Measurement Access Hole(MAH)Verification-HERS Raters are required to visually field verify MAH
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01 Method used to demonstrate compliance 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.
O1 Minimum Required System Airflow Rate(cfm) 600
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 Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01 �owest return air dry bulb temperature that occurred during 71
the refrigerant charge verification procedure(degreeF)
�2 Measured Condenser air entering dry-bulb temperature(T 60
candenser,db)
Registration Number:,215-A0031949A-M2500002A-M25A Registration Date/Time: 2015-02-05 09:04:28 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 09:03:49
2013 Residential Compliance Schema Version:0.5515DD
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CERTIFICATE OF�VERIFICATION CF3R-MCH-25-H
� Refrigerant Charge Verification (Page 3 of 4)
F. Data Collection-HERS Rater must independently collect all 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(Ti�q��d)(degreeF) 64
05 Measured Liquid Line Pressure(Prq��d) (pisg) 236
06 Condenser saturation temperature(T�o�de�5o�,5ac)from digital 80
gauge or P-T Table using Line F05(degree F)
07 Measured Subcooling 16
08 Target Subcooling 13
09 Compliance Statement:System complies with Subcooling Method-Must also pass metering device verification, next
section
G. Metering Device Verfication
Procedures for the verification of'proper metering device operation are specified in RA3.2.2.6.2
01 Measured Suction line temperature(TS��c�o�)(degreeF) 56
02 Measured Suction line pressure(PS��c�o�)(psig) 102
03 Evaporator saturatiorrtemperature(Te�aPo�aco�,5ac)from 36
digital gauge or P-T Table using line G02 (degreeF)
04 Measured Superheat 20
05 Measured Superheat is between 4 and 25 deg F(inclusive) Passes CEC requirement
06 Measured Superheat is within manufacturer's specifications, Yes,documentation to be provided upon request
if known
07 Compliance Statement: Metering device verification passes
H. Determination of HERS Verification Compliance I
All applicable sections of this document shall indicate compliance with the specified verification protocol
�equirements in order for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies:All specified verification protocol requirements on this document are met.
Registration Number:215-A0031949A-M2500002A-M25A Registration Date/Time: 2015-02-05 09:0428 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-OS-O8 Report Generated:2015-02-05 09:03:49
2013 Residential Compliance Schema Version:0.5515DD
� . 1
�
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerant Charge Verification (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: �
John Kwan
Company: Date Signed:
1.K.Air Balancing& Duct Testing 2015-02-05 09:04:28
Address: CEA/HERS Certification Identification(if applicable):
9040 Telstar Ave#137 3012
City/State/Zip: Phone:
EI Monte CA 91731 626-274-0522
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 certified HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater).
3. The installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requicements in Reference Appendices RA2,RA3,and the requirements
specified on the Certificate of Compliance for the buildingapproved by the enforcement agency., �
4. The information reported on applicable sections'of the Certificate�s)of Installation(CF2R)signed and submitted by the person(s)responsible for the
construction or installation conforms to the requirements specified on the Ce�tificate(s)of Compliance(CF1R)approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification sHall be posted;or made available with the'building permit(s)issued for the
building,and made available to the enforcement agency for all applicatile inspections`I understand that a registe�ed copy of this Certificate of
Verification is required to be included with the documentation the builder proJides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name(Installing Subcontractor,General Contractor,or Builder/Owner):
ZABATTA HEATING AND AIR CONDITIONING
Responsible Builder or Installer Name: CSLB License:
lohn Zabatta 561159
HERS Provider Data Registry Information
Sample Group Number(if applicableJ: Dwelling Test Status in Sample Group(if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
J.K.Air Balancing&Duct Testing
Responsible Rater Name: Responsible Rater Signature: �
JohnKwan
Responsible Rater Certification Number w/this HERS Provider: � Date Signed:
CC2005646 2015-02-05 09:04:28
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/or the accuracy o(the information.
Registration Number:215-A0031949A-M2500002A-M25A Registration Date/Time: 2015-02-05 09:04:28 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 09:03:49
2013 Residential Compliance Schema Version:0.551SDD
T .
I ' ' '
CERTIFICATE OF INSTALLATION CF2R MCH 20 H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: 23611 Golden Springs Dr.#i-7 Enforcement Agency: City of Permit Number: 15-0276
Diamond Bar
Dwelling Address: 23611 Golden Springs Dr. City: Diamond Bar Zip Code: 91765
#i-7
A.System Information
01 Space Conditioning System Identification or Name WHOLE HOUSE
02 Space Conditioning System Location or Area Served WHOLE HOUSE
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 Unit(VLLAHU)Credit No,credit is not taken
from CF1R?
06 Duct System Compliance Category , Alteration
MCH-20d-Complete.Replacement or Altered Duct System '� '
B. Duct Leakage Diagnostic Test
Ol Condenser Nominal Gooling Capacity(ton) 2
02 Heating Capacity(kBtu/h) 24
03 Conditioned Floor Area served by this HVAC system (ft2) 900
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 I
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage(cfm) 120
10 Actual duct leakage rate from leakage test measurement 33
(cfm)
11 Compliance Statement:System passes leakage test •
Registration Number:215-A0031949A-M2000002A-0000 Registration Date/Time: 2015-02-OS 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 08:53:36
2013 Residential Compliance Schema Version:O.SISDD
y .
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
C.Additional Requirements for Compliance
O1 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
02 testing.CFI OA ducts that utilize controlled motorized dampers,that open oniy 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.
04 Building cavities were not used as plenums or platform returns in lieu of ducts.
05 If cloth backed tape was used it was covered with Mastic and draw bands.
06 All connection points between the air handler and the supply and return plenums are completely sealed.
If the system complies using the Smoke Test method,the smoke test was conducted in accordance with the requirements
07 of Reference Residential Appendix RA3.1.4.3.6.Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
The responsible persons signature on this compliance document affirms thaYall applicable requirements in this table have
been met.
Registration Number:215-A0031949A-M2000002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 08:53:36
2013 Residential Compliance Schema Version:0.515DD
y � .
CERTIFICATE OF INSTALLATION � CF2R-MCH-20-H
Duct Leakage Diagnostic Test � (Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature�_/__`=J�`��iLLv
John Zabatta ��u��
�ompany: Signature oate: 2015-02-05 09:05:17
ZABATTA HEATING AND AIR CONDITIONING
Address: CEA/HERS Certification Identification(if applicable�:
PO BOX 9368
City/State/Zip: Phone:
ALTA LOMA CA 91701 (909)989-9200
Responsible Person's Declaration statement
I certifythe following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design,
construction,or installation of features,materials,components,or manufactured devices for the scope of work identified on this Certificate of
Installation and attest to the declarations in this statement(responsible builder/installer),otherwise I am an authorized representative of the
responsible builder/installer.
3. The constructed or.installed features,materials,components or.manufactured devices(the installation)identified on this Certificate of Installation
conforms to all applicable codes and regulations,and the installation conforms to the requirements given on the plans and specifications approved by
the enforcement agency.
4. 1 understand that a HERS rater willcheck the installation to verify compliance,andthat if such checking identifies;defects;I am required to take
corrective action at my expense.l understand'that Energy Commission and,HERS Provider representatives will also perform quality assurance checking
of installations,.including those approyed as part of a_sample group but not checked by a HERS rater,and+if those installations fail to meet fhe
requirements of such quality assurance checking,the required corrective action and additional checking/testing of other installations in that HERS
' sample group will be performed at my expense.
5. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of
construction or installation identified on this Certificate of Installation,and I have ensured that the requirements that apply to the construction or
installation have been met.
6. I will ensure that a registered copy of this Certificate of Installation shall be posted,or made available with the building permit�s)issued for the
building,and made available to the enforcement agency for all applicable inspections.I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name: Responsible Duilder/Installer Signature:
John Zabatta ��
Company Name:(Installing Subcontractor or General Contractor or Position With Company(Title):
Builder/Owner) OWNER
ZABATTA HEATING AND AIR CONDITIONING
Address: CSLB license:
PO BOX 9368 561159
City/State/Zip: Phone: Date Signed:
ALTA LOMA CA 91701 (909)989-9200 2015-02-05 09:05:17
Third Party Quality Control Program(TPQCP)Status: Name of TPQCP(if applicable):
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document,and in no way implies Registration Provider
responsibility for the accuracy o(the information.
Registration Number:215-A0031949A-M2000002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-OS 08:53:36
2013 Residential Compliance Schema Version:0.515DD
, � :
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 3)
Project Name: 23611 Golden Springs Dr.#i-7 Enforcement Agency: City of Permit Number: 15-0276
Diamond Bar
Dwelling Address: 23611 Golden Springs Dr. City: Diamond Bar Zip Code: 91765
#i-7
A. Ducted Cooling System Information
01 System Identification or Name WHOLE HOUSE
02 System Location or Area Served WHOLE HOUSE
03 System Installation Type Alteration
04 Nominal Cooling Capacity(tons)of Condenser 2 — •
05 Condenser Speed Type Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fan Integrated (CFI)Ventilation System Status Nota CFI system `
08 System Bypass,;Duct Status No Bypass Duct
09 Date of System Airflow Rate Measurement 2015-02-05
10 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
B. Hole for the placement of a Static Pressure Probe(HSPP),and Permanently installed Static Pressure Probe(PSPP)
in the supply plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method used to demonstrate compliance with the HSPP installed and labeled consistent with Figure RA3.3-1
HSPP/PSPP requirement
C.Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given
in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate Fan Flowmeter according to procedure in RA3.3.3.1.1
verification.
OZ Manufacturer of Airflow Measurement Apparatus T51 I
03 Model number of Airflow Measurement Apparatus ACCU BALANCE 802083
04 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at '
Accuracy http://www.energy.ca.gov/(tbd)
Registration Number:215-A0031949A-M2300002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Versibn:2014-05-08 Report Generated:2015-02-05 08:54:50
2013 Residential Compliance Schema Version:0.51SDD
; , .
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 3)
MCH-23a Forced Air System Airflow Rate Measurement- Newly Installed Non-Zoned Systems or Zoned Multi-Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
Ol Required Minimum System Airflow Rate(cfm/ton} 300 _
02 Required Minimum System Airflow Target(cfm) 600
03 Actual System Airflow Rate Measurement(cfm) 638
04 Compliance Statement: System airflow rate complies
E.Additional Requirements
O1 A�r filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of lnstallation:
The airflow rate measurement apparatus used to perform the airflow rete measurement identified on this Certificate of
02 Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.L "
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
� system return duct airflow are not used on new or replacement zonally controlled systems unless the Performance
03 Certificate of Compliance indicates an allowance for use of a bypass duct.When a bypass duct is accounted for on the
Performance Certificate of Compliance,the airflow rate shall conform to the specifications listed on the Certificate of �
Compliance.
04 All registers were fully open during the diagnostic test.
05 System fan was set at maximum speed during the diagnostic test.
06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow(cfm/ton)and fan
08 efficacy(Watt/cfm)with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:215-A0031949A-M2300002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 08:54:50
2013 Residential Compliance Schema Version:0.515DD
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: /J�`=J��/`GGG�[i
John Zabatta � �
�ompany: si��ature oate: 2015-02-05 09:05:17
ZABATTA HEATING AND AIR CONDITIONING
Address: CEA/HERS Certification Identification(if applicable�:
PO BOX 9368
City/State/Zip: Phone:
ALTA LOMA CA 91701 (909)989-9200
Responsible Person's Declaration statement
I certify the following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am eligibte under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design,
construction,or installation of features,materials,components,or manufactured devices for the scope of work identified on this Certificate of
Installation and attest to the declarations in this statement(responsible builder/installer),otherwise I am an authorized representative of the
responsible builder/installer. .
3. The constructed or installed features,materials,components or manufactured devices.(the installation)identified on this Certificate of Installation
conforms to all applicable codes and regulations;and the installation conforms to the requirements given on the plans and specifications approved by
the enforcement agency.
4. I understand that a HERS rater will check-the installation to verify compliance,and that if such checking identifies defects;I am required to take
corrective action at my expense.I understand that Energy Commission and HERS Provider representatives will also perform quality:essurance checking
of installations,induding those app�oved as pa�t of a sample group but not cliecked by a HERS rater,and'if those installations faif to meet the
requirements of such quality assurance checking,the required corrective action and additional checking/testing of other installations in that HERS
sample group will be performed at my expense.
5. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of
construction or installation identified on this Certificate of Installation,and I have ensured that the requirements that apply to the construction or
installation have been met.
6. I will ensure that a registered copy of this Certificate of Installation shall be posted,or made available with the building permit(s)issued for the
building,and made available to the enforcement agency for all applicable inspections.I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name: Responsible Builder/Installer Signature:
John Zabatta �fi
Company Name:(Installing Subcontractor or General Contractor or Position With Company(Title):
Builder/Owner) OWNER
ZABATTA HEATING AND AIR CONDITIONING
Address: CSLB License:
PO BOX 9368 561159
City/State/Zip: Phone: Date Signed:
ALTA LOMA CA 91701 (909)989-9200 2015-02-05 09:05:17
Third Party Quality Control Program(TPQCP)Status: Name of TPQCP(if applicable):
Digitally signed by CaICERTS. This digital signature is provided in order to secuie the content of this regis[ered document and in no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number:215-A0031949A-M2300002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-OS 08:54:50
2013 Residential Compliance Schema Version:0.51SDD
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 1 of 5)
Project Name: 23611 Golden Springs Dr.#i-7 Enforcement Agency: City of Permit Number: 15-0276
Diamond Bar
Dwelling Address: 23611 Golden Springs Dr. City: Diamond Bar Zip Code: 91765
#i-7
A.System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01 System Identification or Name WHOLE HOUSE
02 System Location or Area Served WHOLE HOUSE
03 Condenser(or package unit) make or brand DAY AND NIGHT
04 Condenser(or package unit) model number N4H324AKF
05 Nominal Cooling Capacity(tons)of Condenser 2
06 Condenser(or package unit)serial number E142820842 '
07 Refrigerant Type R-410A
08 Other Refrigerant Type(if:applicable) -
09 System Installation Type Alteration
10 Charge Indicator Display(CID)Status(Note: Even systems This system does not have a CID device installed
with a CID must have refrigerant charge verified by installer)
Is the system of a type that the minimum airflow can be Yes,this is a ducted system and one of the system airflow
11 verified using an approved measurement procedure(RA3.3 rate measurement procedures in RA3.3 or.RA3.2.2.7 can be
or RA3.2.2.7)? used to verify system airflow rate
Is the system of a type that approved refrigerant charge Yes,one of the Refrigerant charge verification procedures
verification procedures can be used to verify compliance from RA3.2.2 or RA1 is applicable to this system and can be
12 with the refrigerant charge verification requirements when used to verify compliance
temperatures are greater than or equal to 55F(RA3.2.2,or
RA1)?
13 Date of Refrigerant Charge Verification for this system 2015-02-05
14 Refrigerant charge verification method used. Subcooling(outdoor temperature must be equal to or
greater than 55 degF)
I 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
Registration Number:215-A0031949A-M2500002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 08:59:09
I 2013 Residential Compliance Schema Version:0.551SDD
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification ' (Page 2 of 5)
Stan�ard Char�e Verification Procedure-CF2R-MCH-25b-Subcooling Method
B. Metering Device Verfication
Subcooling Method can only be used on systems that have a variable metering device.
01 Refrigerant metering device Thermostatic Expansion Valve(TXV)
02 Subcooling Method applicability status Subcooling Method is applicable to this system.
C. Instrument Calibration �
IProcedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
O1 Date of Digital Refrigerant Gauge Calibration 2015-02-02
02 Date of Digital Thermocouple Calibration 2015-02-02
03 Digital Refrigerant,Gauge Calibration Status " ` Calib�ation is'current
04 Digital Thermocouple Calibration Status Calibtation is current
D. Measurement Access Hole(MAH)Verification
I Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
I 01 Method used to demonstrate compliance 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.
01 Minimum Required System Airflow Rate(cfm) 600
02 System Airflow Rate Verification Status System complies with minimum airflow rate requirements
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3.2.2. ,
01 Lowest return air dry bulb temperature that occurred during 71
the refrigerant charge verification procedure(degreeF)
�Z Measured Condenser air entering dry-bulb temperature(T 60
condenser,db)
Registration Number:215-A0031949A-M2500002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 08:59:09
2013 Residential Compliance Schema Version:0.5515DD
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3.2.2.
03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04 Measured Liquid Line Temperature(Ti�q��d) (degreeF) 64
05 Measured Liquid Line Pressure(Pi�q��a) (pisg) 236
06 Condenser saturation temperature(T�o�de�so�,5ac)from digital 80
gauge or P-T Table using Line F05(degree F)
07 Measured Subcooling 16 •
08 Target Subcooling 13
09 Compliance Statement:System complies with Subcooling Method-Must also pass metering device verification,next
section
G. Metering Device Verfication ,
Procedures for the verification of proper�metering-device operation are specified in RA3.2.2.6.2
01 Measured Suction line temperature(TS��t�o�)(degreeF) 56
02 Measured Suction line pressure(PS��uo�) (psig) 102
03 Evaporator saturation temperature(Te�apo�aco�,5ac)from 36
digital gauge or P-T Table using line G02 (degreeF)
04 Measured Superheat 2�
OS Measured Superheat is between 4 and 25 deg F(inclusive) Passes CEC requirement
06 Measured Superheat is within manufacturer's specifications, Yes,documentation to be provided upon request �
if I<nown .
07 Compliance Statement: Metering device verification passes
Verification of Charge Indicator Display-CF2R-MCH-25d-CID
H.Charge Indicator Display
Procedures for the Charge Indicator Display Verification are detailed in RA3.4.2
This section does not apply to this project.
Registration Number:215-A0031949A-M2500002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 08:59:09
2013 Residential Compliance Schema Version:0.5515DD
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 5)
I.Charge Indicator Display Additional Requirements �
This section does not apply to this project.
Registration Number:215-A0031949A-M2500002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-OS Report Generated:2015-02-05 08:59:09
2013 Residential Compliance Schema Version:0.5515DD
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature��`=��l��iGKi
John Zabatta
, Compa�y: signature�ate: 2015-02-05 09:05:17
ZABATTA HEATING AND AIR CONDITIONING
Address: CEA/HERS Certification Identification(if applicable�:
PO BOX 9368
City/State/Zip: Phone:
ALTA LOMA CA 91701 (909)989-9200
Responsible Person's Declaration statement
I certify the following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am eligible under Division 3 of the eusiness and Professions Code in the applicable classification to accept responsibility for the system design,
construction,or installation of features,materials,components,or manufactured devices for the scope of work identified on this Certificate of
Installation and attest to the declarations in this statement(responsible builder/installer),otherwise I am an authorized representative of the
responsible builder/installer. '
3. The constructed oc installed features,mater,ials,components or manufactured devices(the•installation)identified on this Certificate of Installation
conforms to all applicable codes and regulations„and the installation conforms to the requirements given on the plans and specifications approved by
' the enforcement agency. �
4. I understand that a HERS reter will,check the installation to verify compliance,and that if such,checking identifies defects;t 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 tfiose approVed as part of a sample group but not checked 6y a HERS rater,and if those installations fail to meet the
requirements of such quality assurance checking,the required corrective action and additional checking/testing of other installations in that HERS
sample group will be performed at my expense.
5. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of
construction or installation identified on this Certificate of Installation,and I have ensured that the requirements that apply to the construction or
installation have been met.
6. I will ensure that a registered copy of this Certificate of Installation shall be posted,or made available with the building permit(s)issued for the
building,and made available to the enforcement agency for all applicable inspections.I underscand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name: Responsible Builder/Installer Signature:
John Zabatta �j�
Company Name:(Installing Subcontractor or General Contractor or Position With Company(Title):
Builder/Owner) OWNER
ZABATTA HEATING AND AIR CONDITIONING
Address: CSLB License:
PO BOX 9368 561159
City/State/Zip: Phone: Date Signed:
ALTA LOMA CA 91701 (909)989-9200 2015-02-05 09:05:17
Third Party Quality Control Program(TPQCP)Status: Name of TPQCP(if appliaable):
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document,and in no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number:215-A0031949A-M2500002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2015-02-05 08:59:09
2013 Residential Compliance Schema Version:0.5515DD
CERTIFICATE OF INSTALLATION CF2R-MCH-OI-E _ �
Space Conditioning Systems,Ducts,and Fans (Page 1 of 7) "
Project Name: 23611 Golden Springs Dr.#i-7 Enforcement Agency: City of Diamond Bar Permit Number: 15-0276
Dwelling Address: 23611 Golden Springs Dr.#i-7 City: Diamond Bar Zip Code: 91765
A.General Information
01 Dwelling Unit Name 23611 Golden Springs Dr.#i-7 02 Climate Zone 9
Dwelling Unit Conditioned Floor Area Number of space conditioning(SC)
03 �ftZ) 900 04 systems being altered in this dwelling 1
u n it.
05 Certificate of Compliance Type Prescriptive alterations(CF1R-ALT) 06 Method used to calculate HVAC loads NotApplicableEquipmentChangeout
Calculated dwelling unit Sensible Calculated Dwelling Unit Heating Load
�� Cooling Load(Btuh) 08 (etuh)
�
MCH-Oib Prescriptive Alterations-Space Conditioning Systems Ducts and Fans
B.Space Conditioning(SC)System Information
01 02 03 04 05 06 07 08 09 10
Are all of the
system's
components
and ducts
CFA served Is the SC Installing a Installing new or
SC System SC System by this SC system a refrigerant Installing new SC Installing more entirely replaced?
Identification or Location or Area System ducted containing system than 40 feet of new duct (entirely new ;
Name Served (ft2) system? component? components? ducts? system? system) Alteration Type
Altered space i
WHOLE HOUSE WHOLE HOUSE 900 Yes Yes Yes No No No conditioning
system
Registration Number:215-A0031949A-M0100002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS �
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-02-05 08:52:56
Schema Version:o.551SDD
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E -
Space Conditioning Systems,Ducts,and Fans (Page 2 of 7) . ,
C. Space Conditioning(SC)System Alterations Compliance.lnformation
01 02 03 04 05 06 07 08 09 10 11 12
Heating Cooling New or New �
System Altered Heating Minimum Altered Cooling Minimum Required Replaced Duct
Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Duct R-
or Name System Type Component Type Value System Type Component Type Value Type Length Value
Central split All new Central split Outdoor
WHOLE HOUSE HP heating HSPF 7.7 HP condensing SEER 13 Setback LTE40Ft R6
components unit
D. Installed Heating Equipment information �
01 02 03 04 05 06 07
System Identification or Heating Efficiency Heating Unit Heating Unit Heati�g Unit serial Rated Heating Capacity,
Name Heating;.Efficiency Type , Value Manufacturer ,Model Number number Output(BTUH)
WHOLE HOUSE HSPF 7J. DAY AND NIGHT FEM4P24000A A143068415 24000 �I
Notes: I
E. Installed Cooling Equipment information:
01 02 03 04 05 06 07 08 '
Condenser or Package Unit I
Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated
System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity
or Name Type Value Manufacturer Model Number Serial Number Conditions(BTUH) (ton)
WHOLE HOUSE SEER 13 DAY AND N4H324AKF E142820842 24000 2
NIGHT
Registration Number:215-A0031949A-M0100002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA.Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-02-OS 08:52:56
Schema Version:0.5515DD
CERTIFICATE OF INSTALLATION CF2R-MCH-OI-E
Space Conditioning Systems,Ducts,and Fans (Page 3 of 7) .
E. Installed Cooling Equipment information:
01 02 03 04 05 06 07 08
Condenser or Package Unit
Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated
System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity
or Name Type Value Manufacturer Model Number Serial Number Conditions(BTUH) (ton)
Notes:
F. Extension of Existing Duct System,Greater Than 40 Feet
This section does not apply to this project.
G. Installed Duct System information
- This section:does not apply to this project.
H. Installed Air Filter Device Information
This section does not apply to this project.
I.Air Filter Device Requirements
This section does not apply to this project.
� Registration Number:215-A0031949A-M0100002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
- CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-02-05 08:52:56
Schema Version:0.551SDD
CERTIFICATE OF INSTALLATION CF2R-MCH-Ol-E .
Space Conditioning Systems,Ducts,and Fans {Page 4 of 7) -,
J. HERS Verification Requirements
01 02 03 04 05 06 07 08 09 10
MCH2O MCH21 MCH22 MCH23 MCH25 MCH28
Exemption
from
Minimum
Exemption R-Value for AHU Fan AHU
SC System SC System Fram Duct Duct Ducts In Ducts Located Efficacy Airflow
Identification or Location or Area Leakage Leakage Conditioned In Cond Space (W per Rate(cfm Refrigerant Return Duct Design
Name Served Requirements Test Space Verification cfm) per ton) Charge Table 150.0-C or D
WHOLE HOUSE WHOLE HOUSE NO Yes Not No No Yes Yes No
exemptions applicable
Registration Number:215-A0031949A-M0100002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-02-05 08:52:56
Schema Version:O.SSISDD �
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E _
Space Conditioning Systems,Ducts,and Fans (Page 5 of 7) '.
K.Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures �
Note:Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems.These requirements may be applicable to only newly installed equipment or portions of the
system that are altered.Existing equipment may be exempt from these requirements.
Heating Equipment
01 Equipment Efficiency:All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a)and the Appliance Efficiency
Regulations.
02 Controls:All unitary heating systems,including heat pumps,must be controlled by a setback thermostat.These thermostats must be capable of allowing the occupant
. to program the temperature set points for at least four different periods in 24 hours.See Sections 150.0(i), 110.2(b).
03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing.See sections
150.0(h)1 and 2).
04 Furnace Temperature Rise:Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum
inlet-to-outlet temperature rise speeification.See Section 150.0(h)4:
05 Standby Losses and Pilot Lights Fan-type central furnacesmay not have:a continuously burning pilot light.Section 110.5 and Section 110.2(d).
Cooling Equipment
06 Equipment Efficiency:All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a)and the Appliance Efficiency
Regulations.
_ �� Refrigerant Line Insulation:All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section
150.0(j)2 and 3,and Section 150.0(m)9.
08 Condensing Unit Location:Condensing units shall not be placed within�five(5)feet of a dryer vent outlet.See Section 150.0(h)3A.
09 Sizing:Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing.See Section
150.0(h)1 and 2.
Air Distribution System Ducts,Plenums and Fans
10 'Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space,the minimum duct insulation va�ue is R-6. Note that higher values may be
required by the prescriptive or performance requirements.See Section 150.0(m)1.
Registration Number:215-A0031949A-M0100002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residentia)Compliance Report Version:2014-05-13 Report Generated:2015-02-05 08:52:56
Schema Version:0.551SDD
CERTIFICATE OF INSTALLATION CF2R-MCH-Ol-E _
Space Conditioning Systems,Ducts,and Fans (Page 6 of 7) "_
K.Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures
Note:Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems.These requirements may be applicable to only newly installed equipment or portions of the
system that are altered.Existing equipment may be exempt from these requirements.
Connections and Closures:All installed air-distribution system ducts and plenums must be,sealed and insulated to meet the requirements of CMC Sections 601.0,
il 602.0,603.0,604.0,605.0 and ANSI/SMACNA-006-2006:Supply-air and return-air ducts and plenums must be insulated to a minimum installed level of R-6.0 or
enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference
Residential Appendix RA3.1.4.3.8.
Heat Pump Thermostat
12 A thermostat shall be installed that meets the requirements of Section 110.2(b)and Section 110.2(c).
13 The thermostat shall be installed in accordance with the manufacturers published installation specifications .
p
14 First stage of heating shall be assigned to heat pump heating.
15 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met:
The responsible person signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:215-A0031949A-M0100002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-02-OS 08:52:56
Schema Version:0.551SDD
CERTIFICATE OF INSTALLATION CF2R-MCH-Ol-E
Space Conditioning Systems,Ducts,and Fans (Page 7 of 7) 'l
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: _/_ i:�����G(iG�v
Zabatta,John ��L�
Company: Signature Date:
ZABATTA HEATING AND AIR CONDITIONING 2015-02-05 09:05:17
Address: CEA/HERS Certification Identification(if applicable):
PO BOX 9368
City/State/Zip: Phone:
ALTA LOMA CA 91701 (909)989-9200
Responsible Person's Declaration statement
I certify the following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am eligible under Division 3 of the Business and Professions Code in the�applicable classification to accept responsibility for the system design,construction,or installation of features,materials,
components,or manufactured devices for the scope of work identified on this Certificate of Installation,and attest to the dedarations in this statement(responsible builder/installer),otherwise I am an
authorized representative of the responsible builder/installec � •
,
3. The constructed or installed features,materials,components or manufactured devices(the installation)identified on this Certificate of.lnstallafion conforms to all applicable codes and regulations,and the
installation conforms to the requirements given on theplans and specifications approved by the enforcement agency.
4. I reviewed a copy of the Certificate of Compllance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of -
Installation,and I have ensured that the requirements that apply to the construction or installation have been met.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted,or made available with the building permit(s)issued for the building,and made available to the e�forcement agency for all
applicable inspections.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name: Responsible Builder/Installer Signature: �/:rti���f•fiG6v
Zabatta,John
Company Name:(Installing Subcontractor or General Contractor or Builder/Owner) Position With Company(Title�:
ZABATTA HEATING AND AIR CONDITIONING OWNER
Address: CSLB License:
PO BOX 9368 561159
City/State/Zip: Phone: Date Signed:
ALTA LOMA CA 91701 (909)989-9200 2015-02-05 09:05:17
Digi[ally signed by Ca10ERTS. This digi[al 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:215-A0031949A-M0100002A-0000 Registration Date/Time: 2015-02-05 09:05:17 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2015-02-OS 08:52:56
Schema Version:0.551SDD
,�
CERTIFICATE OF COMPLIANCE � CFiR-ALT-02-E �
Alterations to Space Conditioning Systems(formerly CF-iR-ALT HVAC) (Page 1 of 3► '
Project Name: 23611 Goiden Springs Dr.#i-7 pate Prepared: 2015-01-31
A.General Information
CFiR-ALT 02 is applicable to multiple space conditioning rystems contained within a single dwelling unit.When multiple dwelling units must be
documented,use one CFiR-ALT-02 dotument for each dwelling unit.
01 Project Name 23611 Golden Springs Dr.#i-7 02 Date Prepared 2015-01-31
03 Project Location 23611 Golden Springs Dr.#i-7 04 Building Type Single family I
OS CA City Diamond Bar 06 Dwelling Unit Name 23611 Golden Springs Dr.#i-7
07 Zip Code 91765 OS Dwelling Unit Cond'+tioned g00
Floor Area(ft2)
Number of space conditioning I
09 Climate Zone 9 10 (5C)systems in this dwelling 1 I
unit. �
" B.Space Conditioning(SC)System Information
01 02 03 04 05 06 OT 08 09 10
,.�
Is the SC Instaliing a
SC System SC System CFA served system a ref�igerant Installing new SC Instalting Installing Installing I
Ident�cation or Location or Area by this SC ducted contalning system more than 40 entirely new entirely new I
Name Served System(ft2) system? component? components? feet of ducts7 duct system� 5C system? Alteration Type ',
WHOLE HOUSE WHOLE HOUSE 900 Yes Yes Yes No No No Altered space
conditioning system i
C.Extension of Existtng Duct System,Greater Than 40 Feet(Section150.2(b�iDiib)
This section does not apply to this project. I
Registration Number:215-A0031949A-p000000Q0-0000 Registration Date/Time: 2075-01-31 20:13:27 HERS Provider:CaICERTS
" CA Building Energy Efficiency Standards-2013 Residentiai Compliance Repprt Version:2014-03-31 Report Generated:2015-OS-31 20:13:40
Schema Version:0.5515Dp
CERTIFICATE OF COMPUANCE CFiR-ALT-02-E '
Alteretfons to Space Conditioning 5ystems(formerly CF-IR-ALT HVAC) (Page 2 of 3) „
D.Akered Space Conditioning System(Sections 150.2(b)lE and F)
O1 02 03 04 05 06 07 08 09 10 11 12
Heating Cooling
System Heating Altered Heating Minimum Attered Cooling Minimum Required New o�
identiflcatio� System Heating Efflcienry Efficiency Cooling Cooling Efficienry Efficlenry Thermostat Replaced New Duct
or Name Type Companents Type Value SysDem Type Components Type Value Type Dud Length R-Value
Central s lit All new All new Less than or
P Central split
WHOLE HOUSE HP heating, HSPF 7.7 caoling SEER 13 Setback equal to 40 R-6
components HP components feet
Reauired Documqntation:
CF2R-MCH-01-E-Space Conditionfng Systems Ducts and Fans
-Dutt insulation requirement for new plenums:R6.
CF2R-MCH-24H&CF3R-MCH-20-H—Duct Leakage testing required when heating or cooling components are instailed in ducYed systems,or when more tha�40 k of dud length is replaced.
-Leakage rate compliance:515%,or 510%leakage to outside,or seal all accessible leaks.
CfZR-MCH-25-H&CF3R-MCH-25-H Refrige2nt Charge Verifltation required when refrige2nt containing components are installed or altered(applicable in CZ 2,�15).
CF2RCF3R-MCH-23&CF3R-MCH-23 Alr Flow e 300 CFM/ton requlred when MCH-25 is requlred.
ExcepUons: _
-Duct systems registered wRh HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements.
-Heating-only systems and Aic-Handler/Furnace changes do not require veriflcation of AIr fiow MCH-23,qr Refrigerant Charge MECH-25.
-Existing duct systems constructed,insulated or sealed with asbestos are exempt from MCH-20 Duct leakage Testing requirements.
E. Entirely New or Compiete Replacement Duct System,with or without Equipment Changeout(Sections 150.2(b�lDiia and 150.2(b)1E,F)
This section does not apply to this project.
F.Entirely New or Complete Replacement Space Conditioning System(Section 150.2(b)1C)
�� This section does not apply to this project.
Registration Number:215-A0031949A-000000000-0000 Registration Date/Time: 2015-01-31 20:13:27 HERS Provider:CaICERTS
' CA 8uilding Energy Efficiency 5tandards-2013 Residential Compliance Report Version:201403-31 Report Generated:2015-01-31 20:13:40
Schema Version:0.5515DD
CERTIFICAT�OF COMPLIANCE CFiR-ALT 02-E "
Alterations to Space Conditioning Systems(formeriy CF-iR-ALT HVAC) (Page 3 of 3) �
Documentation Author's Declaration Statement
1.I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: ��qLr�yy�:.
Zabatta,lohn l..ea�f�csor�
Company: Signature Date:
ZABATTA HEATING AND AIR CONDITIONING 2015-01-31 20:13:27 �
�re�� CEA/HERS Certificatfon Identification(if applicable):
PO BOX 9368
City/State/Zip: Phone:
ALTA LOMA CA 91701 (909)984-9200
Responsible Person's Dectaration statement
I certify the following under penalty of perjury,under the laws of the State of Californla:
1. The Information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Dhrision 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this CertVficate of Compllance(responsible designerJ.
3. That the energy features and performance specifications,materials,rnmponents,and manufadured devices for the building design or system design identified on this Certificate of Complfance conform to the
- requiremenu of Title 24,Part i and Part 6 of the Cailfornia Code of Regulations.
.. G. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,worksheets,
wlculations,plans and specifiotlons submitted to the enforcement agency for approval with this building permit applicatian.
„�. 5. I will ensure that a registered copy of this Certifipte of Compliance shatl be made available with the building permit(s)Issued for the building,and made a�aitable to the enforcement agenry for afl applica6le
irupections.i understand that a reglstered copy of this Certiflcate of Comp�iance is required to be inciuded wlth the doCumentation the builder provides to the building owner at occupanCy.
Responsible Designer Name: Responsible Designer Signature: ��/:���
Zabatta,John
Company: Oate Signed:
ZABATTA HEATING AND AIR CONDITIONING 2015-01-31 20:13:27
Address: license:
PO BOX 9368 561159
City/SYate/Zip: Phone:
ALTA LOMA CA 917Q3 (909)989-9200
DigitaBy signed by Ca10ERTS This digita!signature rs provided in order to secure the content ot this regisre�ed documen�end in na way implies Registration Provider responsibifity for the accuracy of the rnformation.
I '
- Registration Number:215-A0031949A,000000000-0000 Registration�ate�me: 2015-01-31 20:13:2? HERS Provider:CaICERTS
- CA Building Energy Efficiency 5tandards-2013 Residential Compliance Report Version:2014-p3-31 Report Generated:2015-01-31 20:13:40
Schema Version:0.5515Dp