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HomeMy WebLinkAbout14-5150 �' :� �,,,,,,_. CITY OF DIAMOND BAR ` i;; fl�J���� ` DEPARTMENT OF COMMUNITY&�DEVELOPMENT SERVICES � - 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �h,��,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION ` APPLICATION DATE: P/C# s JOB SITE ADDRESS �' /� _pERMIT# i ISSUE DATE: ��/�'G/,yy I� j%`�/,1"� z APN LOT TRACT � � OWNER TYPE CONST. OCC GROUP: y n ADDRESS � � � ZONING SEfBACKS J CITY' ZIP�,�TEL. FRONT RW ❑ xAPPLICANT TEL. /�" �IS REAR ❑ � SIDE/SIDE STREEf RW ❑ ¢ CONTRACTOR ip r Jr/[< <JT/�M�11�[j(J�� SIDE ❑ T— � ADDRESS�rI .!(�!/G" �RLtI11LI�� � CITY �l�ir L.f � ZIP��q-�—�TEL. �i�� ��� r�,�� PROPOSED USE b��6�.�-� j ARCH/ENG/DESIGNER y Z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS zd. CITY ZIP TEL. � OwNFA-BUIIDER DECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION � j I hereby affirm under penalty of perjury that I am exempt from the Cantractor's State LJcense Law tor the reason(s) SFR/ADD/FIEM I � indicated below by the checkmark(s),I have placed next to the applicable item(s)[Sectlon 7031.5,Business end Garage/Carpat I � Protesslo�Code:My clly or couirty that requlres a permit to consW�M,alter,Improva,demollsh,m repalr,airy z structure,prior to ffs Issuance,also requlres the appliwrrt fa the permft ro file a signed statemaM that he or she � Patio/Deck ( i Is Iice�ed pursuaM to the provisiare of tice Contractor's State Lice�e Law(Chapter 9)Commencing with SecUon w � 70W of Division 3 of tlie 8usinass and Professlons Code]or that he or she is exempt from Ilcensure and the basis for � Pool/Spa � me alleged exemptlon.My vlolation of Section 7031.5 by any applicant for a permR subjects the applicant to a civil penalry Z Re-Roof � r of not more than flve hundred dollars($500). � I � (�I,es owner of the property,or my employees wtth wages as their sole compensation,will do(,all of or(,portions � Commercial I y of the work,and the structure is not intended ar offered for sale(Sectlan 7044,Business and Rofessions Code:The m I Z Contractors'State License Law dces not apply to an owner of property who,through employees'or personal effort,bullds y ar Improves the property,prmided ihat the improvements are not intended or offered for sale.If however,the bullding or I � improvement is sold wlthin one year of completion,the Owner-Builder wlll have the burden of proving that it was not built � or improvetl for the purpose of sale.). I � '� (J I,es owner of the property,am exclusivety antracting with licensed Contractors to construct Ne project(Section � 7044,Business and Professlons Code:The Contractors'State License Law does not apply to an axner of property who Valuation: Adj.Area: I Z buildsorlmprovesthereon,andwhocontractsfortheprojectswimalicensedContractorpursuanttotheCoritractors'Shate QUANTITY DESCRIPTION FEE n Y License Law.). I . � U I am exempt from licensure under the ContractoPs State License law fir Me following reason(s): � I � By my signalure bebw I acknowledge that,except for my personal residence in which I must have resided for at least one � I = year pdor to completion of the Imprmements covered by this permit,l cannot legally sell a structure that I have buitt as an w ovmer-builder if It has not been constructed in its enU2Ty by licensad contractors.I understand that a copy of the applicable � � law,Section 7044 of the Busineu and Professions Code Is avallable upon request when this application Is submitted w at I � the tollowing Web site:http/www.leglnfo.ca.gm/calaw.html. �' z = DATE: SIGN: � I — LICENSED CONTHACTOfl'S DECLAFIATION � I a I y I hereby affirm under penatty of per�ury that I am licensed under provislons of Chapter 9(canmencing with Sectlon 7000) � of Dlvision 3 of the Business and Professlons Code,and my license Is In full Nrce and eflect. 1 I • n LICENSE CLASS: C�7� L1C.NO.:��.'7.�` � � � I Z DATE:�I��.�/W CANTRACTOR:�L��' f�(�y'F)',�Id1�"�v w I�L� I I ¢ WONI�A'S COMPENSATION DECLAHATION � � � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � I have and will mairrtain a Certlflcate of Consent to Sett-Insure for Worker's Compensatlon,as pmvided by CONSTRUCTION: � Section 3700 of the Labor Code,for the perfortnance of the work for whlch this permit is Issued. p�qN REVI EW: > __�I have and will maiMain Worker's Compensatlon Insurance,as requlred 6y Section 3700 of the Labor Code,for � the performance of the work for which this permit is issued.My Worker's Compensaflon Insurance Cartier and ELECTRIC: Zd Policy Number r �. PLUMBING: y CARRIER_�L�IY"Jn MECHANICAL: ,"�Z � POtJCYNUMeER ��(,��,Z�/�`7� INSPECTION FEE: n (THIS SEC110N NEED NOT BE COMPLEfED IFTHE PH1MR IS FOR ONE HUNDR�DOLLPRS($100)OR LESS). - issu,aNCE: .l'r7 � I certlfy that in the perfamance of ine work(a which this permd Is issued,I shall not emplo�any person In any manrrer so as fu S M I P: � becane subjec[to me WorkeYs Compensation Laws ot Calttomla Md agree tliat'rf I should becarre subJect to the Wakers L Compensatio mvis ot Sectlon 370o of the La6a Code,I shall torttMnth canply wim mase provisions. EN ERGY P/C: J J onre: � naPucarrr. 1 � ENERGY PERMIT: � WARNING�Failure to secure Worker's Compensation erage is unlawful,and I subject an employer to cnminal RETENTION FEE: � � y penaltles and clvll hnes up to one hundred thousand dollars($t00,IX10),In addltlon to the cost of the compensatian, i damages as pmvided for in section 3708 of the labor code,interesC and attomey's tees. PRE-ALT FEE: � i CONSTHUCTION LENDING Af�NCY BSAF: y I hereby aKrm under penalty of perjury that there is a Conshuction Lending Agency for the pertormance of the work for = which thls permtt Is Issued(Sec.3097,Civ.C.�. � LENDER'S NAME: = LENDER'SADDRESS: i I certify that I have read this application and state that ihe above Informatlon Is correct.I agree to comply wlth all city and TOTAL FEES ;���t, Z couMy ordinancas and state laws relatlng ro bullding consWction,and hereby authorize representatives of this counry to COMMENTS: 7 � enter upon the abwe-meMioned property for inspection purposes. ¢ PERM�E N C(��� , � '�5 e.��---�—� �,t z� ►�/ � = SIGN�E OF RMIT'fEE DA� �� RECEIPT# J PAID BY:�y r VALIDATION: . WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—ApplicanYs Copy CITY OF DIA,�I�OM� BAR � � INSPECTIUN RECORD . � o . � - • o e • o � r . .�_ ., � �SFTBAG{U�tE"FTER *��i��'� :�������.��-��.s.`';., � <�" . ��.. : "' : TRACTAND IEDGER ��•� �. FQOTiNGS FORIViS�.�����` ,.�� �,.����� x� ' � � SWITCH GEAR � "' �8(_Ag�. - ���� ::�_ � .. � � ^ �.�!_`�' ,�,�. � "�.�*� �:��:.�.W' COMMERCiAL HOOD {UG�PLUMBING.� ���� ��������� -� -.,���� �-��`�'' : �� T-BAR ',t1G.ELECTRIGAI:�-��������s�°����*���,��'� � „�� INTERCEPTER ;UFER GRGiUND.<a���.P�`�� -§: � .,,�.���=�.�° �� _.,.,��� .; � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVEQ SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT •�,� '� � PUOUSPA -� a � �' ��� �r. ,�� . � � � � � `SHEAR WALtS IXTERIOR�'� �%� �� �, � ��� � � .<� ��� '� ��� �� 5NEAfi WAl.LS INTERIOR .��� ,��� b � * � � ROUGFi PLUMBING�� �� �� �„ �, � s� � ,FRAMINGNENT(flIG � � ��� ` �� � " ;�� � , �� fi �` ����`¢ �.� � s- � ��" � � `� �"� �^�°'� �� ��� Fi0UGh1 ELEG7RICAL � � � ���� � � �' . � � � �,�°� �� � � , � _ -s�_ �. ;; p �-a ..'� a�,�.-M ,�„� ,;.,��: �*-'�" --"� � - �" �* ,�- �ROUGH MEC_�� AL,..���a,� , � 1��� �� ��' `_,�� � ROUGH MEGNANICAC�a� �� �`��� ����<�°��� � �;� 'ROUGH ELEG�T � AL�W(-)���f�1.� '' ���� � �,� ��'=E� �° ��.� _ GAS TEST x�� � �:� ����������' � '� � � ��� � �� „ �..-,�. , � .� � � �� ��. ,�� T�� � � �� �`'��� �' �� � !ROt1Gli,PLUMB.NG� ��na �. �� �•.s ..�,� E � ,� ,yA �, � , ,.,,,� F�E GUt�a.; � �� �, � ��:: � �: �'� � "�,� � .� �. y.., INSULATION WALL, " ' '.:.�., � : F?O(tLmPRE"DECK.BONDING � •;�`�� ��� '�� '� ; °' ���°�..,.,�,�� INSl1LATI0NCEILING ,P>TRAP:- ='' �a����°��`� � � ��" �� �� `�� " ��� �� �� _ � E �.� � .:�� � DRYWALL }FENCE-IGATFJAIAfiM "�� � `' � r �� '°��" � � < ���� � �� - b� � �. ,� � LATH(PREj �FINQL�P�OOL� �, °��'_ �� `�^�� �� �;;���z��n� ��� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2N°( j LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION � � ���``�� �� :� � � � �� � RO FfZAMItVGPLtWNIN�GAPPRDIIAL �� �a,R�5�'; „r;,g� ��°� :� , ���� .� ,m � .� �.� �- �� ,,� `�. �FINAL BUILDIN6��� ' ��� � „�' �; ROUGH FIRE APPROVAL � � �� � „�� � � .� ,���� , .�,. � � �' � � ��^� � � s�'.'�r �..;.� �� � � »�+u����� ��.�.€�+� �� �, FINAL(NECHAN(CAl ���� � � � �FiNAL�FIRE DEPARTNIENT���� �� , .�. � � �� IFINAL�ELECTRiCAL �.; � �� � � �; '- ��� � ,. � ��"�`' �� gFI,N�L PLANNtNG �'' ,� ����;,� � `� >� � � � " � ,� �`" , � , � �".� �,� � ��� � FtNAL ENGINEERING/�P1N �w .. ��" � �-�� �"���� �FINAL�PLUMBIN� � �.,��...�� � �` � � ' �� ��� ��'�� ., � n� ° , a _ � � _ � � _ �� : .�� �a� . � 3 � �� ����,�� �7.C:ofgOCCl1P:0.NCY �'`�� ' ��e�; � ` �`�� �.� '� �.�s�� �` FiNALCOWIMUNITY�SERYICES, ��, ,�� . �.� � z: „ �� `CEIiT.'ot�OCCUPANCY w ,�: _� � T �, ,::''� . .� ,�a;A. .. .� ��� � ����. �.�� FINAL�HEALTH DEP1'� .: �� K � ��+�° � � � � J' � � ,FINAL�INDUS7RIAE�WASTE �.� ��,���' � °�� '�`� �� `��� � '�� � �`� �_ _ o� . �.�,�� ..,���_ �..� � �� COMMENTS: STATE OF CALIFORNIA , . ;.E�� � ���jJ� ALTERATIONS - HVAC ��`'"�' CEC-CFIR-ALT-04-E Revised 06/14 � CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) (Page 1 of 1) Site Address: ' � nforcement Agency: Date Prepared: Permit#: G Equipment Type Equipment Efficiency New ucting,Plenums,Linesef: Co ditioned Thermostat Required R-value Floor Area(sq ft) I �Packaged System 9,7 Evaporator Coil qFUE COP �R-6 (CZ 2,8-13)Ducting Served by system ❑Setback �(Split System �,Condensing Unit , (If not already ❑R-8 (CZ11,14,15)Ducting 2<�dsqft �Mini Split ❑Compressor �SEER HSPF. ❑R-6(all CZ's)Plenums present,must Furnace ❑Lineset ❑R-5 or R7.5)Lineset° be installed) ��V �(�EER HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below, At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site. 1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E Condenser Unit,Evaporator Coil, CF2R: MECH-Ol,MECH-20-HERS,MECH-(23 or 24)z-HERS,MECH-25-HERS2 Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or 24)-HERSZ,MECH-25-HERSZ Air Handler/Furnace2(Can include new ducting) Installer Requirement:Duct leakage(<159'0,or<109'o to outside,or seal all accessible leaks),Air Flow>_300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: ❑1.Duct system registered with HERS provider as previously•sealed,or❑2.There is less than 40 linear feet of duct in unconditioned space,or ❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building_� ❑2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts3 CF1R-ALT-02-E including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERSz,MECH-25-HER52 CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERSZ,MECH-25-HERSZ Mini Splits require CFIR-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage<69'0,Fan Efficacy(.58W/CFM),Air Flow>_350 CFM/ton(or altemative),Refrigerant Charge ❑3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts3 and one or more of the following CF1R-ALT-02-E replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-Ol,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Compressor,TXV,Lineset,Furnace2 CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS I Installer Requirement:Duct leakage<6%,Air Flow z 350 CFM/ton(or altemative),Refrigerant Charge I Exempted from duct leakage testing if:❑1. Existing duct systems are constructed,insulated or sealed with asbestos ❑4.New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts3 CF1R-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS Installer Required to:Duct leakage(<159�or,<10%to outside or,or seal all accessible leaks) ❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. 'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls,between floors etc. 2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24),or Refrigerant Charge verification MECH-25 3 All New Ducts is when at least 75 percent of the duct system is new duct material,and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) °R-5(1"thick insulation)for linesets 1"and less. R-7.5(1.5"thick insulation)for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-26/a",2.5-3T-2'/<",3.5 to 4T-2%",5T-4%" Contractor(Documentation Author's/Responsible Designer's Declaration Statement) I certify the following under penalty of perjury,under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations(CCR). 4. That the energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the CCR. 5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. Respon�le Designer Name: Responsible Designer Signature: Date Signed: � License: Company: Add ess: City/State/Zip: Phone: � � � � � 7 .l For assistance or que ions regarding th Energy S andards,contact e Energy Hotline at:1- 00-772-3300 i CERTIFICATE OF VERIFICATION CF3R-MCH-20-H � Dud Leakage Diagnostic Test (Page 1 of 3) Projed Name: MARK LARSON Enforcement Agency: City of Permit Number: 14 5150 Diamond Bar Dwelling Address: 639 RAINBOW PLACE City: Diamond Bar Zip Code: 91765 A.System Information Ol Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 - _.... 03 Building Type from CF-1R Single family 04� Verified Low Leakage Ducts in Conditioned Space• •- No,credit is not taken � � . (VLLDCS)Credit.from CFiR? . .��'.:Y�..�,, . s: 05 Verified Low Leakage Air Handling�Un t Credit from No,credit is not taken , CF1R? � r '^�-�r ,� ''•'i�� � �. ��.. '�. ^t i!: i �, �,.�«�-,. >;. � 06 Duct System Co���arace,�Category � �+.� ��^'����Altera��������������# ' '��*��rs�� ��•' I �'.:�'`� . ��i�.P'"a'��`x,..�' ,, �" . p'*r �F ':� . MCH-20d-Comp ete�Replacement or Altered Duct,System� �� ° ��`� �"�'��-�� ��"� I �:.4��� .����"�P�'�''�,��� :�,�'.t�a�� .�i����:��'"���'°'�,�� '":�t-`�F'�,�',,�' � _ . . u _ , , y�¢;,�¢� *Q��. . .... .�iC�r �,y J� / J� , ,"�:a a- ..���' �^�`yf"n3',�'._x�-ffi'�VCM1.�. . .. ��y��'���r`s��3P"m`��-'�'"^I��W�9!�tiy'�r'lT,�-�+i.t���� ��rWn�9i?g 4Y.'����?:. B.Duct Leakage Di gnostic Test�'�r'�� �v�� `: �`�n ,>.::�,.,n ;�.,,_ ,�,...�m��, �_ . p �; . , '4 w ��n I� l�.C'���--: . J$'l�°��r!°�A`NP��c '.r� �yp."�" :: � , 01 Condenser Nommai Cooling Capacit`y(ton 5 � � ��� . �;x,,,�: ;:.,�:,: 02 Heating Capacity(kBtu/h) ,,�a,��; .: p f� 03 Conditioned Floor Area served by this HVAC system(ft2) 2400 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.15 0� Air Handling Unit Airflow(AHUAirflow)Determination Cooling system method Method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage Rate(cfm) 300 10 Actual duct leakage rate from leakage test measurement 290 (cfm) 11 Compliance Statement:System passes leakage test 12 Notes: Registration Number:214-A0144015A-M2000002A-M20A Registration Date�me: 2014-12-22 10:3832 HERS Provider:CaICERTS CA Building Energy E�cienty Standards Report Version:2014-05-08 Report Generated:2014-12-22 10:22:08 _� 2013 Residential Cbmpliance Schema Version:0.51SDD I 1 CERTIFICATE OF VERIFICATtON CF3R-MCH-20-H � Dud Leakage Diagnostic Test (Page 2 of 3� C.Additional Requirements for Compliance Ol System was tested in its normal operatian candition.No temporary taping allowed. Outside air(OA)ducts far Central Fan Integrated(CFI)ventilation systems,shall not be sealed/taped off during duct leakage �� 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 ventilatior�is noL required,may be configured to the dased position during duct leakage testing, 'Q 03 All supply and return register boots were sealed to the drywall. 04 Building cavities were not used as pienums ar piatfarm retums in lieu af ducts. 05 If cloth backed tape was used it was covered with Mastic and draw bands. ,; �,,, _. 06 Aii connection points between the;air handier and the suppiy ar�d return pienums are compietely seafed. if the system'complie`s using the Sm ke�Test method,the smoke test was conducted in accordance with the requirements 4�� � Q7 af ReferencesResidentiai`Appendix RA3.1.43.6.Systems that comply using smoke test shall not be included in sample groups far HEf2S'v sxf�cation complian'ce: w th..;, �,w �:�', a �:.�,.-- r�'�� . �'��qw ����. �,�:��:��� �� ������`' �. �a,y;� : �*,�s�m�:. g g=.� �`� �,��� � ��� ` �Y 08 Verificatian Status , y� ' �,�6 �„ �r ��4Pass�Q"�all applicable�requirements are met - " �.�:; tt1t��"���`�.°�. �!'�xN: � .;8�..,.��. d�� �"at<'x: °.,�.� �Zt°r`'.� 9 '°�',��'"�"��' _.°� �� � �'`t ,�.� G�s���'� � s'���.?df�''"f���r' ��'�'r���-�M�'z�a1�. .•«K . 09 Correction Notes for�this�table��. �s �,�,.�.;�,�,��, ���,,,�� -��` �� �'�,` �;.�st��ya...� .,..:.nir=�� .s,d �.k. eo.,..�. 9.« Jtl ..,t K.. _..n _ _''�-° _ The responsible�pe'rsons signature on;th�s�eompliance document affirms that all applicable requirements in this table have �+�r��s�r„- �`� '� = been met unless;o#herw�se noted in'the Verificat�on Status and the Corrections Notes in this#able. , �� �,:"��� , '�`�. . .�'� � �;, � ,�rvR-, ��a�. : .��:.,� m;.: D. Determination of HERS Veriflcatio.n;Campliance All applicabte sections of this document shall indicate compliance with the specified verification protocol requirements in order far this Certificate af Verification as a whale#o ba determined to be in compliance. Ol Complies:All specified verification prptocol requirements on this document are met. Registration Number.214-A0144015A-M2000002A-M20A Registration Date/Time: 2014-12-22 10:38:32 HERS Provider:CaICERT5 CA Building Energy Efficiency Standards 4 Report Version:2014-05-08 Report Ge�erated:2014-12-22 10:22:08 2013 Residentiai Campliance Schema Version:0.515D0 � � i k CERTiFICATE OF VERIFItA710N CF3R-MCH-20-H Dud Leakage Diagnostic Test (Page 3 of 3� � Documentation Author's Dectaration Statement ' 1.I certify that this Certificate of Verificatian documentation is accurate and complete. Documentation Authar Name: Qacumentation Author Signature: n �^ lan Jatoby c�an�acob�r i Compa�y: Date 53gned: Stratz Permit Service 2014-12-22 10:35;54 Address: CEA/HERS Certification Identification(if applicable): 5858 Dovetail Drive idd59 CityJState/Zip: Phone: � Agoura Hills CA 91301 828-735-7$76 Responsible Persan's Declaration statement : .�� �., . I certify the foitowing under penaity of peryury,�ynder the laws of the State of Californ{a: 1. The informaUon provided on this Cectifl�te of Veriflcation is true and correct. , � , . 2. I am the certified.HERS Rater who perform�ed the verifica#ion identified and reparted on this Certificate of Verification(responsibls reter). 3. The instatled features materials,tomponet�is„manafactured devices,or system performance diagnastic resutts that require HERS verification identified on this'Certrficate of Verification comply with the applicable requirements in Reference Appendices RA2,RA3,and the requirements specified o ntfi`'e,�Ce�,rtif'�icsa'�t�o�f Compiianc��for*tlie byli�d,�ip°g�ppro�'�v d by�fie enf�o��'"r�;er�rt agency�,{�`���;`,��� � . h ��' ' '��� �� � k � f tie person(s}:responsibte for the 4. The information•repor'ted on,applicable sectionso#,the{ertiflcate(s)of Instaliatton{CFZR)s�gned;anti"submltted byt construction o installation co orrrisjtoChe reguiremenu specifled,`on'�the Certifiicate(s),of Compliance(CFLR)appro'ved�by the enforcement agency. p`�S.�e• ��k#��f l�..+ - �E-��v� . ,�n �,a� #��° �k�t� 5. i wiii ensure�th�at�a,regist*rre,� r.opy of.�is�Cr�rtlflpte`ofi/erifitaUonahalijbe posted"+qr made avai�able with�the bwlding permit('s)issueil'fo`r the ,M n �..�; r ;,,��,�rl�sr�i� ---�vsr�:s�+ w-,: r i. ,_ ,z� ,� � Verifi+cation��rr qu"ryir'ed o 6e ncl�w th h tlo�enta o 5rtti b i d'e'pr v des to the b d ng wner}a�"t°�$�upa cypY f ih}s Gertificate of .- .�,�:��� �.�.�.-::�������«�. ,��.x,v�,�,�..�,,�*�� .,�;,.�r�,. �,� ',�,:� . Bullder Or insta�iter,�ln#r atian�As,Sh�wn Or�The Certi�cate Of tnstallatian Company Name(Instailing Su6contractoi Gene'rai Contractor,or BuiiderJQwnerj: yfi� ';,. SERVICE CHAMPIONS INC � .,„;�Li' 3., Responsibie Suitder or Installer Name: '°14�.'�:'. CSl6 license: Kara Brumbaugh 799170 NERS Provider Data Registry Infarmation Sample Group Number tif appiicable}: Dwelling 7est Status in Sample Group(if applicabie) � Tested i HERS Rater Information � HERS flater Company Name: Stratz Permit Service �i�+�"" Responsible Rater Name: Responsible Rater Signature: Ryan Faris 2014-12-22 10:38:32 Respansibie Rater Certification Number wJ this HERS Provider: Date Signed: ' CC2Q06345 > Digitalfy signed by CeICERTS. This digital siqnature is provided in order ro secure the content ai this registeied document and in no way implies Registration Provider responsi6ility for the accuracy of the iniprmation. Registration Number.214-A0144015A-M2000002A-M20A Registration Date/Time: 2014-12-22 10:38:32 HERS Provider.CaICERT5 CA Building Energy Efficiency Standards Report Version:2014-OS-08 Report Generated:2014-12-22 1022:0$ 2013 Residentiai Compliance Schema Version:0.515DD � � � i : CERTIFICATE OF VERIFICATION CF3R-MCH-23-H ;`� Space Conditioning System Airflow Rate (Page 1 of 4) Project Name: MARK LARSON Enforcement Agency: City of Permit Number: 14 5150 Diamond Bar � ' Dwelling Address: 639 RAINBOW PLACE City: Diamond Bar Zip Code: 91765 A.Duded Cooling System Information ' Ol System Identification or Name System 1 � 02 System Location or Area Served Location 1 � 03 System Installation Type Alteration m 04 Nominal Cooling Capacity(tons)of Condenser S . , 05 Condenser Speed Type " ;�.�;'.;�. Single Speed � , 06 Cooling System-Zonal Coritrol Type � �;`. Not Zonal ' �: � 07 Central Fan Inte�ra� �(CF� � ��� . ' '� I Ventilation-S ster�n�Status�; ,ot a.�,C�I syst�em�.�,,,�,,�, �,,r��,,.,,�,r �. , �, `r:�,,,". `.�'): ' ,�,. Y�.:w,:'`�� ��ti : f�,�-�'1� �-',_;xu��' e�".�;'r-� :4�� �� ��'�'� - ar'����s �+ ��yro��.�'' e6�� °',�� „ O8 System Bypass�Du�ct Status 7J� �,� "� � No Bypas's Duct��� � - . c ,�p � j Bk"x.l.tat" �r�+'�<1'�.,:E��� �IE��r �r �a�� tE;x'`'�t' �,`�, ' � _ � ����:�1 ,�",�s��;���d� ��� � -. ,t�a„�"�4�,� �.,.,-� a��- '4�� ��.��,'3r,�` �"� � 09 Date of System�Ai.,rflow?R1,�a,te�Measurement � ,�,�2014 12 15} �' _�;�. � '� ,�� , ���r�4t�!w:4t+�'Sia"�°'�;?�3� '�u1F.�+����°����1`u�4-�°�.` h,-lytvfiLc-��'*ti� ����.+�J���C?�"�'J�Q �� ' o';�'+?�M�{ tr -�,�:Y �,�c _"-.-g-rR .b}l!r tttiifiF.:.�..'�q ,:n.��•K -'..: �-..... .-�.{• . ._., ..._.. � � 10 Airflow Rate Pr`otocol utiliied ~, ��y 7�74: RA3^3 procedures fior airflow rate measurement � _,.,w , , , �h �' "� �s��"' � .;�a; �F=' B. Hole for the placement of a Static Pressure Probe(HSPP),and Permanently installed Static Pressure Probe(PSPP) - � r� ,�, 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 Spec�fications are given in RA3.3.1.1, and system ai-f!ow rate m�asurement apparatus information is given in RA3.3.2. Ol AirFlow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in ''� verification. RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus T51 . 03 Model number of Airflow Measurement Apparatus TSI � 04 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at Accuracy htt , p://www.energy.ca.gov/(tbd) Regist�ation Number:214-A0144015A-M2300002A-M23A Registration Date/Time: 2014-12-22 10:38:32 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2014-12-22 10:24:03 2013 Residential Compliance Schema Version:0.51SDD � a � CERTIFICATE OF VERIFICATION CF3R-MCH-23-H � Space Conditioning System AirFlow Rate (Page 2 of 4) . MCH-23a Forced Air System Airflow Rate Measurement-Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor 'm � D. Forced Air System Airflow Rate Measurement , The procedures for System AirFlow Rate Verification are specified in Reference Residential Appendix RA3.3. Ol Required Minimum System Airflow Rate(cfm/ton) 300 02 Required Minimum System Airflow Target�cfm) 1500 03 Actual System Airflow Rate Measurement(cfm) 1503 04 Compliance Statement: System airflow rate complies � rc. . E.Additional Requirements , _ � • , .. , ,� O3 Air filters that meet the applicable requirements,of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system dun�ag,sys�"�em'?air flow rete�measur�"em„`nt"iden fied,on this C rt fica'" t of In taRl�atio,� �'��-> 3�,,�' � '��r= �':a d�` : �,F I� ,, ,��� �3„"S��tr �= ��:�W,,�3°5��+"', � �4?'�t�f_,;.iB 7ti;�T�r':r,r ��a�e,a 4� � , , The airFlow rate measurement}a� ppa,riatus used to perform-the airflow��{rate,measurement identified on this-Certificate of 9� �'" j �A`'�'�'J' ;t-� ; �°v� k'^"a'c� �`�°�v°�"+'�"e&9'� f�1y—�� ,r-,,.%.pG'" . .+�-,�, ..M'Eh ��[r;r 02 Installation wa�s�c��alib�ed�,��acc�"o�rdanc,e��wrth the,apparatus manufacturer-�pecifi�cations end�confor,ms�,to,�3��the instrumentation.specif�ations*given�in.RA3;3�1����'��'� ��`����" ��qu;�_� �-�����;�!:,� ,� F ���,�tn �o��^-�c�k»��,.�,,.h.':a.w.#��...�.a��s'4,. s�c'�, �..d:.- . ,. ,e t..., . _ f� ,-,' . :. ; ,. , . . w. - µ A visual iri pe�ion�shall confirm tha�bypass ducts that deliver conditioned supply air directly to the space conditioning ':a system retum;duct airflow�are not used.on new or replacement zonally controlled systems unless the Performance 03 Certificate of'Compliance indicates�an�allowance for use of a bypass duct.When a bypass duct is accounted for on the- �, ,.: Performance Certificate of Compliance,the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simuitaneous rneaswements whcn use�.o c��culate the Far, Efficacy teste�+value. � Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow(cfm/ton)and fan OS efficacy(Watt/cfm)with system operating in cooling mode at the maximum compressor speed and the maximum air handlerfanspeed. . 09 Verification Status Pass-all applicable requirements are met . 10 Correction Notes The responsible person's signature on this compliance document a�rms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. � Registration Number:214-A0144015A-M2300002A-M23A Registration Date�me: 2014-12-22 10:38:32 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Generated:2014-12-22 10:24:03 2013 Residential Compliance Schema Version:0.515DD . ' CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 3 of 4) F,Deterrni�atian af HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verificetion protocal ;,v, requirements in order far this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies:AI!specified verification protocal requirements on this dacument are met. ri '. ii I ti�. � � `1 d« � '� { �, ��`l �9�'.. . . . ' .�C �I '��a i � L ��'' � ��' •� f ��_� � ry� ' ,� �. � '� ��� � � u�'�c a.�^ �' ��' �`' •�(� ' F � .,��+ � " _ . ,'8 A. ,k Rf�jl `� : .. � a�, � .b� �Y ��,t �� 5 � �i�3� ' � 3+ ' ' ei �tr � � °�'�,,�����'��*��s�' k� �� „ .. ,2 �;��� �.. @6 �'`b�" .�.������ ,y�..a�,����4� �����i;�. �� ' �, ;�,:F� r'C �, �S„���+« �' -�trnat..�B+Fw'� �� . "`r -�a'_x,� ° ,�... . �R Q �•:.� ' .Y `� m.vr&-��vr f. . ' . ,�F �` � Z J .�'� �� . . ' 1 �. - :,�� -'�L t� i,�z, d�#t�. � ��;�""?7„,�`�`�- � ���' � ; �� ' i. ��. � t��' ��'�hJN �, �. i� t Registration Number:214-A0144015A-M2300002A-M23A Registration DatefTime: 2014-12-22 1p:38:32 HERS Provider:CaICERTS ' CA Building Energy Efficiency Standards Report Versian:2014-05-08 Repart Generated:2014-12-22 10:2A:03 �, 2013 Residential Compliance Schema Version:0.515D0 �� ;+ � tERTIFICATE OF VERIFICATION C�3R-NiCH-23-H � J Spate Conditioning System Airflow Rate (Page 4 of 4) ';. Documentation Author's Declaration Statement b � 1.1 certify that this Certificate of Verification dawmentation is accurate and complete. ;f Docume�tatian Author Name: Dacumentatian Attthor Slgnature: �/ �^ lan Jecoby c.,van�acob�r Company: Date Signed: ! m Stratz Permit Service 2014-12-22 1�:35:55 a� Address: CEA/HERS Certification Identification(if applicable): 5858 Dovetai)Drive t;, Phone: ,r City/State/Zip: Agaura Hiils CA 93301 818-735-7876 :;f {' Responsible Person's Declaration statement � ' i certify the foiVowing under pe�aity of perju,,ry,undee-tfie laws of the State of Califarnia: i. The information provided on this Certif pte of Verification is true and correct. a 2, i am tHe certifled.HERS Rater who perfo med the verification identified and reported on this Certificate of Verification(responsible raterj. 3. The installed:features,materiais,components;manufactured devices,or system performance diagnastic results that require NERS verification � identified on this;Certiflcate of VerificaUan comply with the applicable requirements i�Reference Appendices RA2,RA3,and the requirements � _ "°°"t"""'t'm''-r..�"' t�'��.,�"'����rv ' specified on tfi C'xrtifica�te of Complianc�fo„r,tt�„e�,bu�il�d„1n,�'""'g�ppro�vetl by,t��enf�a�rcem,�ent�age�ncy �;�- ,,,, ,��,. `^�"' 3�". � d. The infarmation�reported a"n appticabte sectiotis'"of tfie Certiftcate(s}of instailataon{GF2R)s�gned�and su6rri3tted by the person�s)respansibie for the w ., - R a ��irr!* . a� . ,q. ..�" �,�Fc.,; :�,n. y,� rn nr- -. , construction o�'r,installation co orms to the�Jequ�rements specifi'�ed.,3on the Certificate(s)�of Compliance(CF1R)approvedqby the enforcement agency. � �'�R.L"�;�,.. �""� -�'�d�'k�f"1QfN5�•:'m!; � .�." �'IX�"�,° ..�."`*��.o'°t',^'�,�'^'t �'x°„� k . �,}.° . ' S. i will ensureb�hatxa:regis 9ered c�opy�o�f�t�C�rtY,fit,�,,,ate of Ren at�tion shalt be}pReo6te6 d or„�ma,d���ai�Iable w�,the bu�idmg permit(sj issued fo`'r the building and made availatile to ihe enforcerri r�i agency for atl�applfc atile�nspettEons�l+understanc!ttiat a�eg�tered�apy of thkstCertlficate of ,�: •.4�ell:'t':1�y:�h+�d1A4'stk'R4'{d�tL^ '��aw�df�Nd,'a'���d, �+�a.s'n3h +n.$1,'�:�lG�4 d"�^ "fiNd °�ki' �� t�,:Yi�..�E�,. Verification is requi�red t�o.be in�clu�detl wdh�the dacumentation the build,er.proyides tio�the bwitling`owner aY,occupancy. r�r; ^�,�'" +' � .. � �E.,.,,_ . . . . . �. r . Buiider Or instafler;�lnfa mation As;Shown On The Certificate Of lnstaUation �. Company Name(instailing Subcontractor,'Generai Contiador,or BuiiderjOwner): - SERVICE GHARAPIONS INC �'`."� �`:�� � .�,., . � Respons'rble BuNder or instailer Neme: °_"�r,. CSlB Liceose: Kara Brumbaugh �9g��Q HER5 Provider Data Registry tnformation : � Sample Group Number(if applicable}: Dwelling Test Status in Sample Group(if applicable) Tested ' HER5 Rater Information �� HERS Rater Company Name: �r— Stratz Permit Service ��r��' Responsible Rater Name: Responsible Rater Signature: s Ryan Faris 2014-12-22 10:38:32 Responsible Rater Certification Number wj tfiis HERS Pravider: Date Signed: CC20Q6345 pigitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registe�ed documen4 and in no way implies Registretion Provider responsibility�or the accuracy of the iniprmation. _ Registration Number:214-A0144015A-M2300002A-M23A Registretion Date�me: 2014-12-22 1p:38:32 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Repprt Versian:2014-05-OS Report Generated:2014-12-22 10:24:03 2013 Residentiai Compliance Schema Version:0.51SDD CERTIFICATE OF VERIFICATION CF3R-MCH-25-H �' Refrigerant Charge Verification . (Page 1 of 4) Projed Name: MARK LARSON Enforcement Agency: City of Permit Number: 14 5150 Diamond Bar - Dwelling Address: 639 RAINBOW PLACE City: Diamond Bar Zip Code: 91765 A.System Information HERS Rater to field-verify all system inforrnation,discrepancies to be noted by overwriting entry. � 01 System Identification or Name System 1 02 System Location or Area Served Location 1 � 03 Condenser(or package unit)make or brand LENNOX 04 Condenser(or package unit)modelAnumber XCi6-060-230-05 . � ;�: i,,, , 05 Nominal Cooling Capacity(tons),of Condenser 5 . � � � ���� �,vw� , 06 Condenser,(or package unit)serial nu�mber 5814L02466 �.:.��� �� ���:� .���� ,� � _ - 07 Refrigerant TYPe�� �'`' �'�' °-�� �� ��'� �r �R�SOA���:,� '��_g„�` ����: �q^ At }��� .�'�9 -� ��:��:`, �`ze� � �2?;���� z�,�,� . � 'A� T� �a , , r , 08 Other Refri erantaT e if� I�ki e ,`� ��'��` • � �9=�� +. ��w���� ��r��`.- '�� � �C`�o'a.�Y�.e�(APo�.�,�a.�,�#'e����,����;r��Cra�iic�,���^�ts.�r�+�y�m',�� M= ��no...;.���C._ �.dE'.`�1��:�_ 09 System Installatio`n�Typel�� �.�_=s, �--�'' Alferation , � . .. � r�...,.-.. ..,, -V.. �� .-�`.e�-�t'�3�'�E��'� � �"' t� .... ��,���.ka aw. ,. . ..... 10 Charge Indicator pisplay(CID)Status(Note:Even systems This system does not have a CID device installed with a CID must fiave refrigerant charge verified by installer) �- , . ;d,.:. ; Is the system of a type that the rriinimum airflow can be Yes,this is a ducted system and one of the system airflow 11 verified using an approved measurement procedure(RA3.3 rate measurement procedures in RA3.3 or RA3.2.2.7 can be � or RA3.2.2.7)? used to verify system airflow rate Is the system of a type that approved refrigerant charge Yes,one of the Refrigerant charge verification procedures verification procedures can be used to verify compliance from RA3.2.2 or RA1 is applicable to this system and can be 12 with the refrigerant charge verification requirements when used to verify compliance temperatures are greater than or equal to SSF(RA3.2.2,or . RAl)? � 13 Date of Refrigerant Charge Verification for this system 2014-12-15 14 Refrigerant charge verification method used. Subcooling(outdoor temperature must be equal to or ; greater than 55 degF) 15 Person who performed the Refrigerant Charge Verification HERS rater reported on this Certificate of Installation 16 HERS Verification Compliance Requirement Status System does not qualify for group sampling 17 Refrigerant charge verification method used by HERS Rater. Subcool Registration Number:214-A0144015A-M2500002A-M25A Registration Date/Time: 2014-12-22 10:38:32 HERS Provider:CaICERTS CA Building Energy E�ciency Standards Report Version:2014-05-08 Report Generated:2014-12-22 10:31:00 2013 Residential Compliance Schema Version:0.551SDD �'k . . CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerent Charge Verification (Page 2 of 4) � i .rJ ;.r�, Standard Charge Verification Procedure-CF3R-MCH-25b-Subcooling Method z� " B. Metering Device Verfication-HERS Rater is required to visualiy field verify all information from CF2R Subcooling Method can only be used on systems that have a variable metering device. 01 Refrigerant metering device Thermostatic Expansion Valve(TXV) 02 Subcooling Method applicability status Subcooling Method is applicable to this system. a s� � C. Instrument Calibration-HERS Raters are required to calibrate their diagnostic tools. ' Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 � Ol Date of Digital Refrigerant GaugerC�libration 2014-12-01 ' 02 Date of Digrtal Thermocouple Calibration 2014-12-01 - ���` M ,.;;� :, -ew..,i ,: 1Ct . 03 Digital Refrigeraot'G�auge:Calibratio S�tatus ,� - �. ,�,,�� Galibration i�ur�ent�� ,E•'_�� �`w "�, ���*.��� °�? ��°"�€�':�„�S s�'{"°'. � o"� �' � � � '",` ,.-.�'�, .��r�.�r�F' r� ,�4,,,,. ro �h�G�FB..��r��''� ¢�'$ a�`a� �- � , 04 Digital Thermocoyple Calib tion Status����{�., , alibrg-dtion`is wrrent ?-,`� ` �-0�°„s����t'�� ��p �p ��1��`�`��r.;��p'��t � �-��� ���f �y'.��v�y�-' ,�`cd �.•.. �d2q 'r�.«��.r'n��.,�'+:t'"'ifr`n . �,� �.:�b;A.:� .fY��7�g�:R.T.7L:� ��"�µ�3�..:;:�F�:+.�'..YS�i�''i'd.`}.����'���R�'�.J� ...E�7�,fi��n��j,y �� . w . rm��y��Ta+����,`�'�''4!'�,�'3'�`�'"�.�a`�`""�p'�s�+."��, '�`,.,� "'a�::��'�t�s.,.....:�F�,�'s'3;b'.�.q�u�;.:.y;rr�c��,�,;;��- - �; D. Measurement,Acce"ss Holel(MAH);Verificatlon-:HERS;Raters areirequired to.:wsually field verify MAH � ^ • t5�' .,�,..�� � Procedures for�installi�Mi4H are specified in Reference Residential Appendix RA3.2.2.3 . '.i�b.�•g:_��F'1".y`:.,1 �.T �_. , : , . .. .�� V ' C' '. � . Ol Method used to demonstrate compliance with the MAH installed and labeled consistent with Figure 3.2-1 Measurement Access Hole(MAH)`�re.quirement E. Minimum System Airflow Rate Verification a ' 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 Collection-HERS Rater must independently collect all data in this section. 7 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 Lowest return air dry bulb temperature that occurred during 76 the refrigerant charge verification procedure(degreeF) � �2 Measured Condenser air entering dry-bulb temperature(T 70 condenser,db) � Registration Number:214-A0144015A-M2500002A-M25A Registration Date�me: 2014-12-22 10:38:32 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Genereted:2014-12-22 30:31:00 2013 Residential Compliance Schema Version:0.551SOD i CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 3 of 4) � F. Data Collection-HERS Rater must independently collect all data in this section. s, `:? 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 i i; .7 Outdoor temperature is within range for using Subcooling ,�_ 03 Outdoor Temperature Qualification Status refrigerant charge verification method 04 Measured Liquid Line Temperature(Ti�q��d)(degreeF) 65 •. 05 Measured Liquid Line Pressure(Prq��a)(pisg) 198 �' 06 Condenser saturation temperature(T�o�ae�so�,:ac)from digital 69 ' gauge or P-T Table using Line F05(degree F) 07 Measured Subcooling 4 08 Target Subcooling '�?,�; ( �., � 09 Compliance SLatement:♦System complies with Subcooling Method-Must also pass metering device verification,next ' section ' � , ' � , .���,. � ',. �_�.�°°��"��•r ����s...�"""��.�"�. �.�`�'`':'a `"' ��:,t��',�:�" �.,:- -�.s- �s����.�.; .�--��-r.� �.�'�- i F� 2+ .'. G. Meterin Device Verfication $ ���`� ���kA �`�-�� ��=a ���,,.,� �� � � �q '��, �. '�' � �,,,.����, ..�Y � g �w g� /�'71FiIi4� �'�f���2E2°.�� � h"���' � B �3t�3e.�`'�.t�i I�y �C�O� ' �r.N' +�i" ����"€� Procedures for the�v,e�fic�at on�of p�rop,�e�r�me��t,e�r��n�g�e�ic�e9op�n�ar,e�pec�i�ed�in RA,3:,2 2_6.2�`�`d5�'�'� ., ,t. �� ���:;� - . _ _ . � Ol Measured Su�c�i�nalin�e temperature(T���na�)(degreeF) 50 � ��' 02 Measured Suction line r ��� < . �� :.. � p essure(Psuct�on);(psig) 105 93 � .^5i:;��''• 03 Evaporator saturation temperatuce:(T��Po�co�,5ac)from 34 : digital gauge or P-T Table using line G02(degreeF) 04 Measured Superheat 16 g 05 Measured Superheat is between 4 and 25 deg F(inclusive) Passes CEC requirement 06 Measured Superheat is within manufacturer's specifications, Not known if known 07 Compliance Statement: Metering device verification passes H. Determination of HERS Verification Compliance , All applicable sections of this document shall indicate compliance with the specified veri�cation protocol 9 requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. . Ol Complies:All specified verification protocol requirements on this document are met. Registration Number:214-A0144015A-M2500002A-M25A Registration Date/Time: 2014-12-22 10:38:32 HERS Provider:CaICERTS �. CA Building Energy E�ciency Standards Report Version:2014-OS-O8 Report Generated:2014-12-22 10:31:00 - 2013 Residential Compliance Schema Version:0.5515DD � � w . � , ' i CERTIFICATE OF VERIFICATION CF3R-MCH-25-H , Refrigerent Charge Verification (Page 4 of 4) Documentation Author's Declaration Statement . ' 1. I certify that this Certificate of Verification documentation is accurate and complete. :2 Documentation Author Name: Documentation Author Signature: /� lan Jacoby cQan�acobJr :�i Company: Date Signed: � Stratz Permit Service 2014-12-22 10:35:55 'a Address: CEA/HERS Certification Identification(if applicable): '� 5858 Dovetail Drive 10059 ' City/State/Zip: Phone: Agoura Hills CA 91301 818-735-7876 ,� Responsible Person's Declaration statement I certi the followin under enal of er'u ��� fV � p ty p � ry,under the laws of the State of California: 1. The information provided on this Certif cate of Verification is true and correct. . 2. I am the certified.HERS Ratecwho performedihe verification Identified and reported on this Certificate of Verification(responsible reter). 3. The installed featuies,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification identifled on thls,GertificatebfVerification complywith the appllcable requirements in Reference Appendices RA2 RA3,and the requirements . specified on t��C,ert�if'�"i a e of Compliance�for,t erbwld�ppro"v"e�b°�y Lh`e enforce�me`nt agency "� 'rY�'S r � d', F' v�.}�.��,. .�c+�,. ;�r e� ,��:� 4. The informat�ornµre�ported on,applicable��cH�o�o�the Certific�atea(s).�Install ��tlon�(��2R)signe��and submitted by�theperson(s)resqonsible for the constructlon oi installation co arxfor`Gms to the requirements specrfiedion the Certificate(s)of Compliance(CFiR)'approvediby the enforcement agency. � .d� "�q ��lR'S`,Cr x�.a p;t .5��5�ae-tl�� � f�aa_� s �,�r �„Fw,,.r ,�a� 5. I will ensure�th�t a reglstQ rfed'c�p�tFi�s�Ce�rt�ificate of V�erif�ptlon shal�be posted or mad�e,�llable�wf�th the:b��ding�pe�mit�s)rissued for the building,andimade availabl'e:to the enforcement'agency for:all�applicable inspecti ns�ltunderstand.that�a.registered copy of.this'Certificate of a+tn2�xa�-r v�p���rs.K ;n;K yu'�a...m�.. <a,�+.cr�n a�-.iii -mc:�,i�w+' .�u.ra.ti��;m-� �a35 .�•r,.�,c.� +:i,r.�•r.� r°�.s;"q verification is required to be�inclutled.wrtFi,the documentation the bwlder�provides toathe,buildin�:ownergat,occup'ancy. . � .-�'.r�a.'.fR.z€'...� _... . . , . 9 Builder Or Installer�tnformation As:Shown�On The Certificate Of Installation' �. , � Company Name(Installing Subcontrador'General Contractor,or Builder/Owner): SERVICE CHAMPIONS INC �"�`"� �`��"�" �,:y.: �'� Responsible Builder or Installer Name: _ . CSLB Llcense: Kara Brumbaugh 799170 HERS Provider Data Registry Information ' Sample Group Number(if applicable): Dwelling Test Status in Sample Group(if applicable) Tested � HERS Rater Information HERS Rater Company Name: , Stratz Permit Service ���� Responsible Rater Name: Responsible Rater Signature: Ryan Faris 2014-12-22 10:38:32 Responsible Rater Certifiption Number w/this HERS Provider: Date Signed: CC2006345 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered documen4 and in no way implies Registration Provider �esponsibiliry for the accuracy of the information. Registration Number:214-A0144015A-M2500002A-M25A Registration Date�me: 2014-12-22 10:38:32 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version:2014-05-08 Report Genereted:2014-12-22 10:31:00 2013 Residential Compliance Schema Version:O.SSISDD ¢ .< . r S �J n ,p "�'�y 'p . 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