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BMCH2022-0553Permit Details City of La Quinta Description: MCMAHON / HVAC CHANGE OUT Type: MECHANICAL- HVAC Subtype: Status: ISSUED CHANGEOUT (WEB) Applied: 10/19/2022 ECON Approved: 10/19/2022 AHI Issued: 10/31/2022 ONLINE Finaled: Expired: 10/31/2023 ECON Parcel No: 776050006 Site Address: 50480 ORCHARD LN LN LA QUINTA,CA 92253 Subdivision: PM 26525 Block: Lot: 3 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Valuation: $10,250.00 Occupancy Type: Construction Type: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 14 SEER / 80 AFUE SPLIT SYSTEM. LIKE FOR LIKE NO CHANGE OF LOCATION. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2019 CALIFORNIA BUILDING CODES. Process Summary 12 h Applied to Approved Approved to Issued ADDITIONAL SITES CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES E-MAIL BOB BLAND 1/11/2023 1/11/2023 1:33:02 PM (BOB BLAND) Service panel: Provide 50 amp maximum over current protection for new condenser. Furnace cabinet: Provide disconnect switch for furnace. Provide hardwired connection between disconnect and furnace, ensure wiring is secure. (I.e. Flex, LT flex, BX, no Romex). Ensure use of approved fittings on type of wiring. Provide service outlet. CONDITIONS Printed: Wednesday, June 28, 2023 11:25:51 AM 1 of 3 CRWSYSTE S Permit Details City of La Quinta PERMIT NUMBER BMCH2O22-0553 CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT ANTHEM MECHANICAL 53800 POLK STREET COACHELLA CA 92236 (760)895-2621 INFO@ANTHEMCV.CO M CONTRACTOR ANTHEM MECHANICAL 53800 POLK STREET COACHELLA CA 92236 (760)895-2621 INFO@ANTHEMCV.CO M OWNER David McMahon 50480 Orchard Lane La Quinta CA 92253 (760)895-2621 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/31/22 WEB13469 680740931 CREDIT ANTHEM MECHANICAL ECON Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: HVAC CHANGEOUT SPLIT -SYSTEM 101-0000-42402 0 $43.77 $43.77 10/31/22 WEB13469 680740931 CREDIT ANTHEM MECHANICAL ECON HVAC CHANGEOUT SPLIT -SYSTEM PC 101-0000-42600 0 $87.53 $87.53 10/31/22 WEB13469 680740931 CREDIT ANTHEM MECHANICAL ECON Total Paid for MECHANICAL CHANGEOUT 2022: $131.30 $131.30 PERMIT ISSUANCE 101-0000-42404 0 $110.88 $110.88 10/31/22 WEB13469 680740931 CREDIT ANTHEM MECHANICAL ECON Total Paid for PERMIT ISSUANCE: $110.88 $110.88 RECORDS MANAGEMENT FEE 101-0000-42416 0 $11.00 $11.00 10/31/22 WEB13469 680740931 CREDIT ANTHEM MECHANICAL ECON Total Paid for RECORDS MANAGEMENT FEE: $11.00 $11.00 TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $8.00 $8.00 10/31/22 WEB13469 680740931 CREDIT ANTHEM MECHANICAL ECON Total Paid for TECHNOLOGY ENHANCEMENT FEE: $8.00 $8.00 TOTALS: $262.18 $262.18 Printed: Wednesday, June 28, 2023 11:25:51 AM 2 of 3 CRWSYSTE S Permit Details City of La Quinta PERMIT NUMBER BMCH2O22-0553 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES MECHANICAL FINAL** BBL 1/11/2023 1/11/2023 DISAPPROVE D Service panel:Provide 50 amp maximum over current protection for new condenser.Furnace cabinet:Provide disconnect switch for furnace. Provide hardwired connection between disconnect and furnace, ensure wiring is secure. (I.e. Flex, LT flex, BX, no Romex). Ensure use of approved fittings on type of wiring.Provide service outlet. MECHANICAL FINAL** BLAK 1/31/2023 1/31/2023 CANCELED REVIEW TYPE REVIEWER SENT DATE DUE DATE RE DUARTEED STATUS REMARKS NOTES 1ST PERMIT TECH — ETRAKIT (1 DAY) PERMIT TECH BUCKET 10/19/2022 10/20/2022 10/19/2022 COMPLETE BOND INFORMATION ATTACHMENTS Attachment Type I CREATED OWNER DESCRIPTION PATHNAME SUBDIR I ETRAKIT ENABLED DOC 10/19/2022 Etrakit Contractor Form CF-1R McMahon - 50480 Orchard Lane - CF- 1R.pdf 1 DOC 12/6/2022 Etrakit Contractor HERS certificates McMahon - 50480 Orchard Lane - HERS certificates.pdf 1 Printed: Wednesday, June 28, 2023 11:25:51 AM 3 of 3 CRWSYSTE S CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3) Project Name: McMahon - 50480 Orchard Lane Date Prepared: 2022-10-19 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 CF1R-ALT-02 document for each dwelling unit. 01 Project Name McMahon - 50480 Orchard Lane 02 Date Prepared 2022-10-19 03 Project Location 50480 Orchard Lane 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name McMahon - 50480 Orchard Lane 07 Zip Code 92253 08 Dwelling Unit Conditioned Floor Area (ft2) 5000 09 Climate Zone 15 10 Number of Space Conditioning (SC) Systems in this Dwelling Unit: 1 B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System ID or Name SC System Location or Area Served CFA served by this SC System (ft2) Is the SC system a ducted system? Installing a refrigerant containing component? Installing new SC system components? Installing more than 40 feet of ducts? Installing entirely new duct system? Installing entirely new SC system? Alteration Type System 1 Location 1 5000 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 222-A020206476A-000-000-0000000-0000 Registration Date/Time: 2022-10-19 10:52:10 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20210501 Report Generated: 2022-10-19 10:51:39 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 10 11 12 13 System ID/ Name SC System Description of Area Served Heating System Type Altered Heating Components Heating Efficiency Type Heating Minimum Efficiency Value Cooling System Type Altered Cooling Components Cooling Efficiency Type Cooling Minimum Efficiency Value Required Thermostat Type New or Replaced Duct Length New Duct R-Value System 1 Location 1 Central gas furnace All new heating components AFUE 80 Central split AC All new cooling components SEER 14 Setback n/a n/a Required Documentation: Systems for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced 15 percent or <= 10 percent leakage to outside, or seal all accessible leaks. Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). Rate >= 300 CFM per ton required when MCH-25 is required. HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25. insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. CF2R-MCH-01-E - Duct insulation CF2R and CF3R-MCH-20-H -Leakage rate CF2R and CF3R-MCH-25-H CF2R and CF3R-MCH-23 Exceptions: - Space Conditioning requirement - Duct compliance: <= Refrigerant Airflow registered with systems and Air systems constructed, - Duct systems - Heating -only -Existing duct E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 222-A020206476A-000-000-0000000-0000 Registration Date/Time: 2022-10-19 10:52:10 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2022-10-19 10:51:39 Schema Version: rev 20210501 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Solomon, Michael Documentation Author Signature: /g4%6,o�w Company: ANTHEM MECHANICAL Signature Date: 2022-10-19 10:52:10 Address: 53-800 POLK STREET CEA/ HERS Certification Identification (if applicable): City/State/Zip: COACHELLA CA 92236 Phone: 760-469-2525 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. 5. I will ensure that a registered copy of this Certificate of Compliance shall be 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 Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Solomon, Michael Responsible Designer Signature: ill e57y,6 i,w Company : ANTHEM MECHANICAL Date Signed: 2022-10-19 10:52:10 Address: 53-800 POLK STREET License: 1001659 City/State/Zip: COACHELLA CA 92236 Phone: 760-469-2525 Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. �{ Easy to Verify 0 tl� 0 en,at CalCERTS.com re ti '• ciAPP-q _A. ekr o 0 h .r f Registration Number: 222-A020206476A-000-000-0000000-0000 Registration Date/Time: 2022-10-19 10:52:10 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20210501 Report Generated: 2022-10-19 10:51:39 PROJECT STATUS REPORT CaICERTS, Inc Effective 12/06/2022 14:36 (Page 1 of 2) GENERAL INFORMATION Energy Standards Code Year: 2019 Project Name: McMahon - 50480 Orchard Lane Project Type: Alterations SFR Address: 50480 Orchard Lane City/State/Zip: La Quinta / CA / 92253 Enforcement Agency: City of La Quinta Permit Number: BMCH2O22-0553 Easy to Verify @ calcerts.com OVERALL STATUS COMPLETE HERS VERIFIABLE MEASURES: COMPLETE CF1 R INFORMATION - Certificate of Compliance (Document Lists Required Energy Features) Certificate Type Compliance Registered Form CF1 R-ALT-02 Registered Date 2022-10-19 10:52:10 Registration Number 222-A020206476A-000-000-0000000-0000 CF2R INFORMATION - Certificate of Installation (Documents the proper installation of required energy features) 0 System Form Registered Date Registration Number CF2R-MCH-01-E Space Conditioning Systems, Ducts and Fans 2022-12-06 14:36:36 222-A020206476A-000-001-M01001 A-0000 Michael Solomon (ANTHEM MECHANICAL) •/ System 1: N/A CF2R MCH 23 H Airflow 2022-12-06 14:36:36 222-A020206476A-000-001-M23001A-0000 Michael Solomon (ANTHEM MECHANICAL) ,.!/ System 1 CF2R MCH 25 H Refrigerant Charge 2022-12-06 14:36:36 222-A020206476A-000-001-M25001A-0000 Michael Solomon (ANTHEM MECHANICAL) •/ Non Default Value: CF2R-MCH-01 - Exemption from Duct Leakage Requirements claimed. • Altered duct system has less than 40 ft of duct CF3R INFORMATION - Certificate of Verification (Documents the verification of HERS Measures) System Form Registered Date Registration Number System 1: N/A CF3R MCH 23 H (Airflow) 2022-12-06 14:36:54 222-A020206476A-000-001-M23001A-M23A Alexandra Winner (CC2006597) (Advancing Home Performance, Inc.) .!/ CA Building Energy Efficiency Standards 2019 Residential Compliance HERS Provider: CaICERTS Inc. Dec 2019 PROJECT STATUS REPORT CaICERTS, Inc Effective 12/06/2022 14:36 (Page 2 of 2) System 1 CF3R MCH 25 H 2022-12-06 14:36:54 222-A020206476A-000-001-M25001A-M25A Alexandra Winner (CC2006597) (Refrigerant Charge) (Advancing Home Performance, Inc.) CaICERTS, Inc HERS PROVIDER CA Building Energy Efficiency Standards HERS Provider: CaICERTS Inc. 2019 Residential Compliance Dec 2019 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3) Project Name: McMahon - 50480 Orchard Lane Date Prepared: 2022-10-19 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 CF1R-ALT-02 document for each dwelling unit. 01 Project Name McMahon - 50480 Orchard Lane 02 Date Prepared 2022-10-19 03 Project Location 50480 Orchard Lane 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name McMahon - 50480 Orchard Lane 07 Zip Code 92253 08 Dwelling Unit Conditioned Floor Area (ft2) 5000 09 Climate Zone 15 10 Number of Space Conditioning (SC) Systems in this Dwelling Unit: 1 B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System ID or Name SC System Location or Area Served CFA served by this SC System (ft2) Is the SC system a ducted system? Installing a refrigerant containing component? Installing new SC system components? Installing more than 40 feet of ducts? Installing entirely new duct system? Installing entirely new SC system? Alteration Type System 1 Location 1 5000 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 222-A020206476A-000-000-0000000-0000 Registration Date/Time: 2022-10-19 10:52:10 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20210501 Report Generated: 2022-10-19 10:51:39 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 10 11 12 13 System ID/ Name SC System Description of Area Served Heating System Type Altered Heating Components Heating Efficiency Type Heating Minimum Efficiency Value Cooling System Type Altered Cooling Components Cooling Efficiency Type Cooling Minimum Efficiency Value Required Thermostat Type New or Replaced Duct Length New Duct R-Value System 1 Location 1 Central gas furnace All new heating components AFUE 80 Central split AC All new cooling components SEER 14 Setback n/a n/a Required Documentation: Systems for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced 15 percent or <= 10 percent leakage to outside, or seal all accessible leaks. Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). Rate >= 300 CFM per ton required when MCH-25 is required. HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25. insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. CF2R-MCH-01-E - Duct insulation CF2R and CF3R-MCH-20-H -Leakage rate CF2R and CF3R-MCH-25-H CF2R and CF3R-MCH-23 Exceptions: - Space Conditioning requirement - Duct compliance: <= Refrigerant Airflow registered with systems and Air systems constructed, - Duct systems - Heating -only -Existing duct E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 222-A020206476A-000-000-0000000-0000 Registration Date/Time: 2022-10-19 10:52:10 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2022-10-19 10:51:39 Schema Version: rev 20210501 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Solomon, Michael Documentation Author Signature: /g4%6,o�w Company: ANTHEM MECHANICAL Signature Date: 2022-10-19 10:52:10 Address: 53-800 POLK STREET CEA/ HERS Certification Identification (if applicable): City/State/Zip: COACHELLA CA 92236 Phone: 760-469-2525 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. 5. I will ensure that a registered copy of this Certificate of Compliance shall be 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 Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Solomon, Michael Responsible Designer Signature: ill e57y,6 i,w Company : ANTHEM MECHANICAL Date Signed: 2022-10-19 10:52:10 Address: 53-800 POLK STREET License: 1001659 City/State/Zip: COACHELLA CA 92236 Phone: 760-469-2525 Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. �{ Easy to Verify 0 tl� 0 en,at CalCERTS.com re ti '• ciAPP-q _A. ekr o 0 h .r f Registration Number: 222-A020206476A-000-000-0000000-0000 Registration Date/Time: 2022-10-19 10:52:10 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20210501 Report Generated: 2022-10-19 10:51:39 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 7) Project Name: McMahon - 50480 Orchard Lane Enforcement Agency: City of La Quinta Permit Number: BMCH2O22-0553 Dwelling Address: 50480 Orchard Lane City: La Quinta Zip Code: 92253 A. General Information 01 Dwelling Unit Name McMahon - 50480 Orchard Lane 02 Climate Zone 15 03 Dwelling Unit Total Conditioned Floor Area (ft2) 5000 04 Number of Space Conditioning Systems in this Dwelling Unit. 1 05 Certificate of Compliance Type p Yp Prescriptive alterations CF1R-ALT p ( ) 06 Method Used to Calculate HVAC Loads Not applicable - equipment chan eout, like -for -like ppchangeout, Calculated Dwelling Unit Sensible Cooling Load (Btu/h) n/a 08 Calculated Dwelling Unit Heating Load (Btu/h) n/a 09 Dwelling Unit Number of Bedrooms 5 MCH-01b - Space Conditioning Systems Dui is and Fans - Prescriptive Alterations _....tri r-.. r-t nil ■ I B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System ID/ Name from CF1R SC System Description of Area Served CFA served by this SC System (ft2) Is the SC system a ducted system? Installing a refrigerant containing component? Installing new SC system components? Installing more than 40 feet of ducts? Installing entirely new duct system? Installing entirely new SC system? Alteration Type System 1 Location 1 5000 Yes Yes Yes No No No Altered space conditioning system Notes: Registration Number: 222-A020206476A-000-001-M01001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20210501 Report Generated: 2022-12-05 16:00:05 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of 7) C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 07 08 09 10 11 12 13 14 SC System ID/ Name from CF1R SC System Description of Area Served Heating System Type Altered Heating Component Heating Efficiency Type Heating Minimum Efficiency Value Cooling System Type Altered Cooling Component Cooling Efficiency Type Cooling Minimum Efficiency Value Required Thermostat Type Number of Indoor Units for this System Number of Ducted Indoor Units for this System Central Fan Integrated (CFI) Ventilation System Status System 1 Location 1 Central gas furnace All new heating components AFUE 80 Central split AC All new cooling components SEER 14 Setback 1 1 Not a CFI system Notes: D. Installed Heating Equipment Information for Gas Furnace Indoor Unit, or Heat Pump Indoor Unit, or Packaged Unit (Gas Furnace or Heat Pump) 01 02 03 04 05 06 07 08 09 10 SC System ID/ Name from CF1R SC System Description of Area Served Heating Efficiency Type Heating Efficiency Value Indoor Unit or Packaged Unit Manufacturer Indoor Unit or Packaged Unit Model Number Indoor Unit or Packaged Unit Serial Number SC System Rated Heating Capacity, Output (Btu/h) Multi -split Indoor Unit Name or Description of Area Served Multi -split Indoor Unit Duct Status System 1 Location 1 AFUE 80 Rheem R801TB100521MUA W222223195 100000 n/a n/a Notes: Registration Number: 222-A020206476A-000-001-M01001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2022-12-05 16:00:05 Schema Version: rev 20210501 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page3of7) E. Installed Cooling Equipment Information for Outdoor Condenser or Packaged Unit (Air Conditioner or Heat Pump) 01 02 03 04 05 06 07 08 09 SC System ID/ Name from CF1R SC System Description of Area Served Cooling Efficiency Type Cooling Efficiency Value Condenser or Package Unit Manufacturer Condenser or Package Unit Model Number Condenser or Package Unit Serial Number System Cooling Capacity at Design Conditions (Btu/h) Condenser Nominal Capacity (ton) System 1 Location 1 SEER 14 Rheem RA1660AJ1NA W442161132 60000 5 Notes: F. Altered Space Conditioning System Duct Information (< 75% of duct system is altered; or duct system is not altered) 01 02 03 04 05 06 07 08 09 10 11 12 SC System ID/ Name from CF1R SC System Description of Area Served Indoor Unit Name or Description of Area Served Was Any New Ducting Installed? Required New Duct R-Value Installed New Supply Duct Location Installed New Supply Duct R-value Installed New Return Duct Location Installed New Return Duct R-Value Exception from Min R-Value Can Approved Airflow Protocols be used to test this System? Indoor Unit Nominal Cooling capacity (ton) N N N NoNewDucts n/a n/a n/a n/a n/a NoException n/a G. Installed New or Complete Replacement Duct System Information This section does not apply to this project. 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. Registration Number: 222-A020206476A-000-001-M01001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20210501 Report Generated: 2022-12-05 16:00:05 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 4 of 7) J. HERS Verification Requirements for Duct Systems 01 02 03 04 05 06 07 08 09 SC System Identification or Name SC System Description of Area Served Indoor Unit Name or Description of Area Served Exemption From Duct Leakage Requirements MCH-20 Duct Leakage Test MCH-21 Duct Location Verification MCH-22 AHU Fan Efficacy (W/cfm) MCH-23 AHU Airflow Rate (cfm/ton) MCH-28 Return Duct Design - Table 150.0-B or C System 1 Location 1 N/A Altered duct system has less than 40 ft of duct No No No Yes No Notes: K. HERS Verification Requirements For Space Conditioning Equipment 01 02 03 SC System ID/ Name from CF1R SC System Description of Area Served MCH-25 Refrigerant Charge System 1 Location 1 Yes Notes: Registration Number: 222-A020206476A-000-001-M01001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2022-12-05 16:00:05 Schema Version: rev 20210501 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page5of7) L. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures 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 Equipment 06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section 150.0(j)2 and 3, and Section 150.0(m)9. 08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A. 09 Liquid Line Filter Drier: A liquid line filter drier shall be installed according to the manufacturer's specifications 150.0(h)3B 10 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 Dist ibution System Ducts, Plenums and Fans 11 Insulation: 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. 12 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, 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 otherwise a minimum of R4.2 is allowed if the system is enclosed entirely in conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference Residential Appendix RA3.1.4.3.8. Exceptions for ducts in interior wall cavities or exposed ducts entirely in conditioned space are specified in Section 150.0(m)1B. Registration Number: 222-A020206476A-000-001-M01001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20210501 Report Generated: 2022-12-05 16:00:05 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page6of7) L. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures 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. Heat Pump Thermostat 13 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c). 14 The thermostat shall be installed in accordance with the manufacturers published installation specifications 15 First stage of heating shall be assigned to heat pump heating. 16 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. Inc. HERS PROVIDER Registration Number: 222-A020206476A-000-001-M01001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2022-12-05 16:00:05 Schema Version: rev 20210501 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 7 of 7) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Alexandra Winner Documentation Author Signature: a*Ae,r, Company: Advancing Home Performance, Inc. Signature Date: 2022-12-06 14:36:36 Address: 74998 Country Club Drive. CEA/ HERS Certification Identification (if applicable): CC2006597 City/State/Zip: Palm Desert CA 92260 Phone: 760-851-8648 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 either: a) a responsible person 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, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 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 installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4. 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: Michael Solomon Electronically Signed By Authorized Rep �`��°� GBit,- Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ANTHEM MECHANICAL Position With Company (Title): Management Address: 53-800 POLK STREET CSLB License: 1001659 City/State/Zip: COACHELLA CA 92236 Phone: 760-469-2525 Date Signed: 2022-12-06 14:36:36 Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 222-A020206476A-000-001-M01001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2022-12-05 16:00:05 Schema Version: rev 20210501 CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 3) Project Name: McMahon - 50480 Orchard Lane Enforcement Agency: Quinta City of La Permit Number: BMCH2O22-0553 Dwelling Address: 50480 Orchard Lane City: La Quinta Zip Code: 92253 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Description of Area Served Location 1 03 Indoor Unit Name N/A 04 System Installation Type Alteration 05 Nominal Cooling Capacity (tons) 5 06 Condenser Speed Type n/a 07 Cooling System Zonal Control Type n/a 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status n/a 10 Date of System Airflow Rate Measurement 2022-11-30 11 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement 12 Central Fan Ventilation Cooling System Status Not a CFVCS B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum. Procedures for installing HSPP or PSPP are specified in RA3.3.1.1. 01 Method Used to Demonstrate Compliance with the HSPP/PSPP Requirement HSPP installed and labeled consistent with Figure RA3.3-1 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 verification. Traditional Flow Capture Hood according to procedure in RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus ALNOR 03 Model number of Airflow Measurement Apparatus EBT731 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor Registration Number: 222-A020206476A-000-001-M 23001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20191201 Report Generated: 2022-12-06 14:34:17 CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 2 of 3) 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) 300 02 Required Minimum System Airflow Target (cfm) 1500 03 Actual System Airflow Rate Measurement (cfm) 1613 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. 02 The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. 03 A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 08 Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 222-A020206476A-000-001-M 23001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-06 14:34:17 2019 Residential Compliance Schema Version: rev 20191201 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: Alexandra Winner Documentation Author Signature: a°*`ez-, Company: Advancing Home Performance, Inc. Signature Date: 2022-12-06 14:36:36 Address: 74998 Country Club Drive. STE# 220-420 CEA/ HERS Certification Identification (if applicable): CC2006597 City/State/Zip: Palm Desert CA 92260 Phone: 760-851-8648 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 either: a) a responsible person 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, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 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 installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5. 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: Michael Solomon Electronically Signed ByAuthorized Rep ��40, agie..- Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ANTHEM MECHANICAL Position With Company (Title): Management Address: 53-800 POLK STREET CSLB License: 1001659 City/State/Zip: COACHELLA CA 92236 Phone: 760-469-2525 Date Signed: 2022-12-06 14:36:36 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: Registration Date/Time: 222-A020206476A-000-001-M 23001A-0000 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-06 14:34:17 2019 Residential Compliance Schema Version: rev 20191201 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 1 of 5) Project Name: McMahon - 50480 Orchard Lane Enforcement Agency: Quinta City of La Permit Number: BMCH2O22-0553 Dwelling Address: 50480 Orchard Lane City: La Quinta Zip Code: 92253 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 03 Condenser (or package unit) Make or Brand Rheem 04 Condenser (or package unit) Model Number RA1660AJ1NA 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser (or package unit) Serial Number W442161132 07 Refrigerant Type R-410A 08 Other Refrigerant Type (if applicable) n/a 09 Liquid Line Filter Drier Installed According to Manufacturers Specifications (if applicable) Yes 10 System Installation Type Alteration 11 Fault Indicator Display (FID) Status (Note: Even systems with a FID must have refrigerant charge verified by installer). This system does not have a FID device installed 12 Is the system of a type that the minimum airflow can be verified for all indoor units using an approved measurement procedure (RA3.3 or RA3.3.3)? Yes 13 Is the system of a type that approved refrigerant charge verification procedures can be used to verify compliance with the refrigerant charge verification requirements when temperatures are >= 55 °F (RA3.2.2, or RA1)? Yes, one of the Refrigerant charge verification procedures from RA3.2.2 or RA1 is applicable to this system and can be used to verify compliance 14 Date of Refrigerant Charge Verification for this system 2022-11-30 15 Refrigerant charge verification method used. Subcooling (outdoor temperature must be equal to or greater than 55 degF) 16 Person who performed the Refrigerant Charge Verification reported on this Certificate of Installation HVAC system installer 17 HERS Verification Compliance Requirement Status System qualifies for group sampling MCH-25b - Refrigerant Charge Verification - Subcooling Method Registration Number: 222-A020206476A-000-001-M 25001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2022-12-06 14:36:20 Schema Version: rev 20200901 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 2 of 5) B. Metering Device Verification 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 2022-11-01 02 Date of Digital Thermocouple Calibration 2022-11-01 03 Digital Refrigerant Gauge Calibration Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current D. Measurement Access Hole (MAH) Verification Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 01 Method Used to Demonstrate Compliance with the Measurement Access Hole (MAH) Requirement MAH installed and labeled consistent with Figure 3.2-1 E. Minimum System Airflow Rate Verification Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3. 01 02 03 Indoor Unit Name or Description of Area Served Minimum Required System Airflow Rate (cfm) System Airflow Rate Verification Status N/A 1500 System complies with minimum airflow rate requirements 04 SC System complies with Minimum System Airflow Rate Verification Notes: Registration Number: 222-A020206476A-000-001-M 25001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-06 14:36:20 2019 Residential Compliance Schema Version: rev 20200901 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 3 of 5) 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. 01 Lowest Return Air Dry Bulb Temperature that Occurred During the Refrigerant Charge Verification Procedure (°F) 75 02 Measured Condenser Air Entering Dry -Bulb Temperature (Tcondenser,db) 72 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method 04 Measured Liquid Line Temperature (Tiiquid) ( °F) 74 05 Measured Liquid Line Pressure (Piiquid) (psig) 249.7 06 Condenser Saturation Temperature (Tcondenser, sat) from Digital Gauge or P-T Table using Line F05 (°F) 83.5 07 Measured Subcooling (Line F06 - Lilne F04 (°F) 9.5 08 Target Subcooling from Manufacturer (°F) 9 09 Compliance Statement: System complies with Subcooling Method - Must also pass metering device verification, next section G. Metering Device Verification Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2 01 Measured Suction Line Temperature (Tsuction) ( °F) 47.9 02 Measured Suction Line Pressure (Psuction) (psig) 100.3 03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital Gauge or P-T Table using Line G02 (°F) 31.7 04 Measured Superheat (Line G01- Line G03) (°F) 16.2 05 Measured Superheat (Line G04) is between 4 °F and 25 °F (inclusive) Passes CEC requirement 06 Measured Superheat (Line G04) is within Manufacturer's Specifications ( if known) Not known 07 Compliance Statement Metering device verification passes MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID) H. Fault Indicator Display This section does not apply to this project. Registration Number: 222-A020206476A-000-001-M 25001A-0000 Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2022-12-06 14:36:20 Schema Version: rev 20200901 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 4 of 5) I. Fault Indicator Display Additional Requirements This section does not apply to this project. Registration Number: 222-A020206476A-000-001-M 25001A-0000 CaICERTS, Inc HERS PROVIDER Registration Date/Time: 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-06 14:36:20 2019 Residential Compliance Schema Version: rev 20200901 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 5 of 5) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Alexandra Winner Documentation Author Signature: a°*`ez-, Company: Advancing Home Performance, Inc. Signature Date: 2022-12-06 14:36:36 Address: 74998 Country Club Drive. STE# 220-420 CEA/ HERS Certification Identification (if applicable): CC2006597 City/State/Zip: Palm Desert CA 92260 Phone: 760-851-8648 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 either: a) a responsible person 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, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 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 installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5. 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: Michael Solomon Electronically Signed By Authorized Rep ��40, agie..- Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ANTHEM MECHANICAL Position With Company (Title): Management Address: 53-800 POLK STREET CSLB License: 1001659 City/State/Zip: COACHELLA CA 92236 Phone: 760-469-2525 Date Signed: 2022-12-06 14:36:36 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: Registration Date/Time: 222-A020206476A-000-001-M 25001A-0000 2022-12-06 14:36:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-06 14:36:20 2019 Residential Compliance Schema Version: rev 20200901 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 3) Project Name: McMahon - 50480 Orchard Lane Enforcement Agency: Quinta City of La Permit Number: BMCH2O22-0553 Dwelling Address: 50480 Orchard Lane City: La Quinta Zip Code: 92253 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Description of Area Served Location 1 03 Indoor Unit Name N/A 04 System Installation Type Alteration 05 Nominal Cooling Capacity (tons) 5 06 Condenser Speed Type n/a 07 Cooling System Zonal Control Type n/a 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status n/a 10 Date of System Airflow Rate Measurement 2022-11-30 11 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement 12 Central Fan Ventilation Cooling System Status Not a CFVCS B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum. Procedures for installing HSPP or PSPP are specified in RA3.3.1.1. 01 Method Used to Demonstrate Compliance with the HSPP/PSPP Requirement HSPP installed and labeled consistent with Figure RA3.3-1 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 verification. Traditional Flow Capture Hood according to procedure in RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus ALNOR 03 Model number of Airflow Measurement Apparatus EBT731 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor Registration Number: 222-A020206476A-000-001-M 23001A-M 23A Registration Date/Time: 2022-12-06 14:36:54 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20191201 Report Generated: 2022-12-06 14:34:21 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 2 of 3) 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) 300 02 Required Minimum System Airflow Target (cfm) 1500 03 Actual System Airflow Rate Measurement (cfm) 1613 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 Verification. 02 The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. 03 A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 08 Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan 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 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 Complies: All specified verification protocol requirements on this document are met. Registration Number: 222-A020206476A-000-001-M 23001A-M 23A Registration Date/Time: 2022-12-06 14:36:54 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-06 14:34:21 2019 Residential Compliance Schema Version: rev 20191201 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Alexandra Winner Documentation Author Signature: Q , */ e,r, Company: Advancing Home Performance, Inc. Date Signed: 2022-12-06 14:36:54 Address: 74998 Country Club Drive. STE# 220-420 CEA/ HERS Certification Identification (if applicable): CC2006597 City/State/Zip: Palm Desert CA 92260 Phone: 760-851-8648 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 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 information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification 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 Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): ANTHEM MECHANICAL Responsible Builder or Installer Name: Michael Solomon CSLB License: 1001659 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater Name: Alexandra Winner Responsible Rater Signature: Q , */ Responsible Rater Certification Number w/ this HERS Provider: CC2006597 Date Signed: 2022-12-06 14:36:54 Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 222-A020206476A-000-001-M 23001A-M 23A Registration Date/Time: 2022-12-06 14:36:54 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-06 14:34:21 2019 Residential Compliance Schema Version: rev 20191201 CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 1 of 4) Project Name: McMahon - 50480 Orchard Lane Enforcement Agency: Quinta City of La Permit Number: BMCH2O22-0553 Dwelling Address: 50480 Orchard Lane City: La Quinta Zip Code: 92253 A. System Information HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry. 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 03 Condenser (or package unit) make or brand Rheem 04 Condenser (or package unit) model number RA1660AJ1NA 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser (or package unit) serial number W442161132 07 Refrigerant Type R-410A 08 Other Refrigerant Type (if applicable) n/a 09 Liquid Line Filter Drier Installed According to Manufacturers Specifications (if applicable) Yes 10 System Installation Type Alteration 11 Fault Indicator Display (FID) Status (Note: Even systems with a FID must have refrigerant charge verified by installer) This system does not have a FID device installed 12 Is the system of a type that the minimum airflow can be verified for all indoor units using an approved measurement procedure (RA3.3 or RA3.3.3)? Yes 13 Is the system of a type that approved refrigerant charge verification procedures can be used to verify compliance with the refrigerant charge verification requirements when temperatures are >= 55 °F (RA3.2.2, or RA1)? Yes, one of the Refrigerant charge verification procedures from RA3.2.2 or RA1 is applicable to this system and can be used to verify compliance 14 Date of Refrigerant Charge Verification for this system 2022-11-30 15 Refrigerant charge verification method used. Subcooling (outdoor temperature must be equal to or greater than 55 degF) 16 Person who performed the Refrigerant Charge Verification reported on this Certificate of Installation HVAC system installer 17 HERS Verification Compliance Requirement Status System qualifies for group sampling 18 Refrigerant charge verification method used by HERS Rater. Subcooling MCH-25b - Refrigerant Charge Verification - Subcooling Method Registration Number: 222-A020206476A-000-001-M 25001A-M 25A Registration Date/Time: 2022-12-06 14:36:54 HERS Provider: CaICERTS CA Building Energy Efficiency Standards 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20200901 Report Generated: 2022-12-06 14:36:26 CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 2 of 4) B. Metering Device Verification 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. 01 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 2022-11-01 02 Date of Digital Thermocouple Calibration 2022-11-01 03 Digital Refrigerant Gauge Calibration Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current D. Measurement Access Hole (MAH) Verification HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 01 Method Used to Demonstrate Compliance with the Measurement Access Hole (MAH) Requirement MAH installed and labeled consistent with Figure 3.2-1 E. Minimum System Airflow Rate Verification Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3. 01 02 03 Indoor Unit Name or Description of Area Served Minimum Required System Airflow Rate (cfm) System Airflow Rate Verification Status N/A 1500 System complies with minimum airflow rate requirements 04 SC System complies with Minimum System Airflow Rate Verification Notes: Registration Number: 222-A020206476A-000-001-M 25001A-M 25A Registration Date/Time: 2022-12-06 14:36:54 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-06 14:36:26 2019 Residential Compliance Schema Version: rev 20200901 CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 3 of 4) F. Data Collection and Calculations 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 the Refrigerant Charge Verification Procedure (°F) 75 02 Measured Condenser Air Entering Dry -Bulb Temperature (Tcondenser,db) 72 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method 04 Measured Liquid Line Temperature (Tiiquid) ( °F) 74 05 Measured Liquid Line Pressure (Piiquid) (psig) 249.7 06 Condenser Saturation Temperature (Tcondenser, sat) from Digital Gauge or P-T Table using Line F05 (°F) 83.5 07 Measured Subcooling (Line F06 - Lilne F04 (°F) 9.5 08 Target Subcooling from Manufacturer (°F) 9 09 Compliance Statement: System complies with Subcooling Method - Must also pass metering device verification, next section G. Metering Device Verification HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2 01 Measured Suction Line Temperature (Tsuction) ( °F) 47.9 02 Measured Suction Line Pressure (Psuction) (psig) 100.3 03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital Gauge or P-T Table using Line G02 (°F) 31.7 04 Measured Superheat (Line G01- Line G03) (°F) 16.2 05 Measured Superheat (Line G04) is between 3 °F and 26 °F (inclusive) Passes CEC requirement 06 Measured Superheat (Line G04) is within Manufacturer's Specifications ( if known) Not known 07 Compliance Statement: Metering device verification passes H. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. Complies: All specified verification protocol requirements on this document are met. Registration Number: 222-A020206476A-000-001-M 25001A-M 25A Registration Date/Time: 2022-12-06 14:36:54 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20200901 Report Generated: 2022-12-06 14:36:26 CERTIFICATE OF VERIFICATION CF3R-MCH-25-H Refrigerant Charge Verification (Page 4 of 4) Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Alexandra Winner Documentation Author Signature: Q , */ e,r, Company: Advancing Home Performance, Inc. Date Signed: 2022-12-06 14:36:54 Address: 74998 Country Club Drive. STE# 220-420 CEA/ HERS Certification Identification (if applicable): CC2006597 City/State/Zip: Palm Desert CA 92260 Phone: 760-851-8648 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 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 information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification 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 Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): ANTHEM MECHANICAL Responsible Builder or Installer Name: Michael Solomon CSLB License: 1001659 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater Name: Alexandra Winner Responsible Rater Signature: Q , */ Responsible Rater Certification Number w/ this HERS Provider: CC2006597 Date Signed: 2022-12-06 14:36:54 Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 222-A020206476A-000-001-M 25001A-M 25A Registration Date/Time: 2022-12-06 14:36:54 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-06 14:36:26 2019 Residential Compliance Schema Version: rev 20200901 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3) Project Name: McMahon - 50480 Orchard Lane Date Prepared: 2022-10-19 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 CF1R-ALT-02 document for each dwelling unit. 01 Project Name McMahon - 50480 Orchard Lane 02 Date Prepared 2022-10-19 03 Project Location 50480 Orchard Lane 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name McMahon - 50480 Orchard Lane 07 Zip Code 92253 08 Dwelling Unit Conditioned Floor Area (ft2) 5000 09 Climate Zone 15 10 Number of Space Conditioning (SC) Systems in this Dwelling Unit: 1 B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System ID or Name SC System Location or Area Served CFA served by this SC System (ft2) Is the SC system a ducted system? Installing a refrigerant containing component? Installing new SC system components? Installing more than 40 feet of ducts? Installing entirely new duct system? Installing entirely new SC system? Alteration Type System 1 Location 1 5000 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 222-A020206476A-000-000-0000000-0000 Registration Date/Time: 2022-10-19 10:52:10 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20210501 Report Generated: 2022-10-19 10:51:39 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 10 11 12 13 System ID/ Name SC System Description of Area Served Heating System Type Altered Heating Components Heating Efficiency Type Heating Minimum Efficiency Value Cooling System Type Altered Cooling Components Cooling Efficiency Type Cooling Minimum Efficiency Value Required Thermostat Type New or Replaced Duct Length New Duct R-Value System 1 Location 1 Central gas furnace All new heating components AFUE 80 Central split AC All new cooling components SEER 14 Setback n/a n/a Required Documentation: Systems for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced 15 percent or <= 10 percent leakage to outside, or seal all accessible leaks. Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). Rate >= 300 CFM per ton required when MCH-25 is required. HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25. insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. CF2R-MCH-01-E - Duct insulation CF2R and CF3R-MCH-20-H -Leakage rate CF2R and CF3R-MCH-25-H CF2R and CF3R-MCH-23 Exceptions: - Space Conditioning requirement - Duct compliance: <= Refrigerant Airflow registered with systems and Air systems constructed, - Duct systems - Heating -only -Existing duct E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 222-A020206476A-000-000-0000000-0000 Registration Date/Time: 2022-10-19 10:52:10 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2022-10-19 10:51:39 Schema Version: rev 20210501 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Solomon, Michael Documentation Author Signature: /g4%6,o�w Company: ANTHEM MECHANICAL Signature Date: 2022-10-19 10:52:10 Address: 53-800 POLK STREET CEA/ HERS Certification Identification (if applicable): City/State/Zip: COACHELLA CA 92236 Phone: 760-469-2525 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. 5. I will ensure that a registered copy of this Certificate of Compliance shall be 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 Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Solomon, Michael Responsible Designer Signature: ill e57y,6 i,w Company : ANTHEM MECHANICAL Date Signed: 2022-10-19 10:52:10 Address: 53-800 POLK STREET License: 1001659 City/State/Zip: COACHELLA CA 92236 Phone: 760-469-2525 Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. �{ Easy to Verify 0 tl� 0 en,at CalCERTS.com re ti '• ciAPP-q _A. ekr o 0 h .r f Registration Number: 222-A020206476A-000-000-0000000-0000 Registration Date/Time: 2022-10-19 10:52:10 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Schema Version: rev 20210501 Report Generated: 2022-10-19 10:51:39