HomeMy WebLinkAbout14-4393 T�,� C1TY OF DIAMOND BAR
I � I ` I i ' DEPARTMENT OF COMMUNITY&llEVELOPMCNT SERVICES
�.`�� ,��III���;:�.'l,� " 21810 Copley Drive,Di�mond 13ar,CA 91765 PRESS
�,�n ,,,,� (909)$39-7020 Fax:(909)861-3117 Building Inspection Hotline�(909)839-7027 F�RMLY
"�N''' BUILDING PERMIT APPLICATION
I � APPLICATION DATE: � P�C�
¢ .106 SITE ADDRESS O I I PERMIT# �y� "i3�3
W ISSUE DATE:
oAPN LOT TRACT
o OWNER /" TYPE CONST. OCC GROUP:
w
� ADDR�ySS FS� ZONING SEfBACKS
� C�-ry{/t ZIP��TEL�SI �� FRONT RW �
� APPLICANT 7EL. REAR �•
o SIDE/SIDE STREEI' RW �
a CONTRACTOyR � SIDE �
o� ADDRE�S�S�'�` � PROPOSED USE U
� CITY�/,�/,1/1/i/���1�� ZIP��pTEL. 3 �
0
o ARCH/ENG/DESIGNER
o ADDRESS ri DWEL.UNITS #STORIES #BEDROOMS
a CITY ZIP TEL.
DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
a� ownea-auuo�oscuwanoN
� I hereby af(irm under penafty of perjury that I am enempt from the Contractar's State LJcense Law for the reason(s) SFR/ADD/REM
oirMicated below by the checkmarkls�,I have placed ne�1 to the aDW�ble ilem(s)1�����5,Buslness and Garage/Carporl
w Professions Code:Any dty ar county thal re�ulres a permit ta construct,alter,Improve,demolish,or repair,any
iz strucWre,pdor to its issua�e,also reqWres the applirant fm tAe Dermit to flle a signed sWtement that he m she � Patio/Deck
a is Ifcertsed Dursuant to ihe provfsbns ot ihe Cairtractor's SWte Licertsa Ww(Chapter 9)Comme�xing with Seclion w
� 7000 of Division 3 ot the Busineu and Prolessions Code]or that he a she is eaempt hom Ilcensure antl the basis tw u. P�oUSpa
� the alleged ezemption.My violation of Section 7031.5 by any applicant for a pertnit subjects the apD�icant to a civil penalty
� Z Re-Root
of not rtwre than five huntlretl dWlars(5500). p
o (,1,as owner o1 the properry,w my employees wfth wages aa their solo compensation,will do U all of or(1 portions � Commercial
0 0l ihn xrork,antl ttie structure is not inten0ed or ofteretl 1or sale(Section 7044,Business and Pmfessions Code:The �
w m
� Contractnrs'State Licertse Law dces no[appty to an owner o1 property who,through empbyees'w personal eflort,builds
w w improves the property,Drovided�hat ihe improvements are not intended w otlered tor sale.If however,the building or
� improvement is sald within one year o1 completlon.Ne Owner-Builder will have the burden af proving Ihat It was not huilt
pw imprmed for tlie purpose of sale.).
V I.es owner at the ro P �
� (� p perty,am�clusNely cnntractlng with Ilcensed GonUactors to canshuct She ro ct(Sectlon Valuation: Adj.Area:
o 7044,Business and Professioas Cale:The Contractors'Sbte License Law does not appty to an owner of properry who
z builds or impmves Uereon,arM who connacu tor ma projects wim a Iicensed Canhacta pursuant ro the Conuacrors'State QUANT{TY DESCRIP.TlON FEE
�
� Y ucense Law.). �
o (�I nm raempt hom licensure under the ConVactor's State Ucense faw tor ihe tollowing rea5on(s): �
� _ a�
�
`� By my signaNre below I acknowledge that,except tm my personal residence in which 1 must have resided tor al leas�aie w
Z year prior ro completlon of ihe Improvements covered by this parmit,l cannot legalty sell a structura U�a[I have lwilt as an w
0
Q owner-builder it it has irot been constructetl In its entirery by I�Censed contractors.l untlershand that a copy of fhe applicabte
Q law,Section 7044 0l the Business and Professio�s Coda is available upon request when this apD���tion is submitted ar at
X tlie iolbwing Web sRe:M1ttplwvnv.leginfo.ca.gov/calaw.htrnl. z
�'-� OATE: SIGN: �
O
r LICEMSED CONTRACiOH'S DECLAflATIDN �
� I hereby aflirm un0er perelty ot perJury ihat I am licensed under provision5 of Chapte�9(comme�ing with Section 7000)
� of Division 3 of the Business antl Protessions Code,and my I�ense is in full force and effect. � v �"'^ ��
� / �u
w �v a 4
�, uceruse c C a'C� uc.No.: � 4 C•O Sf� 5^ !�
OZ DATE: � CONTRACTOR: w
Q WORKEH'S COMPENSATION OE LARA �
� I HFAEBY 11FFlRM UNDER PENALTY OF PERJURY DNE OF THE FOLLOWING OE(XARAl10NS: �
w
¢ I nave and wiU maintain a Certifipte oi Consent to Sen-I�rsure lor warker's ComDensation,as provided hy CONSTRUCTION:
j Section 3700 0l lhe Labor Cotle,tor the perfamance af the work tw whkh this permd is issued. p�qN REVIEW:
� ,_,�I have and wiu maiirtain Wwker's Compensalion liuurance,as required by Section 3700 of the Labor Code,for ELECTRIC:
o the per(ormance of the wwk Iw which this Dermit is Issued.My Waker's Compensatlon Insurar�ce Carrier entl
¢ Poii�yNumber re: PLUMBING:
� CattRtER� MECHANICAL: ��•y�
Z POLICYNUMBER �r INSPECTION FEE:
� �
� (nilS SECTION Nff0 NOT BE CAMPLFfED IF7HE PH�4R 6 FOR ONE HIRJDRED DOLLMS(Sto�oR tESS). ISSUANCE: �"
� I ceiliry�hal m the pertormance ot the wark lOr which 1�(S permit is issuetl,I slnll rol emptoy arry person in any manner so as to �
obeoome s�bject to me worker9 CompensaUon laws of Calltania.Md agree�hat if I shoWd hecome sutpect ro tlie worker's SMIP:
� Cwn �a pr rons a Secea+370o m tabor coae,�snan�orunv ry H;ih m�e provisia�s. ENERGY PlC:
Da�����,�araucnrrr: ENERGY PERMIT:
>- WARNING Failure to secure Workers Compensation cmerage is unlawlul,and shall su6ject`an employer to criminal n Q�
� REfENTION FEE: -�T �Z �
,� penatties and civil fines up ta one hundred tha�sand dollars(5100,000),in adtlitim to the cost ol the wmpensation,
'� PRE-ALT FEE:
o tlamages as provided tor in section 3708 of the labor code,interest,and attomey's fees.
� CONSTRUCTION LENDING AGENCY BSAF:
a
w t here�y affum untler penalry of per�ury fhal there is a Construcfion Lending Agen�y Iw Ihe perlormarxe ol the work for
� whicb this permR fs Issued�Sec.3097,Civ.C.).
� LENDEA'S NAME
� LENDER'SADDRESS:
a I certiry that I have read this aDP������4 state that the above inFormafion is cortect.I agree to compty with at1 ciry and TOTAL FEES ���l�
� counry ordinances antl state laws relating to bufldi�consWCUon.antl hereby authorile represenL�tives of this caunry to COMMENTS:
Z enter upon the above-montwned properry far inspeci'wn purposes.
m —�.o,��Yl� !� lL.l���
� PERMfTTEE NAME(PRINn _ � L
= SIGNATURE OF PERMfTTEE OATE RECEIPT k�I q- PAID BY: � I( VALIDATION:�_
r
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—ApplicanYs Copy
CITY OF DIAIUIOND BAR
INSPECTION RECORD
• � � • ' ' • ' ' � �
SETBACK/LETTER ,.' -`� 's:- ' - �: TRACT AND LEDGER
FOOTiNGS FORMS =� _ �. �� .`- �:=� , � - SWITCH GEAR .
SLAB:? . , � � " ; �., r � `� �_ r:;: :; COMMERCIAL HOOD
UG:PLUMBfNG;>,: . �� _ �� ,` T-BAR
` ` � � � '`' "� INTERCEPTER
UG.ELECTRICAL, , -' ':' .,� - � =
��°? � �' '; HOT MOP/SHOWERPAN
UFER�GROUND��:'� �� - � �� .
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER L1NE HERS REPORT RECENED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHIN6 ROUGH CONDUIT
SHEAR WALLS EXTERIOR ` : , ��' � ` POOL/SPA:; , �`� `� - - '
r ; � � � ,-
,SHEAR WALLS'INTERIOR.+ , ` � � � _ , `ROUGH PLUMBING } r
._ �- ` �: - ��
FRAMING/VENTING , ��;r ' ' ' '`° " ' ° _ -
.
,,, �., • ROUGH ELECTRICAL"
� . . „ ._,� _�� �. _ � s�
' ; .r� �� .t .
i
ROUGFI INECfiANICAL "�' a�. � �' ,. � ���'� ,� � { �'• ` ' ROUGH MECHANICAL' _ � '� '� �' , `� z ��:
a=� x ` : �E � f � GAS TEST>` ' s�, � ' �=� � t ,+.
ROUGH ELECTRICAL W( _)C( ,) ` �- ,' �
ROUGH PLUMBiNG Y '' - r , PRE GUNITE , - ` _ �"
� � , ,
.,; , � r .-
,_
..� �, �,,. „ . � �
„ . �
. <_ ,. _
INSULATION WALL POOL PREDECK BONDING : � ` r
INSUlATION CEILING p�-�qp '; � _ , `F ` f _A
DRYWALL �FENCE/�GATFJ ALARM ;° �= � ° �'' r,
LATH(PR� FINAL.POOL, � .:; �-� `��`-
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1sr� �2r+o� )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL ORAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION RO F�4MING PLANMNGAPPROVAL �' � � _ -� �'� + �- �`
— , �- � ,,:� > ��� , . :_ �'_ 'ROUGH FIR6APPROVAL ��. �� � �r�i ; -�° ' � F ,;
FINAL BUILDING � _ ; ' � -
fINAL FIRE DEPARTMENT ,�: � ` ' �
FINAL MECHANICAL �: ' r ��; �' ` ,; � , y ;
FINAL ELECTRICAL �= ':''ti ;�, FINAC.RLANNIN� >`•
FINAi PLUMBING - FINAL ENGINEERING/PW �, ,' . " "
1� -�, � . , �
�7.C.Of OCCUPANCY �- � '� r T �.:�` . ,��� �' FINAL COMMUNITY SERVICES a $ .,� - �
CERT.of OCCUPANCY'� ° Y � ' EINAL HEAL'TH DEPT - ' 3 _
- Lrl �-'l 1 i.��%
_ ... ., ,-� . r .' ,. :� V:. ' fINAL INDUSTRIAL WASTE:` ' -. , _a� t.:�
.
, ..
_ �3 �.., i r. �.�,r-� s `� w� v: ..'.:r
COMMENTS:
I
. . . . . . . .. ... ... . . . .... .. . ... . . ... . ........ . .. ... ' I
itf i8�� Y�.u7�J�f'7J�. A �'•�1�A"��4: �i19�#'�t0...A"1i:.9��b,F�1`�J '� ��tFdt�'tl����
9/3/2014
JANE MURAKAUI
1155 HEDGEWOOD PLACE
DIAMOND BAR CA 91765
Dear Customer,
Attached is your CF-2R/CF-2R form needed to clear permit with the
CITY OF DIAMOND BAR. Please give this packet to your city
inspector on the day of inspection. This is in regards to your HVAC
install with WEST COAST ENERGY.
Sincerely,
Coast Aire
_
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� --— --- - _
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�
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H I
Duct Leakage Diagnostic Test (Page i of 3)
Project Name: MARAKAUI,JANE Enforcement Agency: City of Permit Number: 14-4393
Diamond Bar
Owelling Address: 1155 HEDGEWOOD PIACE City: Diamond Bar Zip Code: 91765
A.System Information
01 Space Conditioning System Identification or Name SYSTEM 1
02 Space Conditioning System Location or Area Served WHOLE HOUSE
03 8uildi�g 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 Compl�ance Category � ;y , Altecat+on using,s�oke test ,�
�' ��,r� r ��;5_: a.;:"° 6.�
. �.
.;, . _
p ^,� �� k-;� �r.;
y€ a
MCH-20e-Seal�ng All Accessi6le�.ea�Cs ufi,ing Smoke,fi�t��Y r ��'� `y � �
-�- �: ,,. �.n„ � �. ,.�,,�;� ��
,
���.:3- ^'r T i,. F `'r�t�v �. '�bW`,�y,i�'s"..a r.A#.m:rn3�v '�±;:x � �rr;� �➢��' a,.;:,, I
' B. Duct Leakage Diagnostic Test
01 Condenser Nominai Cooling Capaaty(ton) 5
02 Heating Capacity(kBtu/h) 100
03 Conditioned Fioor Area served by this HVAC system(ft2) 2200
04 Dud 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 Allowabie Duct leakage(cfm) 300
10 A�ual duct leakage rate from leakage test measurement 643
(cfm)
11 Compliance Statement:System passes using smoke test of an altered HVAC system in an existing building.No visible smoke
exits the accessible portions of the duct system.Smoke is only emanating from air-handling unit(AHU)cabinet and non
Registration Number:214-A0087325A-M2000002A-0000 Registration Date�me: 2014-09-03 10:04:38 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-03 10:02:40
Compliance
- �
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Dud Leakage Diagnostic Test {Page 2 of 3)
B. Duct Leakage Diagnostic Test
accessible portions of the duct system.Note-Accessible is defined as having access thereto,but which first may require
removal or opening of access panels,doors,or moving similar obstructions.If access to the ducts requires an object to be
demolished or deconstruded then sealing of those duds is not required
C.Additional Requirements for Compliance
Ol System was tested in its normal operation condition.No temporary taping allowed.
Outside air(OA)ducts for Central Fan Integrated(CFI)ventilation systems,shall not be sealed/taped off during duct leakage
�Z testing.CFI OA ducts that utilize controlled motorized dampers,that open only when OA ventilation is required to meet
ASHRAE Standard 62.2,and close when OA ventilation is not required,may be configured to the closed position during duct
leakage testing.
03 All supply and return reglster boots were sealed to the drywall.
04 Building cavitieswere not used as plenums or platform returns in lieu of ducts.
05 If cloth backed tape was used it was�overed.,virithz�Ma$t�c anyi�drew,�bands�. `45µ �,�-
06 All connectio�t- bt ; � x� �� ��;: � �� � � ,�� � � �,
p nts betweerat�tae.�ar ha�dler and the.��pply and�ze�urn plenu�ts are cor�ptetely sealed: ',
r� �� �. � � � ,�,, � :: �
If the system co"hiplie.��u�►�i�gi��S�iake4�estgmefhodyMthe$smake�i{est was condt��'ted in accord�nc�wltfi th�;requirements of
07 Reference Resideiitiaf Appendor;RP�3 1.4.3:6.-5y�teins,t'�at:comp�y�smg srt�okette'st shall'not-be�ncluded�in�3erriple groups
for HERS verification compliance: `
The responsibte person's signattire on this compliance document affirms that all applicable requirements in this table have
been met. ,
Registratfon Number:214A0087325A-M2000002A-0000 Registration Date�me: 2014-09-03 10:04:38 HERS Provider:CaICERTS
CA Building Energy E�cienc.y Standards-2013 Residential Report Version:201d-05-08 Report Generated:2014-09-03 10:02:40
Compliance
-- �
CERTIFICATE OF INSTALLATION CF2R-MCH-ZO-H
Dud Leakage Diagnostic Test (Page 3 of 3)
Documentation Author's Declaretion Statement
� 1.I certify that this Certificate of Installation documentation is accurate and complete.
' i n A h r Sf nature:
Documentation Author Name: Documentat o ut o g
wayne martin ���'���2��
Company: Signature Date:
HOME ENERGY SPECIALISTS INC 201409-03 10:04:38
Address: CEA/HERS Certification Identification(if applicabie):
1180 NORTH FOUNTAIN WAY#F
City/State/Zip: Phone:
ANAHEIM CA 92806 (714)630-6330
Responsible Person's Declaration statement
I certHy the following under penalty of perjury,unde�the laws of the State of California:
1. The information provided on this CerEificafe'of Installation is true and correct.
2. I am eligible underDWlsion 3 of the eusiness'and Professions Code in the applicable classification to accept responslbllity for the system design,
construction,or installation of features,inaterials,componenu,or manufactured devices for the scope of work identified on this Certfficate of
Installation and ettest to the declarations in this stateme�t(res�onsible bullder/installer),otherwise I am an authorized representative of the
responsible bufl�eT"rinsta �: �,�� �o-�x'" F,,� r3� " ��. ��y' ��'�� � r " � �^ ;
�� �, � � .�a,,, � ,� �, }
3. The construct$d o�installed feature5 mai�n�q�componeiits oF�dnufacture�`de�nce�(�iie inst7l�"ation)ide�tiEied on this Certlflcate of Installation
conforms to atf�applicable codes��re�g�Wttd�ns,and the insti(t f conforms�o�e reqwreme�g(ven ont�ie plans aftd spedFlcations approved by
the enforcemef�a en r"� _' `'� a � � n'`l r� „ ��, '`� i x p ;u ;
9y� ..6 �Y 3�`v + �; r'��� 3.+.. a .�� '� 'S" � �� , .. � �r� F �,
4. I understand thata HEit�r�,er v,�UCri�theY�llatiortto vp�n�!�wm�pliama�'3hd t�iat,if such�iecWng itlentifie�defects h�m requi�ed to take
s � r� r ty L t+�c d.f a-r T R,�:'4a� p ar. r
corrective actiom�my expe�se 1 undersfand'thaY Energy Comrnission a�d hFE�ProvfderrepreseritativesivifPal;o per�orm qi3ality essurance checking I
of installations,including#hose approved as pacYof a sample gFoup 6ut not checked by a HERS reter,and if thoselnsiallations fail to meet the
requirements of such qualify auurance checking,the required correctNe action and additional checking/testing of other installations in that HERS
samplegroup.will'be perfo�med at my ezpense.
5. I reviewed a copy of the Gertificate"of Cortipliance approved by the enforcement agene.y that Identffies the specific requirementr for the scope of
construdion or installation identified on.thi's Certificate of Installation,and I have ensured that the requirements that apply to the construdion or
Installatfon have been met.
6. I will ensure that a registered copy of thls Certlflcate of Installation shall be ported,or made available with the building permlt(s)issued for the
building,and made available to the enfarcement agency for all applicable inspections.I understand that a registered copy of this Certiflcate of
Installation is required to be included with the documentation the bu(Ider provides to the building owner at occupanty.
Responsible Builder/Installer Name: Responsible Builder/Installer Signature: ���ANGAG'TTi�.�f/
wayne martin
Company Name:(Installing SubcoMrador or Generel Contractor or Positlon With Company(Title�:
euilder/Owner) OWNER
HOME ENERGY SPECIALISTS INC
Address: CSLB License:
1180 NORTH FOUNTAIN WAY#F 685478
City/State/Zip: Phone: Date Signed:
ANAHEIM CA 92806 (714)630-6330 2014-09-03 10:04:38
Third Party Quality Control Prog2m(TPQCP)Status: Name of TPQCP(if applicable�:
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure ihe content of this registered documen�and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number:214A0087325A-M2000002A-0000 Registration Date�me: 2014-09-03 10:04:38 HERS Provider:Ca10ERT5
CA Building Energy Efficiency Standards-2013 Residential Report Version:201405-08 Report Generated:2014-09-03 10:02:40
Compliance
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 4)
Projed Name: MARAKAUI,JANE Enforcement Agency: City of Permit Number: 14-4393
Diamond Bar
Dwelling Address: 1155 HEDGEWOOD PLACE City: Diamond Bar 2ip Code: 91765
A.Ducted Cooling System Information I
Ol System Identification or Name SYSTEM 1 I
02 System Location or Area Served WHOLE HOUSE
03 System Installation Type Alteration
04 Nominal Cooling Capacity(tons)of Condenser 5
05 Condenser Speed Type Multi-Speed
06 Cooling System Zonal Control Type`:' Zonally Controlled
07 Centrel Fan Integrated(CFI)Ventilation 5ystem Status ,,�m Not�CFI system , � � �, :s_
._ r �::;.,:.. §R.. ,r?'f� . ..CY-, ��3�=;: `�`, ys . , � ..�; ����'+ a
x st ,_-. � s .�*:t; ,� ,'. ���, +� ,: �,�;f,, �,¢ti�
O8 System Bypass�D�,uct'Status °"r �' ��' �" Na,�Pass'`Dud�� ;�
�^� s'�.:�_..�"'�,. :�`�;_`�.{ f��re ?�..r s�5,su. '�.�.h
l, Y1 {Y �� My �� � . 8Sf? � `F: d Y ' .
��, v_ yc tv/ �d,t,%�'s �� � ,� � �` � � � ; � ,�r�, f k�i �f tipr ` ..
09 Date of System�Airflov�y Rate¢�eas�remertL;�,�,��r!�ti��� ;� ��Q,��4 0,�$�11�� ��r�, ��:.��*r� �.� §�"�;wP�,i
c.NE. ..
:��.- .:,.,- . .;_..... , ,.. ..._.. . , .., .
.. .
. ..... , ,, , ..., ,,,,r��"�
10 Airflow Rate Protocol utilized ' RA3.2.2.7.3 Alternatrve to Compliance with Minimum
System Airflow Requirements
B. Hole for the placement of a Static��P.ressure 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.
Ol 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.
Ol Airflow Rate Measurement Type used for this airflow rate Flow Grid according to procedure in RA3.3.3.1.2
verification.
02 Manufacturer of Airflow Measurement Apparatus DUCTBLASTER
03 Model number of Airflow Measurement Apparatus DUCTBLASTER
04 Certification Status of the Airflow Measurement Apparatus Certified by Manufadurer and listed on CEC Website at
Accuracy http://www.energy.ca.gov/(tbd)
Registration Number:214-A0087325A-M2300002A-0000 Reglstration Date�me: 2014-09-03 10:04:38 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-03 10:05:01
Compliance
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airfiow Rate (Page 2 of 4)
MCH23c Alternative to Compliance with Minimum System Airflow Requirements for Altered Systems
D.Alternative to Compliance with Minimum System Airflow Requirements for Altered Systems
The installer shall attempt to corred non-compliant system airflow rates by performing the following remedial actions
as specified in RA3.2.2.7.3
01 Determine that the air filter media is clean.If the air filter Completed
media is dirty,then replace it witli clean filter media
0z Open all registers and dampers and remove any Completed
obstructions.
Replace/Repair all accessible crushed,blocked,restricted, Completed ,
03 remove excess length,and sharp bends in duds.Supported
every 4 ft max.with a max.2 in sag=,�;. ,
,�;..
04 Clean the eVaporator coil according to the manufacturer and Completed
ensure the coif is not obstructed..
. . .;.i�+" �:%a7�. � .�r2,C�r"`�',n."r�� '�^af's:&�.".`k�. ':+2�r k1c:., .f,a�ww7r:::�va at.X,U-�..aM�"����...
'r ., '-" �u K"t � r �4 '� +� �' � ��
Air handler far��5�eed seE to high an��bt er wheel an�'�'� , C�feted�� �;�,b"�� �F'� �
0$ 1`� � ^�„W.f Y�+�� 6 a �'F'�-, '�r.� .l.' .
ITIOtOf 0fe O�]EiHtl�flg pfOpP��lait���.�;,}� k n �:� ��,�i �^ �wz"'r� n� �•*y�r�' �X�iK �
] i
-� � �� a�.,�., ,a£#,��.,, � J �s v.tk�����.' �'��7'r,,, t ;t�,�� '� �r-� .
��,� F `'� r �i�u�z� ° �a�'1 ,� � c�� �+, a ,��s �r� ��_ �i'� s � ��'� e�r�� � t
If determined to be rt`oo sFnall;replace the«etamtd�ict virith�a �Co'�pCeied��� °�;�;� ���:�� ,. �:•��> _� ��- -
06 .d �,.r n,Z r�-. x t �c a,� .; , . .
larger one and/or add a second retuen duct.
�� If determined.to be toosmall,replace:�the return grille with Completed
a larger area grille.
If any of the above were not completed list the Action N/A
08 Required and a description of why the action could not be
completed:
E.Forced Air System Airflow Rate Measurement-Best Airflow Rate Attainable
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
Ol Required Minimum System Airflow Rate(cfm/ton) 300
02 Required Minimum System Airflow Target(cfm) 1500
03 Actual System Airflow Rate Measurement(cfm) 983
04 Compliance Statement: System does not comply with minimum airflow rate
requirement
05 HERS Sample Group Eligibility Not Eligible for HERS Sample Group for Airflow
Registration Number:214A0087325A-M2300002A-0000 Registretion Date/Time: 2014-09-03 10:04:38 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-OS-O8 Report Generated:2014-0�03 10:05:01
Compllance
— — - -
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 4)
F.Additional Requirements
Ol Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
I the system during system air flow rate measurement identified on this Certificate of Instailation.
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
02 Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
fnstrumentation specifications given in RA3.3.1.
A visual inspedion shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
system return dud 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. I
06 If fresh air duct�s,part afbthe HVAC sys�tem��t w�s�not ct�o�sEd�durmg_�,twhe;diagnostictest x k� r�fi
�P �„ . , #�, �.}�t+�`"` ,�ca° � �!=±' ,M� ,r. �kµ;'.: r.;:
07 AirFlow rate and fan watt d�aw,shali be s�multaneous rriaa5urem��►�s when used to,calcul�te¢the Fan!Efficacy tested value.
� ,.�� . �7 .:�;;� ..'�y�.rx;�'f... . „re;..,.���' ., �a,:n^ 5.��; .w'�,
.,;..,... .. ..,
,,�..�� � . ,. . ,. ,. ,N� . h:�. ...,. ,�;.
��' -" aYJ:.aY`�' o "" r zR'�d�., f �fr�,ry � Y '��.a� ''a.,� ::, �('�1.' ` Yz e� r,y. .. _.
Multi-speed compressor,+spac�e�coolmg systems�`6r uariable Spe���ompressor syst'ems st�all�,.u�rrfy�air flov j((cfm/;ton)and fan
t'�. .i _X�*.....� '
08 efficacy(Watt/cFr'r`i)witfi system operating in°coolmg rriode'at the maximum conipressor speed and the maximum air
handler fan speed:_ :.;,...
The responsible person's sfgnatu're on thiscompllance document a�rms that all applicable requirements in this table have
been met. ;,
Registration Number:214-A0087325A-M2300002A-0000 Registration Date�me: 2014-09-03 10:04:38 HERS Provider:CaICERTS
CA Building Energy E�ciency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-03 30:05:01
Compllance
- - - --
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certiflcate of Installation documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: �����G���
wayne martin
Company: Signature Date:
HOME ENERGY SPECIALISTS INC 201409-03 10:04:38
Address: CEA/HERS Certiflcation Identiflption(if applicable):
1180 NORTH FOUNTAIN WAY#F
Ciry/State/Zip: Phone: il
ANAHEIM CA 92806 (714)630-6330
Responsible Person's Declaration statement
I certify the following under penalty of perJury,under'the laws of the State of California:
1. The fnformation provided on thls Certifipte of Installation is true and corcect.
2. I am eligible under DiWsion 3 bf the Business and Professions Code in the applicable classificatlon to accept respons1b11lty for the system design,
construction,or installation of features,'materials,components,or manufadured devices for the scope of work identified on this Certifipte of
Installation and attest to the declaratfons m thts rtatement(responsible builder�nstaller),otherwlse I am an a�ythorized representative of the
responsible builder"/fnstalter � ��`u� � ��'�,�,�I ��,� f k� ��+', �i�,�r:. �"
3. The constructedior{installed'features;m:�terla��omponents o manufadure�evices�he Installation)iderttffled on�thls CerYrficate of Installation
s K ., y�r� e ^�z�C,- � �,+r a nv �r: �,i . s„ .
conforms tora�applicable codes andrregt�ladons;and the iristal aUonticonforrr��to thg requlrerrt,en�g�ven onitie plans acrd speuflcations approved by
the enforcement agency �' ���j'��'`� � �i�� , �jg's�8`1a ..., � 3 P �} ��'�'�, v�,*.'"�'+,'�'i ..,"� ;.
,�z•,T, a �r rta ,� . � fJt 'A a'' ' x
4. I understand that,'a HERS r�at°e�r,�theck#he�l"�st�allatio�n pohvenfy'��compl�aoc�e��,rid lhai�su����c��ecking ideMlfi�sad"e.,�fects;�l�amrequired to take
corrective action at riry eicpense:��Sndeist�od t}iaL'Energy Comriifssbn and HERS ProWder rePresentatives willal;'o'perform quality assurence checking
of installations,Including those approved as part bf a sample'group but not checked 6y a HERS reter,and if those installatlons fail to meet the
requirements of,such quallty assurance checking,the required corrective actlon and additlonal checking/testing of other installations in that HERS
sample group wtlbbe performed at my ezpe'n'3e.
S. I reviewed a copy of the Certificate of Complience approved by the enforcement agency that idenYrfies the spec�c requirements for the scope of
construdion or installation identifed on tFiis Certificate of Installation,and I have ensured that the requirements that apply to the constructlon or
installation have been met.
6. I will ensure that a regis[ered copy of this Certifipte of Installation shall be posted,or made ava�lable with the building permit(s)Issued for the
building,and made available to the enforcement agency for all applipble Inspedions.I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the bulldei provides to the building owner at occupancy.
Responsible Builder/Installer Name: Responsible Builder/Installer Signature: �����G�L�
wayne martin
Company Name:(Installing Subcontredor or General Contractor or Posltion With Company(Title):
Builder/Owner) OWMER
HOME ENERGY SPECIALISTS INC
Address: CSLB License:
1180 NORTH FOUNTAIN WAY#F 685478
City/State/Zip: Phone: Date Signed:
ANAHEIM CA 92806 (714)630-6330 2014-09-03 10:04:38
Third Party Quality Control Program(TPQCP)Status: Name of TPQCP(If applipble):
Digita/ly signed by Ca/CERTS. This digita/signature is provided in order to secure the content of this registered documen4 and in no way implies
Registration Provider responsibiliry for the accuracy of the information.
Registration Number:214-A0087325A-M2300002A-0000 Registration Date�me: 2014-09-03 10:04:38 HERS Provider:CaICERTS
CA Buitding Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-03 30:05:01
Compliance
� _
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge VeNflcation (Page 1 of 4)
Project Name: MARAKAUI,JANE Enforcement Agency: City of Permit Number: 14-4393
Diamond Bar
Dwelling Address: 1155 HEDGEWOOD PIACE City: Diamond Bar Zip Code: 91765 �
A.System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
Ol System Identification or Name SYSTEM 1
02 System Location or Area Served WHOLE HOUSE
03 Condenser(or package unit)make or brand TRANE
04 Condenser(or package unit)model;number 4TTX9060A1000A
05 Nominal Cooling Capacity(tons)of:Condenser 5
06 Condensec.(or.package unit)serial number 142611MH
��.- <:�,;� _ ��-a,.� .,-,��:�,�: ,.n..M. ,:�,.�,�.,:.
u,�. i �a ,�. � �N�s � ��� �r�; „ ��a ;..
07 Refrigerant Type' �� ��� � � r ��� R--4i0A r�' '� '�� �� �
g �� �� � :�,.� ,o- :�;�od,f a �,�, ����,. � �
N
O8 Other Refriger�Flt TYPeaIi�{ap rtal�le� s�'"�,� :� .�r A w� r� �, �',� ,�� , �� ; .
..,.,_� y' � .r d'rc g� s��� �.� .. j.y,,. �' ��. ��"� y� .�;
�. .r�.F �..,.. -a�.. �W. .. �.,...... -s.: ,, . _. `-x.. ���t5r7 �-.,� t A..�� �' e
..r' � t. �S,M..
09 5 stem Installati f y 'P �r ?� ' '* � ' .
y on Type � r �`� A�t ratiorr'` ,�y" �
�,,...:.
10 Charge Indicator�Display:(GD)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
il verified using an approved measurement procedure(RA3.3 rate measurement procedures in RA33 or RA3.2.2.7 can be
or RA3.2.2.7j? 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
RAl)? I
13 Date of Refrigerant Charge Verification for this system 2014-OS-11
14 Refrigerant charge verification method used. Subcooling(outdoor temperature must be equal to or
greater than 55 degF)
15 Person who performed the Refrigerant Charge Verification HVAC system installer
reported on this Certificate of Installation
16 HERS Verification Compliance Requirement Status System qualifies for group sampfing
Standard Charge Veriflcation Procedure-�F2R-MCH-25b-Subcooling Method
Registration Number:214-A0087325A-M2500002A-0000 Registration Date�me: 2014-09-03 10:06:33 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-03 10:06:40
Compliance
I
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Veriflcation (Page 2 of 4)
B.Metering Device Verficatfon
Subcooling Method can only be used on systems that have a variable metering device.
Ol Refrigerant metering device Thermostatic Expansion Valve(TXV)
02 Subcooling Method applicability status Subcooling Method is applicable to this system.
C.Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 ,
01 Date of Digital Refrigerent Gauge Calibration 2014-08-01 ��
02 Date of Digital Thermocouple Calibration 2014-OS-Ol
03 Digital Refrigerant Gauge Calitiration'Status Calibration is current
�.
04 Digital Thermocouple Calibration Status , Calibration is current
+,,� �,��7 �n sa�- v�a; `;,t :, "`M c .��a.; ;�;;:
,. r�- ..: P�ti:.; w.r:,t�,f��..�., tia.r h.��:+: k�, :� 9,iT:ek��:�.�, �'-.. fi �c
n k��� ���� �a-�,
D. Measurement��cess Hol�(NFAFI)���cation ���k� ��'F.��"s �'�� �,� �
� x
� , , u
`� J.'� ,� �� ���xiw ` � ��'��`G ��M,x a`+ti�� ,�r��. ��''� � "
Procedures for ins�a�llmg MaN+at`,�speciflet��in Refere�ce Res�den'��t�4ppendiX���iA3 2`Z 3 ��� �� �'�; �,
�1",'�.�.,r �°� �.n�.� �;5�'.2..u�'r�5 ?�t'3r,l.r„r.i"�',,ti'�L�S�i,i."r.���',�'f.rxil� ,n �' nPi`^�>�»��'9. �....nbM °�,,.en.:?,; `:iF,�.
. ,: ,.. � -. :� .,...: .,.._..���. N .. ' ...._ , i .
Ol Method used to demonsfrate compliance with the � MAH installed and labeled consistent with Figure 3.2-1
Measurement;AccessHole(MAH)reguirement
E. Minimum System Airflow Rate'Verification
Procedures for verifying minimum system airFlow are specified in Reference Residential Appendix RA3.2.2.7.
Ol Minimum Required System AirFlow Rate(cfm) 2500
02 System Airflow Rate Verification Status I System complies with minimum airflow rate requirements
I
F.Data Collectfon 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 74
the refrigerant charge verification procedure(degreeF)
02 Measured Condenser air entering dry-bulb temperature(T 89
condenser,db�
03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04 Measured Liquid Line Temperature(Tnq��a)(degreef) 87.8
Registration Number:214-A0087325A-M2500002A-0000 Registrat(on Date/Time: 2014-09-03 10:06:33 HERS Provider:CaICERTS
CA Building Energy E�ciency Standards-2013 Residential Report Version:2014-05-08 Report Genereted:2014-09-03 10:06:40
Compliance
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Veriflcation (Page 3 of 4)
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.
OS Measured Liquid Line Pressure(PiiQ��d)(pisg) 308
06 Condenser saturation temperature(T��ae�so�,5ac)from digital 98.1
gauge or P-T Table using Line F05(degree F)
07 Measured Subcooling 10.3
08 Target Subcooling 8
09 Compliance Statement:System complies with Subcooling Method-Must also pass metering device verification,next
section
G.Metering Device Verficatio�
Procedures for the verificatiorrof Proper metering device operation are specified in RA3.2.2.6.2 I
- ,.., .,�. ..:�: ,..
.�'..y�'t4tY'{p..:�t'_ �,..K�^�t`':�'tl:' ��-'�.� .c.:Lv�_.m1: . ..bi �r_ _:Y.f '�`C.�
G I�. �� ��� ..,. tF"�i . . �'.'�• �'n �'; t : �} :: -Y
OS Measured Sucfron�line tem'pereture��Tgu�o��)�(degr'eeF�,� , 5�"4 �� -� � `�� �-�
� - , �� �� _�� �.�. � c��. �.�'.y � _ �
02 Measured Sucxion line pressu�r-e{Ps cnon)�(psig) ; �.���5 t �E 1>20��� ��� �. r`�� �e`�' � �� `''
�r A
�+�.. ,a'� ,@�;�,�:; �u,t,�.1;,, "'`r��ar�: �..-:��n �.�:�h ,�.��2� '3�r�''i��,� '���,�"t�: .� �;'r'�;. .a�° tt r.} _'�
, .;.: ,, _'..
I 'P:Y �IK�l,y:C k:S .�� � . ... _ , .
03 Evaporator saturation temperature(T�avwew.,:ac)from 40.3
digital gauge or,R-T;Talile,using Iine;GU2(degreeF)
04 Measured Superheat 18.1
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
Verification of Charge Indicator Display-CF2R-MCH-25d-C!D
H.Cha�ge Indicator Display
Procedures for the Charge Indicator Display Verification are detailed in RA3.4.2
This section does not apply to this project.
I.Charge Indicator Display Additional Requirements
This section does not apply to this project.
Registration Number:214-A0087325A-M2500002A-0000 Registration Date/Time: 2014-09-03 10:06:33 HERS Provider:CaICERTS
CA Building Energy E�ciency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-03 10:06:40
Compliance
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H I
Refrigerant Charge Verification (Page 4 of 4)
Documentation Author's Declaration Statement
1.1 certify that this Certiflcate of Installation documentation is accurete and complete.
Documentation Author Name: Documentatfon Author Signature: ���A�G���
wayne martin
Company: Signature Date: I
HOME ENERGY SPECIALISTS INC 2014-09-03 10:06:33
Address: CEA/HERS Certiflcatlon IdenUflcation(if appliwble): I
1180 NORTH FOUNTAIN WAY#F
City/State/Zip: Phone:
ANAHEIM CA 92806 (714)630-6330
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 tht9 Certificate of Installatlon is true and correct.
2. I am eligible under Division 3 of the Busi'ness and Professions Code in the applicable classiflcation to accept responsibiliry for the system design,
construction,or installation of features,matecials,components,or manufactured devices for the scope of work Identified on this Certifipte of
Installatlon and attest to the declarations In thls statemept(resQonsible bwlder/installer) otherwise I am an authorrzed representatNe of the
�, f... , . . ry�"� '�Yr3y,. mM4p r �4�.M F i .�Y,v�� `k^c � R���.� h�r
responsible builder�installer.,. � � �.rh % s
t x ,: �, �: C�� � t �*�Y z� � r wr ' b
3. The constructed orinstalled.features m�eri�components o�-�rpanuf�actured{dewces�tHe inst�a�lfation)Ide�ti�ied on this CertiHcate of Installation
conforms toaQrapplicable codes an�tl regulatians�and the insta1�ation conforms�Eatttle requireme�grven ont�h'�'�e plans arid speaflcaLans approved by
theenforcemet�t:agency '`' �s f �� "` f�fr Rr�,n` � �`�P :� as.��, ,: � n w�"�' rxr�� '; '',
4. I understand i�atua HE,�.RS�e��n71 she�r,ki the i�,s�l�at�on.totivehty wmp�ance;�end�h�t rf suet�,"�ecicingldentifi�d"��.fe�fs�1 ah�equired to'take
't :.s ;,a
correc[ive adiomat_my ezpense.bundenYand;tFraf.Energy Gommisslon an�HEftS Proyide�representatives will also�perform quality assurence checking
of i�stallatfons,including those approved as part of a sample group but not checked by a HERS rater,and if those installations fail to meet the
requirements.of;such.quality assurdnce'checking,the requlred correcttve actlon and additlonal checking/testing of other Ins[allations in that HERS
sample'group will 6e perfonned:af my ezpense.
S. I reviewed a copy of the Certificate"of Compliance approved by the enforcement agency that ident}fles the specific requirements for the scope of
constructlon or installation idenfified'on this Certifipte of Installation,and I have ensured that the requlrements that apply to the construction or
Installation have been met.
6. I will ensure that a registered copy of this Certifipte of Installation shall be posted,or made a�railable with the buflding permit(s)issued for the
bullding,and made avallable 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: �����Gat�
wayne martin
Company Name:(Installing Subcontrector or General Contrador or Position With Company(Title):
Builder/Owner� OWNER
HOME ENERGY SPECIALISTS INC
Address: CSLB Ucense:
1180 NORTH FOUNTAIN WAY#F 685478
City/State/Zip: ' Phone: Date Signed:
ANAHEIM CA 92806 (714)630-6330 2014-09-03 10:06:33
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 ihe content of this registered dxument,and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number:214-A0087325A-M2500002A-0000 Registration Date�me: 2014-09-03 10:06:33 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-OS Report Genereted:2014-09-03 10:06:40
Compliance
II
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Dud Leakage Diagnostic Test (Page 1 of 3)
Project Name: MARAKAUI,JANE Enforcement Agency: City of Permit Number: 14-4393
Diamond Bar
Dwelling Address: 1155 HE�GEWOOD PLACE City: Diamond Bar 2ip Code: 91765
A.System Information .
Ol Space Conditioning System Identification or Name SYSTEM 1
02 Space Conditioning System Location or Area Served WHOLE HOUSE �
03 Building Type from CF-iR Single family
04 Verified Low Leakage Ducts in Conditioned Space No,credit is not taken
(VLLDCS)Credit from Cf1R7
OS Verified Low Leakage Air Handling Un,it(VLLAHU)Credit No,credit is not taken
from CFiR?
;u:
06 Duct System Compl�at�ceFCategbry . ,.��� � �Aiteration using? oke;test +;F<,
�';r�" :�ri„ "'+�I ,�f�° �s: s'�'=:.� �` •�*+ ��;��.2�,. �, �:� �?.
,.. .
��..� ,-: ;�'��� ':.- .,.: ,������� ��_ .��� k:�"� ��..: �
.� ...
� �i�< `� }, � �R `�r�• �ri�3ii �{`�� ' ���
MCH-20e-Sealin��`AII��Accessible�Le�d'�us,�i�Ing;Smoke�Test �� ����;t 2��� _ � ��� ; :a���� s� . _
��i;k:;{ �,' �'z f) { .T �:�1. ,'•`�''.`��ia""{,��¢', +c3aaYrj�K:,<� �� a+��n z ,y �•,�, �.,...
B.Dud Leakage Diagnostic Test , �
01 Condenser Nominal Cooling Capacity'(ton) 5
02 Heating Capacity(kBtu/h) _ 100
03 Conditioned Floor Area served by this HVAC system(ft2) 2200
04 Duct Leakage Test Condition Test final
05 Duct Leakage Test Method Total leakage
06 Leakage Factor 0.15 ,
�� Air Handling Unit Airflow(AHUAirflow)Determination Cooling system method
Method
08 Measured AHUAirFlow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate(cfm) 300
10 Adual duct leakage rete from leakage test measurement 643
(cfm)
Compliance Statement:System passes using smoke test of an altered HVAC system in an existing building.No visible smoke
il exits the accessible portions of the duct system.Smoke is only emanating from air-handling unit(AHU)cabinet and non
accessible portions of the duct system.Note-Accessible is defined as having access thereto,but which first may require
Registration Number:214A0087325A-M2000002A-M20A Registration Date/Time: 2014-09-03 10:12:08 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-03 10:10:23
Compliance
�
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H ,
Dud Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
removal or opening of access panels,doors,or moving similar obstructions.If access to the ducts requires an object to be
demolished or deconstructed then sealing of those ducts is not required
12 Notes:
C.Additional Requirements for Compliance I
01 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 retum register boots;;were sealed to the drywall.
r:,
04 euilding cayitie3 were not used as plenums or platform returns in lieu of ducts.
wRa�'Y"� �":' �^g'P �f`� 'k:� "aS .4�?wy� �f�''�•qyy� ,f,L ST �, �Y ... ��;
05 If cloth backed tape waszused it was coves,ed with��N{a�9and draw•bands��;�r � � '��t�t}� :.
.k'r�<�.r: ��.9.5��5;_ � .'�t'r."!. i%�,�' �,d�G..i� .w�...:�'.'' Stl�:i.i:t �
�.r+� r n j�'S. �s� . . F ��^' -, ,x„„,� r<� ier .
06 All connettion,points betv�ee thQ�,"air�i'arjdler and th�e�s�pply a���ie�n plen�n`�"js are cQm�plis�xely�ealed � �,
�,...:`!i'. :��� s� .h9r �.,��,, .
-`s�;;.,>-+�t �`'t,;"'r�"-r:�%S%� .": 5�. -�i.ik:.c't �:�� y,"�;��;� w,zP{sk �`:�s.E�'3s���:�'� �u�.��:..,,sr'�rar�y..f_'a �:.n�r.S
07 of Reference Residential A�endix RA3'1.4 3 6 S stems thaf comest was;condUcted in accordance with the requirements
If the s stem com fies usin the:Smoke Test'methoc�`�t e smoket
pp y ply using smoke test shall not be included in sample
groups for HERS Venfication compl�ance.
�,,;-
O8 Verification Status: Pass-all applicable requirements are met
09 Correction Notes for this table:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwlse noted In the Verlficatlon Status and the Corrections Notes in this table.
D. Determination of HERS Veriflcatlon Compliance
All applicable sections of this document shall indicate compliance wlth the specified verification protocol
requirements in order for this Certificate of Ver�cation as a whole to be determined to be in compliance.
01 Complies:All specified verification protocol requirements on this document are met.
Registration Number:214A0087325A-M2000002A-M20A Registration Date�me: 2014-09-03 10:12:08 HERS Provider:CaICERTS
CA Bullding Energy Efficiency Standards-2013 Residential Report Version:2014-OS-08 Report Generated:2014-09-03 30:10:23
Compliance
— - �
' CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Dud Leakage Diagnostic Test (Page 3 of 3)
Documentation Author's Declaration Statement
1.I certify that this Certfficate of Veriflcation documentation is accurete and complete.
Documentation Author Name: Documentation Author Signature: ���
Don DeAngelis
Company: Date Signed:
Coast Aire 201409-03 10:12:08
Address: CEA/HERS Certificatfon Identification(If applicable):
14 Santa Catrina 639
City/State/Zip: Phone:
Rancho Santa Margarita CA 92688 949300-3494
Responsible Person's Declaration statement
I certify the following under penalty of perJury,;under,the laws of the State of Califomia:
1. The information provided on tFiis Certificate of Verffication is true and correct.
2. I am the certlfied HERS Rater who performed,the verificatlon identified and reported on this Certificate of Verlfiption(responsible rater). i
3. The installed features,materials,comporients,manufactured devices,or system performance diagnostic resutts that requlre HERS verificatlon
identified on this Certiflcate of Verification comply wdh the appliwble.reqwrements in Reference Appendices FiA2,RA3,and the requirements
spedfled on the Certifipie-bf Compllance�for the 5'WPding appro�d b'y";tie enfo��metart agency �, '"' �k "'.
4. The informatw�reported on'appllcable;�ctions'�,of the Ceififiqte(s)of Installati��n(CFZR)sig�ed��nd submttted b�tFie person(s)responsible for the I
construdlon+rat�installation confoims to#he fequlrements spec�ffied oci'the Certrfirate(s7 of Comp{iance(CF1R)"approved:by the enforcement agency.
,���,: . n �w v� . . e ti .'� Yd�`�t. +. .- �� z-..
5. I will ensure#hat�a'registered'copy�of tNis Cefxif�eate of Verifieat�oh shall be posted tll'made a4allable.wrth the�Buitdmg�permlt(s)issued for the
building,and made av�afTab�to the er%rcement agencyfor altappheab�e,ins�eiw�s�l und�e xrstand'.that`a�registe ed copy�of th�s4Cxrtlflcate of
� n a�. nn�, r•.�'�. . 7`rs.Ytt+,. - „.=Y'�
Verification is req�lred to be;lncluded;with Lhe doeumentation�Yhe�b�ud8er proytdes td'fhe budd(ng ownec at'occupancy. ' �^
Builder Or Installer:Information As Shown On The Certificate Of Installation
Company Name(Installing Subcontredor,General Coiitrador,or Builder/Owner):
HOME ENERGY SPECIALISTS INC
Responslble Builder or Installer Name: CSLB License:
HOME ENERGY SPECIALISTS INC 685478
HERS Provider Data Registry Information
Sample Group Number(ff applicable): Dwelling Test Status in Sample Group(if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Coast Aire
Responsible Rater Name: Responsible Rater Signature: ��� �
Don DeAngelis
Responsible Rater Certification Number w/this HERS Provider: Date Signed:
CC2004161 2014-09-03 10:12:08
Digitally signed by Ca/CERTS. This digita/signature is provided in order to secure the content of this registered documen�and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number:214-A0087325A-M2000002A-M20A Registration Date/Time: 2014-09-03 10:12:08 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-03 10:10:23
Compliance
�
TI N CF3R-MCH-23-H
CERTIFICATE OF VERIFICA O
Space Conditfoning System Airtlow Rate (Page 1 of 4)
Projed Name: MARAKAUI,JANE Enforceme�t Agency: City of Permit Number: 14-4393
Diamond Bar
Dwelling Address: 1155 HEDGEWOOD PLACE City: Diamond Bar Zip Lode: 91765
A. Ducted Cooling System Information
Ol System Identification or Name SYSTEM 1
02 System Location or Area Served WHOLE HOUSE
03 System Installation Type Alteration
04 Nominal Cooling Capacity(tons)of Condenser 5
OS Condenser Speed Type - Multi-Speed i
06 Cooling System Zonal Cont�ol Type ;�';, ZoneControlled I�
,.
07 Central Fan Integr�tted(LFI)Ventilation Syste�rnStai}�s�,�� ..,:,,� Not�a CFl,syst,em���,.�.�-- � ;4-� �„�o .
:a :�3:. �
�, ,.
-� ,>a z"�a.�� � , f.x .,�-• r' � �r�':
;, , y.:..
..
O8 System Bypass Duct Status � r'� ���� � �' No��rpass�Duct� � �r�= �
'mc`.�.I ��;��5��.�Z'��,�� , .�r't,: d�tr���,�r *�t , ' �k1�pi '.�, :.
� � ��� h � s �''r : d �..� � �r� },��u €'r�+g� e f�� 5�"��a 1 � r�'
09 Date of System��irflov�r��e�I'�eas��.�,reme�t p x�- ��'�� �' �0,�,4 08,s29-; �.,�� � ���,_�j ' �r,,�,'�' � �a
t�F;,�,..n'P ta^s�"�r'1�,'�5'�"ii,'�`�.r :.,.r_��i�r'`,. l�'�'.�; �" c ,u' 'ti,�'��,}"»t''�:.a � 'ri` .f'3 �' �� a:i:�
,.,. ....... . .. ..,�,,.,..: .f.,... ..., .,. . . . .
10 Airflow Rate Protocol utihzed � RA3.2.ZJ3 Alternative to Compliance with Minimum
' ' • System Airflow Requirements
B.Hole for the placement of a StatirPressure 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.
Ol 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.
Ol AirFlow Rate Measurement Type used for this airFlow rate Flow Grid according to procedure in RA33.3.1.2
verification.
02 Manufacturer of Airflow Measurement Apparatus DUCTBLASTER
03 Model number of Airflow Measurement Apparatus DUCTBLASTER
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:214-A0087325A-M2300002A-M23A Registration Date�me: 2014-09-03 10:12:08 HERS Provider:CaICERTS
CA Building Energy E�ciency Standards-2013 Residentlal Report Version:201405-08 Report Generated:2014-09-03 10:11:33
Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Alrflow Rate �Page 2 of 4)
MCH23c Alternative to Compliance with Minimum System AirFlow Requirements for Altered Systems
D.Alternative to Compliance with Minimum System Airflow Requirements for Altered Systems
The installer shall attempt to correct non-compliant system airflow rates by performing the following remedial actions
as specified in RA3.2.2.7.3
Ol Determine that the air filter media is clean.If the air filter Completed
media is dirty,then replace it with clean filter media
02 Open all registers and dampers and remove any Completed
obstructions.
Replace/Repair all accessible crushed,blocked,restricted, Completed
03 remove excess length,and sharp bends in ducts.Supported
every 4 ft max.with a max.2 in'sag�, .
04 Clean the evaporator`coil.according to"the manufacturer and Completed
ensure the�coil.is not ob§truded. :;;
� � «++s�`"'f'.%in. ;;�'r:;r.=�,r -�,. :.^.,,�.: m.:.,rrr-r,.r^�'.s"�F s,rs' ���:s�d
,m:
.�` . i � i � .�
05 Air handler farr speed set to high and blower wheel and,wC+ Cqmpleted � � �;,�
motor are operating properly���: �' `��`�� ���� �'��'�'����" '� � ��� * �
t�'� ��`�;;�k� � �''v� Y� � �• � t�+ �� � r� z .
r. � . 1�i k t ; "S p '»pv i`i': �[
• "rt �i '.. f .. 3 y���.. 1 '- �' Y .
06 �f determined tolbe�too smaN;repface th�e retam duct wit#t�'a �Comple'ted �k�r� '' �-� '�_4��' . •.�j�'��k� x;
larger one and/or add a second'return:duct� �
�� If determined`to�tie too small;replace the return grille with Completed
a larger area grille.
O8 Verification Status: System complies
09 Correction Notes: N/A
Optional Notes:additional information not relevant to N/A
10 correction for responses given in Rows 01 through 07 in this
section:
E.Forced Air System Airflow Rate Measurement-Best AirFlow Rate Attainable
The procedures for System AirFlow Rate Verification are specified in Reference Residential Appendix RA3.3.
01 Required Minimum System Airflow Rate(cfm/ton) 300
02 Required Minimum System Airflow Target(cfm) 1500
03 Actual System Airflow Rate Measurement(cfm) 983
04 Compliance Statement: System does not comply with minimum airflow rate
requirement
05 HERS Sample Group Eligibility Not Eligible for HERS Sample Group for Airflow
Registration Number:214-A0087325A-M2300002A-M23A Registretion Date�me: 2014-09-03 10:12:08 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-03 10:11:33
Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 4)
F.Additional Requirements
Ol Air filters that meet the applicabie 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 the airflow rate 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 RA3.3.1.
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 tFie diagnostic test.
OS System fan was set at maximum speed during the diagnostic test.
�� �
06 ff fresh air duct i arf'of he HVAC sy�stem�t�was�pt"c�osed�durin�,xhe di�g�t�stic i,est��; �r, . �� ,
07 Airflow rate and�ian watt d�alw�s al�b�_}�nultaneou��asurements�w1ien`use `��calcul��# e Fart�Efficacy tested value.
� ,.�rr � �F- �.� ,� , - .
��v`• ,a' ���.�., �� ����, .,s,
"�'�u� � � �i,� ��� � p �: hi �"� K�.��•,�a ; r-uv :-�,:� [Yk ���.r.r� �r;�� r. �,,.;�,� .;•,
Multi-speed com{�re5sor�ssp�ceacva►�ig �r�s�r�'�"able spee2f`comp�,esso.r-�stems khall v�ri£�,�r�f�ou��(�fm/,ton)and fan
,,,�: � a���,� kr� �'� 1,�. , �,..
O8 efficacy(Watt/cfm)with system`operating in cooling"mode'at the maximum comp�essor speed�and tFie maximum air
handler fan speed.,;;
09 Verification Status Pass-all applicable requirements are met
10 Correction Notes
The responsible person's signature on thls compliance document affirms that all applicable requirements In this table have
been met unless otherwise noted in the Verlflcation Status and the Corredions Notes in this table.
G. 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.
01 Complies:All specified verification protocol requirements on this document are met.
Registration Number:214-A0087325A-M2300002A-M23A Registration Date�me: 2014-09-03 10:12:08 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-OS-O8 Report Generated:201409-03 10:11:33
Compliance
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: ��� �
Don DeAngelis
Company: Date Signed:
Coast Aire 2014-09-03 10:12:08
Address: CEA/HERS Certification Identification(if applipble):
14 Santa Catrina
City/State/Zip: Phone:
Rancho Santa Margarita CA 92688 949300-3494
Responsible Person's Declaration statement
I certify the following under penalty of pery'ury;under 4he laws of the State of Calffornia:
1. The informatlon provided on thls Certificate of Verification is true and correct.
2. I am the certlfied,HERS Rater who performed the verificatfon identified and reported on this Certificate of Verification(responsible reter).
3. The installed features,materials,compoiients,manufactured devices,or system performance diagnostic resultr that require HERS verification
IdenUfied on this Cert�iflcate of Veriflptton`comply with the appllcable requirements in Reference Appendices RA2,RA3,and the requirements
specified on thejCxertiflnte of.Compliancef8r th�bti�iiding�approved b`y"tf`ie enforcer�em agency.�Y�` '����'����f...
� ...; ..;. P}CQ6�,- - M'.:. �a+� zr '�r: i .k. "_ � r, �;
4. The informatW�reported on;applicable�rti�of the Certificate(s�of Installaflqn(CF,2Ft)signed and:5ubmit[ed:by the.person(s)responsible for the
constructlon arxlnstallation cor�for"t u to?fhe�eqt�(ements spe�Pfi'�'e� the C �cate(s)of Compl�ance(CFll�j approved�by the enforcement.agency.
s .0 � . �+ ,.�.ya sr- � w'P� �. r�-, � -�
5. 1 will ensure,t�hata register�d copyyof;t{�1;C�cate of Verifit3�on shall be p�ed,`��,o.r�,made a�va�l�ble.with the`bu�J�ding�per�nit(s)issued.fu:r the
building,and,made avallable tdµ�e enPnrcemQnL agen�for�t appli�ca�„pb'I,e�in�spy�eetio��l�uniierstar��d tFiat�a�reg;,f�ered co�,py�of t�h�s�rtificate of
+.,�;b.�� °�, .,,� .�wr r=o
Verification is req�ired to'be�iriBudet}�witMrthe ifo�cum�tiorrYhe�bullder provides to the tiuilding'owner a�.occupa�icy. '^
Builder Or Installer;ln€omiati,o,n As:Shown On The Certiflcate Of Installation
Company Name(Installing Subcontrddor,6eneral Contrac[or,or Builder/Owner):
HOME ENERGY SPECIALISTS INC _ -
Responsible Buflder or Installer Name: CSLB License:
HOME ENERGYSPECIALISTS INC 685478
HERS Provider Data Registry Information
Sample Group Number(if applicable): Dwelling Test Status in Sample Group(If applicable)
Tested
HERS Rater Information !
I
HERS Rater Company Name:
Coast Aire
Responsible Rater Name: Responsible Rater Signature: �
Don DeAngelis �� P.�4�
Responsible Rater Certifiption Number w/this HERS Provider: Date Signed:
CC2004161 201409-03 10:12:08
Digitally signed by CaICERTS. This digital siqnature 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 informaUon.
Registration Number:214-A0087325A-M2300002A-M23A Registretion Date�me: 2014--09-03 10:12:08 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-OS-O8 Report Generated:2014-09-03 10:11:33
Compliance
i
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerant Charge Verification (Page 1 of 4)
Projed Name: MARAKAUI,JANE Enforcement Agency: City of Permit Number: 14-4393
Diamond Ba�
Dwelling Address: 1155 HEDGEWOOD PLACE City: Diamond Bar 2ip Code: 91765
A.System Information
HERS Rater to fieid-verify all system information,discrepancies to be noted by overwriting entry.
01 System Identification or Name SYSTEM 1
02 System Location or Area Served WHOLE HOUSE
03 Condenser(or package unit)make or brand Alteration
04 Condenser(or package unit)modei number S
<<.:��.
05 Nominal Cooling Capacity(tons)of Condenser 5
06 Condenser(or package unit)serial numbe� ZoneControlled
..�•a>ia �5mu�y, .xs�<.e�.,�i��i�, . ..��.nn.�s.a,�. _ ,,^•;�� s ;a "-'�[au�:
�,��' � ., �� x�,�,� � ��.s� R .3�=:��� , ���,. ��, �
+, - e , � �s' s �a' ia
r
07 RefrigerantType ,, �;� � r i „�';
,,...rc . ,��,1.�:.,. J ..n„' ' f,.s�w., �i,,:�. .
��[i� .:. zaE?' ��NY ' �,�'�`�' �"�q��✓ A�� h�;�� . "���" "�';k a , 3
08 OtherRefrigera�t-.TYP�1��Xt�<��a����..�` ''�,' ��a*``_.,w'�'�Y.,,.Rr;'�,- �c,�..(�`^���� ,�v�i� , ,��.., 1�'�..��u"�=:r�.
�..�; -t=E � �:�7 :�n,F� -,.ra.�1tS �'�i���;:;P^i' d�1..'f..;.; .`.,�.; r,,.. _ a�,..,,,,...;� ..,, .
. .. . :,.,; :-.
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 fiave refrigerant,cFiarge verified by instalier)
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 RA33 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 refrigerent 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 SSF(RA3.2.2,or
RA1)?
13 Date of Refrigerant Charge Verification for this system 2014-08-29
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 HVAC system installer
reported on this Certificate of Installation
16 HERS Verification Compliance Requirement Status System qualifies for group sampling
17 Refrigerant charge verification method used by HERS Rater. Subcool
Registration Number:214-A0087325A-M2500002A-M25A Registration Date/Time: 2014-09-03 10:12:08 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Genereted:2014-09-03 10:12:04
Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerant Charge VeNficatton (Page 2 of 4)
Standard Charge Verification Procedure-CF3R-MCH-25b-Subcooling Method
e. Metering Device VerFcation-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.
Ol 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 thefr diagnostic tools.
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01 Date of Digital Refrigerant Gauge Calib�ation 2014-08-01
02 Date of Digital Thermocouple Calibration 2014-08-01
03 Digital Refrigerent Gauge�Calibration�5tatus�„*�""�,.� --� � Calibrafion i5,current- � ', F
.�<. �� ��. „�:- �i: �� �:�s x�.�...y �`!, ��-� ,�'¢:.
�� , �:.., � � . �n �� t� _.:� �e�t�,�;r� ���:
04 Digital Thermdrouple CalibraCi�'�'a St us� +��� �� m� Calt raE"ior�is cur'�ent `� r �:
M,�s _d{ �g-� �F, ���,�. �iF �.,_ .�.��.�;� t�'��
,.� ., ,y
�+.:..':< r"r,�".N.a'd"�;r:sCx�iF.?7�I'.`_ Wx4.''.1��'� ..,� ����'C�.� .. -t�.,,e�'u�'S€F...r`14;�D�s �::�.o�;�Ye.St�',._... � �•. Cw.� �'Ay.�:•��.
rl
..it�.+E �FL�,,'., �a y,i a ., �K'��*�4a:' �}.:s; 4�rx•�; s�'kSr�;,i�.:,�ii e.F',,+.a:�,� .i;yo n�F"'� -k r r��K iY'�'"`3�n±'•.':�:
D.Measurement Access Hole�(MAH)`;U�rifratibn,-'HERS Raters are required to�visually field verify MAH
;;:� . .- .
Procedures for�installi,ng MAH�are specified in Reference ResidentiaF Appendix RA3.2.2.3
{;; , ..
Ol 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 Veri�cation
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.2.2.7.
01 Minimum Required System Airflow Rate(cfm) 1500
02 System AirFlow Rate Verification Status System complies with minimum airflow rate requirements
F. Data Collectlon-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
Ol �owest return air dry bulb temperature that occurred during 74
the refrigerant charge verification procedure(degreeF)
�� Measured Condenser air entering dry-bulb temperature(T 89
condenser,db�
Registration Number:214-A0087325A-M2500002A-M25A Registration Date/Time: 2014-09-03 10:12:08 HERS Provider:CaICERTS
CA Building Energy E�ciency Standards-2013 Resldential Report Version:2014-OS-08 Report Generated:2014-09-03 10:12:04
Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 4) I
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(Tnq�m)(degreeF) 87.8
05 Measured Liquid Line Pressure(Pi�y��d)(pisg) 308
06 Condenser saturation temperature(T��d�o:or,�c)from digital 98.1
gauge or P-T Table using Line FOS(degree F)
07 Measured Subcooling 10.3
08 Target Subcooling � 8
09 Compliance Statement:System complies with Subcooling Method-Must also pass metering device verification,next
. �
sect�on
T!�'�`� �t��". "�" .:.fC°s`�����`�7�:'. '�rr�`Y`�+ .! :�i�t`��N' .,�`� "" a� ;,��.,,,,,1.
9cT��tyk f'::' s�f �t"6"�y�� yN' : y p
f�'�X ' �fi..t„'/�}. tf4.`c i'{r'�`�� nZ(:f!H�� R�3�.. J.'F�S�r.::". �� . .
��� t ) .. . .. �r� � �'�s �r .
G. Metering Devi��1/erficati n �( �'� ' �?, ,��' �''�' �•c
�a�� i��:.�������' „4 r: h-`� S ��`a�� ...,..}��x�'t � � ���2� �'?� �. �:w '�'.�
1 � ,i�.�, ,x"`�Ttk�l u � f,�'� i zt��° e��P 49 x �f Y R M �i i�' 4� P�
Procedures for the vek�#rcati�o#'��rt�pe��rr�eier�ng deu�ce op��r�atia�ar��p�crfi�d in�A3..2aF�5.�'��+ ��°'6#ti�°�
a ,
Ol Measured Suction-lfne'temperatuce,(Ts�non)(degreeF) 58.4
02 Measured Sudion line pressuke(P:`�esio�)(psig) 120
03 Evaporator saturation temperature(�Tevaporator,sat)from 40.3
digital gauge or P-T Table using Iine G02(degreeF)
04 Measured Superheat 18.1
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 Veriflcation Compliance
In order for the system to comply with HERS Veriflcation Requirements,this Certificate of Verification must indicate
compliance with all requirements for:lnstrument Calibration(C),Measurement Access Holes(D),Airflow Rate(E),
and System Refrigerant Charge(F).
01 Complies:All specified verification protocol requirements on this document are met.
Registration Number:214-A0087325A-M2500002A-M25A Registratlon Date�me: 2014-09-03 10:12:08 HERS Provider:CaICERTS
CA Building Energy Efficlency Standards-2013 Resldential Report Version:2014-05-08 Report Genereted:2014-09-03 10:12:04
Compliance
CERTIFICATE.OF VERIFICATION CF3R-MCH-25-H �
Refrigerant Charge Verification (Page 4 of 4)
Documentatfon Author's Declaration Statement
1. I certify that this Certiflcate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Don DeAngelis �j �{�j�� �� I�
Company: Date Signed:
Coast Aire 201409-03 10:12:08
Address: CEA/HERS Certification Identifiption(if applicable):
14 Santa Catrina 639
Gty/State/Zip: Phone:
Rancho Santa Margarita CA 92688 949300-3494
Responsible Person's Declaration statement
I certify the following under penalty of perju,ry,.u�der the laws of the State of California:
1. The infortnation provided on this Certificete of Verffication is true and correct.
2. I am the certifled HERS Rater wha performed the verification Identified and reported on this Certificate of Verification(responsible rater).
3. The installed features;materials,comporients,inanufadured devices,or system performance diagnostic resulu that require HERS verlficaUon
identified.on this Certificate of Verffication comply wfth the appllcable requirements in Reference Appendices RA2,RA3,and the requirements
specified on the�e[tiflc�a of Compliancefor the.b"ili�ding.approve'd,�iy ihe enforcemeM agency"� ""�'� .�` �K
4. The Informat '� � ����, �P � � . �a �� �- n� t
�lot�repbrted on appl��ble�.SecUq��of;the Ceftificat�(s)of Install�t�pi�(�2R)signed and,submiL#e�,by�th�e person(s)responslble for the
construdlo��hinstallation c��toft�he�e�uiremenu spe�iedto�n,the CF�flt�ate�(s)of Compfirence(CF1R�a�roved 6y the enfoicement.agency.
5. I will ensure that;a registerecf co y nf this Ce icate of Veriflcat+oh shall be osted-cocmade av.t��le;wdh the b'Liltlmg� ermit(s)issued fo'rthe
d��'�` i'ab�ie,toi e�""e��agen for,a a licatile,i��'`E o t unde�nd fFia} re ' � � � er[ificate of
building,an made ay�� h � �PP � �a glsC�d cqpy-o�f�5��
."4�-w�t xYfzt'i"':., R'� � �*c�s+swz,cx' nt5{ � 9F".n'�+�$ ''a-:=!' ��.,r ww&r '�x , , .�*J`h .,., t�:± �r,�! {�d�f'�!!''...��.
4 „} " Ider pro�des o the buil�fng owner aL oceupan�y.' .
Verification is re fred to be Induded wKh the ocumerrtaUon e�u(
Builder Or Installer;l�ormation As Shown On The Certificate Of Installation
Company Name(Installing Subcontractor,General Co�ntractor,or Builder/Owner):
HOME ENERGY SPECIALISTS INC
Responsible Builder or Inscaller Name: � CSLB License:
HOME ENERGYSPECIALISTS INC 685478
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:
Coast Aire
Responsible Rater Name: Responsible Rater Signature: �
Don DeAngelis �g�j� g��'y
Responslble Rater Certiflcation Number w/this HERS Provider: Date Signed:
CC2004161 2014-09-03 10:12:08
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the conient of this registered documen�and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number:214-A0087325A-M2500002A-M25A Registretion Date/Time: 2014-09-03 10:12:08 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-03 10:12:04
Compliance
i�