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HomeMy WebLinkAbout15-0080DIAHOND DAR' CITY OF DIAMOND BAR DEPARTMENT Off' COMMUNITY & DEVELOPMENT SERVICES 21825 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOBSITE ADDRESS APN LOT TRACT OWNER 16FIe �b ADDRESS CI ZIP%A-_UW6TEL. APPLICANT TEL • 2 \ :i. Ilo�Fo CONTRACTOR P11C ADD SS CITY \ — IP TEL. 21 S '1i le ARCH/ENG/ �L 4 DESIGNER I� ADDRESS CITY .. ZIP TEL. �. OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMITTO CONSTRUCT, ALTER, IMPROVE, DEMOLISH, OR REPAIR ANY STRUC- TURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW (CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO. FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ($500).)7 ❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL Do THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI. NESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF, HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). ❑ I, AS OWNER OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS To CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LI- CENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRAC- TORS LICENSE LAW.). ❑ I AM EXEMPT UNDER SEC. B. 6 P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT. LICENSE CLASS ( A 0 LIC. NO. DATE CONTRACTOR WORKERS' COMPENSATION DECLAR 10 } I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: _ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE JXJXOF THE WORK FOR WHICH THIS PERMIT IS ISSUED. HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SECTION 700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SUED'MY WOfKERS�COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CARRIER POLICY NUMBER,` \�\Y����������� (THIS SECTION NEED NOT BE CWPLMDOF THE PERMIT IS FOR ONE HUNDREDDCUAKS($100)OR LESS} I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR CODE. I SHALL FORTHWITH COMPLY WI THOSE PROVISIONS. DATE: APPLICANT. WARNING: FAILURE TO SECURE WORKERS' COMPENARAGE IS UNLAWFUL, AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANUPTOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COSTOFCDAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE W1RK FOR WHICH THIS PERMIT IS ISSUED (SEC. 3097, CIV. C.). LENDER'S NAME ,N` A LENDER'S ADDRESS I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. LQUX a- PE ITTEE NAME (PRINT) � S06MTUREOF MITT DATE WHI Department Copy, YELLOW—Finance Copy, PINK Al PRESS FIRMLY APPLICATION' PERMIT + P/C DATE i � NUMBER L/ "WdV # ISSUE TYPE OCC DATE CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE 0 - •, PROPOSED USE S 11A 4014 NO. DWEL. N UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREANALUATION SFR/ADD/REM Cf) Garaga/Carport w Patio/Deck L.I L LL PooVSpa 0 Z Re -Roof Commercial nnfitn -n m Valuation ADJ.AREA QUANTITY DESCRIPTION FEE J Q U cc H U W w 0 Z_ m a J Q U 1 05 Inn "tckv I? 2 Q 2 U W CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE: PRE -ALT FEE: UIP" _T TOTAL FEES COMMENTS a RECPT NO. PAID BY VALIDATION �upy, uvwennuu—rile L:opy, c;HEEN—Applicant's Copy V 51) Rm CITY OF-WAMOND BAR INSPECTION RECORD SET BACK FLOOR JOIST FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM FRAMING/VENTILATION FINAL BOND BEAM ROOF COVER PRE -GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDINGI,'C-J�)-, �; r,-) t{ j7 POOL FENCING WALL INSULATIO Q-�9 I_ 'U if 'r"U d POOL FINAL �-, ' "i : �' ; CEILING INSULATIO :. , i OFF SITE IMPS. DRYWALL NAILING U 6 8 DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. _ _ FINAL HEATING FINAL ELECTRIC _ FIRE DEPT. FINAL HEALTH DEPT. FINAL DEV. FEES PAID _ FINAL PLUMBING ENERGY COMMENTS - SEPTIC TANK SIZE SEEP PIT/U SIZE 1r CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) Project Name: DEATON I Date Prepared: CFiR-ALT-02-E (Page 1 of 3 ) 2014-12-29 A. General Information CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CF1R-ALT 02 document for each dwelling unit. 01 Project Name DEATON 02 Date Prepared 2014-12-29 03 Project Location 522 TORITO LANE 04 Building Type Single family 05 CA City t 06 Dwelling Unit Name HOME SCS ' ' SC Systietn i CFA served OB Dwelling Unit Conditioned 2000 07 Zip Code 91765 Floor Area W) ovation leap byii� contaioing �� system Number of space conditioning entirely new 09 Climate Zone 9 10 (SC) systems In this dwelling i com pone ? components? , feet 6f ducts? duct system? unit. B. Space Conditioning (SC) System information 01 02 03 04 05 06 07 08 09 10 ,4 Is the SG , r lnstalling a; t SCS ' ' SC Systietn i CFA served tz refrige ant installing new SC _ Installing Installing Installing o ovation leap byii� contaioing �� system amore than 40 entirely new entirely newIdentification SC Alteration Type Name � , i Se Systetrr .. , system? com pone ? components? , feet 6f ducts? duct system? system? r Entirely neve or System 1 2000 2000 Ye U. Yes ergy R Y _ ters Asso -Yes iation Yes Yes complete replacement space conditioning system . C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1D11b) This section does not apply to this project. Registration Number: 314-A1003517A-000300000-0000 Registration Date/rime: 2014.12-29 15:43:06 HERS Provider: USERA CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version; 2014.03.31 Report Generated: 2014-12-29 15:43:14 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Rage 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)IE and F) This section does not apply to this project. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)IDiia and 150.2(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) 01 02 03 04 0S 06 07 08 09 30 11 Heating Cooling System Heating Minimum Cooling Minimum Required Identification or Heating System Altered Heating Efficiency Efficiency Cooling Altered Cooling Efficiency Efficiency Thermostat New Dud Name Type Component Type Value System Type Component Type Value Type R -Value System 1 Central split HP All new heating AFUE 78 Central split All new cooling SEER 13 SetbackTher mostat R-6 components HP components R �r r m r ? w —...3 x r e1, 1' ti'S4511 MR4MCH-01-E 5�� ditioning S ikts D k#t end Fans -Duct insulatan requi est for new CUR & MR-MCH.20. [ t leakage eatiof � -leakage rate compiia 6%. MR & MR -MCH 22 �rtacy Ver r CF2R & COR -MCH -23 Vrz* ' -Compliance: Fan EfficacySik98 m and system 50 cfm(tQn:` Alternative Compliance: CUR & MR -MCH -28 Return Duct Design Yeriiis a�R1,fe�yint�Ealt2ppla}�itt2 t. CF2R & MR -MCH -25-H Refrigerant Charge Verification required when reWo t c Fehr i #ck4piy � flt'�bj� 8-15). ExceiltionIA Heating -only systems are exempt from the 0.58 Wfcfm and 3S0 cim/ton requirements. hote: An "entirely new or replacement duct system" means at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g„ registers, grilles, hoots, air handier, co;l, plenums, duct material) if the reused pans are accessible and can be sealed to prevent leakage Registration Number- 314-A1003517A-040000000.0000 Registration Datet ime: 2014-12-29 15:43:66 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-12-29 15:43:14 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE UlR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature.- ignature:!im JimMcEligot Signature Date: Company: RighTime Home Services 2014-12-29 Address: CEA/ HERS Certification Identification (if applicable): 3030 Myers St 878533 Clty/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_ 1 am eligible under Drvision 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, calculat nns, plans and specifications submitted to the enforcement agency for approval with this building permit application. S. 1 will ensgea registered cz�y oft OERtfltate.gf Comppliaa. shall he mad6 available with the buildingpermit(s) issued for the building, and made available to the enforcement agency for all applicable inspecuortf demand t re i taylaxtp is fertificate of Compliance,is required to be 1"ded with the docuimeniation the builder provides to the building owner at occupancy. Responsible Designer Responsible Designersignature: Jim McEligot fl Company: i Date Signed: '• RighTime Home S- -��° _ - - k _ 2014-12-29, .., Address: license: 3030 Myers St U.S. Energy Ra 3Association City/State/Zip. Phone. Riverside CA 92503 951-276-9744 Registration Number: 314-A1003517A-000000000.00D0 E 474 sem- TM U.S. Energy Raters Aasoelatlon 'This dgdaf signature is provided in order to secure the content of this registered document, and in no way implies Registration Providarresponsihility for the accuracy of the intormatfon.' Registration Date/Time: 2014.12-29 15:43:06 HERS Provider: USERA CA Build=.ng Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2014-12-29 15:43:14 Schema Version: 0.551SDD CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 4 ) Project Name: Deaton Enforcement Agency: Diamond Bar Building Department Permit Number: 15-0080 Dwelling Address: 522 Torito Ln. City: Diamond Bar Zip Code: 91765 A. Ducted Cooling System Information 01 System Identification or Name System 1 02 System Location or Area Served 2000 03 System Installation Type Replacement 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 08 System Bypassf Duct Status ; _ No Bypj ss.'Duct ..: 09 Date of System Airflow Rate lMeasurement 10 t Airflow Rate Protocol utili'd r ' I a 1 l RA3 3 procedures�forairflow`rate'mea'suremt B. Hole for the placement of a Static Pressure Prob4g;P),ESWF&Yn�0i EMIA69illgOLI iQ&be (PSPP) in the supply plenum. Procedures for installing HSPP or PSPP are specified in RA3.3.1.1. 01 I Method used to demonstrate compliance with theI 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 Flow 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 http://www.energy.ca.gov/(tbd) Registration Number: 315-A1003517A-M2300644A-M23A Registration Date/Time: 2015-01-12 14:36:27 HERS Provider: USERA CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-01-12 14:36:35 2013 Residential Compliance Schema Version: 0.51SDD 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) 1883 �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. The airflow rate measurement a'ppIratus usegAo perform the airflew rate measurement identified on this Certificate of 02 Installatio l wars calibrated in accordance with the apparatus -manufacturer's -specification's and conforms_ to the instrume lation specifics ti dns gi�en,in_ft 33�1�i A visual inspection shallspnfirm.that bypass ducts that deliver co ditioned-supply air directly to the space, conditioning system return duct airflow are not su ed o nn ew or replacement zonlally"controlled systems unless the Performance 03 Certificate of Compliance indicates an allowance foMf,ai jq7 V111 s$ion 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: 315-A3003517A-M2300644A-M23A Registration Date/Time: 2015-01-12 14:36:27 HERS Provider: USERA CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-01-12 14:36:35 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 4 of 4 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: T Jason Iskades'` Company: Date Signed: Athens Air Inc 2015-01-12 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. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible 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 of Compliance for the building approved by the enforcement agency. 4. The infomatidn reporte on a plicable,sectioris ofthe�Certlficate(s)'of Installation (CF2R) signed`and'submitted by the:pe-rso`n(s) responsible for the construction or installation conforms to thelequirements specified'on the'Certificate(s) of Compliance'(CFI1R) approved by trie enforcement agency. 5. 1 will ensure that a registered copy of this,Certifficate bff Verification shall be posted, or -made available with the building permits) issued for the building, and made available to the enforcement agency for all applicable spectionsa undi r'tand'that a`registered copy of tF is Certificate of Verificati I n isl'quired to be included with-the•doumemation the builder provides tf the building owner at occupanry,-- I r �. , Builder Or Installer Inform tion As Sho O f,The *1frcate Of Installation t 3 , Company Name (Installing Subcontractor, General Contractor, orBuilder S: Energy Raters Association RighTime Home Services Responsible Builder or Installer Name: CSLB License: Jim McEligot 878533 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) 315-1319 Tested HERS Rater Information HERS Rater Company Name: Athens Air Inc Responsible Rater Name: Responsible Rater Signature: Jason Iskades 4..111., Skal(es asonlskades Jan 12 2015 Responsible Rater Certification Number w/ this HERS Provider: Date Signed: 1408091430 2015-01-12 TM n "This digital signature is provided in order to secure 1 the content of this registered document.. and in no way implies Registration Provider responsibility for .U.S. Energy. Raters Assoclatton the accuracy of the information." Registration Number: 315-A1003517A-M2300644A-M23A Registration Date/Time: 2015-01-12 14:36:27 HERS Provider: LISERA CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-01-12 14:36:35 2013 Residential Compliance Schema Version: 0.515DD 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 I Complies: All specified verification protocol requirements on this document are met. t U.S. Energy Raters Association Registration Number: 315-A1003517A-M2300644A-M23A Registration Date/Time: 2015-01-12 14:36:27 HERS Provider: USERA CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-01-12 14:36:35 2013 Residential Compliance Schema Version: O.51SDD