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Home My WebLink About14-4649 t � I :• :,,. �„ CITY OF DIAMOND BAR ' i! DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES i . - b � 21810 Copley Drive,Diamond Bar,CA 91765 �. PRESS � (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � �' �'�'��"" BUILDING PERMIT APPLICATION FIRMLY i JOB SITE ADDRESSq�� MM�T �1 OC-� D�. APPLICATION DATE: " ��— P/C# i ISSUE DATE /�17��I� PERMIT# ��'�" -7 � � APN LOnT—,��TRACT � OWNER�CAIJHNN�� rn TYPE CONST. OCC GROUP: n ADDRESS ZONING SETBACKS .� CITY ZIP TEL. � FRONT RW ❑ ¢ APPLICANT TEL. REAR ❑ s � � �� /� SIDE/SIDE STREEf RW ❑ Q CONTRACTOR f•'t SIDE ❑ j � ADDRESS �d� �y� � I = CITY 1�1 �D� ZI�TEL.�I Z-��O47�'�' ` PROPOSED USE i � � ARCH/ENG/DESIGNER y � ADDRESS #DWEL.UNITS #STORIES �2 BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNFA-BUILDEH OECLANATION I = I hereby attirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM � indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and Ga2ge/Carport I �-' Prafessions Code:Any city or couMy that requires a permit to construd,alter,improve,demolish,or repair,any z struclure,prlar M its iuuance,also reQulres the applicaM for the permlt M file a signed statemerrt that he or she � Patio/Deck I i is licensed pursuant to the provisions of the CorMactor's STate License Law(Chapter 9)Commencing with Section w � 7000 01 Divisian 3 of the Business and Professions Code]or that he or she is exempt irom licensure and the basis for � Pool/Spa I n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecis the applicant to a civil penalty � I n of not more than five hundred dollars($500). ZQ Re-Roof � (�I,as owner of the property,or my employees with wages as their sole compensation,will do()all of or(J portions -� Commercial I y of the work,and the struc[ure is not intended or ottered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License Law does not apply tn an owner of property who,through employees'or personal eftort,builds � or improves the property,provided that the improvements are nat intended or offered for sale.If however,the building or I � improvement is sold within one year ot completion,the Owner-Builder will have the burden of proving that it was not built jor improved for the purpase of sale.). I '� �1 I,as owner of The property,am exclusively contracting with licensed Contractors to construct the project(Section Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who Valuation: Adj.Area: I .n buildsorimprovestherean,andwhocontractsforlheprojeclswithalicensedContrac[orpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.�. � � U I am exempt from licensure under the Contractor's State License faw Tor the following reason(s): � I � s 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I owner-builder if it has not been conshucted in its entirely by licensed contractors.I understand that a copy of the applicable � � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at � i � the following Web site:http/www.leginfo.ca.gov/calaw.html. z I � DATE: SIGN: � i — LICENSED CONTHACTOR'S OECLAFIATION � I a y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I n of Division 3 of the Business and Professions Code,and my license is in full force and effed. � I � LICENS CIASS: V_u.J LIC.NO.: O� Q_�]�—��p�_�r�— � �4-�� I Z DATE: ^� ^ CONTRACTOR:� IC�NTI Y1^^G_ I'-�/�� W T� I ¢ WOHKEH'S COMPENSATION DECLAHATION � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: y � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�qN REVIEW: � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PolicyNumberare: [ �� p�- ,'�c PLUMBING: � CARRIER 1 'u/ DP� w�T_ MECHANICAL: � �dO� � POUCYNUMBER ��SO�- (o I INSPECTION FEE: � (THIS SECfION NEED NOT BE COMPLETED IFTHE PEAMR IS FOR ONE HUNDRED DOLLMS($100)OR LESS). ISSUANCE: .I'7 � I certify mat in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as tn TT � become subject to tl�e Worker's Compensatio Cali mia.Md agree that'rf I shou become su6ject to the Worker's SMIP: � Com sati n rovisb of Sectlon 3700 of e Labor Co ha wi c ply with th visions. ENERGY P/C: J I i DA . � APPLICANT: ENERGY PERMIT: +� � WARNING:Failure to secure Worker's Compensatio c erage is unlawful,and shall subject an employer to criminal RETENTION FEE: e! .d� y penalties and civil fines up to one hundred thousand dollars($100,000),in addition m the cost of the compensation, 1 damages as provided for in section 3708 of the labor code,interest,and attnrney's fees. PRE-ALT FEE: � i CONSTIIUCTION LENDING AGENCY BSAF: y I he2by affirm under penalty of perjury that there is a Construction Lending Agency for the peAormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: s LENDER'SADDRESS: i I certify that I have read this application and state that me above information is correct.I agree to comply with all ciry and TOTAL FEES I � county ordinances and state laws relating to building conshuction,and hereby authorize representatives of this county to COMMENTS: z � enter upon the above-mentioned property for inspection purposes. J � 17 ¢ PERMITTEE NAME(PRINf) � = SIGNA7URE OF PERMITfEE DATE RECEIPT# I� PAID BY:' J J � VALIDATION: t WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD � • � � • � - � s , . � . ��r � ��__. e , ��TBAGKI CETTEI�� .�� ` ° °� ° � TRACT AND LEDGER FOOTINGS�FORMS�, �-�� ,��` � .° �� °` � SWITCH GEAR � � �_ � „ �� "`"� �� a . � � ��- COMMERCIAL HOOD ,SL-AS �� . ��.�- _ � . , � � � ;UG;PLUMBING ��`e "''�.'�'�� $ " _ . ,��.. ��; , , � � T-BAR � � u�.: � _ ,UG.��ELECTRIGAL�� '�� °��' � ° � � � �� a ��' ' � INTERCEPTER � F_ ..�. _ , � „� .� � UFERxCROtihID �,�" +.� . , ,, �� , � _ . �'� HOT MOPISHOWERPAN �� , , r SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANQUT DEMOLITIQN ROOF SHEATHING ROOF DRAINS I FLdOR SHEATHING ROUGH CONDUIT ; � _ , .. ;SH�'AR WACLS FJCTERIO[�, �,�..�� 9 , � � � POOUSPA. � , � e . � � �. � . � � , . z � ...�"F , . .,., _` . .... .. . . . o- � . . . .. .... .. SHEAR WALLS lNTERIOR . ° ��` �� . .. . � _ " ' � � = ROUGH PLUMBING � � � < � _ . . Fx . �.. . , FRRMIN�GNENTING �� T�� .� �T � ; ` �� . ROUGH ELEC7RIGAL . � � � ,; ._ � �� . RQUGH MEG�. ..1 � „ �;�= ° ` '`�, _ ,;°�; � � ROUGH MECHANICAL " . � RQllGH ELEG - -, ; (� ): ' '," . y . , � � GASTEST � � � �RQU ` � � y �H PLUiVkBlN '� � : -1� o,�.:.��; �� ,e� ` � � PRE GUNITE � � � INSULATION WAL ' POOL PRE DECK BONDING � ' : e = INSULATION CEILING P-TRAP DRYUVALL FENCE/GATE/ALARM LATH(PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL�sr� �2Ne� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FRAMING PLANNINGAPPROVAL ' — - - p - . FItr�AL BUl�01N� � � � r��'�� ` " � � � RCIUGH FIRE APPROUAL � FINAL MECHANtCAL�� , �� _ �� .;�� FINAL FIRE DEPARTIVIENT � � � Q�, � � �= � � �, , . . �F.INA_L=ECECTRICALd�';� , ��.'�� ,..�, : � '- " ,� .. . � . , : . - . � � ��FINAL PLANNINf �FINAL°PLUMBING��` �_�� . ��`��.; � ;, �� ' �� `��; ; n z �� . � ��FINALENGINEERINGIPW � , _ �> � , . , , �I;C�of O�GUPANCY. :� ��`� `.�- . '� �� .�, �� FINAI GOMMUNITY 5ERVICES � � � �CE�7:„af 0l�UPANCY �� ..� � � � _� � � � � � R u ��, ��'�� .rt �; �, a � � . . �, FINAL HEALTH DEPT. ' � , , �INAL lNOUSTRIAL WASTE � � . � � -� � COMMENTS: CERTIFICATE OF�OMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems(formerly CF-iR-ALT-HVAC) (Page 1 of 4) Project Name: Lacabanne Date Prepared: 2014-09-28 A.General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit.When multiple dwelling units must be documented,use one CFiR-ALT-02 document for each dwelling unit.: Ol Project Name: Lacabanne 02 Date Prepared: 2014-09-28 03 Project Location: 976 Summitridge Dr. 04 Building Type: Single family 05 CA City: Diamond Bar 06 Dwelling Unit Name: Home Dwelling Unit Conditioned 07 Zip Code: 91765 08 Floor Area(ft2): 2000 Number of space conditioning 09 Climate Zone: 9 10 (SC)systems being altered in 1 . s this dwelling unit.: � �r B.Space Conditioning(SC)System Information O1 02 03 04 05 O6 07 08 09 10 � �r`�`"�-�.; `?'��'°-'�""'"� �,� �"!''�'Insta�lling new '' "�' Is the entire I � ' "'"`�� "� �� "com�onents� duct system ; , � " r a ,�' � � �� _ ,� �,,�„,�..,z(packaged unrt,,,o[' � accessible Are all of the �� f � �-••t-- .�� ,.,.condensing unit,f lnstalling for sealing, system's � : " ' ,�� Is the altered Altermg��or �� or ,�`� �` more-tE�an 40 and is more components � r .�' y�:�, p' � � r �� x,� ,� - - or ms#alled installing�a cooling/heatmg linear feet of than 75%of and ducts new � � �' _ n �,� ,� .�.,,,� J r�.�<-�,�_�,.�y z��,�. SC System SC System CFA served s stem a' ` `refrigerant coil,or new or the duct or replaced? Identification or Location or Area by this SC ��' E �i�n� '��i�� f��nt system new (entirely new Name Served System(ft2) system? component? etc) ducts? or replaced? system) Alteration Type System 1 2000 2000 Yes Yes Yes Yes No No Altered space conditioning system C. Extension of Existing Duct System,Greater Than 40 Feet(Section150.2(b)iDiib) This section does not apply to this project. Registration Number:314-A1001531C-000000000-0000 Registration Date/Time:2014-09-28 11:25:07 HERS Provider:USERA - CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2014-09-28 11:26:07 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems(formerly CF-iR-ALT-HVAC) (Page 2 of 4) D.Altered Space Conditioning System(Sections 150.2(b)lE and F) 01 02 03 04 05 06 07 08 09 10 il 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value All new All new Central gas Central split Greater than System 1 furnace heating AFUE 0.78 A� cooling SEER 13 Setback 40 feet R-6 components components Reouired Documentation: CF2R-MCH-Ol-E-Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums:R6. CF2R-MCH-20-H&CF3R-MCH-20-H—Duct Leakage testing required when heating or cooling components are installed in ducted systems,or when more than 40 ft of duct length is replaced. � -Leakage rate compliance:<_15Y,or 5 l0Y leakage to outside,or seal all accessible leaks. , CF2R-MCH-25-H&CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered(applicable in CZ 2,8-15). CF2RCF3R-MCH-23&CF3R-MCH-23 Air Flow>_300 CFM/ton required when MCH-25 is required. . Exceotions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. " -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23,or Refrigerant Charge MECH-25. -Existing duct systems constructed,insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. ��'� T'"� .��:".�..T�h:--, ?��rx��m��:,� . ,.,.,�>„�-� �(,�.._�.0 ��.:.'-s3'�, �:? :��w..'d 7 '-f b � ,f .,r�—� � 1 a C,"> _,x-,,,.y � _ �, .:�� <1 �=� E. Entirely Ne�or Complet Repl ce etn nt Duot System,with or without Eqwpment Changeout(Se�etions 150.2(b)iDiia and 150.2(b)lE, F) � `1 � t � ""°'-.�--�... ��.. -��-� ...� ��;_ �-,�--�. .f 1. t� 4 „�.� t u..�_.�r� i ..�� _::..�� z� � � Th�section does`not apply to this prd�ect �� p,,,, ,��,� � ��_.r ,,.` .:� � � : �,—, ..,_ ..;. � .�� .. E.., t 3 #"s,^*—^-1f*^ F 1 . .C. 's� �u. � � ; y� � � .1. .C..- ., ._ �,...— f..-,..�,._� .,___._.,a �__ �„. '.. U.S. Energ�r Raters Association Registration Number:314-A1001531C-000000000-0000 Registration Date/Time:2014-09-28 11:25:07 HERS Provider:USERA " CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2014-09-28 11:26:07 CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 3 of 4) F. Entirely New or Complete Replacement Space Conditioning System(Section 150.2(b)iC) This section does not apply to this project. . . � �£ „ �._M�"� ., .�.�, �� ?s a �� s �`� � �� # , � 7 , �� q� , g a a� �M s5?Ri;a � 'taw�' ,�'! �'�`� £ yf � ��•.F . /_—�'Y��. .�; ��`�,,��:� ° �: .. ..._ . � , L� � .Y .�A,� _._ . �?It.i . e U.S. Energy Raters �4ssociatian Registration Number:314-A1001531C-000000000-0000 Registration Date/Time:2014-09-28 1125:07 HERS Provider:USERA ' CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2014-09-28 11:26:07 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems(formerly CF-iR-ALT-HVAC) (Page 4 of 4) Documentation Author's Declaration Statement 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Jim McEligot Company: Signature Date: . RighTime Home Services 2014-09-28 Address: CEA/HERS Certification Identification(if applicable): 3030 Myers St 878533 City/State/Zip: Phone: Riverside CA 92503 951-276-9744 Responsible Person's Declaration statement I certify the following under penalty of perjury,under the laws of the State of California: � 1. The information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance(responsible designer). 3. 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 California Code of Regulations. 4. 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. S. I will ensnre�th�t a registeied-copy of th�sCe"'rtificate:of Compliance shall be mad`e availabte wrth the building permit(s)�issued,for the building,and made available to the enforcement agency for all applicable r ... � � ✓ �� - � r:..�_ � k inspections.I�understand that a:registered.copy�o this �ertificate-of-Compliance�is required to b'e�incluiled�with the docurcientation the builder provides to the building owner at occupancy. I .} ��^ �'f .t, :Y' �-.< 1, .,i' Ha•_.� A'.. :'.Y Responsible Designer a'me: w � a _ �,� Responsible Designer Signature: , Jim McEligot ,�r� � � �-�.w. '�-`~�-: `�� -J� �_� � ��r, /Y� G or � .. ""'y �,,,...+�.G..... . !�. im Mc Eligot(Sep .2014) Com an *�� 'M�' �,Date�Si ned ��'� � � RighTime Home Servi��wY�� ' �.�,;;.'� �' .'�'`� ,�..... � � ;'a 2014 09-28 ��' Address: � License: 3030 Myers St U.S. Energy Ra ��►ssociation City/State/Zip: Phone: Riverside CA 92503 951-276-9744 T117 "This digital sigrrature is provided in order b secure ;,� the wntent of this registered document,and in no way imp�ies Registration Provider responsibility for U.S.Energy Raters Assoclatlon the accuracy of tiie infamation." Registration Number:314-A1001531C-000000000-0000 Registration Date/Time:2014-09-28 11:25:07 HERS Provider:USERA ' CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2014-09-28 11:26:07 1 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems,Ducts,and Fans (Page 1 of 8) Project Name: Lacabanne Enforcement Agency: Diamond Bar Building Permit Number: 14-4649 Department Dwelling Address: 976 Summitridge Dr. City: Diamond Bar Zip Code: 91765 A.General Information 01 Dwelling Unit Name: Lacabanne 02 Climate 2one: 9 Dwelling Unit Conditioned Floor Area Number of space conditioning(SC) 03 (ft2�: 2000 04 systems being altered in this dwelling 1 • unit.: 05 Certificate of Compliante Type: Prescriptive alterations(CF1R-ALT) 06 Method used to calculate HVAC loads: Not applicable-equipment changeout,like-for-like � Calculated dwelling unit Sensible Calculated Dwelling Unit Heating Load �� Cooling Load(Btuh): 08 (Btuh): MCH-Oib Prescriptive Alterations-Space Conditioning Systems Ducts and Fans �, , , ti w.� ��- �'7 w � �t'' ..r.�?:a..�� 3 `{ � "'� �` �� .,f� �� "' s. ,` � r � 'f 3� ��:_,_R�.� 5} " „r � :�� ` �� +,�, �: �a _.� ,�� ;,� �r�,P.. �,,�,:� �«,>..«,.': � :<� . U.S. En�rgy Ra#ers �►ssociation Registration Number:314-A1001531A-M0100610C-0000 Registration Date/Time:2014-09-28 11:26:35 HERS Provider:USERA ' CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2014-09-28 11:27:34 CERTIFICATE OF INSTALLATION CF2R-MCH-Ol-E Space Conditioning Systems,Ducts,and Fans (Page 2 of 8) I B.Space Conditioning(SC)System Information 01 02 03 04 05 06 07 08 09 10 Is the entire duct syste m Installing new accessible components? for sealing, Are�II of the (packaged unit, and is system's Is the or condensing more than components altered or Altering or unit,or Installing more 75%of the and ducts CFA served installed installing a cooling/heating than 40 linear duct new or SC System SC System by this SC system a refrigerant coil,or feet of new or system replaced? Identification or Location or Area System ducted containing air-handling unit, replacement new or (entirely new � Name Served (ft2) system? component? etc) ducts? replaced? system) Alteration Type Altered space " System 1 Home 2000 Yes Yes Yes No No No conditioning system .,.-,.: ..�---�.�. ...,..�._.�.�.....,,,.:�k ,m.;,,..,.�,.p,.d..�.,_,_.. ..wm..,-�;. C.Space Condi ioning(SC)System Atte�a�ion�omphan e'fnformetion�'�'"""'�`"'�� I I i �� t .t {,.:3 , � �.t�.` °� 01 ;� p2 � Q3 —' U4 . �"'-- _;'-05 �` :`'""06—;' :'; � ,Q7:f '�, �, 08 09 10 11 12 , � k�..�.. - � .�, �� i Heating ,, „� � � � �,..� �,� Cooling Newor New 4 r � . '�.""R �Q j� A System ere eatmg4„�r Mimmum �:� �s Altered �,Gooling Minimum Required Replaced Duct � � d�.::�: �.ra�,w•,,�" ..�. �. Identification ea ing Heating Efficieney�"�'Effiaency Cooling Cooling Efficiency E�ciency Thermostat Duct R- or Name System Type Component Typ�, , E�rg y� ��{ta �Q]�pe Value Type Length Value Central gas Central split Less than System 1 furnace AFUE .780 A� SEER 13.000 Setback or equal R6 to 40 feet Registration Number:314-A1001531A-M0100610C-0000 Registration Date/Time:2014-09-28 11:26:35 HERS Provider:USERA ' CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-OS-13 Report Generated:2014-09-28 11:27:34 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems,Ducts,and Fans (Page 3 of 8) D. Installed Heating Equipment information O1 02 03 04 05 06 07 System Identification or Heating Efficiency Heating Unit Heating Unit Heating Unit serial Rated Heating Capacity, Name Heating Efficiency Type Value Manufacturer Model Number number Output(BTUH) System 1 AFUE .780 Amana AMH80805CXB6 00000 80000 Notes: E. Installed Cooling Equipment information: 01 02 03 04 05 06 07 08 - Condenser or Package Unit Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated - System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity or Name Type Value Manufacturer Model Number Serial Number Conditions(BTUH) (ton) System 1 t �'''�''�EER/`"�-�b� i3 00�� :� d,'ma a'"'�� ASX160601FA"� '�'1407246398 40000 5.0 �i I ''1 f` ��°----, � ��.�� ..,�. �;,.:��,>��...f.�,.--��°,fi. �• .a:'� Notes: � � �� ,`�+ € ` ;`" � ��.'� ��'� ��4""•� � � ..,,J ' . f°,;.�. `,,,;`4�: ��.,��,' 'L''� :�F .,� ,,,� � .: F. Extension of L�i�ir`� ��tt��yst ' ��,r�T an 40 Feet � � � �� '�'� ,_ �----t=.. �, . . _::;.�� ".,�� :`��a "� �'::"� U.�. ��+�'��C�#�t�t�c�a��tion G. Installed Duct System information This section does not apply to this project. Registration Number:314-A1001531A-M0100610C-0000 Registration Date/Time:2014-09-28 11:26:35 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2014-09-28 11:27:34 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems,Ducts,and Fans (Page 4 of 8) H.Installed Air Filter Device Information This section does not apply to this project. I.Air Filter Device Requirements This section does not apply to this project. ?'�l. ` ."g;.. . .. m,.'. A� :.�� I �w�..,� ��*,� j x,l '.�� : � � ` f... ..�. .� ._,..� � . Y � � � .�..� �. 6.t�-��'S �r �� `� a �.......� �'� �3� � �� } 1��- '� 4 ` � �'�.� � . . � �..... ; � �'"�'�'a;., ��T�,,"' `i „, , �r-�----rk�-�.. �� P ,t j f �`b ._ 3� r � . :_�-9� a � ,,, ,., {3 � a1';�� " ��; •�---... _, �_., r.,. :., , _�_. J_:. r U.S. Energy Raters �►ssociati�n Registration Number:314-A1001531A-M0100610C-0000 Registration Date/Time:2014-09-28 11:26:35 HERS Provider:USERA " CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2014-09-28 11:27:34 CERTIFICATE OF INSTALLATION CF2R-MCH-Ol-E Space Conditioning Systems,Ducts,and Fans (Page 5 of 8) J. HERS Verification Requirements 01 02 03 04 05 06 07 08 09 10 MCH2O MCH21 MCH22 MCH23 MCH25 MCH28 Exemption from Minimum Exemption R-Value for AHU Fan AHU SC System SC System From Duct Duct Ducts In Ducts Located Efficacy Airflow Identification or Location or Area Leakage Leakage Conditioned In Cond Space (W per Rate(cfm Refrigerant Return Duct Design Name Served Requirements Test Space Verification cfm) per ton) Charge Table 150.0-C or D ' System 1 Home exemptions Yes appli�cable No Yes Yes Yes No � �a--�.,._ r r �-�-�� -_-`-�'-�`�-� .� ,." °7' `��f � � � � � -,.�t} �� .�- � ��',. �` ,: � � �. _.._r�� ,�. ` ,::� � �� t. h't. 'f y�. , � � �� ?.k., �r � � �� .: . . . )"T'"p�' jp . +�L6�'^1 N ..., .� .� � . J ... . rµ`k :MbM1+Y �-+.A..- �v.. � . a r..�r� �... . �.�F� �H�[. �.� '5.:..�� U.S, Energy Ra#ers Associati4n Registration Number:314-A1001531A-M0100610C-0000 Registration Date/Time:2014-09-28 11:26:35 HERS Provider:USERA " CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2014-09-28 11:27:34 CERTIFICATE OF INSTALLATION CF2R-MCH-Ol-E Space Conditioning Systems,Ducts,and Fans (Page 6 of 8) K.Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note:Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems.These requirements may be applicable to only newly installed equipment or portions of the system that are altered.Existing equipment may be exempt from these requirements. Heating Equipment 01 Equipment Efficiency:All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a)and the Appliance Efficiency Regulations. 02 Controls:All unitary heating systems,including heat pumps,must be controlled by a setback thermostat.These thermostats must be capable of allowing the occupant to program the temperature set points for at least four different periods in 24 hours.See Sections 150.0(i),110.2(b). 03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing.See sections 150.0(h)1 and 2). 04 Furnace Temperature Rise:Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet-to-outlet temperature rise specification.See Section 150.0(h)4. 05 Standby Losses and Pilot Lights:Fan-type central furnaces may not have a continuously burning pilot light.Section 110.5 and Section 110.2(d). Cooling Equipmpnt � �"'�.;, �"`"""*' �"' p � . . . .�. - ,..--.... i ; , , f x, }:. • I � � �.� �� 06 Equipmen� Efficiency:All coolin� e�uipwnen must meet the miFlimum effic ency requirements of$ection�+110.1 and Section 110.2(a)and the Appliance Efficiency Regulatio s: � „.,�.t �'� � �` -� � � �, ��.� � � ;� ~-� � �:��w.� ��t �. �.�.a �� ,e� '� 3'^ 4 4 ��. � L +� a,�"s_'y,,. Refrigeran °in�ns�rlafio�' All ,'fri er:ant�kme'nsulation in split system air.conditioners and heat pumps must meet the R-value and protection requirements of Section 07 �� ,,�, �`..,��.;:z .� _��.�� .,;h w .,�_�..��.�.� �;,.�_,.: 150.0(j)2 and ,a`ntl Section 150.0 m : 08 Condensing Unit Location:Condensing units shall not�e p�ace wit i e 5 eet of a ryer vent out et.See Section 150.0(h)3A. 09 Sizing:Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing.See Section 150.0(h)1 and 2. Air Distribution System Ducts,Plenums and fans 10 Insulation:In all cases,unless ducts are enclosed entirely in directly conditioned space,the minimum duct insulation value is R-6.Note that higher values may be required by the prescriptive or performance requirements.See Section 150.0(m)1. Registration Number:314-A1001531A-M0100610C-0000 Registration Date/Time:2014-09-28 11:26:35 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2014-09-28 11:27:34 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems,Ducts,and Fans (Page 7 of 8) K.Space Conditioning Systems,Ducts and Fans Mandatory Requirements and Additional Measures Note:Additional mandatory requirements from Section 150.0 that are not listed here may be appticable to some systems.These requirements may be applicable to only newly installed equipment or portions of the system that are altered.Existing equipment may be exempt from these requirements. Connections and Closures:All installed air-distribution system ducts and plenums must be,sealed and insulated to meet the requirements of CMC Sections 601.0, il 602.0,603.0,604.0,605.0 and ANSI/SMACNA-006-2006:Supply-air and return-air ducts and plenums must be insulated to a minimum installed level of R-6.0 or enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference Residential Appendix RA3.1.4.3.8. Heat Pump Thermostat 12 A thermostat shall be installed that meets the requirements of Section 110.2(b)and Section 110.2(c). 13 The thermostat shall be installed in accordance with the manufacturers published installation specifications - 14 First stage of heating shall be assigned to heat pump heating. 15 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. ,. c-=-' �` ---�-�--;'��. � � . .. �....�.,..,m��..�.,� ..:�„ ._,..:� . �: � � e •� E �, � `� , � y� � . �x� � ; � � , ,�� _, � k � �� . , } �..,.� $. � � `� � ' �,. � �� , � �.,.� �.�, 1 , � � _ . . � �, � � >; . �� . :, a � - �.. ., < .,, ,� _,�,,�:u. ..�. �,,.��,. t,.+.�.� ,:..a�,� . � . U.S. Energy Raters Association Registration Number:314-A1001531A-M0100610C-0000 Registration Date/Time:2014-09-28 11:26:35 HERS Provider:USERA - CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-OS-13 Report Generated:2014-09-28 11:2734 ', CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems,Ducts,and Fans (Page 8 of 8) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Jim McEligot � Company: Sig�ature Date: RighTime Home Services 2014-09-28 Address: CEA/HERS Certification Identification(if applicable): 3030 Myers St 878533 City/State/Zip: Phone: Riverside CA 92503 951-276-9744 Responsible Person's Declaration statement I certify the following under penalty of perjury,under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. . 2. I am eiigible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design,construdion,or installation of features,materials, �i components,or manufactured devices for the scope of work identified on this Certificate of Installation,and attest to the declarations in this statement(responsible builder/installer);otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features,materials,components or manufactured devices(the installation)identified on this Certificate of Installation conforms to all applicable codes and regulations,and the r--�a .�.--"'-�-,.� .r4,�-.�,s-.�,P.c- .,-o.x-1 .a-�--^--a-'.�+r.�.� installation.conforms to t�ie r quiremehts given on the,plans andspecificaUons approved by the enforcement agency.�� i l 'i ! : - f p w G.r...t�n,�n � ; 'i 4. I reviewe�d a copy of the Certificate of.C�mpliance-ap�roved by the enforcement age1 cy.that identifies the,specfic reqwremen�for the scope of construction or installation identified on this Certificate of Installati n,a�d I have ensured tha�the eequireme�s that appiy to the co�sstruction�or installaUon have been met I ent t �_� 5. I will ens re that a registered copy of�t is Certificate of Instaltationshali be�posted,oi made available with the buildmg�permrt(s)5issued for the building,and made available to the enforcement agency for all applicablt ins ections.I u�d'erstand hat a regisYeFed�cOpy of this CertificaYe of Installatio�is"required to be included with the documentation the builder provides to the building owner at occupancy. �:��s �� 9. ��.;, 't �, _i �' �� Responsible Builder/In�`(ler,,'ame.rr.r ��'�� { r Responsible,Builder/Installer�Signature: • ,(,/ Jim McEligot � ;�1� �s,.�...�`:W.�� _.,.� .__,:�,�-�__.� �. ..'� iir, /�C G oT i Company Name:Qnstalling Subcontractor or General Contractor or Build i) i n RighTime Home Services Address: CSLB License: 3030 Myers St 878533 City/State/Zip: Phone: Date Signed: Riverside CA 92503 951-276-9744 2014-09-28 '`'S.e...,.i. � "This digita!signature.is provided in order to secUre the content of this registered document,and iri no way implies Regisfratrort Provider responsibfl'rty for - the accuracy of fhe information." U.S.Energy Raters Assaclatlon Registration Number:314-A1001531A-M0100610C-0000 Registration Date/Time:2014-09-28 11:26:35 HERS Provider:USERA � CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-05-13 Report Generated:2014-09-28 11:27:34 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: Lacabanne Enforcement Agency: Diamond Permit Number: 14-4649 - Bar Building Department Dwelling Address: 976 Summitridge Dr. 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 Home 03 Building Type from CF-1R Single family 04 Verified Low Leakage Ducts in Conditioned Space No,credit is not taken (VLLDCS)Credit from CF1R? 05 Verified Low Leakage Air Handling Unit(VLLAHU)Credit No,credit is not taken from CF1R? 06 Duct System Compliance Category Alteration .�, �� .., . ..�,`�-, ,� "� ! ,� z ;�,,,, ,� . i. �*�; , ( MCH-20d-CoMplete Replaceinent;`oi`,Altere Duct System �, � � � � `� � `°r� `� ��f !; � 1. �� :w�--u--�-�� - � �� '�. � : ;I � f b� .h:� �---�� l � ;:} �.:r:.��'', r'-a.:�..� < `� B. Duct Leakag Di g osti�Te�t �� ,� i f �� '� � , , , , _._ . . _ ,,, Ol Condenser Nominal Cooling Capacity(ton) U.S. GI Eer Raters Associatian 02 Heating Capacity(kBtu/h) 80000 03 Conditioned Floor Area served by this HVAC system(ft2) 2000 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor .15 �� Air Handling Unit Airflow(AHUAirflow)Determination Cooling system method Method 08 Measured AHUAirflow p 09 Calculated Target Allowable Duct Leakage(cfm) 300 10 Actual duct leakage rate from leakage test measurement 192 (cfm) 11 Compliance Statement:System passes leakage test Registration Number:314-A1001531A-M20004146-0000 Registration Date/Time:2014-09-28 11:28:24 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:29:23 Compliance CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) 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 02 testing.CFI OA ducts that utilize controlled motorized dampers,that open only when OA ventilation is required to meet ASHRAE Standard 62.2,and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. 03 All supply and return register boots were sealed to the drywall. + 04 Building cavities were not used as plenums or platform returns in lieu of iiucts. 05 If cloth backed tape was used it was covered with Mastic and draw bands. ' 06 All connection points between the air handler and the supply and return plenums are completely sealed. If the system complies using the Smoke Test method,the smoke test was conducted in accordance with the requirements 07 of Reference Residential Appendix RA3.1.4.3.6.Systems that comply using smoke test shall not be included in sample groups for HERS verification compliance. � � _ z The responsible erson's signature on L is-compli ce d`ocurrient affirms that all applicatile requirements°in this table have been met. I ` � ' `'' � � , ,� � `� �� =� ,. t' :1 � �� . �� .�-�µ:� �..;:.� � .��.W �,..�,.;�� `.� , r t �ti>,: ;: . . . . � ..�.�-"-^�`y� „`,� :;`..-....J \ � ': �� i � :� ,�` .,.�':: { ,1 � �.br�"""""'_""� . E �`. .. ._.. ..�_.. ,..'...a..�ti ��t'r"�..� �;'�:�:1, � .�� ' . . U.S. En�rgy Raters Association Registration Number:314-A1001531A-M2000414B-0000 Registration Date/Time:2014-09-28 11:28:24 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:29:23 Compliance CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Dud Leakage Diagnostic Test (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Jim McEligot Company: Signature Date: RighTime Home Services 2014-09-28 Address: CEA/HERS Certification Identification(if applicable): 3030 Myers St 878533 City/State/Zip: Phone: Riverside CA 92503 951-276-9744 Responsible Person's Declaration statement I certify the following under penalty of perjury,under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construdion,or installation of features,materials,components,or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement(responsible builder/installer),otherwise I am an authorized representative of the responsible builder/installer. --• •--�---..�..�.�_,....,e -�.�.....�,,.-.._.�. 3. The cons�ruc[ d or instal e�features„ ater�ial otnpq�ents or,manufactured_,device"s(tlie installation)�identified on this Ce�ificate of Installation conforms to�all applicable codes and+reguta"fions;�acld_the installation conforms'to the requiremenfs`given�on the plans and specifications approved by the enfo ement a enc . �l � J! ,+� 4. I understand that a HE S rl ter�ill�eck th�e ins�tall`ation to venfy compli nce,and thl bif s ch check�g identifies d"efects I am�quired to take correctiv�act on at my ex�ense.I unde s anH'that�ne�gy Commission and'HERS Providerrepresentaty s will al�o perform quality,assurance checking of install�on, inclu�d.�ing,�ttfi�os�app b�ved as part o a s"�ample group but not checked by a HERS rater,-and if those ins4allaUons fail.to meet the requiremen o su ti�qua�l,i�ssur� che ki7ig"`eth'"�equired corrective acti no and addiEional checkmg/testing.of�other installations;in that HERS samplegroup fHbe e��rmedatmy��ilu�'" t f_..�F_ . .�_-;,� � :.-� � _, ��',. . .� �.;-�.:_::� S. I reviewed a copy of the Certificate of Compliance approvedp`�t�nf pQq��t e� if��j �j�scope of construction or installation identified on this Certificate of In3TaRaTISA,�i i�e�kJfed��erfiei��$faT�a�l�e'EdhStruction or installation have been met. 6. I will ensure that a registered copy of this Certificate of Installation shall be posted,or made available with the building permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Buitder/Installer Signature: �� N� G OT Jim McEligot im Mc Eligot(Se ,2014 Company Name:(Installing Subcontractor or General Contractor or Position With Company(Title): Builder/Owner) Install Manager RighTime Home Services Address: CSLB License: 3030 Myers St 878533 City/State/Zip: Phone: Date Signed: Riverside CA 92503 951-276-9744 2014-09-28 Third Party Quality Control Program(TPQCP)Status: Name of TPQCP(if applicable): Th7 "This digrtal signature is provided in'order b secure �'�,., the contenfof this registered documont,and in no way rmplies Registration Provider responsibility for U.S.Energy Raters Assoclatton, the accuracyof the information." Registration Number:314-A1001531A-M20004148-0000 Registration Date/Time:2014-09-28 11:28:24 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:29:23 Compliance CERTIFICATE OF INSTALLATION CF2R-MCH-22-H Space Conditioning System Fan EfFicacy (Page 1 of 3) Project Name: Lacabanne Enforcement Agency: Diamond Permit Number: 14-4649 Bar Building Department Dwelling Address: 976 Summitridge Dr. City: Diamond Bar Zip Code: 91765 A. Ducted Cooling System Information 01 System Identification or Name System 1 02 System Location or Area Served Home 03 System Installation Type Alteration 04 Nominal Cooling Capacity(tons)of Condenser 5.0 OS Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated(CFI)Ventilation System Status Not a CFI system ..-r.,�.�,-......,-,,,� n-Y. 08 5 stem B ass�Duct Statu�s�� - Y Yp I I �� ,�`�",�.� � __No�,BypassyDuct_._::��.� �,f;..� 09 Date of Sy fem Airflow Rate�Mea urement � `�; `��2014 09 18,t '�"r f� "� E I, .I �� .�._..__;;,� � .,.� ,�;;� �� 10 Airflow Rat '� tocol utflii''�d ' r�� A3 3 procedures for airflow rate-measurem nt �` " �.� . :� :�� f I � < � -I 1�:;.:� �� r.� . . ��.,� _ -, .� �.��:,_,; ,� �,.�::,�,a B. Fan Watt Measurement Apparatus and Procedur�p��rgy Ra#ers associatian Instrument Specifications are given in RA3.3.1,and system fan watt measurement apparatus information is given in RA3.3.2.2. Ol Fan Watt Verification Device Used. Portable watt meter MCH-22a Forced Air System Fan Efficacy Measurement-Newly Installed Non-2oned Systems or 2oned Multi-Speed Compressor C. Forced Air System Fan Efficacy Measurement � The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3 01 Actual Tested Watts 7qp 02 Actual Tested Airflow from MCH-23(cfm) 1811 03 Required Fan Efficacy(watts/cfm) ,58 04 Actual Fan Efficacy(watts/cfm) .41 05 Compliance Statement: System fan fan efficacy complies Registration Number:314-A1001531A-M22000836-0000 Registration Date/Time:2014-09-28 11:29:26 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:30:25 Compliance CERTIFICATE OF INSTALLATION CF2R-MCH-22-H Space Conditioning System Fan Efficacy (Page 2 of 3) D.Additional Requirements , 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow(cfm/ton)and fan 05 efficacy(Watt/cfm)with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow(cfm/ton)and fan efficacy (Watt/cfm)criteria in every zonal control mode. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. � +�� I�� {��~�� ' �. ,. � �� . ((( � � ��....�r� Y ..�..:� ' y'� _ `""^.,.-^,,;,� „- �w_ �4 � �' �� ` � � � �� .�x� ,-.:'w._�..,..... _� :* ,�� .�� v r�.� . -� ._ U.S. Energy Ra#�rs �►ssociation Registration Number:314-A1001531A-M2200083B-0000 Registration Date/Time:2014-09-28 11:29:26 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:30:25 Compliance CERTIFICATE OF INSTALLATION CF2R-MCH-22-H Space Conditioning System Fan Efficacy (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Jim McEligot � Company: Signature Date: RighTime Home Services 2014-09-28 Address: CEA/HERS Certification Identification(if applicable): 3030 Myers St 878533 City/State/Zip: Phone: Riverside CA 92503 951-276-9744 Responsible Person's Declaration statement I certify the following under penalty of perjury,under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction,or installation of features,materials,components,or manufadured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement(responsible builder/installer),otherwise I am an authorized representative of the responsible builder/installer. 3. The cons�r�d or instal e�d features„ aterrri°a o'mp�ent�s or_manufact;ure dewces(the installaYion)�identified on this Cer�fificate of Installation conforms to all applicable�odes and�regula ionS;�ar�dlthe installatiorrconforms�to the req;uirementsgiven�on the plans and specifications approved by the enfo�ement agency. � � � �� x � { �: � � � .fi� � t � x--'---`..� I 'c, .J � 4. I underst nd that a HERS rater�will chec„�kthe installati 3n to venfy corriphance,and that if'such checking identifies defects I mrequired to take correctiv actlon at my expense.I understanti`that^�Energy Commission and�HERS Prov�der.repr'esentafives will also perform quality assurance checking of install tion mclud_i_n�g `hos�app ved as part Pa sample group but not checked by a HERS rafe�and if those installatwns fail'to,meet the re uireme�`tso�s�chTTialii`" ssur `�ec�"li`eckir��"� � � � "'"'"`�"'�' � � � � � 1 � " � q q g,,th required correctrve action,and addi4ional checking/testing of;other installations;in that HERS sample group wiH e p`�erfo�`rmed at my expen �. '�".Y --' �. �,;;� � ^��' ", � `��'s-=f�''' �:`�--*�� 5. I reviewed a copy of the Certificate of Compliance approved�`�t�nf �(��t e� i @� �scope of construction or installation identified on this Certificate of In3CaRaTro�,�ii c�e�$�Fed��erheT��a�'`a�l�e�dhStruction or installation have been met. 6. I will ensure that a registered copy of this Certificate of Installation shall be posted,or made available with the building permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: �� G OT Jim McEligot im McEli ot Se 8,2014) Company Name:(Installing Subcontractor or General Contractor or Position With Company(Title�: Builder/Owner) Install Manager RighTime Home Services ' Address: CSLB License: 3030 Myers St 878533 City/State/Zip: Phone: Date Signed: Riverside CA 92503 951-276-9744 2014-09-28 Third Party Quality Control Program(TPQCP)Status: Name of TPQCP(if applicable): �'�� : TIl1 � t � "This digital signature is provided in orde�b secure ��~ the content of this registered document,and in no �� + � '�: . �� way implies Registration Provider responsibility for U.S.Energy Raters Assoclatlon:. the accuracyof the 7nfamation.". Registration Number:314-A1001531A-M2200083B-0000 Registration Date/Time:2014-09-28 11:29:26 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-OS Report Generated:2014-09-28 11:30:25 Compliance CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 3) Project Name: Lacabanne Enforcement Agency: Diamond Permit Number: 14-4649 Bar Building Department Dwelling Address: 976 Summitridge Dr. City: Diamond Bar Zip Code: 91765 A. Ducted Cooling System Information 01 System Identification or Name System 1 02 System Location or Area Served Home 03 System Installation Type Alteration 04 Nominal Cooling Capacity(tons)of Condenser 5.0 05 Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated(CFI)Ventilation System Status Not a CFI system �_`�.' '-T."".�'��."-.."�,.. �.-,.'"' O8 System Bypass Duct Statu�s� �'`' ��_„ No Byp s„Ductw_�� _ _ �+�.� .� t �. r'�� . �--�, ;`� , � 09 Date of Sy em{ Airflow R�ate M a urement ��2014 09 18'�'r "�� f� .:7 ' ::� �•Lr.�::...,,. �. . :y�! �•:� �� ""�� 1 `�� [ �� y'`�" � / ��' , � 10 Airflow Rate-.. tocol unliz d �#� RA3 3 procedures for:airflow/rate measurement � ��' 7 �-�,r.,""`�"".I � " � <.1 ! -F 4 A' "� �; . , ., ., .,��. �_�,� ��,,.,� � - ..,r, ,.r��"; �.� �,:_�.� B. Hole for the placement of a Static Pressure Prob�I�P)�a��n�A��w�lc+t��a�t��r�l�{�obe(PSPP) in the supply plenum. Procedures for installing HSPP or PSPP are specified in RA3.3.1.1. 01 Method used to demonstrate compliance with the HSPP installed and labeled consistent with Figure RA3.3-1 HSPP/PSPP requirement C.Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1,and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate Flow Grid according to procedure in RA3.33.1.2 verification. 02 Manufacturer of Airflow Measurement Apparatus True Air 03 Model number of Airflow Measurement Apparatus DG700 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) Registration Number:314-A1001531A-M23004996-0000 Registration Date/Time:2014-09-28 T11:30:3 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-OS Report Generated:2014-09-28 11:31:29 Compliance .._-... _.^__ .-... . i _ . ._ _.._ ___ I CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Fage 2 of 3) MCH-23a Farced Ai�System Air#law Rate Measurement-Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor D.Forced Air System Airflaw Rate Measurement The procedures for System Airfiow Rate Verificatian 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 Systern Airflow Rate Measurement(cfm) 1811 04 Compiiance Statement: System airflow rate complies E.Additional Requirements 01 Air filters that meet the applicable requirements af Standards Sectian 150.0(m}12 or 150.0(m}23 were properly installed in the system during system air flow rate measurement identified on this Certificate of tnstallation. Rw.._.� 4..�-..x ,,�.--..��,,.�. �.-�.---w,�.. ,�.t..^..----�3 �--..,-.. �-.-"."-"y' 1 », ,:; :... Y� � :.; .�.. '�+�� ..+� `t jz t The airflow rat�e measure•ment ap�parat"�usec� o perform the airflow rate measu`rernent,identified on this Certificate af E�,, j �� ( 9 t� i fi 3 # r`- 1 02 Installation was calibrat�d i�aca�rc�ancexwitki„the apparatus manufacturer's specif�cat�s and canforms to the instrumen a�ti�n specific tia�ns givenara..8A3.3.�� --� � ;. -�;��,k � `� �� : � 3 � �� i w .,+' 1 �w 4 *�. ; i�T------�,�- -.t A visual insp�c�io. • II_�onfir��hat`�i`� ss=`��cts that deliver conditio�ed!supply atr dtrectly to the space;conditioning �. ,.:��_r _ � �,�,. �ti l.._., .��.. _� •a„ system return uc airf ow are not used�on new or replacement'aonally controlled systems unless the Performance Q3 Certificate of Compliance indicates an allowance fo��a .�r ��vYr�rp��l�s�$��n the Performance Certificate of Compliance,the airflow rate shall conform ta the specifications listed on the Certificate of Compliance. Q4 All registers were fully apen during the diagnostic test. OS System fan was set at maximum speed during the diagnostic test. 05 ff fresh air duct is part of the HVAC system it was not closed during the diagnostic test. I 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to ca�culate the Fan Efficacy tested value. Muiti-speed compressar space coaling systems or variable speed campressor systems shaN verify air fiaw(cfmJtan)and fan p8 efficacy{Watt/cfm)with system operating in cooling mode at the maximum compressor speed and the maximum air handlerfan speed. The respansible persan's signature an this campliance dacument affirms that att applicable requirements in this table have been met. Registratian Number:314-A1001531A-M23004998-OOdO Registration Date/Time:2014-09-28 T11:30:3 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-2$ 11:31:29 Compliance CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Jim McEligot Company: Signature Date: RighTime Home Services 2014-09-28 Address: CEA/HERS Certification Identification(if applicable): 3030 Myers St 878533 City/State/Zip: Phone: Riverside CA 92503 951-276-9744 Responsible Person's Declaration statement I certify the following under penalty of pery'ury,under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction,or installation of features,materials,components,or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement(responsible builder/installer),otherwise I am an authorized representative of the responsible builder/installer. 3. The construct�d or installe�"fea ures„mater"�ial ompq�ents or manufactured devices(the�nsYallation)=identified on tliis Ce�i ificate of Installation conforms fo all applicable codes and�regulafion�arid�he installaUon`conforms't�o the requirements'given�on the plans and specifications approved by the enfo�ement agency. � � �' �� ,, � x � � � � �r� \ 4. I underst�nd�that a HERS rater will check the i�ns a'llation to venfy compliance,and that if s ch checking identifies defecfs,I am equired to take correctiv�act�on at my ex{�en�.I unde tantl"that�En�gy Commission and�HERS Provider..`representa't es will also pe`rform quali4y�assurence checking of installatio �including tttp'� app�gd as part��f'a„sample group but not checked by a:HERS rai`er-�and if those mstallaC�ons fad"to?meet the requireme ts o su h quali 'ssur �e c�''he k g;,h required correcfive action and adddional checking/testing of,other mstallations;in that HERS sample group wil be e ormed at my ex ense. � - -�� -'^;� `�—°�" ' � -��' �-�` �'�-�-�� 5. I reviewed a copy of the Certificate of Compliance approved�`�t�nf p�(��t e� if��y �j�scope of construction or installation identified on this Certificate of In3T5RaTT6�, fU �e1'�JFed��erhe7��hfaT�a�l�e'EdhStruction or installation have been met. 6. I will ensure that a registered copy of this Certificate of Installation shall be posted,or made available with the building permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: �� N G OT Jim McEligot im McEligot(Se a,2oia� . Company Name:(Installing Subcontractor or General Contractor or Position With Company(Title�: Builder/Owner) Install Manager RighTime Home Services Address: CSLB License: � 3030 Myers St 878533 � City/State/Zip: Phone: Date Signed: Riverside CA 92503 951-276-9744 2014-09-28 Third Party Quality Control Program(TPQCP)Status: Name of TPQCP(if applicable): TM � M' "Thisdigita!signature is provided in order to secure + . ';,` ;, the eontenfofthis registered document,and in rto � �.� ' � way implies Registration Provider responsibUity for U.S.Ettergy Raters Assocl�tion the accuracyof fhe lnformation." Registration Number:314-A1001531A-M23004996-0000 Registration Date/Time:2014-09-28 T11:30:3 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:31:29 Compliance . CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 1 of 4) Project Name: Lacabanne Enforcement Agency: Diamond Permit Number: 14-4649 Bar Building Department Dwelling Address: 976 Summitridge Dr. City: Diamond Bar Zip Code: 91765 A.System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. O1 System Identification or Name System 1 02 System Location or Area Served Home 03 Condenser(or package unit)make or brand Amana 04 Condenser(or package unit)model number ASX160601FA 05 Nominal Cooling Capacity(tons)of Condenser 5.0 06 Condenser(or package unit)serial number 1407246398 07 Refrigerarit Ty�e �''�? "�""'�'"""`"""''" R 410A�^�,� �;i I �I 1 < .�-=-,, i 1 . �--�! � .' --� -� ��1 }� 08 Other Refr gerant Type(if applicable � � .�� ¢T ,,,!' ;:� � ":�1 J G . .I �. ' l . � °i � . ..�---.x.-.�":. •l � .� '� � ._ � � 09 System Ins all�tion Type �,x` �1 Alteration;`� � �� `��:` �:� £� 4 ` ,:� I. r �,"�� 'r=`_'—� ,.;t �.�` Charge Indicator Disptay(CID)Status(�MoTe�en syste'm's"r 'ThisMsystem�'does n�t`ha e a CID�'device in�talle� 10 „�ith a CID must have refrigerant charge verified by t r) �.� nergy Ra#ers �4ssociation 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 RA3.3 or RA3.2.2.7 can be or RA3.2.2.7)? used to verify system airflow rate Is the system of a type that approved refrigerant charge Yes,one of the Refrigerant charge verification procedures verification procedures can be used to verify compliance from RA3.2.2 or RA1 is applicable to this system and can be 12 with the refrigerant charge verification requirements when used to verify compliance temperatures are greater than or equal to 55F(RA3.2.2,or I RA1)? � 13 Date of Refrigerant Charge Verification for this system 2014-09-18 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 Standard Charge Verification Procedure-CF2R-MCH-25b-Subcooling Method Registration Number:314-A1001531A-M25002856-0000 Registration Date/Time:2014-09-28 11:31:46 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:32:46 Compliance CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 2 of 4) B. Metering Device Verfication Subcooling Method can only be used on systems that have a variable metering device. 01 Refrigerant metering device Thermostatic Expansion Valve(TXV) 02 Subcooling Method applicability status Subcooling Method is applicable to this system. C. Instrument Calibration Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 01 Date of Digital Refrigerant Gauge Calibration 2014-09-02 02 Date of Digital Thermocouple Calibration 2014-09-02 03 Digital Refrigerant Gauge Calibration Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current D. Measurement Access Hole(MAF7j Veri�ic t o } -•-x� � `� � �: � � . � �...._.�...,;,� � � ` Procedures for ins��Iling MAH`are specifii�"d�in• eference�Resid_ential Appendix-RA�3�2:2�.3 : �'�� " � "'� k �� f � '�.,.,. � .� � � _� i ,�.,..�..;. �.� I .'� � �' , _� '� >� , . } < ,. - Method u cl�:, demo �rate co� liance�'th��he� MA installed and�labeled consistent with Figure 3.2-1 Ol �� :� ��,��.� ` •w--- Measuremera =Aecess Hole�(MA�i��requirem Frt � �� '? � �` � � � �»e' .� ..� ...._.;,,� �t��.,� . .'��__� ��.:� .�. E. Minimum System Airflow Rate Verification • . Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.2.2.7. 01 Minimum Required System Airflow Rate(cfm) 1500A 02 System Airflow Rate Verification Status System complies with minimum airflow rate requirements F. Data Collection and Calculations , Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3.2.2. Ol �owest return air dry bulb temperature that occurred during 72.0 the refrigerant charge verification procedure(degreeF) �2 Measured Condenser air entering dry-bulb temperature(T 75.0 tondenser,db� 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method 04 Measured Liquid Line Temperature(Ti�q��d)(degreeF) 77.0 Registration Number:314-A1001531A-M25002858-0000 Registration Date/Time:2014-09-28 11:31:46 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:32:46 Compliance CERTIFICATE OF INSTALLATION Cf2R-MCH-25-H Refrigerant Charge Verification (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. 05 Measured Liquid Line Pressure(Poq��d)(pisg) 256.0 06 Condenser saturation temperature(T�ooaeo5o�,5ac)from digital 86.0 gauge or P-T Table using Line F05(degree F) 07 Measured Subcooling 9.p 08 Target Subcooling 7.p 09 Compliance Statement:System complies with Subcooling Method-Must also pass metering device verification,next section G. Metering Device Verfication Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2 01 MeasurefiSucYlon line t€mperature'(Ts�:�c�o�}•{d greeF)"""""""""' 6'1°`t0 `��,, �`"`'�' l r l' .�---� _ � � —�=;? '�,�-�.,:_ ,;1 ��" -:� 02 Measured�uction line p�essure�(Ps��non)-(:psi ) j � R � � ' � i ! ' f �t , � :-�_---�+ .'�115 0 � , l}. � r�, ,�� .«,--.,,-,...�� "'�.,`ti"^��...� { y _._, �. �- , �.,a-,.,a 03 Evaporato sat� ration teinperatl� e(Te�apo�aco�sa j from; 38.0 =� �� 'k' H� €#ti ,+�f,� ` t ��- '"�'-'---^� . r digitalgaug �or �TTab�le `"singJi�02�(�degr�F) � "ry-'"�^�� S' � �/y �� `7A '� S�� { ......E,t . .�..� � ��Y � �i+,', .,�, r,'�`.:x�� 04 Measured Superheat U.S, �rgy Raters associatian 05 Measured Superheat is between 4 and 25 deg F(inclusive) Does not pass 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-CID H.Charge Indicator Display Procedures for the Charge Indicator Display Verification are detailed in RA3.4.2 This section does not apply to this project. I.Charge Indicator Display Additional Requirements This section does not apply to this project. Registration Number:314-A1001531A-M25002858-0000 Registration Date/Time:2014-09-28 11:31:46 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-OS Report Generated:2014-09-28 11:32:46 Compliance CERTIFtCATE OF INSTALtAT10N CF2R-MCH-25-H Refrigerant Charge Verification (Page 4 of 4 j Documentation Author's Declaration Statement 1.i certify tha##his Certificate af Installatian documentation is accurate and cornplete. Documentation Author Name: Documentation Author Signature: 1im McEligot Company: 5ignature Date: RighTime Hame Services 2a1A-09'2$ Address: CEAj HERS Certification identification(if applic2ble}: 3030 Myers St 878533 �tylStateJZ9p: Pho�e. Riverside CA 92SQ3 951-276-9744 Responsible Person'S Dectaration statement I certify the following under penalty of perjury,under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and carrect. 2, i am etigible under Divisian 3 of the eusiness and Professions Code in the appSicable classification ta accept responsibitity for the system design, tonstruction,or installatian of features,materials,components,ar manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement(responsible builder/installer),otherwise I am an authorized representative of the responsi6le builderJinstallec ,r� .�...—,.�.,,,....-,,..- 3. The constru�d or installecJ features„maietia s,c mpqPents o�nu actusgd devices,{the,mstallation)identified on t'Ms Ce�r ificate of Installatia� conforms,to>all applicable codes andrregula ions;'and the in`stallation conforms ta the requirements giveriti n the plan,s and specifications approved by the enfo�ement agency. � � f 1 � � �..,"�„�,�...,. � �'.,,.-,w-�.-_,*� �...,�, .�� ` � � � 4. I underst�nd,�hat a HERS r`�ateri ill chec,,,,�k the installation to ver%y�compliance,and that if such eheckmg'identifies deFects 1 am required to take correctiv ect on at my expens„�e.I understand'itiat Ene�gy Commission and HERS Provider representat�ives will allo pe'rform quality�assurance checking of instaii�tion including khos�app�ed as part o�#a sample group but not th�ked by a�NERS reter and if#hase tnsfailak+ons�fait ta�meet ihe '��' ,,..es�� 3'y'f.r,.. �° requiremeqts�o+su-h,qualit ssur Ce,c�heetf(,�h �eqwr'ed correctave action and additional check�ng(tesbng ofloCher installat�on's,in that HERS "'�G�"�'�`'6.ar �'"�.i,«.:.Z' �w...s_r:.�- w..r:..-,�,� .".:,:t'�al .i;_,..:-R`.:�.�;,..r� �_r.�,�,� sample group wi1�be^�pe ormed at my expens . 5. i reviewed a copy of the Certificate of Compiiance approved��t�nf �j�t � e� i'� �°'��scape af construction or installatian ident'rfied an this Certificate af In3CaAa'LI6h,��E e�E�Aed��"rct7�ethen�ftfa�e'�o1�Struction or installation have been met. 6. i witl ensure that a registered copy of this Certificate of installation shall be posted,or made available with the building permit(s}issued for the building,and made available ta the enforcement agency for all applicable inspections.t 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: Responsi6le Builder/Installer Signature: ` � � T r�s. Jim MeEligot im Me eligot(Sep ,2014) Company Name:(Installing Subcontrector or General Contractor or Position With Company(Title): BuiiderjOwner} install Manager RighTime Hame Services Address CSLB license: 3030 Myers�t 87$533 City(State/Zip: Phone: Date Signed: Riverside CA 92503 951-276-9744 2014-09-28 Third Party Quality Control Program(TPQCP)Status: Name of TPQCP(if applicable): TM "This drgttal srgnature is provided in order fa secura �, _ Uta cot�tent of#hrs regrsfer�d documant,and irr ao way rmplias Registration Provider responsibilrty for p _ < ° the aceuracyof fhe ir�formaEian." U,S.Energy Raters Assoctatlan Registration Number:314-A1001531A-M2540285B-OOOd Registration Date/Time:2d14-d9-28 11:31:46 HERS Provider:USERA CA Building Energy Efficiency 5tandards-2d13 Residential Repart Version:2014-05-OS Report Generated:2014-09-28 11:32:46 Campliance CERTIFICATE OF VERIFICATION CF3R-MCH-20-H � Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: Lacabanne Enforcement Agency: Diamond Permit Number: 14-4649 Bar Building Department Dwelling Address: 976 Summitridge Dr. City: Diamond Bar Zip Code: 91765 A.System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Home 03 Building Type from CF-1R Single family 04 Verified Low Leakage Ducts in Conditioned Space No,credit is not taken (VLLDCS)Credit from CF1R? 05 Verified Low Leakage Air Handling Unit Credit from No,credit is not taken CF1R? 06 Duct System Compliance Category Alteration ,,,,� �...,-.4•�. .�� }. _ " � f '� � x y �t��.. �.,'� 4'.� f � � � � {� �f� �,� .� � . �..,. -,�.._;:� i_ -�` � '�. ; � MCH-20d-CorY�iplete Replak ement�or Altered Duct System l� �r � ; a-`-��'•" x-s-��' .�� , �:�. �.1 :1 � ` - {� �;�..��:�.� ! ��,.' ,� :f..._...� `,� x. -� �� .,,,� , , �� ; � � � � � �� -�. , B. Duct Leakage Bi�g ost��T� t ;�� ` � ;� n�a- _,� . :� i x.w . _.._. _ _. _v, _ , 01 Condenser Nominal Cooling Capacity(ton) ��$� ��r Raters Association 02 Heating Capacity(kBtu/h) gp 03 Conditioned Floor Area served by this HVAC system(ft2) 2000 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor .15 07 Air Handling Unit Airflow(AHUAirflow)Determination Cooling system method Method 08 Measured AHUAirflow p 09 Calculated Target Allowable Duct Leakage Rate(cfm) 300 10 A�tual duct leakage rate from leakage test measurement 192 (cfm) 11 Compliance Statement:System passes leakage test 12 Notes: Registration Number:314-A1001531A-M2000249A-M20A Registration Date/Time:2014-09-28 11:33:30 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-OS Report Generated:2014-09-28 11:34:30 Compliance CERTIFICATE OF VERIFICATION CF3R-MCH-20-H ' Duct Leakage Diagnostic Test (Page 2 of 3) C.Additional Requirements for Compliance O1 System was tested in its normal operation condition. No temporary taping allowed. Outside air(OA)ducts for Central fan Integrated(CFI)ventilation systems,shall not be sealed/taped off during duct leakage 0z testing.CFI OA ducts that utilize controlled motorized dampers,that open only when OA ventilation is required to meet ASHRAE Standard 62.2,and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. 03 All supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. 05 If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. If the system complies using the Smoke Test method,the smoke test was conducted in accordance with the requirements 07 of Reference Residential Appendix RA3.1.4.3.6.Systems that comply using smoke test shall not be included in sample groups for HERS verification compliance. ,a 08 Verificatio St�tus: t � �' � �----Y-ypass�=all a� licable�r'e�ui ments are�mef-� ; -�� 4 FP i 4 Y..�-�� s..t�,:. � � . � � -:�.,,__,___--�.,� :: 09 Correctio Notes for this table:��4 i ` °;� � �� :,�;a� � y� �� `� � ��--� �. . �� _,S �`:3 ,�� ' � # �` \.,:l � ,. ,.,-i The responsible p�s 's si a re o t ' mpha e document affirms that ail applicable,�requirements in this•table have been met unless other.wis no ed in the �i�ea�i n Status and:the-Corr'ections-Notes in�this=tatile.� ��-�-� D. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Does not comply:One or more specified verification protocol requirements on this document are not met. ' Registration Number:314-A1001531A-M2000249A-M20A Registration Date/Time:2014-09-28 11:33:30 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:34:30 Compliance CERTIFtCATE OF VERIFICATION CF3R-MCH-20-H � Dutt Leakage Diagnostic Test (Page 3 of 3} Documentatian Author's Declaration Statement 1,1 certify that this Certificate of Verification documentation is accurete and compiete. Documentation Author Name: pocumentatipn Author Signature: "'�� ; .. ..•'"�.�}f :{.. lason iskades �':! .�`;� `; ��_' Company: Date Signed: y' �', Athens Airinc 2014-09-28 Address: CEAJ HERS Certification idantification(if appiicable}: 21151 Laguna Ct. 1408Q91430 tityJStateJZip: Phone: Apple Valley CA 92308 760-486-5544 Responsible Person's Declaration statement I certify the following under penalty of perjury,under tha laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. i am the certified HERS Rater wha perfarmed the verification identified and reported an this Certificate o#Verification{responsibie rater}. 3. The installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicabie requirements in Reference Appendices RA2,RA3,and khe requirements specified on ihe Certificate of Campliance far the building approved by the enfarcement agency. 4. The info�fidn reporte on a plicab4e`sect`�ions afitlae�Certiflcate{s)of Install`at,on(GF2R)signed and submitted by the�perso�(sa responsible for the construction,or installation,conforms to�tfie'"Y�quirem nts specified�`on the�Ce'rtificate(s)�of Compiiance(CF1R}approvetl by the enforcement agency. 5, i will ens�re that a registered copy of this�ertificat�f Venfcation shall b posted or matle availabie�witF'i the build'ng permit(s}issued far the � �I� w d ��.+. � -�-,.w...�i � �t ;r �` �. � building,��d made availaple to the e�fqrcement a er�cy for�a!!appl�cable inspecbon5 1='untlerst�nd th�a registered Copy of�this�rtifieate of Verificatip�n is required to�e induded v✓�th"thre�il umentation the 6uil8erprovides to the bullding owner at occupancy-� t�xi: -� �`� � ' p °'4 `�s � / _ � � Y � s �" � Ba�ider Or Ins#a 1 r lnfo trr �' n Ar own 0 �"Fhe CertEfi'cax Of installatian `��,�!. .� � �,:�„ h�^X^••c, .wxs.c...l h•r:--s.«t,.a K Company Name(Instailing Subcontractor,Generel Contractor,or Builder��: E��y Ra#eYs �►ssaciativn RighTime Home Services a Responsible Builder or Mstaller Name: GSIB Lice�se: RighTime Home Services 878533 HERS Provider Data Registry tnfarmation Sample Group Number(if applicable): Dwelling Test Status in Sample Group(if applicable) 314-0430 Tested � HERS Rater Information NERS Rater Company Name: Athens Air Inc ftesponsi6le Rater Name: Responsible ftater Signature: ' f Jason Iskades ASa� SkA.oG!'S ason Iskades Se 28,2014 Responsible Rater Certification Number w/this HERS Provider: Date Signed: 1408d9143Q 2014-09-28 ,17k1 �' � "7'his digitat signaturs is provided in ordar.fo sacure �: -<��_ � ;� the contenfoithis�reglstered�documertt,and�Fn�no� � • ,� $ way implies Registrdtion Pravider responsibitity for� , �� : �� ; ��'' the�accuracy of Uie informatfon." U.S.Ene�rgy Raters Associattan Registratian Number:314-A1d01531A-M20dd249A-M2dA Registration Date/Time:2d1A-09-28 11:33:30 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-2$ 11:34;30 Campliance CERTIFICATE OF VERIFICATION CF3R-MCH-22-H Space Conditioning System Fan Efficacy (Page 1 of 3) Project Name: Lacabanne Enforcement Agency: Diamond Permit Number: 14-4649 Bar Building Department Dwelling Address: 976 Summitridge Dr. City: Diamond Bar Zip Code: 91765 A. Ducted Cooling System Information Ol System Identification or Name System 1 02 System Location or Area Served Home 03 System Installation Type New 04 Nominal Cooling Capacity(tons)of Condenser 5.0 05 Condenser Speed Type Single Speed 06 Cooling System 2onal Control Type Not Zonal 07 Central Fan Integrated(CFI)Ventilation System Status Not a CFI system '�--"��. .—"°"`""""'"" , ��a �- O8 System Bypassi Duct Stat�s /� �'"' � ��No�Bypass`Duct��'_ (r;� f r �" *"4�� f�� I �I l l � � n 1 '� � a � e 09 Date of Sy ter'n Airflow Rate Mea uremenY ' �� ""�,�2014 09 18�"�"""" � �y, � .=.1 E: .I �°^�.�,..;.� � �.c��t..�ta r ,.� � f�, \-:� ' �., t�:�� x �., �r� ;: 10 Airflow Rateu,P, tocol iliied � � � ° . RA3 3 procedures`for airflow�ate measure ent ,� . r '..�'y.�-,�,.� ; � ; �. y� �� -:k. .. - � '. . {_ ._:c.�;'_s3' �:,�;.�eG`I �+i'.�..[.h�� ♦ h.3::a..l5�:'..:3.,�, s::.�..-_.,�i�: y B. Fan Watt Measurement Apparatus and Procedur�n��rgy Raters �4ssociation Instrument Specifications are given in RA3.3.1,and system fan watt measurement apparatus information is given in RA3.3.2.2. 01 Fan Watt Verification Device Used. Portable watt meter MCH-22a Forced Air System Fan Efficacy Measurement-Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor C. Forced Air System Fan Efficacy Measurement The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3. 01 Actual Tested Watts 740.00 02 Actual Tested Airflow from MCH-23(cfm) 1811 03 Required Fan Efficacy(watts/cfm) ,58 04 Actual Fan Efficacy(watts/cfm) ,41 05 Compliance Statement: System does not comply with fan efficacy requirement Registration Number:314-A1001531A-M2200053A-M22A Registration Date/Time:2014-09-28 11:35:05 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:36:06 Compliance , 'tERTIFICATE OF VERIFICATION CF3R-MCH-22-H Space Conditioning System Fan Efficacy (Page 2 of 3) D.Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow(cfm/ton)and fan 05 efficacy(Watt/cfm)with system operating in cooling mode at the maximum compressor speed and the maximum air handlerfan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow(cfm/ton)and fan efficacy (Watt/cfm)criteria in every zonal control mode. 07 Verification Status Pass-all applicable requirements are met 08 Correction Notes _ . , ,_ .,_ ,,:R The responsible "erson's signature on�t ih -eamplia e document-affi�mS that all applicable�equirements in this table have i I � �. f I� � r � 1 � � -�1 f d, . been met unless otherwise noted in the Kerificatio�Status and the Corrections!Notes in this�table � - I k I � - .t : 1, ��".q`_`�`�1 1 ;�_---�--*^ ;/ � i��,�� 1 h: :i -,�:-.�..,;.�, � _,_,,,. :-^"" �'� �f.,_._l %'� E. Determinatian o E erifica o 1 a'�e � ` �'' �' � ,� �� . �,� All a p plicable secti ns vfpthu d o c u m e h a l i n d i c a t!c o m p l ian e�i t h�t h e�s p e cifie d�`ve r i fica"t i o n protoc ol� requirements in order for this Certificate of Verificat�.�a��s��d��tc�r�iS�w�� Ol Compliance StatementDoes not comply:One or more specified verification protocol requirements on this document are not met. Registration Number:314-A1001531A-M2200053A-M22A Registration Date/Time:2014-09-28 11:35:05 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential � Report Version:2014-OS-08 Report Generated:2014-09-28 11:36:06 Compliance 'CERTIFICATE OF VERIFICATiON CF3R-MCH-22-Fi Space Conditioning System Fan Efficacy (Page 3 of 3} Documentatian Author's Declaration Statement 1,1 certify that this Certificate of Verificatian documentation is accurate and complete. Documentation Author Name: pocumentation Author Signature: ' � > . �,, lason iskades ^. .�'}� ,.�°" �;�r�:�': Campany: Date Signed: �' , Athens Air Inc 2014-09-2$ Address: CEAj HERS Certifitation identification(if applicable): 22151 Laguna Ct. 1408491430 CityJStatef2ip: Phone: Apple Valley CA 92308 760-486-5544 Responsibte Person's Declaration statement I certify the following under penalty of pery'ury,under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. i am the certified HERS Rater wha performed the verification identified and reported on th'rs Certificate af Verification(responsi6le rater). 3. The installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2,RA3,and the requirements specified on the Certificate af Compiiance for the building approved by the enforcement agency. 4. The infol�aYiJn reparte on a plica�6le'sect''�nw'5 af�tbe�Cert+ficate(s}of Installat�on(�F2R�signed and submiCted by th�perso(s�responsible for the construc ion or installation conforms to the"7eqvir�mq,�'nts specified'on the Certificat!(s)�of Complfanc,e(CF}1R)approved by the enforcement agency. 5. i will ens re thak a registered copy o�th�s„�e�tificatebf Ver�ficetion shall be�,posted,or.made availabie wifFi Che buildirig permit{s}issuad for the building, nd made avaSlat�te to the e�forcement a qcy far all applicable:inspection�s.I•untlersYen¢that atregistered cop�this��rtificate of Verificati n is�required to be included witFfitheid umentatlon the builde�provides to the building owner at occupan� �* �'�;� �;:�,1 C { ..,} `v `ti f . . ,, Buiider Or Instaifer'tn�'E�on A's� ow tJ` 1`he Ceit�ficate Qf InstaNatian � �,�mt� � ' � ..r.r-.:,_.x__� �,_„�. �...,. _ �.._...�._ .,..a,�:`s. Company Name(Instaliing Subcontrector,Generai Contractor,or Builder��: �nerg� Ra#ers Assoeiation RighTime Home Services � Respansible Buitder or Installer Name: CS�B license: RighTime Home Services 878533 NERS Provider Data Registry Information Sample Group Number(if applicable): Dwelling Test Status in Sample Group(if applicable) 314-0430 Tested HERS Rater Information NERS Rater Company Name: Akhens Air Inc Responsible Rater Name: Responsible Rater Signature: � � Jason Iskades oH �Sk�t.vCt'S ason iskades Se 28 2014 Responsible Rater Certification Number w/this HERS Pravider: Date Signed: 140809143Q 2014-09-28 { TM "7his digitat signature is provided in, crrder to secure � - the content of fhis registerad document,and in no .k� ` way implies Registration Pmvider responsibility far � " ` � ; �� '�� the aGeuracy of the ir�formairon.^ U.S.Energy Raters Assaclatton Registration Number:314-A1001531A-M22d0053A-M22A Registration dateJTime:2d14-09-28 11:35:05 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:36:06 Campiiance rERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 4) Project Name: Lacabanne Enforcement Agency: Diamond Permit Number: 14-4649 Bar Building Department Dwelling Address: 976 Summitridge Dr. City: Diamond Bar 2ip Code: 91765 A. Ducted Cooling System Information Ol System Identification or Name System 1 02 System Location or Area Served Home 03 System Installation Type New 04 Nominal Cooling Capacity(tons)of Condenser 5.0 05 Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type NotZoneControlled 07 Central Fan Integrated(CFI)Ventilation System Status Not a CFI system 08 S stem B ass�Duct Status. ��` � � ��#"''� �,.._.,...�. ,�Yp �,= . Y Yp I �. /�� ' ��'�_No B ass Ducta.::� ;::� �,�� 09 Date of Sy�tem Airflow Raete�Measureme'nt � �"`�'"`�2014 09 18'�'��-*'"'l� }� �� C �. �:�.. hu.�. .C;w yf�. � 1� l ..�. 1 t•f. y ��S �' i a. __ ... 10 Airflow Rate R tocol ut�i�d � �� RA3 3 procedures f,o airflow�ate measure ent ' � ` � �. `�':..,..,.,,�_..�..;� � � "�` -� ! 'f � '� .. . � . :U ..1.2G.v-A ...�...:�1 Fw:F,� J .-.i.4A:..��.tT. ....<:S.`i.� Y B. Hole for the placement of a Static Pressure Probc��P),�a��nbd��t�llc�tl�a�t��H�+�obe(PSPP) i 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. 01 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 True Air 03 Model number of Airflow Measurement Apparatus DG700 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) Registration Number:314-A1001531A-M2300197A-M23A Registration Date/Time:2014-09-28 11:36:22 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:37:21 Compliance '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 D.Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate(cfm/ton) 350.0 02 Required Minimum System Airflow Target(cfm) 1750 03 Actual System Airflow Rate Measurement(cfm) 1811 04 Compliance Statement: System airflow rate complies E.Additional Requirements 01 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 during system air flow rate measurement identified on this Certificate of Installation. ,�.,�..,s, �-.,�,, . .r—.'—'..,,,,.. •r-�-�----�-•_--�., ��--s--�.a.,.. �--e«�-r � 1 [ �� / �� ,.—,.,;, �' �{ ., > �,`.�`� � ; �' � �,_ .1 The airflow rate measurement apparatus used�o perform the airflow rate measurernent identifietl'on this Certificate of � l� � R ' { ' � l r�l� t 02 Installatio was calibratetl in ac rc�ance�with the apparatus manufacturer''s specifications and conforms to the t '�� instrumen ation specific�tions given.in.Eq 3 3� � ; -�'-=i�;,; �` :' �%`� ; � �� "�r�.! � � �� - � ��--� �: � -- -. A visual insp�ctiion shall cFxnfir��'y ass. �cts that deliver conditionedesupply air directly to the space;co ditioning �� s�..x_�.�I ��-...:� f� ��.�...�. .A::;..s system return duc ai low are not used on new or replacement zonally controlled systems unless the Per'�orrriance 03 Certificate of Compliance indicates an allowance fo�'�a�i �y��"�s�$�On the Performance Certificate of Compliance,the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow(cfm/ton)and fan 08 efficacy(Watt/cfm)with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 09 Verification Status Pass-all applicable requirements are met 10 Correction Notes The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. Registration Number:314-A1001531A-M2300197A-M23A Registration Date/Time:2014-09-28 11:36:22 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:37:21 Compliance CERTIfICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 3 of 4) F. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Does not comply:One or more specified verification protocol requirements on this document are not met. �-� �--�-4.�..�.�.E.,,� , , : . a �. �. �„, . � �r��--� �------ -.` ;_.w.._.::�;� - � k ` � r � f � �-�---_� �.._r_�..�� ; � ,�..�.-,� �: � ,� - ' 1 F �� ., _� � � /'fi �-_ _, r Y � �,,�°� �, r � : r � � � .� -� .. � . ..: � . ` `.�, Y=� � � ,_ ..�,;,� �t1 1 �f,t. U.S. Energy Ra#ers Assocfation Registration Number:314-A1001531A-M2300197A-M23A Registration Date/Time:2014-09-28 11:36:22 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:37:21 Compliance �ERTIFtCATE OF VERiFItAT10N CF3R-MCH-23-H Spate Canditianing System Airflaw Rate {Page 4 of 4� I Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and compiete. Dacumentation Author Name: pocumentation Author Signature: "� ,� . •=i :.•••"�.� .,�.. lason tskades !`,!��.---^� r�,.:.> ,. t-�C��," .. i Company: pate Signed: f �' , Athens Airinc 2024-49-28 I Address: CEAj HERS Certification identffitatian(if applicable}: � 21151 Laguna Ct. 140$Q91430 CityiStateJZip: Phone: Apple Valley CA 92308 760-486-5544 itespansibie Person's Declaration statement I certify the follawing under penalty of perjury,under the laws of the 5tate of California: 1. The infnrmation provided on this Certificate of Verification is true and correct. 2. i am the ce�tified HERS Rater who performed the verification identified and reparted on this Certificate of Ve�ification{responsibie rater}. I ' 3. The installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification , identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2,RA3,and#he requirements specified on the Certificate of Compiiance far the building appraved by the enf�rcement agency. i 4. The infol`IriaLi�n reparte an a plica6le"sect o s of•xheiCertificate(s"a of Installation(CF2R)signed.�nd'submitted 6y the,p"""e'rson(sa responsible for the construc�ion or installation confor ta the"Feqair�m,,'�nts specified on the Certificate(s}of Compii'anc�(Cf11R)approveii by the enforcement agency. ! 5. i wili ens�re that a registere�copy�f this�ertificatebf Venficat�a�shall b�,e,posted or rtiade availabie wit�the bustd ng permit(s)issued for the building�nd mede availat�le t�i the eS�farcement a e�cY for�all applicable inspecUon�i untlerSWnd th�,a reg�stered cQpy nf1Yh�sCertifitate of Verificati n,is required to be included witH`the+d ume taUon the liuilder provides ta tfie bul�ding owner at occupaney.��a�-� ' �,i. �',� ��-.� ? ! :� '�� _� f � M ., � r. ,�s �' �� Builder Or instaile�.:}n, .a�_r�m,ation A�� own�,,,�1'he Certi�cate f�staifatlon � �� ;� �,��.;�, . � �x :.� , .,� .,�. . ...,-. Cpmpany Name(Instaliing Subcontrector,General Contractor,or Builder(�vr�; Fnergy Rater� Association RighTime Home Services Respansi6le Buiider or tnstailer Name: CSIB�icense: RighTime Home Services 878533 HERS Rrovider Data Registry Infarmation Sample Grpup Number(if applicable): Dwelling 7est 5tatus in 5ample Group(if applicable) 314-0430 Tested HERS Rater Information � tiERS Rater Company Name: Athens Air Inc Responsi6le Rater Name: Responsible Rater Signature: ` lason Iskades : n �Sk�oCe$ ason�skades Se 28,2074 Respansible Rater Certification Number w/this HERS Provider: Date Signed: i4asogia3a 2o1a-as-z� � � ,� � `This'iligital signatur�rs provided irt c�rder ta sscure ,:�, the contenf of this registered dacument;and in no way irnpties RsgisEration Provider tesponsibitity tor �` �~ ` �-� � `,; fhe accaracy ot ttie rnformafian." U.S.E�ergy Raters Assoctation Registratian Number:314-A1dd1531A-M230d197A-M23A Registration Datefime:2d14-09-28 11:36:22 HERS Provider;USERA CA Build'+ng Energy Efficiency Standards-2013 Residential Report Version:2d14-05-08 Report Generated:201A-09-28 11:3�:21 Compiiance CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page i of 4) Project Name: Lacabanne Enforcement Agency: Diamond Permit Number: 14-4649 Bar Building Department Dwelling Address: 976 Summitridge Dr. City: Diamond Bar Zip Code: 91765 A.System Information HERS Rater to field-verify all system information,discrepancies to be noted by overwriting entry. 01 System Identification or Name System 1 02 System Location or Area Served Home 03 Condenser(or package unit)make or brand Amana 04 Condenser(or package unit)model number ASX160601FA 05 Nominal Cooling Capacity(tons)of Condenser 5.0 06 Condenser(or package unit)serial number 1407246398 07 Refri erarit T e � g Y�f� . ,.., �-�*"".�;'.�"""`R 410A f 1 � ,---,�.. ✓ -.,� '�,�,_._.�"1 � ! �' 't �" { � r � r� 08 Other Refr ger�nt Type(�applic�ble�) � � _ .� *� � ::. � �n-- •-� _�:� � { � y`�. 09 System Ins all�tion Type x� � � � ` � ��Alteration �� k: �• � . 'G��: � � � � _;...,.�! 1. :� / .J_'.�.'1 '� � 10 Charge Indicato ispla (CID)Status rTlote: ven systems'"""�'Th'issystem`'does ndt'have a CID�'device in�talled with a CID must have refrigerant charge verified by r�i t�r) ��rgy Ra#ers Assaciation Is the system of a type that the minimum airflow can be Yes,this is a ducted system and one of the system airflow 11 verified using an approved measurement procedure(RA3.3 rate measurement procedures in RA3.3 or RA3.2.2.7 can be or RA3.2.2.7)? used to verify system airflow rate Is the system of a type that approved refrigerant charge Yes,one of the Refrigerant charge verification procedures verification procedures can be used to verify compliance from RA3.2.2 or RA1 is applicable to this system and can be 12 with the refrigerant charge verification requirements when used to verify compliance temperatures are greater than or equal to 55F(RA3.2.2,or RAl)? 13 Date of Refrigerant Charge Verification for this system 2014-09-18 I 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:314-A1001531A-M2500223A-M25B Registration Date/Time:2014-09-28 11:38:43 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:39:42 Compliance 1 l CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 2 of 4) Standard Charge Verification Procedure-CF3R-MCH-25b-Subcooling Method B. Metering Device Verfication-HERS Rater is required to visually field verify all information from CF2R Subcooling Method can only be used on systems that have a variable metering device. 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 their 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 Calibration 2014-09-02 02 Date of Digital Thermocouple Calibration 2014-09-02 03 Digital Refrigerant Gauge Calibration Status Calibration is current � 4 .._.�.. ��y 04 Digital The�mocouple CalibratiorfiStatns—�-�� # � -��Calibration;is cu�r'ent� }� ; ;� . :a I:: t f �'! '�1` i� - { >� �.�=. r.T;t °., : I 1 i '� ''. � ( �:-�-,_-�-�-�'f l� =�-�-z-,�.p,.,:� J�.'�;' �:;'_'� D. Measureme YRccess Hole;�(MA )Veri ica io�-HERS Ra s are required to vis Ily field e��fy MAH �. �`�--`� Procedures for installing M� � �arespecified,�in�erence R id ne tial Appendix RA3 2�2 3�-�` � .� ��.,.ti�. :�M�_.�,_�� .. a .�. � ..�.�� 01 Method used to demonstrate compliance with the �.�. ��"(��Il��e��{��f��e 3.2-1 , Measurement Access Hole(MAH)requirement E. Minimum System Airflow Rate Verification Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.2.2.7. 01 Minimum Required System Airflow Rate(cfm) 1500 �Z System Airflow Rate Verification Status System complies using Table 150.0-C or D alternative return ' duct design criteria F. Data Collection-HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 01 Lowest return air dry bulb temperature that occurred during 72.0 the refrigerant charge verification procedure(degreeF) �2 Measured Condenser air entering dry-bulb temperature(T 75.0 condenser,db� Registration Number:314-A1001531A-M2500223A-M258 Registration Date/Time:2014-09-28 11:38:43 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:39:42 Compliance � � CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 3 of 4) F. Data Collection-HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method 04 Measured Liquid Line Temperature(Ti�y��a)(degreeF) 77.0 05 Measured Liquid Line Pressure(Prq��d)(pisg) 256.0 06 Condenser saturation temperature(T�oodeo:or,5ar)from digital 86.0 gauge or P-T Table using Line F05(degree F) 07 Measured Subcooling 9.p 08 Target Subcooling 7.p 09 Compliance Statement:System complies with Subcooling Method-Must also pass metering device verification,next section "�`-'P � .�'' �,. �. .r`�. � . -:, �;'."''-� ,,Y�'_-�-.7" G. Metering D v�ce Verfication i �� t�� `� � `', � � �' � �! .;,,�...".�1 � "'� �� ti Procedures for he'verification.of r�i" "��` r�� e ete i device;o er tion ar p p g p a e specifiedsirrRA3.2 2 6.2� ,� �` �4�1 _'.$ � 3 ._:� i: ;.�� '�:.��: � x 1 '� , � �' 01 Measured Sq,�ior(lin;e e�J'r,►per�re(T5+'ir on ,(;�I�egreeF) ;. 61.0 ] �!; � � ��n._.�*_�.. ,-:3-,-, «.'m� r�,. .F� �.� .��:t.>..4 � ,:� 02 Measured Suction line pressure(PS��c�o�)(psig) U.S'. �rgy Ra#ers Association 03 Evaporator saturation temperature(Te�aPo�acor,:ac)from 38.0 digital gauge or P-T Table using line G02(degreeF) 04 Measured Superheat 23.0 05 Measured Superheat is between 4 and 25 deg F(inclusive) Passes CEC requirement � 06 Measured Superheat is within manufacturer's specifications, Yes,documentation to be provided upon request if known 07 Compliance Statement: Metering device verification passes H. Determination of HERS Verification Compliance In order for the system to comply with HERS Verification Requirements,this Certificate of Verification must indicate compliance with all requirements for: Instrument 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:314-A1001531A-M2500223A-M25B Registration Date/Time:2014-09-28 11:38:43 HERS Provider:USERA CA Building Energy E�ciency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:39:42 Compliance � . _,, ,, CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 4 of 4) Documentation Author's Declaration Statement 1.C certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: •°,'r7 . Jason Iskades '"�� '�� Company: Date Signed: ��'�,',',. .i'r �� Athens Airinc 2014-09-28 Address: CEA/HERS Certification Identification(if applicable): 21151 Laguna Ct. 1408091430 City/State/Zip: Phone: Apple Valley CA 92308 760-486-5544 Responsible Person's Declaration statement I certify the following under penalty of perjury,under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible reter). 3. The installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2,RA3,and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The info}�a--fidn reporte on a plicable'sec ons ofithe�erti�cate(s),of Installation(CF2Ft�,sig�ed and'submitted by the:p"''�e�sofi(s)responsible for the construc��fion or installation conforms to the'7equir�m�nts specifieil�on the Ceitificate(s)�of Compliarice'(CF1R)approv d°by the enforcement agency. i � � ,�� r � ,.� � . .� r �! � 5. I will ens re that a registered copy o�f thls,�ertif�, i�ca�e�f Verifcation shall be�posted,or rriade available,witb the buildingpermit(s)issued for the building, nd made available to the en�forcement agec�cy for�all:applica6le�inspections huntlerstand'Yhat-a registered copy ofy this��Certificate of Verificati n is:required to be ir�cluded with'theyd' umentation tlie build"er provides to�the°building ow er at occupancy:-,�.-a �r�i �'�,� `��';+i�f � .. I . 'r 'ti ;'\ /, - � �i i � ., � �T t 0. �,�' � u .. � . Builder Or Insta�ler In orm i n As��- ow O '�he Certificate Of Installat�on � �� 'r� � .� G �..._...,�.�-.�-b�„ , .�,.. � .�.._.�a,�� ..�� _ Company Name(Installing Subcontractor,Generel Contractor,or Builder��: Er�ergy Raters Assoeiation RighTime Home Services ' Responsible Builder or Installer Name: CSLB License: RighTime Home Services 878533 HERS Provider Data Registry Information Sample Group Number(if applicable�: Dwelling Test Status in Sample Group(if applicable) 314-0430 Tested HERS Rater Information HERS Rater Company Name: Athens Air Inc Responsible Rater Name: Res onsible Rater Si nature: /' P B Jason Iskades asoH 5l�aoCes ' asonlskades Se 28,2014 Responsible Rater Certification Number w/this HERS Provider: Date Signed: 1408091430 2014-09-28 � � ..,i111A� "`� «This digrtal signature is provided in order to secure � � "� ' the content of this regrstered documartt,and in na ��" way implies Registration Provider responsibility for �US.En2rgy RaterS Assoclgtlon fhe accuracy-of the infonnation." Registration Number:314-A1001531A-M2500223A-M25B Registration Date/Time:2014-09-28 11:38:43 HERS Provider:USERA CA Building Energy Efficiency Standards-2013 Residential Report Version:2014-05-08 Report Generated:2014-09-28 11:39:42 Compliance