BMCH2022-0511Permit Details PERMIT NUMBER
City of La Quinta BMCH2O22-0511
Description: GALLOWAY / HVAC CHANGE OUT
Type: MECHANICAL - HVAC Subtype: Status: FINALED
CHANGEOUT (WEB)
Applied: 9/23/2022 ECON
Approved: 9/23/2022 AHI
Issued: 10/3/2022 ONLINE
Finaled: 11/7/2022 MHU
Expired:
Parcel No: 775350008 Site Address: 80896 BELLERIVE LA QUINTA,CA 92253
Subdivision: TR 28961 Block: Lot: 8
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Valuation: $2,300.00 Occupancy Type: Construction Type:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 14 SEER CONDENSER ONLY. LIKE FOR LIKE NO CHANGE OF LOCATION. CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. PER 2019 CALIFORNIA BUILDING CODES.
35
Applied to Approved
Approved to Issued
Issued to Finaled
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
COMPLETE COMFORT AIR
CONDITIONING AND HEATING
67507 SAN ANDREAS
DESERT HOT
SPRINGS
CA
92240
(760)218-3750
Angelcompletecomfort
@gmail.com
CONTRACTOR
COMPLETE COMFORT AIR
CONDITIONING AND HEATING
67507 SAN ANDREAS
DESERT HOT
SPRINGS
CA
92240
(760)218-3750
Angelcompletecomfort
@gmail.com
OWNER
LINDA M GALLOWAY
28012 CALLE CASAL
MISSION VIEJO
CA
92692
(760)218-3750
FINANCIAL INFORMATION
Printed: Monday, May 15, 2023 12:10:01 PM
1 of 3
CRWSYSTEMS
Permit Details
City of La Quints
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
10/3/22
WEB13211
734759960 CREDIT
1038958
ECON
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00
BSA:
$1.00
HVAC CHANGEOUT
CONDENSER ONLY
101-0000-42402
0
$41.68
$41.68
10/3/22
WEB13211
734759960 CREDIT
1038958
ECON
HVAC CHANGEOUT
CONDENSER ONLY PC
101-0000-42600
0
$27.79
$27.79
10/3/22
WEB13211
734759960 CREDIT
1038958
ECON
Total Paid for MECHANICAL CHANGEOUT 2021: $69.47
$69.47
PERMIT ISSUANCE
101-0000-42404
0
$105.60
$105.60
10/3/22
WEB13211
734759960 CREDIT
1038958
ECON
Total Paid for PERMIT ISSUANCE: $105.60
$105.60
RECORDS
MANAGEMENT FEE
101-0000-42416
0
$11.00
$11.00
10/3/22
WEB13211
734759960 CREDIT
1038958
ECON
Total Paid for RECORDS MANAGEMENT FEE: $11.00
$11.00
ENHANCEMENT FEE TECHNOLOGY
502-0000-43611
I 0
$5.00
$5.00
10/3/22
WEB13211
734759960 CREDIT
1038958
ECON
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
$5.00
TOTALS: $192.07
$192.07
INSPECTION'
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
MECHANICAL FINAL**
MHU
11/7/2022
11/7/2022
APPROVED
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RE DATEED
STATUS
REMARKS
NOTES
1ST PERMIT TECH —
ETRAKIT (1 DAY)
AARON
HICKSON
9/23/2022
9/26/2022
9/23/2022
COMPLETE
Printed: Monday, May 15, 2023 12:10:01 PM
2 of 3
CRWSYSTEMS
Permit Details
City of La Quinta
PERMIT NUMBER
BMCH2O22-0511
BOND INFORMATION
ATTACHMENTS
Attachment Type
CREATED
OWNER
DESCRIPTION
PATHNAME
SUBDIR
ETRAKIT ENABLED
DOC
9/23/2022
Etrakit Contractor
CF1R
Burik 80896 Bellerive
CF-1R.pdf
1
DOC
10/25/2022
Etrakit Contractor
HERS certificates
Burik 80896 Bellerive
HERS certificates.pdf
1
DOC
10/25/2022
Etrakit Contractor
HERS certificates
Burik 80896 Bellerive
HERS certificates_1.pdf
1
DOC
10/25/2022
Etrakit Contractor
HERS certificates
Burik 80896 Bellerive
HERS certificates_2.pdf
1
Printed: Monday, May 15, 2023 12:10:01 PM 3 of 3
CRWSYSTEMS
PROJECT STATUS REPORT CaICERTS, Inc
Effective 10/25/2022 14:31 (Page 1 of 2)
GENERAL INFORMATION
Energy Standards Code Year: 2019
Project Name:
Burik - 80896 Bellerive
Project Type:
Alterations SFR
Address:
80896 Bellerive
City/State/Zip:
La Quinta / CA / 92253
Enforcement Agency:
City of La Quinta
Permit Number:
BMCH2O22-0511
Easy to Verify @ calcerts.com
OVERALL STATUS
COMPLETE
HERS VERIFIABLE MEASURES:
COMPLETE
CFI R INFORMATION - Certificate of Compliance (Document Lists Required Energy Features)
Certificate Type
Compliance
Registered Form
CF1 R-ALT-02
Registered Date
2022-09-22 14:40:54
Registration
Number
222-A020189285A-000-000-0000000-0000
CF2R INFORMATION - Certificate of Installation (Documents the proper installation of required energy features)
System
Form
Registered Date
Registration Number
CF2R-MCH-01-E
222-A020189285A-000-001-M01001 A-0000
Space Conditioning
2022-10-25
Angel Cardozo
Systems, Ducts and
14:31:26
(COMPLETE COMFORT AIR CONDITIONING AND
Fans
HEATING)
222-A020189285A-000-001-M20001A-0000
System 1:
CF2R-MCH-20-H
2022-10-25
Angel Cardozo
Location 1
Duct Leakage
14:31:26
(COMPLETE COMFORT AIR CONDITIONING AND141
HEATING)
222-A020189285A-000-001-M23001A-0000
System 1:
CF2R-MCH-23-H
2022-10-25
Angel Cardozo
Location 1
Airflow
14:31:26
(COMPLETE COMFORT AIR CONDITIONING AND
HEATING)
222-A020189285A-000-001-M25001A-0000
System 1
CF2R-MCH-25-H
Refrigerant Charge
2022-10-25
14:31:26
Angel Cardozo
(COMPLETE COMFORT AIR CONDITIONING AND
HEATING)
Non Default Value: CF2R-MCH-01 - System System 1 has different values in Section C.
CA Building Energy Efficiency Standards
2019 Residential Compliance
HERS Provider: CaICERTS Inc.
Dec 2019
PROJECT STATUS REPORT
CaICERTS, Inc
Effective 10/25/2022 14:31
(Page 2 of 2)
CF3R INFORMATION - Certificate of Verification (Documents the verification of HERS Measures)
System
Form
Registered Date
Registration Number
System 1:
Location 1
' CF3R MCH 20 H
(Duct Leakage)
2022 10 25
14:31:42
222-A020189285A-000-001-M20001A-M20A
Alexandra Winner (CC2006597)
(Advancing Home Performance, Inc.)
V.:
System 1:
Location 1
CF3R MCH 23 H
(Airflow)
2022 10 25
14:31:42
222-A020189285A-000-001-M23001A-M23A
Alexandra Winner (CC2006597)
(Advancing Home Performance, Inc.)
1/
System 1
CF3R MCH 25 H
(Refrigerant Charge)
2022 10 25
14:31:43
222-A020189285A-000-001-M25001A-M25A
Alexandra Winner (CC2006597)
(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:
Burik - 80896 Bellerive
Date Prepared:
2022-09-22
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
Burik - 80896 Bellerive
02
Date Prepared
2022-09-22
03
Project Location
80896 Bellerive
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Burik - 80896 Bellerive
07
Zip Code
92253
08
Dwelling Unit Conditioned Floor
Area (ft2)
3669
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
3669
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-A020189285A-000-000-0000000-0000
Registration Date/Time: 2022-09-22 14:40:54
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-09-22 14:40:43
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
No Heating
Component
Altered
AFUE
80
Central split
AC
Outdoor
condensing
unit
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-A020189285A-000-000-0000000-0000 Registration Date/Time:
2022-09-22 14:40:54 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-09-22 14:40:43
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:
Cardozo, Angel
Documentation Author Signature:
,-.AserC rd o
Company:
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Signature Date:
2022-09-22 14:40:54
Address:
67507 SAN ANDREAS ST
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 X123
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:
Cardozo, Angel
Responsible Designer Signature:
,�nserC rho
Company :
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Date Signed:
2022-09-22 14:40:54
Address:
67507 SAN ANDREAS ST
License:
1038958
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 X123
Digitally signed byCalCERTS. This digital signature isprovided in order to secure the content of this registered document, and in no wayimplies 9 Y 9 9 9 9� P
Registration Provider responsibility for the accuracy of the information.
0
Easy to Verify 0
..
at CalCERTS.com
r
0_
Registration Number: 222-A020189285A-000-000-0000000-0000
Registration Date/Time: 2022-09-22 14:40:54
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-09-22 14:40:43
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 1 of 7)
Project Name: Burik - 80896 Bellerive
Enforcement Agency:
City of La Quinta
Permit Number:
BMCH2O22-0511
Dwelling Address: 80896 Bellerive
City:
La Quinta
Zip Code:
92253
A. General Information
01
Dwelling Unit Name
Burik - 80896 Bellerive
02
Climate Zone
15
03
Dwelling Unit Total Conditioned
Floor Area (ft2)
3669
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
4
MCH-01b - Space Conditioning Systems D
ucts 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
3669
Yes
Yes
Yes
No
No
No
Altered space
conditioning
system
Notes:
Registration Number: 222-A020189285A-000-001-M01001A-0000
Registration Date/Time: 2022-10-25 14:31:26
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-10-14 15:39:10
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
No Heating
Component
Altered
n/a
n/a
Central split
AC
Outdoor
condensing
unit
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)
This section does not apply to this project.
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
Daikin
GSX140601KE
2207337697
60000
5
Notes:
Registration Number: 222-A020189285A-000-001-M01001A-0000
Registration Date/Time: 2022-10-25 14:31:26
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:39:10
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page3of7)
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.
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
Location 1
None
Yes
No
No
Yes
No
Notes:
Registration Number: 222-A020189285A-000-001-M01001A-0000
Registration Date/Time: 2022-10-25 14:31:26
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-10-14 15:39:10
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 4 of 7)
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:
CaICERTS, InL.
HERS PROVIDER
Registration Number: 222-A020189285A-000-001-M01001A-0000 Registration Date/Time:
2022-10-25 14:31:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:39:10
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-A020189285A-000-001-M01001A-0000
Registration Date/Time: 2022-10-25 14:31:26
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-10-14 15:39:10
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-A020189285A-000-001-M01001A-0000 Registration Date/Time:
2022-10-25 14:31:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:39:10
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:
2022-10-25 14:31:26
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:
Angel Cardozo
Electronically Signed �tzcgelCo
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Position With Company (Title):
Management
Address:
67507 SAN ANDREAS ST
CSLB License:
1038958
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 X123
Date Signed:
2022-10-25 14:31:26
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-A020189285A-000-001-M01001A-0000
Registration Date/Time: 2022-10-25 14:31:26
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:39:10
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Burik - 80896 Bellerive
Enforcement Agency:
Quinta
City of La
Permit Number:
BMCH2O22-0511
Dwelling Address: 80896 Bellerive
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Location 1
03
Indoor Unit Name or Description of Area Served
Location 1
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
No, credit is not taken
07
Duct System Compliance Category
Alteration
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20d - Complete Replacement or Altered Duct System
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
5
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
n/a
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.15
10
Calculated Target Allowable Duct Leakage (cfm)
300
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
250.9
12
Compliance Statement:
System passes leakage test
Registration Number:
222-A020189285A-000-001-M 20001A-0000
Registration Date/Time: 2022-10-25 14:31:26
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-10-14 15:41:25
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
C. Ducts Located in Garage Spaces
This section does not apply to this project.
D. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts
used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
03
If a complete replacement, all supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
07
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements of Reference
Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS verification
compliance.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-A020189285A-000-001-M 20001A-0000
Registration Date/Time: 2022-10-25 14:31:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:41:25
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
a°*`ez-,
Company:
Advancing Home Performance, Inc.
Signature Date: 2022-10-25 14:31:26
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:
Angel Cardozo
Electronically Signed
By Authorized Rep
�tzcq lC r/ o
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Position With Company (Title):
Management
Address:
67507 SAN ANDREAS ST
CSLB License:
1038958
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 X123
Date Signed:
2022-10-25 14:31:26
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-A020189285A-000-001-M 20001A-0000
2022-10-25 14:31:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:41:25
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Burik - 80896 Bellerive
Enforcement Agency:
Quinta
City of La
Permit Number:
BMCH2O22-0511
Dwelling Address: 80896 Bellerive
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
Location 1
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
2022-10-14
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-A020189285A-000-001-M 23001A-0000
Registration Date/Time: 2022-10-25 14:31:26
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-10-14 15:43:23
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)
1554
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-A020189285A-000-001-M 23001A-0000
Registration Date/Time: 2022-10-25 14:31:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:43:23
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: 2022-10-25 14:31:26
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:
Angel Cardozo
Electronically Signed
ByAuthorized Rep
�tzcq lC r/ o
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Position With Company (Title):
Management
Address:
67507 SAN ANDREAS ST
CSLB License:
1038958
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 X123
Date Signed:
2022-10-25 14:31:26
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-A020189285A-000-001-M 23001A-0000
2022-10-25 14:31:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:43:23
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Burik - 80896 Bellerive
Enforcement Agency:
Quinta
City of La
Permit Number:
BMCH2O22-0511
Dwelling Address: 80896 Bellerive
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
Daikin
04
Condenser (or package unit) Model Number
GSX140601KE
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) Serial Number
2207337697
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
2022-10-14
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-A020189285A-000-001-M 25001A-0000
Registration Date/Time: 2022-10-25 14:31:26
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-10-25 14:30:50
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
2022-10-01
02
Date of Digital Thermocouple Calibration
2022-10-01
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
Location 1
1500
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
222-A020189285A-000-001-M 25001A-0000
Registration Date/Time: 2022-10-25 14:31:26 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-25 14:30:50
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)
80
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) ( °F)
82
05
Measured Liquid Line Pressure (Piiquid) (psig)
277.1
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
90.5
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
8.5
08
Target Subcooling from Manufacturer (°F)
8
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)
53.9
02
Measured Suction Line Pressure (Psuction) (psig)
103.6
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
33.3
04
Measured Superheat (Line G01- Line G03) (°F)
20.6
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-A020189285A-000-001-M 25001A-0000
Registration Date/Time: 2022-10-25 14:31:26
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-10-25 14:30:50
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-A020189285A-000-001-M 25001A-0000
CaICERTS, Inc
HERS PROVIDER
Registration Date/Time: 2022-10-25 14:31:26 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-25 14:30:50
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: 2022-10-25 14:31:26
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:
Angel Cardozo
Electronically Signed
By Authorized Rep
�tzcq lC r/ o
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Position With Company (Title):
Management
Address:
67507 SAN ANDREAS ST
CSLB License:
1038958
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 X123
Date Signed:
2022-10-25 14:31:26
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-A020189285A-000-001-M 25001A-0000
2022-10-25 14:31:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-25 14:30:50
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Burik - 80896 Bellerive
Enforcement Agency:
Quinta
City of La
Permit Number:
BMCH2O22-0511
Dwelling Address: 80896 Bellerive
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Location 1
03
Indoor Unit Name or Description of Area Served
Location 1
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
No, credit is not taken
07
Duct System Compliance Category
Alteration
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20d - Complete Replacement or Altered Duct System
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
5
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
n/a
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.15
10
Calculated Target Allowable Duct Leakage (cfm)
300
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
250.9
Registration Number:
222-A020189285A-000-001-M 20001A-M 20A
Registration Date/Time: 2022-10-25 14:31:42
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-10-14 15:41:51
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
12
Compliance Statement:
System passes leakage test
13
Notes:
C. Ducts Located in Garage Spaces
This section does not apply to this project.
D. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA
ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
03
If a complete replacement, all supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
07
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements of Reference
Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS verification
compliance.
08
Verification Status:
Pass - all applicable requirements are met.
09
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.
E. 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-A020189285A-000-001-M 20001A-M 20A
Registration Date/Time: 2022-10-25 14:31:42 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:41:51
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(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:
2022-10-25 14:31:42
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):
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Responsible Builder or Installer Name:
Angel Cardozo
CSLB License:
1038958
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:
2022-10-25 14:31:42
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-A020189285A-000-001-M 20001A-M 20A
Registration Date/Time:
2022-10-25 14:31:42 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:41:51
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Burik - 80896 Bellerive
Enforcement Agency:
Quinta
City of La
Permit Number:
BMCH2O22-0511
Dwelling Address: 80896 Bellerive
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
Location 1
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
2022-10-14
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-A020189285A-000-001-M 23001A-M 23A
Registration Date/Time: 2022-10-25 14:31:42
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-10-14 15:43:48
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)
1554
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-A020189285A-000-001-M 23001A-M 23A
Registration Date/Time: 2022-10-25 14:31:42 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:43:48
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:
2022-10-25 14:31:42
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):
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Responsible Builder or Installer Name:
Angel Cardozo
CSLB License:
1038958
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:
2022-10-25 14:31:42
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-A020189285A-000-001-M 23001A-M 23A
Registration Date/Time:
2022-10-25 14:31:42 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-14 15:43:48
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Burik - 80896 Bellerive
Enforcement Agency:
Quinta
City of La
Permit Number:
BMCH2O22-0511
Dwelling Address: 80896 Bellerive
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
Daikin
04
Condenser (or package unit) model number
GSX140601KE
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) serial number
2207337697
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
2022-10-14
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-A020189285A-000-001-M 25001A-M 25A
Registration Date/Time: 2022-10-25 14:31:43
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-10-25 14:31:15
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
2022-10-01
02
Date of Digital Thermocouple Calibration
2022-10-01
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
Location 1
1500
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
222-A020189285A-000-001-M 25001A-M 25A
Registration Date/Time: 2022-10-25 14:31:43 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-25 14:31:15
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)
80
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) ( °F)
82
05
Measured Liquid Line Pressure (Piiquid) (psig)
277.1
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
90.5
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
8.5
08
Target Subcooling from Manufacturer (°F)
8
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)
53.9
02
Measured Suction Line Pressure (Psuction) (psig)
103.6
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
33.3
04
Measured Superheat (Line G01- Line G03) (°F)
20.6
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-A020189285A-000-001-M 25001A-M 25A
Registration Date/Time: 2022-10-25 14:31:43
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-10-25 14:31:15
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:
2022-10-25 14:31:42
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):
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Responsible Builder or Installer Name:
Angel Cardozo
CSLB License:
1038958
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:
2022-10-25 14:31:43
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-A020189285A-000-001-M 25001A-M 25A
Registration Date/Time:
2022-10-25 14:31:43 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-10-25 14:31:15
2019 Residential Compliance Schema Version: rev 20200901