BSPN2017-0026 b-compressedCERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test — Completely New or Replacement Duct System
(Page 1 of 2)
Site Address:
81-275 Storm Cat Ct
Enforcement Agency:
City of La Quinta
Permit Number:
13-1634
Enter the Duct System Name or Identification/Tag: HOUSE: SYSTEM 1
Enter the Duct System Location or Area Served: WHOLE HOUE
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling.
This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also
for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or
replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil,
plenums, etc.) if those parts are accessible and they can be sealed.
Duct Leakage Diagnostic Test — completely new or replacement duct system
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
Verified Low Leakage Ducts in Conditioned Space criteria or one of the three calculated leakage rates described below.
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit
for verified low leakage ducts in conditioned space is shown in the special features section of the CF-1R, the
leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must be
entered for Allowed Leakage.
Allowed
Leakage
(CFM)
Allowed leakage calculation — (select one calculation method from this section). Use 6% (leakage factor =
0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may
be specified by the CF-1R to be less than 6%, in which case the user -specified leakage rate must be used in the
calculations below. For example, if the user -specified leakage (specified as a percentage of fan airflow) is
reported on the CF-1R as 3%, then use a leakage factor of 0.03 in the calculations below.
0 Cooling system method:
Nominal capacity of condenser in Tons 4.0 x 400 x leakage factor = 96 (CFM)
96
❑ Heating system method:
21.7 x Output Capacity in Thousands of Btu/hr x leakage factor = (CFM)
❑ Measured airflow method (RA3.3):
Enter measured fan flow in CFM here x leakage factor = (CFM)
Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage
pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa).
List Actual Leakage from duct leakage test (CFM)
Actual
Leakage
(CFM)
73
Pass if Actual Leakage is less than Allowed Leakage 0 Pass 0 Fail
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke
test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet
(air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the
installation (No sampling allowed). List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke 0 Pass 0 Fail
Registration Number: 413-N0012978B-M2000005A-M20A
2008 Residential Compliance Forms
Registration Date/Time: 11/18/2014 10:25 AM HERS Provider: CHEERS
August 2009
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2)
Site Address:
81-275 Storm Cat Ct
Enforcement Agency:
City of La Quinta
Permit Number:
13-1634
D Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct
leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to
meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position
during duct leakage testing.
D All supply and return register boots must be sealed to the drywall
El New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts.
0 Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at duct
connections.
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater).
• The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate
(the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements
specified on the Certificate(s) of Compliance (CF-1R) approved by the local enforcement agency.
• The information reported on applicable sections of the Installation Certificate(s) (CF-6R), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF-1R) approved by the
enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF-6R)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
True Air Mechanical, Inc.
Responsible Person's Name:
Sergio Samuyo
CSLB License:
C20 HVAC (956171)
HERS Provider Data Registry Information
Sample Group # (if applicable):
RNC13336
D tested/verified dwelling
0 not-tested/verified dwelling
in a HERS sample group
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors Corporation
Responsible Rater's Name
Daniel Lawrence
Responsible Rater's Signature
Daniel Lawrence
Responsible Rater's Certification Number w/ this HERS Provider:
RCN10124
Date Signed:
11/18/2014 10:25 AM
Registration Number: 413-N0012978B-M2000005A-M20A
2008 Residential Compliance Forms
Registration Date/Time: 11/18/2014 10:25 AM HERS Provider: CHEERS
August 2009
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test — Completely New or Replacement Duct System
(Page 1 of 2)
Site Address:
81-275 Storm Cat Ct
Enforcement Agency:
City of La Quinta
Permit Number:
13-1634
Enter the Duct System Name or Identification/Tag: HOUSE: SYSTEM 1
Enter the Duct System Location or Area Served: WHOLE HOUE
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling.
This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also
for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or
replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil,
plenums, etc.) if those parts are accessible and they can be sealed.
Duct Leakage Diagnostic Test — completely new or replacement duct system
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
Verified Low Leakage Ducts in Conditioned Space criteria or one of the three calculated leakage rates described below.
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit
for verified low leakage ducts in conditioned space is shown in the special features section of the CF-1R, the
leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must be
entered for Allowed Leakage.
Allowed
Leakage
(CFM)
Allowed leakage calculation — (select one calculation method from this section). Use 6% (leakage factor =
0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may
be specified by the CF-1R to be less than 6%, in which case the user -specified leakage rate must be used in the
calculations below. For example, if the user -specified leakage (specified as a percentage of fan airflow) is
reported on the CF-1R as 3%, then use a leakage factor of 0.03 in the calculations below.
0 Cooling system method:
Nominal capacity of condenser in Tons 5.0 x 400 x leakage factor = 120 (CFM)
120
❑ Heating system method:
21.7 x Output Capacity in Thousands of Btu/hr x leakage factor = (CFM)
❑ Measured airflow method (RA3.3):
Enter measured fan flow in CFM here x leakage factor = (CFM)
Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage
pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa).
List Actual Leakage from duct leakage test (CFM)
Actual
Leakage
(CFM)
98
Pass if Actual Leakage is less than Allowed Leakage 0 Pass 0 Fail
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke
test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet
(air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the
installation (No sampling allowed). List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke 0 Pass 0 Fail
Registration Number: 413-N0012978B-M2000005A-M20A
2008 Residential Compliance Forms
Registration Date/Time: 11/18/2014 10:25 AM HERS Provider: CHEERS
August 2009
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2)
Site Address:
81-275 Storm Cat Ct
Enforcement Agency:
City of La Quinta
Permit Number:
13-1634
D Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct
leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to
meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position
during duct leakage testing.
D All supply and return register boots must be sealed to the drywall
El New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts.
0 Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at duct
connections.
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater).
• The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate
(the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements
specified on the Certificate(s) of Compliance (CF-1R) approved by the local enforcement agency.
• The information reported on applicable sections of the Installation Certificate(s) (CF-6R), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF-1R) approved by the
enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF-6R)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
True Air Mechanical, Inc.
Responsible Person's Name:
Sergio Samuyo
CSLB License:
C20 HVAC (956171)
HERS Provider Data Registry Information
Sample Group # (if applicable):
RNC13336
D tested/verified dwelling
0 not-tested/verified dwelling
in a HERS sample group
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors Corporation
Responsible Rater's Name
Daniel Lawrence
Responsible Rater's Signature
Daniel Lawrence
Responsible Rater's Certification Number w/ this HERS Provider:
RCN10124
Date Signed:
11/18/2014 10:25 AM
Registration Number: 413-N0012978B-M2000005A-M20A
2008 Residential Compliance Forms
Registration Date/Time: 11/18/2014 10:25 AM HERS Provider: CHEERS
August 2009
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test — Completely New or Replacement Duct System
(Page 1 of 2)
Site Address:
81-275 Storm Cat Ct
Enforcement Agency:
City of La Quinta
Permit Number:
13-1634
Enter the Duct System Name or Identification/Tag: HOUSE: SYSTEM 1
Enter the Duct System Location or Area Served: WHOLE HOUSE
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling.
This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also
for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or
replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil,
plenums, etc.) if those parts are accessible and they can be sealed.
Duct Leakage Diagnostic Test — completely new or replacement duct system
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
Verified Low Leakage Ducts in Conditioned Space criteria or one of the three calculated leakage rates described below.
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit
for verified low leakage ducts in conditioned space is shown in the special features section of the CF-1R, the
leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must be
entered for Allowed Leakage.
Allowed
Leakage
(CFM)
Allowed leakage calculation — (select one calculation method from this section). Use 6% (leakage factor =
0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may
be specified by the CF-1R to be less than 6%, in which case the user -specified leakage rate must be used in the
calculations below. For example, if the user -specified leakage (specified as a percentage of fan airflow) is
reported on the CF-1R as 3%, then use a leakage factor of 0.03 in the calculations below.
0 Cooling system method:
Nominal capacity of condenser in Tons 2.5 x 400 x leakage factor = 60 (CFM)
60
❑ Heating system method:
21.7 x Output Capacity in Thousands of Btu/hr x leakage factor = (CFM)
❑ Measured airflow method (RA3.3):
Enter measured fan flow in CFM here x leakage factor = (CFM)
Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage
pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa).
List Actual Leakage from duct leakage test (CFM)
Actual
Leakage
(CFM)
50
Pass if Actual Leakage is less than Allowed Leakage 0 Pass 0 Fail
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke
test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet
(air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the
installation (No sampling allowed). List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke 0 Pass 0 Fail
Registration Number: 413-N0012978B-M2000005A-M20A
2008 Residential Compliance Forms
Registration Date/Time: 11/18/2014 10:25 AM HERS Provider: CHEERS
August 2009
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2)
Site Address:
81-275 Storm Cat Ct
Enforcement Agency:
City of La Quinta
Permit Number:
13-1634
D Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct
leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to
meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position
during duct leakage testing.
D All supply and return register boots must be sealed to the drywall
El New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts.
0 Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at duct
connections.
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater).
• The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate
(the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements
specified on the Certificate(s) of Compliance (CF-1R) approved by the local enforcement agency.
• The information reported on applicable sections of the Installation Certificate(s) (CF-6R), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF-1R) approved by the
enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF-6R)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
True Air Mechanical, Inc.
Responsible Person's Name:
Sergio Samuyo
CSLB License:
C20 HVAC (956171)
HERS Provider Data Registry Information
Sample Group # (if applicable):
RNC13336
D tested/verified dwelling
0 not-tested/verified dwelling
in a HERS sample group
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors Corporation
Responsible Rater's Name
Daniel Lawrence
Responsible Rater's Signature
Daniel Lawrence
Responsible Rater's Certification Number w/ this HERS Provider:
RCN10124
Date Signed:
11/18/2014 10:25 AM
Registration Number: 413-N0012978B-M2000005A-M20A
2008 Residential Compliance Forms
Registration Date/Time: 11/18/2014 10:25 AM HERS Provider: CHEERS
August 2009
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING
CF-4R-MECH-23
Verification of Hi h EER E s ui ment
(Pale 1 of 1
Site Address:
81-275 Storm Cat Ct
Enforcement Agency:
City of La Quinta
Permit Number:
13-1634
Verification of High EER Equipment
Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with
multiple systems, the procedures must be applied to each system separately. As many as 4 systems in the dwelling can be documented for
compliance usin this form. Attach an additional forms) for any additional systems in the dwelling as applicable.
1
System Name or Identification/Tag
HOUSE: SYSTEM 1
HOUSE: SYSTEM 1
HOUSE: SYSTEM 1
2
System Location or Area Served
WHOLE HOUE
WHOLE HOUE
WHOLE HOUSE
3
Certified EER Rating of the installed
equipment (Btu/Watt-hr)
11.50
11.50
11.50
4
Make and Model Number of the installed
Outdoor Unit
AIRE FLO
4ac13148p-7a
AIRE FLO
4ac13160p-7a
AIRE FLO
4ac13130p-7a
5
Make and Model Number of the installed
Inside Coil
ALLSTYLE
ASFM48-24A34GVS
ALLSTYLE
ASFM60-24A36GVS
ALLSTYLE
ASLT30-20A28GVS
6
Make and Model Number of the installed
Furnace or Air Handler.
AIRE FLO
80AF1U110P2OCL
AIRE FLO
80AF1UH110P2OCL
AIRE FLO
80AF1UH070P12AL
7
Minimum Equipment EER required for
compliance as reported on the CF-1R
11.50
11.50
11.50
0 When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for
compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure.
El When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be
verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure.
8
If the Certified EER Rating in row 3 is
equal or greater than the required
minimum EER in row 7, the unit
complies.
If the unit complies enter Pass
Pass
Pass
Pass
DECLARATION STATEMENT •
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater).
• The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate
(the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements
specified on the Certificate(s) of Compliance (CF-1R) approved by the local enforcement agency.
• The information reported on applicable sections of the Installation Certificate(s) (CF-6R), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF-1R) approved by the
enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF-6R)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
True Air Mechanical, Inc.
Responsible Person's Name:
Sergio Samuyo
CSLB License:
C20 HVAC (956171)
HERS Provider Data Registry Information
Sample Group # (if applicable):
RNC13336
D tested/verified dwelling
0 not-tested/verified dwelling
in a HERS sample group
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors Corporation
Responsible Rater's Name
Daniel Lawrence
Responsible Rater's Signature
Daniel Lawrence
Responsible Rater's Certification Number w/ this HERS Provider:
RCN10124
Date Signed:
11/18/2014 10:26 AM
Registration Number: 413-N0012978B-M2300006A-M23A
2008 Residential Compliance Forms
Registration Date/Time: 11/18/2014 10:26 AM
HERS Provider: CHEERS
August 2009