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Home My WebLink About13-837 . CITY OF DIAMOND BAR M�� n�( I� b � � � `—'—"'�• '^��-��— DEPARTMENT OF COMMUNI'I'Y&DEVELOPMENT SERVICES �► �� u u lJ �L��l lJ LS I � 2 1 8 1 0 C o p l e y D ri v e,D i a m o n d B a r,C A 9 1 7 6 5 ��n� R 0 n� .�_ (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839- I I I I U In� � $S �SU u u�MLY�� '��', BUILDING PERNIIT APPLICATION � } JOBSITE , �t,� .�,/� APPLICATION PERMIT�'� S}-�•-� P/C o ADDRESS � � ��I/I&Id '�'�KJI"�aS IC�J� DATE �� S NUMBE�f -7 v� � �—' o ISSUE TYPE OCC `r APN LOT TRACT DATE 3I 1 s I I 3 CONST. GROUP p OWNER LA�A � 1Z��7�l+lAtl �Q.TL�iDR� ' o ADDRESS � 1�I� ZONING SETBACKS z CITY DIIA?iA?f'D I�� ZIP TEL.�` ��CO� FRONT RW O' � APPLICANT TEL REAR p � SIDE/SIDE STREET RW ❑ � CONTRACTOR �{,(� SIDE p ADDRESS � CITY ��/Y�l'G7B'I ZIP TEL - PROPOSEDUSE � � QC � w ARCWENG/ z DESIGNER ' o w NO.DWEL. NO. NO. � a ADDRESS � CITY Z�p �� UNITS STORIES BEDROOMS cn -- , u� DESCAIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM � O p 1 HEAEBV AFFlRM UNDER VENALTV OF PERAIRY THAT I AM E%EMPT FROM THE CONTRACTORS LL Garage/Carport I W CENSEUWFORTHEFOILOWINIiREASON(SEC.7031.SBUSWESSANDPROfESSIONSCODE:ANYCRYOR (n � U �p�p(ryWr{ICHqEOIARESAPERMIT7000NSTAUCT,A�TER,UAGROVE,�EMOUSH,ORREPNRANYSTpUG W � � w NRE,PRIOR 7D RS ISSUANCE,AL50 REWIRES hiE APPLICAM WR SUCH PERMIT TO FlLE A SIONED w Patio/Deck i � S7ATEYENT THAT HE OR SHE IS UCENSEO PURSUANT 70 T7E PROVISIONS OF 7HE CONTRACTORS lF � � CENSE UW(CHAPTER Y�COMMENCPl�WITH SECTION 7000)OF OIVISION]OF THE BUSINESS AND PRO POOUSPB I O FESSIONSCOO�ORTHATHEORSNEISEXEAIP7THEREFROMANDTHEBASISFOfi7HEALLEGEDEJ(EMP- (� � U TION.ANY VIOLATION OF SEC710N 7031.5 BY ANYAPVLIGNT FOR A PEPoAIT 5U&lECTS THE APPIICANT T0 Fjg.Rpp� A CML PENALTI OF NOT MOFE T}1AN FNE HUNDRED OOILMS(f50D).}. Z I � ❑I,ASONRJEROFhIEPHOPEHTV,ORMVpdPLOVEESWITHWAGESASTHEIR50LECOMPENSATK)IJ, � COrt1/fIBfCWI - I Z YALL DO THE WORK,AND THE STRUCTURE IS NOT IMENDED Oq OFFERED FOR 9ALE(SEC.7oN,BUSF J � � NESS AN�PqOFE5510N5 CODE THE CONTRACTORS 110ENSE UW OOES NOT APPLY TO AN OWNER OF ' � � PROVEHTY NTID BUIl0.S OR IMPROVES THEREON,AND WHO OOES SUpi WORI(HIMSELF Oq HERSELF OR wTHRWGH WS OR HEHOWN EM7lOYEES,PROVIDED TFUT SUp/1AIPROVEA/ENTS AAE NOT INTENDED OR m � Q OFFERmFORSALEIF,FIDWEVER7NEBUILDWGORUAPROVEMEN71S50LDWfTHWONEYEAROFCONGLE- � Z TON,TME OWNEA�BUIIDEA VALL HAVE T1E BUROEN OF PROVIN6 THAT HE OR SHE DID NOT BUILD OR . � IMPRWE FOR 7NE PUFPOSE OF SALE} . I w ❑I,ASONRlEROFTHEPROPEATY,AMEXClUSNELYCONT{UCTWOWfTHIICENSEDCONTRACTORS Q To cONSTRUCT THE PR0.1EC7(SEC.7w�,BUSINE55 AND PRDFESStONS CODE:IHE CONiMCTORS ll- VelUHtion qp�,qqEq i W CENSEUWDOESNOTMPLYTOANOWNEROFAPROPEATYNRIDBURDSORIMPROVE57HEREON,AND � WHOCOhRRACTSFORSUpiPRQIECTSWRHACONTMCTOii�S)LICENSEDPURSUAHTTOTHECONTAAG pU,q�.�7�7y DESCRIPTION FEE� � TORSlJCENSELAW.). � ❑I AM EXEMPT UNDER SEC. B.d P.C.FOR THIS REASON Q ` � U � OATE oWNER F- Z U O W �, LICENSED CONTqACTOAS DECLAAATION � - � I HEREBY AFFW�I UN�ER PENALTY OF PERNRY THAT IAM LICENSED UNDER PqOVIS10NS OF CMAPTER � . � Y(�MENCW(i WIiH SEC71oN 7oao)OF DIWSWN a OF 7FIE BUSMESS IU�PROFESSIONS COOE,AND Z 1 XL� YY UCEHSE IS W FULL FORCE IWD EFFECT. m LLI � u��sE�� ('^2U ��.�. 3 � U DATE 3��5'�I3 CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION Q � I HEREBY AFFIfiM UNOER PENALTV OF FERIUHY ONE OF hIE FOLLOWING DECURATIONS: Z , i � _IHAVEANDWILLMAINTAUTACfRTIFlCATEOFCONSENTTOSELF�INSUREFORWOHI(ERS' s-+. � � COMPENSATION,AS PROVID�BV 6ECTION��OOOF THE LABOR CODE,FOR THE PERFORMANCE W OF THE WORK fOR WHlqi THIS PERMIT IS ISSUED. � � � �I NAVE AND WILL MAIMAV!WORNERS'COMPENSATqN MSUMNCE,AS REOUIiiED BY SECTION . Q 370o OF THE LABOR CODE,FOR 7HE PERFORMANCE OF THE WORK FOR WFtlp/THIS PERFUT IS �SSUED.MY WORI(EiLS'COAIPENSATON INSURANC�E�CiMRIER AND POLICY NUMBER ARE: CONSTRUCTION jcutRi�l '/�6✓�iU/ai2� �/�+ 1.�. PLlW REVIEW o aoucrrauMeea�JT(.JL�S�3 ELECTRIC �L , gg zd p fn�sEcrior+r�IDriorsEc�RFrIDOF�v�n'rswAa+eM��oaunas�siooloatFssl PLUMBING Z 1 CERTIFY hUT @l iHE PERFORMNJCE OF THE WOHI(FOq WHICH iHiS PERAtlT IS 455UED,I MECHANICAL S�. �\ L} SHALL NO7 EMPLOY ANV PERSON W ANY M/WNER 50 O BECOME SU&IECT TO THE (/� WORKER5 COM7ENSATION UWS OF CALIFORNt/�ANp EE 7HAT IF I SHOVLD BECAME INSPECTION FEE SU67ECT TO THE WORKERS COMPENSATION P VIS f SECTKIN a7o0 OF iHE UBOq s cooe,i sruu w�rn+wrTN cotir�r wm� E ao� ISSUANCE (oq �b�} O p DATE: , /5-�3 APPLICANL �SMIP W � W�RNINO:FA0.LIRETOSEQ/REWORI(ERSCAMVENSATIONGOVEMGEISUNLAWFUL,ANDSIULLBE ENERGYP/C � J �y, SUalEC7ANEAIPLOVERTOCRIMWPIPENALTIESANOCMLFWESUPTOONEHUHDREAiH0U5AND EAJERQV PERMIT DOLLARS�f10D.000),IN ADDI710N TO THE C0.5T OF COMPENSATION,DAMAGE5/5 PROVlDED FOR IN J SECTION 770D OF THE LABOR CODE,INTEREST,ANDATfORNEY'S FEES. W RETENTION FEE: a_ O� O CONSTRUCTION LENDING AGENCY PRE-/LLT FEE: � I HEREBY AFFlAM UNDER PENALTY OF PERJURV ERE IS ACONSTAUCTION�ENDW6 AOENCY z� FOR TNE PEAfORMANCE OF 7HE WOR1(FOR WH 7H1.4 vERMI715155UED�SEG 7ovr,CIV.G� � W � LENDERB NAME - � � I-- LENDERSADDRE53 � I CEH7IFY THAT 1 HAVE FiEAD 7H1S MPIICATION AND S7A7E 7HA7 hiE ABOVE plfORMA7qN IS CORRECT. TOTA L FE E S `O� • �� 1 A6REE TO COM7LY N7TH ALL CITY M10 COUNTY ORpPlANCEg plfp S7A7E UN5 pEUTiNO TO BUILDINO � CONSTfiUCTION,AND HEREBY AUTHORIZE REPqESENTATNES OF MIS COUNTY TO EHTEH UPON i}tE � Z /�BWE-MENilONEO PROPERTY FOR INSPECTION PURPOSES. COMMENTS � J � m VERMI77EE PPoM) ' . Q � � SIONATU DAT � RECPT.NO. �4'-Sm�— PAID BY a a VAtJDAT10N�_ WHffE—Department Copy,YELLOW—Flnence Copy.P�NK—Assessor Copy,GOLDENRO�Ie Copy,GREEN—Appikant's Copy ��`�f tC3� �)�,6��f�!4 �t�F� � �-.. .�.. l��:�'9�F� R��C�� • �� : -�m � _ . , _ } � � . ,.r � �7�..'. r � �: .. . . , ..v. � ,. �,' � t �..:.� . .w-� � _�,.G� :� �. o. . . �� `��'. � �. . ,;�;�._. � � m��.. . �. . _ , � � ..r _ .. <�,.. . ... ..:.� S � r �' . . � SE i HACK ------------'----- --- FLOOR JOIST fTGS1FORM,/SfEEL-------- ---- ----—--------------- FHA REQfvITS ------ ---- -- ----- FLECTPIC GROUND --- - UNOER Fl.OUR DUCT----- — --- -- — -- Gf�OUPdD PLUMBIhG ` _ ` __ � UNDER FIOOR CON�UIT SL4E3 GRADE __ ^_ _ FIREPIACE FOUh,DAT10N _(Elv1P PObVER � FIREPLACE BOND 8EF>M d'JFTER SERVICE (v11D NT.BOfdD BEAM ROOF SHEATHING �8 FT.BOND BLANi FRAiV11NG/VENTILATIO�! FINAL BOND BEP.Ni ROOF COVER _ _i � V PRE-GRADING ROUGH HEATING _ __ � _ ___ �BENCHING_ _ � ROUGH ELECTRIC � ROUGH GRADIR�G ROUGH PLUM61�lG FINISH GRAOING SHOWER/TUa TEST POOL ELECTRIC EX�f.LATH/SIDI�JG � I POOL FENCING bVALI INSULATlON _ `_ �PQ�L FINAL CEILING INSULATION OFF SI"TE IMPS. DR'fbVALL NAILING `___ _ _ _ __ _ DEDICATIONS � SENlER FINAL Eh1G. SEPTICTA�dK____ ^ ` � � LANDSCAPE/IRRIG. SEEP PIT!L.�. ON SITE IMPS. GAS AIRTEST FINAL ZONING FI(VAL CONST. " FIRE DEPT.FINAL � FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRIC DEV.FEES PAID FINAL PLUN181NG ENERGY FINAL PLA(VING FINAL ENGINEERING --- - -- ------�---------- o � � ------ --------- COMMENTS -------_-- - � ----` SEPTICTANKSIZE � � SEEP PIT!U SIZE —'----` -�--- , _11.�_aG� (�. � clF� __'_'_____ __ _ — ___._ ! 1 2� F: _.__._ _`.__ _ _.__.___ �2 h �F�� ,.________ ____"___ _ .� .��__ _�'_ ��V�.- ' _ �" "___'" ____'. _ t�. ��1 CERTIFICATE OF FIELD VERIFICATION 8k DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 508 Navajo Springs Rd., Diamond Bar CA 91765 (System City of Diamond Bar 13-837 1) Enter the Duct System Name or ldentification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the d welling. This installation certiFcate is required for compliance for alterations and additions in existing dwellings to � space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or�eplacement duct system installed in an existing dwelling, use the Installarion Certificate titled "Duct Leakage Test- Completely New or Replacement Duct System." Duct Leakage Diagnostic Test-existing duct system Select one compliance method from the following four choices. _ � 1. Measured leakage less than 15°/a of fan flow , �2. Measured leakage to outside less than 10% of Fan Flow �3. Reduce leakage by 60% and conduct smoke and fix all leaks 0 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options l, 2, or 3 must be attempted before utilizing Option 4.} Determine,.nominal Fan Flow using one of the following three calculation methods. ' ��Cooling system method: Size of condenser in Tons_�x,400 = 1200 CFM ,�;, .- �0 Heating system method: 21.7 x_Output Capacity in Thousands of Btu/hr=_CFM , � ✓0 Measured system airflow using RA3.3 airtlow'test procedures: CFM - Option 1 used then: 1 Allowed leakage = Fan Flow 1200 x 0.15 = 180 CFM Actual Leakage = 175 CFM Pass if Leakage Actual is less than Allowed Pass Fail Option 2 used then: Z Allowed leakage = Fan Flow_x 0.10 =_CFM Actuai Leakage to outside =_CFM Pass if Leakage Actual is less than Allowed �Pass Fail Option 3 used then: Initial leakage prior to start of work = CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage_- Final leakage_= Leakage redudion CFM ((Leakage reduction_/Initial leakage� x 100% = or�o Reduction Pass if%Reduction >= 60% Pass Fail Optfon 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). Pass if all accessible teaks have been repaired using smoke Pass Fail Reg: 213-A0017122H-M2100001A-M21A Regietration Date/Time: 2013/OS/11 20:11:35 HERS Provider: Ca10ERTS, inc. 2008 Residential Compliance Forme March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 I Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agenry: Permit Number: 508 Navajo Springs Rd., Diamond Bar CA 91765 City of Diamond Bar 13-837 . Note: If installation of a Charge Indicato�Display(CID) is utilized as an alte�native to�efrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge veriFcation requirement. TMAH and STMS are not required for compliance, when a CID is utilized fo�compliance: As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional fo�m(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) P�ocedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is�equi�ed for compliance, TMAH are also required for compliance, unless the TMAH Compliance Option is chosen. STMS are only required fo�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 S/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 Figure:in Section RA3.2.2.2.2. � Return side of.the duct system is � la located entirely within conditioned �Yes. ❑Yes ❑Yes ❑Yes space and return airflow temperature ❑ No ❑ No ❑No � No to be measured at the return grille. 5/16 inch{8 mm) access hole Z downstream of evaporative coil in the �Yes ❑Yes �Yes ❑Yes supply plenum and labeled according ❑No ❑ No ❑ No ❑ No to Figure in Section RA3.2.2.2.2. The TMAH Comptiance Option should be checked only 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 htto://www.enerav.ca.aov/title24/2008standards/s�ecial case ao�lian / TMAH Compliance Option ❑ p p p Yes to 1 and 2, or Yes to 1a and 2, or checking the TMAH Compliance Option, is � Pass ❑ Pass ❑Pass ❑Pass a pass. ❑Fail ❑Fail 0 Fail ❑Fail Enter Pass or Fail Reg: 213-A0017122B-M2500001A-M25A Registration Date/Time: 2013/O5/11 20:14:47 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: 508 Navajo Springs Rd., Diamond Bar CA 91765 City of Diamond Bar 13-837 STMS - Sensor o� the Evaporator Coil System Name or System 1 Identification/Tag The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed 3 by methods/specifications approved by the Executive Director. ❑Yes ❑ No ❑Yes ❑No 0 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 O 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 Yesto3, 4, and5isa pass. � N/A ❑ N/A ❑ N/A ❑ N/A Enter N/A if STMS are not ❑ pass ❑ Pass ❑ Pass ❑ Pass applicable. p Fail ❑ Fail ❑ Fail ❑ Fail Otherwise enter Pass or Fail STMS-Sensor on the Condenser Coil System Name or System 1 Identification/Tag � � 6 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. 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 ❑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 Yes to 6, 7, and 8 is a � pass. ❑N/A 0 N/A ❑ N/A ❑N/A Enter N/A if STMS are not ❑ pass ❑Pass ❑ Pass O Pass applicable. ❑Fail ❑Fail �Fail 0 Fail Otherwise enter Pass or Fail Reg: 213-A0017122B-M2500001A-M25A Registration Date/Time: 2013/OS/11 20:14:47 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) � Site Address: Enforcement Agency: Permit Number: 508 Navajo Springs Rd., Diamond Bar CA 91765 City of Diamond Bar 13-837 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedu�es for determining Refrigerant Charge using the Standard Cha�ge 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 acco�dance with the manufacturer's speciFcations before starting this procedu�e. • The system must meet minimum airflow requirements as prerequisite for a valid ref�igerant charge test. � •If outdoor air dry-bulb tempereture is/ess than SS�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 samp/e 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 # 1302091962 Outdoor Unit Make Amana Outdoor Unit Model ASX140361CD Nominal Cooling Capacity 3 Tons �._.__., e�__ ..r... ___. ... _._.w � Date of Verification; r' -''�, � 5/i11/2013 - �' � � � � �; r � � ,� r , � '�` 1 . _ �� ;` . .. �� I � � � � . �� ' . Calibration of Diagnostic Instruments ;,!% � ,,�, Date of Refrigerant Gauge Calibration 5/10/2013 (must be re-calibrated monthly) Date of Thermocouple Calibration 5/10/2013 (must be re-calibrated monthly) Measured Temperatures (°F) System Name or ldentification/Tag System 1 Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet-bulb temperature (Treturn wb) Evaporator saturation temperature 33.6 (Teva orator sat) Condensor saturation temperature g0.4 �Tcondensor sat) Suction line temperature (Tsuction) 49.6 Liquid Line Temperature (Tliquid) 75.0 Condenser (entering) air dry-bulb 67.8 temperature (Tcondenser db) Reg: 213-A0017122B-M2500001A-M25A Registration Date/Time: 2013/05/11 20:14:47 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forma February 2013 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agenry: Permit Number: 508 Navajo Springs Rd., Diamond Bar CA 91765 City of Diamond Bar 13-837 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 Calculate: Actual Temperature Split = Treturn db - Tsu I db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db ' Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -100°F Enter Pass or Fail Note: Temperatu�e Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actua/ coo/ing coi/airflow is measured, the va/ue must be equa/to or gr�eater than the Ca/cu/ated Minimum Airf/ow Requirement in the tab/e be/ow. �--�� .. -- . ; -.. .--------�_, ___.� . ,�. �, � ;, , ,. .. '- - , ` ``----y -�-- � F .._ Calculat d Minimum Airflow Requirement��(CF�M) = Nominal Cooling Capacity(ton) X`300 (cfm/ton) � ? t� �'' _�' i %r`` � � ,.` �� ! 1 ! i System�'Name,orfIdent'ifcation%Tag`,, _ �-'�� System ir _ ,_' � ;'.: �r -- I Calculated Minimum Airtlow Requirement 900 (CFM) . , Measured Airflow using RA3.3 procedures 928 ' (CFM) Measurement Method Flow Hood Passes if ineasured airflow is greater than or equal to the calculated minimum airtlow pASS requirement. Enter Pass or Fail , � . , �-. Reg: 213-A0017122B-M2500001A-M25A Registration Date/Time: 2013/OS/11 20:14:47 HERS Provider: Ca10ERTS, Inc. 2008 Reaidential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) � � Site Address: Enforcement Agenry: Permit Number: 508 Navajo Springs Rd., Diamond Bar CA 91765 City of Diamond Bar 13-837 Superheat Charge Method Calculations for Refrigerant Charge Veri�cation. This procedure is required to be used for fixed orifice metering device systems System Name or ldentification/Tag Calculate: Actual Superheat = Tsuction ' Teva orator sat Target Superheat from Table RA3.2-2 using Treturn wb and Tcondenser db Calculate difference: ' Actual Superheat -Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Fail Subcooling Charge Method Calculations for Refrigerant Charge Ve�ifcation.This 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 Subcooling = 5.4 Tcondenser sat-Tli uid Target Subcooling specified by � manufacturer Calculate diff,erence:r1 i,� �,.-,---- ,a �., - , -,, �,. ``4, ��._._ r.._..�,; ��,F•:,�-F Actual Subcooling ;�Target Subeooling;= j, �� -1.6 '�' j , System,{passes if difference is 6etween �' ��;� i -'--�' ; .,�, , -4°F and +4�F ' ;' - �� PASS j � � � � . , � �� ,�, ,,�,��Enter Pass or Fail r l` ;,� ; � � " � - � � �'" 1 � �^� . -- , r. , �' . r �1.-. _ . ,.. � . _ _.__ . . _ ".` _ j -'�. 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 System 1 Calculate: Actual Superheat = 16.0 Tsuction -Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if manufacturer's 3-26 specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail , Reg: 213-A0017122B-M2500001A-M25A Regietration Date/Time: 2013/OS/11 20:14:47 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forma February 2013 ' � . INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 508 Navajo Springs Rd., Diamond Bar CA 91765 City of Diamond Bar 13-837 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil afrFlow criteria based on measurements taken concurrently during system operetion. 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 airtlow 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 Califomia,the information provided on this form is true and correct. . I am the certified HERS rater who performed 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 Residential 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 installation confocros to_the-requirements�spe¢ifiedr on the Gertificate(s)=of.-Compliance (CF-iR),approved''by the enforcement,agency. '; •�� i ' ` ' Builder+or Installer information as shown on,the Installation Certificate (CF-6R) Company Name: (Installing Subcontractor or General Co'ntractor or Builder/Owner) �, ` AIRWEST AIR CONDITIONING{AND HEATING INC ; �j ' ^ `� fY � ' ' Responsible'P,erson's Name:: -� ` CSLB License: r�_ �. --�- � , 'i; ,� `,� =;: David Dretzka " 733715 " HERS Provider Data Registry Information � Sample Group # (if applicable): N/A �tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information Ca10ERTS Certificate # CC1-1798741047 HERS Rater Company Name: • LR Rating Services , Responsible Rater's Name: Responsible Rater's Signature: Louis Romo Louis Romo Responsible Rater's Certification Number w/this HERS Date Signed: 5/li/2013 Provider: CC2005729 Reg: 213-A0017122B-M2500001A-M25A Regietration Date/Time: 2013/OS/11 20:14:47 HERS Provider: Ca10ERTS, Inc. 2008 Reaidential Compliance Forma February 2013