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� DEPARTMENT OF COMMUNITY &DEVELOPMENT SERVI E u u u uLJ u uLRI L�U Ll I
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CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21
I Duct Leakage Test— Existing Duct System (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:
1051 S. ROMNEY, Walnut CA 91789 (System 1) City of Diamond Bar PR201300942
Enter the Duct System Name or ldentification/Tag: System 1
Enter the Duct System Location or Area Served: Whole House
Note: Submit one Installation CertiFicate for each duct system that must demonstrate compliance in the
dwelling.
This instal/ation certiFcate is required for compliance fo�alterations and additions in existing dwellings to
space conditioning systems and duct systems.
Note: For existing dwellings, a completely new or replacement duct system can also indude existing parts of !
the original duct sysrem (e.g., registe�boots, ai�handler, coil, plenums, etc.) if those parts are accessible �
and they can be sealed. For a completely new o�rep/acement duct system installed in an existing dwelling,
use the Installation Certificate titled "Duct Leakage Test- Completely New or Replacement Duct System."
Duct Leakage Diagnostic Test-existing duct system
Select one compliance method from the following four choices.
�1. Measured leakage less than 15%of fan flow
�2. Measured leakage to outside;,less;:than 10%of Fan Flow
� I� �:,�:�
0 3. Reduce leakage by 60%and conduct smoke and fix all leaks
' ��{ �"�
�4: Fix all accessible leaks usmg smoke:and HERS rater verify
� ��� ,,,` ;
Note;(One of Options 1, 2;or 3 mus�t be attempted before utilizing Option 4.)
Determme nom�nahF,anRFlow using one of the fnllowing thr,ee;calcutatwn methods � �� � ,
��Coohng�system;method Size of conden�serkm Tons �2:5"�x�,400 lOdO��CFM �" 'q� � ;�
����i,� ��+4� ��!. ; �.�' ��� du ��.,�e'u �A" �� a�a'b � _
✓�Hea�ang�system met 'd��1 7� � * Ouiput Capacity°�in'��Twh�ousands�of Btu� _CFM ����
; ,
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✓O Measured system airfl w�usi g�a�`rtRq�3 3,�airFlow�test�p�rocedures;_C,FM��-�..����-`����:�,,'�� � M� x � • �
Optwn�3�wsetl't�en �� �"� " � r � , ' L � �
� � �� .
.��'-' u�s t .�M�' � s/{ `� '�� s' ��1 ' �ntw8�= ,�,,::.. �,�' � a`�� u�_._ �`��- � .
���
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1. AllowecJrleakage ,Fan�Flow �1000�x�0 15���a iso��' CFM ,r,�„�r ,Y.,:. fi ,ti t ��:;�f �
ActualiLeaka'ge 1100 CFM "" r ,,�.. ,. � . ,,-
� .
_„� �,��,�.�_ , � �� _ Pass if Leakage Actual is less than Allowed Pass Fail
R` dption 2 used;then ' �';:'.
"'Allowed leakege Fan,'Flow �LO00 x 0.10 = 100 CFM
z ' Actual Ceakage to:outside :�� CFM
#�;;�.4,;: Pass if Leakage Actual is less than Allowed Pass Fail
Option 3 used then: j
Initial leakage prior to start of;work =_CFM
Final teakage after sealing ell'accessible leaks using smoke test= CFM
3 Initial leakage_- Final leakage_= Leakage reduction CFM
((Leakage reduction_/Initial leakage� x 100% _�g,Reduction
Pass if% Reduction >= 60% Pass Fail
Option 4 used then:
4 All accessible leaks repaired using smoke test. HERS rater must verify (No sampling).
Pass if all accessible leaks have been repaired using smoke Pass Fail
,Reg: 213-A0020536A-M2100001A-M21A Registration Date/Time: 2013/04/27 12:21:58 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forme March 2010
• , -
CERTIFICATE OF FIELD.VERIFICATION 8� DIAGNOSTIC TESTING CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6)
Site Address: Enforcement Agency: Permit Number: .
1051 S. ROMNEY, Walnut CA 91789 City of Diamond Bar PR201300942
Note: If installation of a Charge Indicator Display(CID) is utilized as an alternative to refrigerant charge
verification fo�compliance, a MECH-24 Certi�cate (instead of this MECH-25 Certificate) should be used to
demonstrate compliance with the refrigerant charge veriFcation requirement. TMAH and STMS are not
required for comp/iance, when a CID is uYilized for compliance.
As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an
additional form(s) for any additional systems in the dwelling as applicable.
Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement
Sensors (STMS)
Procedures for installing TMAH are specified in Reference Residentia/Appendix RA3.2. If refrigerant charge
verification is requi�ed for compliance, TMAH are also�equired for compliance, unless the TMAH Compliance �
Option is chosen.
STMS are only required for completely new or replacement space-conditioning sysrems that utilize
p�esc�iptive compliance method.
TMAH -Access Holes in Supply and Return Plenums of Air Handler
System Name or ldentification/Ta,g System 1
System.Location or Area=Served! ; Whole House
���; 5/16'inch (8;mm) access,liole � �
1 ;t' upstream of evaporative coil in.,the �Yes ❑Yes ❑Yes ❑Yes
;� return plenum�and 9abeled�°according ❑ No ❑No ❑No ❑ No
,
to'Figur�e�irY��ection RA3.2:2�2 2 ;�; � ����n ,;�� > :: ��w � ��,a � �A'� �
Retur��n.5tde qfxthe'dutt syst�m�is�''�`-� �ti=� '��'"� �,�•.��"�� '� � � !� ,`��� ��'
�. �:a
1a locat��entirely vditl�in�condlf�oned ��Yes � � ��Yes� '� �"" ,� O Yes �_ ❑Yes' �
s ace�and��_return�airflow ternpe�rature �Gl No� � � , �<�No � � �
� � �..�� � �� :'❑ No � ONo-,
P,� �. : �
to be�measur�e�i�`�at�t#e�CC�l.l,,ri,fl g9C���2' t� ' c.�'�,�� �y �a»«,�� ��`r"�:�e,rv;v .� � ..��� _��+�t;
� S�ZT6�lT1G�1-��*$�[1y1171+���0CCeSS�F10I2�r. !F��_ ^a ry,:« �� _ �� .�.r � � �. � � � . .. �
downstr`eam`�of eva O�iIVe"coil iri the � � ��Yes �; ' �'���gYeS�*�� �M � �;-� ��
� r pabeled accordi 4 �� �
� ; m and�l' � ��,�.�. � �s .��. � -.�� . .�.�6�D Yes � . ❑Yes
supply�plenu. i � ng ,;.. ❑No ; . ,. . . : ❑No 0 No.:,-� ❑No
>. to Figurerm.�Section<RA3 2:2 2 2:
The;sTMAH`Compli'ance Oprion skioulii.�be checked only if the HERS Rater is able to confirm that it was
physicallyimpo`ssible for:,the HVAG;'Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this
Compliance Option requires the�HUAC installer to annotate on the HERS Provider's data registry an
explanation as to why th'e TMAFI'"cennot be installed on the system, and photographs of the equipment on
which the TMAH cannot be-install'ed. Use of this Compliance Option also requires minimum airflow
verification through the direct:Fiieasurement of airflow per RA3.3. For more information see
htto•//www enerav ca oov/ i I 4/2008 andard / o ial a a�olian a/
TMAH Compliance Option ❑ p � �
Yes to 1 and 2, or Yes to ia and 2, or
checking tFie TMAH Compliance Option, is � Pass ❑Pass ❑ Pass 0 Pass
a pass. ❑ Fail ❑Fail ❑Fail
❑ Fail
Enter Pass or Fail
Reg: 213-A0020536A-M2500001A-M25A Registration Date/Time: 2013/04/27 12:24:00 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms February 2013
i
i
INSTALLATION CERTIFICATE CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6)
Site Address: Enforcement Agency: Permit Number:
1051 S. ROMNEY, Walnut CA 91789 City of Diamond Bar PR201300942
Standard Charge Measurement Summary:
System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum .
cooling coil airflow criteria based on measurements taken concurrently during system operation. If
corrective actions were taken, all applicable verification criteria must be re-measured and/or recalculated. �
System Name or ldentification/Tag System 1
System meets all refrigerant charge and
airflow requirements. PASS
Enter Pass or Fail
�Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the
return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement
Procedure. The signature of the Responsible Person in the declaration statement below certifies this
requirement has been met for all applicable system verifications reported on this certificate.
DECLARATION STATEMENT
. I certify under penalty of perjury, under the laws of the State of California,the information provided on this form is
true and corred.
. I am the certified HERS rate�;who performed the verification services identified and reported on this certificate
(responsible rater) � '�
. The installed feature matenal mponent,or manufactured device requiring HERS verification that is identified on this
certificate (the.installation)'complies with the applicable requirements in Reference Residential Appendices RA2 and
RA3 and`the requirements specifled on the Certificate(s)of Compliance(CF-1R) approved by the local enforcement
° � � :;+� � . .
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. The information'reported on appli able�sections of the Installation Certificate(s) (CF-6R),signed and submitted by the
person(s)�re�spori�b�e for the instaJlation�pft� ��, to��h��eq uemer�tS�sp�fied R�tathexf��r,�iftate(isj�f Compliance .
�CF 1R)�r�P�oved�iY,�tlie enforce"��n�ent,�a„gency.�c. ��' ."�.E �,. ���.::. � ,'�,"��"�� -��������<:.
Builder��insEaller�i,nfo,�rt�na�on,��,�sfiown':on;�Iitstalla#aon;�Ce"rtificate„�(iCF