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BRES2021-0182 b-compressedDate: 8/30/2021 No.; 21-02161-1 Owner: Paul Reim Address: 49363 Guijarro PI City: La Quinta Type: Residential Addition > 500 sq ft CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760)771-8515 Email: Jurisdiction: La Quinta Tract #: Lot # Street No. Street Name Sq. Feet APN 49363 Guijarro PI 659 646-270-030 Comments: DESERT SANDS UNIFIED SCHOOL. DISTRICT Permit No. At the present time, the Desert Sands Unified Schoo! District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessary structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement mobile homes. It has been determined that the above -named owner is exempt from paying school fees at tills time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $4.08 if 659 S.F, or $2,688.72 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued. Fees Paid By: CC/ Farmers & Merchants Bank/ Paul Reim Bank Name/Recipient of Certificate By Scott L. Bailey Superintendent Check No.: 11171926 Telephone: 949-300-4433 Funding: Residential Fee Collected Exempted 'y Yazmin Henry Certificate Fees Due: $2,688.72 Original Payment(s) Rec'd: $0.00 New Payment Rec'd: $2,688.72 Over/Under: $0.00 NOTICE: Pursuant to Government Cade Section 66020(d)(1), this will serve to notify you that the 90-day approval period in whicr. you ;nay protest the fees or other payment identified above will begin to run from the date an which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. Sodding Permit Number: Project Description: BRES2021-0182 SFR Exempt: [7 (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Date Job Site Address Owners Nan* Number, Street. or PO Box City. State. Postal Code Owner's Phone Number Ownisee E-Neil Address Project Martager'e Name Project Manager's Phone Number Project Manager's E-mail Address t8utider / Contractor Number, Street or PO Box City, State. Postal Code Project Square Footage Approval By Burrtec Date of City Approval 49363 Guijarro Place La Quinta, CA. 92253 Paul Reirn 5291 Pasatiempo Drive Yorba Linda, Ca. 92886 949-300-4433 prehmeesht$t hntc net Jason Whitey 760-275.5637 Officeewh rtlevetx.com Whitley's Construction Corp. 77775 Jackal Drive, Suite B Palm Desert, CA. 92211 4,54)sf f.rJ-1,yL Materials To Be Discarded: Product Trash Asphalt Brick/Block Cardboard Commingled Concrete Drywall Donated ! Reuse' Describe Items Tons Not recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable l,ln Io 1,5- 1 CP 0.00 Product Masonry (broken) Plaster Scrap Metal Tile (floor) Tile (roof) Wood Landscape Debris Tons 0.00 3❑ 0.00 0.00 Recycle ale Recyclable Recyclable Recyclable Recyclable Revyciabie Recyciabte Totals: Recycle 0-0 Trash Projected Diversion: -7l #Btviur I understand it is the property owners responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite waste is diverted from landfitling. The remaining material will be recycled or reused. I will divert. for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is issued in the name of the property owner(s) and shall remain their property throughout the construction andior demolition project- contractor serving as agent of the owner may obtain a DMP for the owner- However. the DMP is still issued in the name e property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the ow are adh a to. The prpporty owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthEy re rt . II setjfhau ng, of refuse material fro this project site must be taken to an approved recycter or transfer station. 1 Deve o r/ Project Manager r Superintendent' Date Construction Debris Management Plan Summary of Requirements As of January 1, 2017, The Green Building Standards Code (CALGreen) requires that the construction of most new structures in the State of California comply with sections 4.408 and 5.408 of the code in accordance with Assembly Bill 939 requiring that no more than 35% of jobsite waste be disposed of as trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under certain conditions. The City of La Quinta is committed to the highest level of environmental respect, to conserving our precious natural resources and setting an example to provide for a better world for generations to come_ Recycling helps keep reusable resources out of landfills and will also reduce disposal costs. IMPORTANT: Burrtec Waste & Recycling Services is the City`s franchise hauler. If you choose to self -haul any recyclables or trash, you must provide copies of all weight tickets and/or receipts from the transfer station, landfill, or recycler as the job progresses. Clean-up companies and other haulers are not permitted to haul waste or recyclables from the City of La fluinta. Self -haul weight tickets should be submitted to: Mike Veto, District Environmental Coordinator - mvetoca burrtecdesert.com, or faxed to (760) 340-0417, or mailed to: 41575 Eclectic Street, Palm Desert, CA. 92260. F M (10 ESI October 25th, 2022 ESI/FME Inc. STRUCTURAL ENGINEERS Whitley's Construction 77-775 Jackal Dr., Suite B Palm Desert, California, 92211 Attn: Mr. Jovanny Silva -Sanchez ( Superintendent) RE: " Structural Field Observation on "Reim Remodel @ 49-363 Guijarro Dr." in the city of La Quints, California. (ESI/FME M077) Structural Field Observation on 10/4/2022 with Jovanny Photos were provided on 10/20/2022 and 10/25/2022. Dear Jovanny, This letter is to follow-up my site observation on the above named project. The purpose of the structural observation were to review the primary structure for general compliance with our structural plans andfor cur structural design intent. Based on what was visible, it is our opinion the primary structure is in compliance with our structural plans and/or structural design intent. Our field observation and recommendations does not relieve the contractors, developers and the building department from their responsibility to follow the structural plans and code. We are not certifying or guaranteeing the construction work. We did not inspect this structure. We did not check various items such as nailing of the roof sheathing, lumber species or foundation reinforcement. Thank you for your attention to this matter. Please do not hesitate to contact us if we can be of further assistance to you on this project. Stay Safe and Stay Healthy. Sincerely, ESI/FME,Inc , �ESsi .� �� STRUCTURAL .;`. li ffLtf�� 11cf.•': r �� p1 By: {,% o 44.1'40111""tv— Danny Matsumot"rksq� for ESIIFME, I ;O. ��rCA +'a`j- 1800 E. 16th Street, Unit B, Santa Ana, CA 92701 / Tel: (714) 835-2800 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-MCH-01-E (Page 1 of 11) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. General Information 01 Dwelling Unit Name Paul Reim 02 Climate Zone 15 03 Dwelling Unit Total Conditioned Floor Area (ft2) 3349 04 Number of Space Conditioning Systems in this Dwelling Unit. 3 05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT) 06 Method Used to Calculate HVAC Loads (See Section 150.0(h)) ACCA Manual J 07 Calculated Dwelling Unit Sensible Cooling Load (Btu/h) 90000 08 Calculated Dwelling Unit Heating Load (Btu/h) 80000 09 Dwelling Unit Number of Bedrooms 3 MCH-01b - Space Conditioning Systems Ducts and Fans - Prescriptive Alterations Registration Number: 223-A020018189A-000-001-M01001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:27 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 2 of 11) B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System ID/ Name from parent CC SC System Description of Area Served CFA served by this SC System (ft2) Is the SC system a ducted system? Does work include installing a refrigerant containing component? Does work include installing new SC system components? Does work include installing more than 25 feet of ducts? Does work include installing an "entirely new duct system"? Does work include installing an "entirely new SC system"? Alteration Type System 1 Living Area 349 Yes Yes Yes Yes Yes Yes Entirely new or complete replacement space conditioning system System 2 Bedroom 1500 Yes Yes Yes ER Yes Yes No Entirely new or complete replacement duct system with or without equipment changeout System 3 Guest Room 1500 Ilik Yes Yes r%. r Yes Yes Yes No Entirely new or complete replacement duct system with or without equipment changeout Notes: Registration Number: 223-A020018189A-000-001-M01001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:27 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 3 of 11) C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 SC System ID/ Name from parent CC SC System Description of Area Served Heating System Type Altered Heating Componen t Heating Efficiency Type Heating Minimum Efficiency Value Cooling System Type Altered Cooling Componen t Cooling Efficiency Type Cooling Minimum Efficiency Value SEER/SEER 2 Cooling Minimum Efficiency Value EER/EER2/ CEER Required Thermostat Type Number of Indoor Units for this System Number of Ducted Indoor Units for this System System 1 Living Area Central gas furnace All new heating component s AFUE 80 Central split AC All new cooling component s EER/SEER 14 11.7 Setback 1 1 Not a CFI system System 2 Bedroom Central gas furnace All new heating component s AFUE 80 Central split AC All new cooling component s EER/SEER 14 11.7 Setback 1 1 Not a CFI system System 3 Guest Room Central gas furnace All new heating component s AFUE 80 Central split AC All new cooling component s EER/SEER 14 11.7 Setback 1 1 Not a CFI system Notes: D. Installed Heating Equipment Information for Gas Furnace Indoor Unit, or Heat Pump Indoor Unit, or Packaged Unit (Gas Furnace or Heat Pump) 01 02 03 04 05 06 07 08 09 10 SC System ID/ Name from parent CC SC System Description of Area Served Heating Efficiency T e yp Heating Efficiency Value Indoor Unit or Packaged Unit Manufacturer Indoor Unit or Packaged Unit Model Number Indoor Unit or Packaged Unit Serial Number SC System Rated Heating Capacity, Output (Btu/h) Indoor Unit Name or Description of Area Served System 1 Living Area AFUE 80 York YAE24B215B W2B2061595 24000 n/a n/a System 2 Bedroom AFUE 80 York G5X160481FJ 2108207464 6000 n/a n/a System 3 Guest Room AFUE 80 York GSX169474 2108169474 48000 n/a n/a Registration Number: 223-A020018189A-000-001-M01001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-02-14 10:09:27 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 4 of 11) 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 10 SC System ID/ Name from parent CC SC System Description of Area Served Cooling Efficiency Type Cooling Efficiency Value SEER/SEER2 Cooling Efficiency Value EER/EER2/CEER 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 (tons) System 1 Living Area EER/SEER 14 11.7 York YAE24B215B W2B2061595 24000 2 System 2 Bedroom EER/SEER 14 11.7 York G5X160481FJ 2108207464 6000 5 System 3 Guest Room EER/SEER 14 11.7 York GSX169474 2108169474 48000 4 Notes: F. Altered Space Conditioning System Duct Information (< 75% of duct system is altered; or duct system is not altered) This section does not apply to this project. km% ILA' t inL. PROVIDER Registration Number: 223-A020018189A-000-001-M01001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:27 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 5 of 11) G. Installed New or Complete Replacement Duct System Information 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 SC System ID/ Name from parent CC SC System Description of Area Served Indoor Unit Name or Description of Area Served Total Duct Length Required New Duct R-Value (Unconditi oned Space) Supply Duct Location New Supply Duct R-Value Return Duct Location New Return Duct R-Value Exception from Minimum R-Value Method of compliance with Airflow and Fan Efficacy Req's in 150.0(m)13 Number of Air Filter Devices on Indoor Units Can Approved Airflow Protocols be used to test this System? Can Approved Fan Efficacy Protocol be used to test this System? Indoor Unit Nominal Cooling capacity (tons) System 1 Living Area N/A Ducted > 10ft length R-8 Conditione d space- entirely R-8 Conditione d space- entirely R-8 No Exception HERS verified fan efficacy (W/cfm) and airflow rate (cfm/ton) 1 Yes Yes n/a System 2 Bedroom N/A Ducted > 10ft length R-8 Conditione d space- entirely R-8 Conditione d111.1 space- entirely 111F R-8 No Exception HERS verified fan efficacy (W/cfm) and airflow rate (cfm/ton) 1 Yes Yes n/a System 3 Guest Room N/A Ducted > 10ft length R-8 Conditione d space- entirely R-8 Conditione d space- entirely R-8 No Exception HERS verified fan efficacy (W/cfm) and airflow rate (cfm/ton) 1 Yes Yes n/a Notes Registration Number: 223-A020018189A-000-001-M01001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:27 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 6 of 11) H. Installed Air Filter Device Information Mandatory requirements for air filter devices are specified Section 150.0(m)12. The installer shall place a sticker in or near each filter grille that displays the design airflow rate for that filter grille/rack and the maximum allowed clean filter pressure drop at the design airflow rate. This will inform the occupant of the airflow vs pressure drop performance required for replacement air filters. 01 02 03 04 05 06 07 08 09 10 11 12 13 SC System Identification or Name from parent CC SC System Location or Area Served Indoor Unit Name or Description of Area Served Air Filter Name or Description of Location Air Filter Rack Type Design Airflow Rate for Air Filter Device (cfm) Air Filter Nominal Depth (inch) Air Filter Nominal Length (inch) Air Filter Nominal Width (inch) Air Filter Calculated Nominal Face 2 Area (inch) Air Filter Required Minimum Face Area (inchZ) Face Area Compliance Design Allowable Pressure Drop for Air Filter Device (inch W.C.) System 1 Living Area N/A Filter 1 Filter Grille 750 3 36 36 1296 Specified by System Designer Specified by System Designer 0.1 System 2 Bedroom N/A Filter 2 Filter Grille 1500 3 36 36 1296 Specified by System Designer Specified by System Designer 0.1 System 3 Guest Room N/A Filter 3 Filter Grille 1500 3 36 36 1296 Specified by System Designer Specified by System Designer 0.1 Notes: I. Air Filter Device Requirements 01 Mandatory Air Filter Device Requirements can be found in Section 150.0(m)12A-E. Some mandatory requirements may apply in addition to those listed below. 02 All recirculated air and all outdoor air (including make up air) supplied to the occupiable space is filtered before passing through the system's thermal conditioning components. 03 The space conditioning system shall be designed to accommodate the clean -filter pressure drop imposed by the system air filter device(s). The design airflow rate and maximum allowable clean -filter pressure drop at the design airflow rate applicable to each air filter shall be determined by the system designer. The system installer shall affix a sticker/label to each system air filter grille/rack locations that discloses the filter's design airflow rate and the filter's maximum allowable clean -filter pressure drop at the design airflow rate. The sticker/labels shall be permanently affixed to the air filter grille/rack, readily legible, and visible to a person replacing the air filter. 04 All system air filter devices shall be located and installed in such a manner as to allow access and regular service by the system owner. Registration Number: 223-A020018189A-000-001-M01001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-02-14 10:09:27 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 7 of 11) I. Air Filter Device Requirements 05 The system shall be provided with air filter media having a designated efficiency equal to or greater than MERV 6 when tested in accordance with ASHRAE Standard 52.2, or a particle size efficiency rating equal to or greater than 50% in the 0.30 to1.0 m range and equal to or greater than 85 percent in the 1.0 - 3.0 m range when tested in accordance with AHRI Standard 680. 06 The system shall be provided with air filters that have been labeled by the manufacturer to disclose efficiency and pressure drop ratings that conform to the efficiency and pressure drop requirements for the air filter grilles/racks.. 07 Filter racks or grilles shall use gaskets, sealing, or other means to close gaps around inserted filters and prevent air from bypassing the filter. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. 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 160.3-A or B System 1 Living Area N/A None Yes No Yes Yes No System 2 Bedroom N/A None Yes No Yes Yes No System 3 Guest Room N/A None Yes No Yes Yes No Notes: Registration Number: 223-A020018189A-000-001-M01001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:27 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 8 of 11) K. HERS Verification Requirements For Space Conditioning Equipment 01 02 03 SC System ID/ Name from parent CC SC System Description of Area Served MCH-25 Refrigerant Charge System 1 Living Area Yes System 2 Bedroom Yes System 3 Guest Room Yes Notes: 4 CaICERTS, Ins.. HERS PROVIDER Registration Number: 223-A020018189A-000-001-M01001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:27 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 9 of 11) 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 Distribution System Ducts, Plenums and Fans 11 Insulation: The minimum duct insulation value is R-6 or ducts can be uninsulated if the duct system is located entirely in conditioned space. Note that higher values may be required by the prescriptive or performance requirements. See Section 150.0(m)1B for exceptions. 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. Heat Pump Thermostat Registration Number: 223-A020018189A-000-001-M01001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-02-14 10:09:27 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 10 of 11) 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. 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. LaICERTS, Inc HERS PROVIDER Registration Number: 223-A020018189A-000-001-M01001A-0000 Registration Date/Time: 111 2023-02-14 10:08:29 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:27 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 11 of 11) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: �s Vieree Company: MLC Building Performance Signature Date: 2023-02-14 09:55:01 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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. II 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 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, and I will take the necessary steps to ensure this requirement is accomplished. 5. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Cbwr0-Stmaaretia- Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:29 Digitally signed byCalCERTS. This digital signature isprovided in order to secure the content of this registered document, and in no wayimplies Registration Provider responsibility for 9 Y 9 9 9 9 P 9 P Y the accuracy of the information. Easy to Verify ,, , at CalCERTS.com •• ' • Registration Number: 223-A020018189A-000-001-M01001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-02-14 10:09:27 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-MCH-20-H (Page 1 of 4) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Living Area 03 Indoor Unit Name or Description of Area Served N/A 04 Building Type from from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC? No, credit is not taken 07 Duct System Compliance Category New 08 Portions of Duct Located in Garage? No 09 Is the system type Small Duct High Velocity (SDHV) ? No MCH-20a - Completely New Duct System Registration Number: 223-A020018189A-000-001-M 20001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:37 2022 Residential Compliance Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CF2R-MCH-20-H (Page 2 of 4) B. Duct Leakage Diagnostic Test 01 Air Handling Unit Airflow (AHU Airflow) Determination Method Cooling system method 02 Condenser Nominal Cooling Capacity (ton) 2 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 0.05 10 Calculated Target Allowable Duct Leakage (cfm) 40 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 30 12 Compliance Statement System passes leakage test i i in i i Registration Number: 223-A020018189A-000-001-M 20001A-0000 ■ ■ ■ mho • ]1 I DER Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:37 2022 Residential Compliance Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CF2R-MCH-20-H (Page 3 of 4) C. 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 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. Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in). After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed 07 For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. 08 If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. 09 Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 223-A020018189A-000-001-M 20001A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:37 2022 Residential Compliance Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CF2R-MCH-20-H (Page 4 of 4) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: �s> O" Company: MLC Building Performance Signature Date: 2023-02-14 09:55:01 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:29 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:29 223-A020018189A-000-001-M 20001A-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:37 2022 Residential Compliance Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-MCH-20-H (Page 1 of 4) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. System Information 01 Space Conditioning System Identification or Name System 2 02 Space Conditioning System Location or Area Served Bedroom 03 Indoor Unit Name or Description of Area Served N/A 04 Building Type from from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC? No, credit is not taken 07 Duct System Compliance Category New 08 Portions of Duct Located in Garage? No 09 Is the system type Small Duct High Velocity (SDHV) ? No MCH-20a - Completely New Duct System Registration Number: 223-A020018189A-000-001-M 20002A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:44 2022 Residential Compliance Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CF2R-MCH-20-H (Page 2 of 4) 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 0.05 10 Calculated Target Allowable Duct Leakage (cfm) 100 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 99 12 Compliance Statement System passes leakage test i i in i i Registration Number: 223-A020018189A-000-001-M 20002A-0000 ■ ■ ■ mho • ]1 I DER Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:44 2022 Residential Compliance Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CF2R-MCH-20-H (Page 3 of 4) C. 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 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. Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in). After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed 07 For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. 08 If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. 09 Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 223-A020018189A-000-001-M 20002A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:44 2022 Residential Compliance Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CF2R-MCH-20-H (Page 4 of 4) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: �s> O" Company: MLC Building Performance Signature Date: 2023-02-14 09:55:01 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:29 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:29 223-A020018189A-000-001-M 20002A-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:44 2022 Residential Compliance Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-MCH-20-H (Page 1 of 4) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. System Information 01 Space Conditioning System Identification or Name System 3 02 Space Conditioning System Location or Area Served Guest Room 03 Indoor Unit Name or Description of Area Served N/A 04 Building Type from from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC? No, credit is not taken 07 Duct System Compliance Category New 08 Portions of Duct Located in Garage? No 09 Is the system type Small Duct High Velocity (SDHV) ? No MCH-20a - Completely New Duct System Registration Number: 223-A020018189A-000-001-M 20003A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:49 2022 Residential Compliance Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CF2R-MCH-20-H (Page 2 of 4) B. Duct Leakage Diagnostic Test 01 Air Handling Unit Airflow (AHU Airflow) Determination Method Cooling system method 02 Condenser Nominal Cooling Capacity (ton) 4 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 0.05 10 Calculated Target Allowable Duct Leakage (cfm) 80 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 70 12 Compliance Statement System passes leakage test # 1 n r Registration Number: 223-A020018189A-000-001-M 20003A-0000 ■■ ■ mho • ]1 I DER Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:49 2022 Residential Compliance Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CF2R-MCH-20-H (Page 3 of 4) C. 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 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. Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in). After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed 07 For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. 08 If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. 09 Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 223-A020018189A-000-001-M 20003A-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:49 2022 Residential Compliance Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CF2R-MCH-20-H (Page 4 of 4) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: �s> O" Company: MLC Building Performance Signature Date: 2023-02-14 09:55:01 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:29 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:29 223-A020018189A-000-001-M 20003A-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:49 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW RATE CERTIFICATE OF INSTALLATION CF2R-MCH-23-H (Page 1 of 3) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Description of Area Served Living Area 03 Indoor Unit Name N/A 04 System Installation Type New 05 Nominal Cooling Capacity (tons) 2 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 2023-02-14 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 Registration Number: 223-A020018189A-000-001-M 23001A-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:08:57 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 2 of 3) 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 3040 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 D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton) 350 02 Required Minimum System Airflow Target (cfm) 700 03 Actual System Airflow Rate Measurement (cfm) 1500 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: 223-A020018189A-000-001-M 23001A-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-02-14 10:08:57 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (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: Tom Bachus Documentation Author Signature: �.w,�O. - Company: MLC Building Performance Signature Date: 2023-02-14 09:55:01 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:30 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:30 223-A020018189A-000-001-M 23001A-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:08:57 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW RATE CERTIFICATE OF INSTALLATION CF2R-MCH-23-H (Page 1 of 3) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name System 2 02 Space Conditioning System Description of Area Served Bedroom 03 Indoor Unit Name N/A 04 System Installation Type New 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 2023-02-14 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 Registration Number: 223-A020018189A-000-001-M 23002A-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:08:59 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 2 of 3) 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 3040 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 D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton) 350 02 Required Minimum System Airflow Target (cfm) 1750 03 Actual System Airflow Rate Measurement (cfm) 1750 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: 223-A020018189A-000-001-M 23002A-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-02-14 10:08:59 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (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: Tom Bachus Documentation Author Signature: �.w,�O. - Company: MLC Building Performance Signature Date: 2023-02-14 09:55:01 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:30 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:30 223-A020018189A-000-001-M 23002A-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:08:59 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW RATE CERTIFICATE OF INSTALLATION CF2R-MCH-23-H (Page 1 of 3) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name System 3 02 Space Conditioning System Description of Area Served Guest Room 03 Indoor Unit Name N/A 04 System Installation Type New 05 Nominal Cooling Capacity (tons) 4 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 2023-02-14 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 Registration Number: 223-A020018189A-000-001-M 23003A-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:01 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 2 of 3) 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 3040 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 D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton) 350 02 Required Minimum System Airflow Target (cfm) 1400 03 Actual System Airflow Rate Measurement (cfm) 1426 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: 223-A020018189A-000-001-M 23003A-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-02-14 10:09:01 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (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: Tom Bachus Documentation Author Signature: �.w,�O. - Company: MLC Building Performance Signature Date: 2023-02-14 09:55:01 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:30 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:30 223-A020018189A-000-001-M 23003A-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:01 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM FAN EFFICACY CERTIFICATE OF INSTALLATION CF2R-MCH-22-H (Page 1 of 3) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. Ducted Cooling System Information 01 System Identification or Name System 1 02 System Location or Area Served Living Area 03 Indoor Unit Name or Description of Area Served N/A 04 System Installation Type New 05 Nominal Cooling Capacity (tons) of Condenser 2 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 2023-02-14 11 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement 12 Central Fan Ventilation Cooling System Status Not a CFVCS B. Fan Watt Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2. 01 Fan Watt Verification Device Used. Portable Watt Meter MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor Registration Number: 223-A020018189A-000-001-M 22001 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:04 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 2 of 3) C. Forced Air System Fan Efficacy Measurement The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3 01 Actual Tested Watts 100 02 Actual Tested Airflow from MCH-23 (cfm) 1500 03 Required Fan Efficacy (Watts/cfm) 0.45 04 Actual Fan Efficacy (Watts/cfm) 0.07 05 Compliance Statement: System fan efficacy complies D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 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. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Portable watt meters used for measurements of air handler watt draws shall be true power measurement systems (i.e. sensor plus data acquisition system) having an accuracy of+- 2% of reading or+- 10 Watts whichever is greater The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 223-A020018189A-000-001-M 22001 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:04 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (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: Tom Bachus Documentation Author Signature: �.w,�O. - Company: MLC Building Performance Signature Date: 2023-02-14 09:55:01 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:30 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:30 223-A020018189A-000-001-M 22001 B-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:04 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM FAN EFFICACY CERTIFICATE OF INSTALLATION CF2R-MCH-22-H (Page 1 of 3) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. Ducted Cooling System Information 01 System Identification or Name System 2 02 System Location or Area Served Bedroom 03 Indoor Unit Name or Description of Area Served N/A 04 System Installation Type New 05 Nominal Cooling Capacity (tons) of Condenser 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 2023-02-14 11 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement 12 Central Fan Ventilation Cooling System Status Not a CFVCS B. Fan Watt Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2. 01 Fan Watt Verification Device Used. Portable Watt Meter MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor Registration Number: 223-A020018189A-000-001-M 22002 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:06 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 2 of 3) C. Forced Air System Fan Efficacy Measurement The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3 01 Actual Tested Watts 100 02 Actual Tested Airflow from MCH-23 (cfm) 1750 03 Required Fan Efficacy (Watts/cfm) 0.45 04 Actual Fan Efficacy (Watts/cfm) 0.06 05 Compliance Statement: System fan efficacy complies D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 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. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Portable watt meters used for measurements of air handler watt draws shall be true power measurement systems (i.e. sensor plus data acquisition system) having an accuracy of+- 2% of reading or+- 10 Watts whichever is greater The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 223-A020018189A-000-001-M 22002 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:06 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (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: Tom Bachus Documentation Author Signature: �.w,�O. - Company: MLC Building Performance Signature Date: 2023-02-14 09:55:01 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:30 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:30 223-A020018189A-000-001-M 22002 B-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:06 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM FAN EFFICACY CERTIFICATE OF INSTALLATION CF2R-MCH-22-H (Page 1 of 3) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. Ducted Cooling System Information 01 System Identification or Name System 3 02 System Location or Area Served Guest Room 03 Indoor Unit Name or Description of Area Served N/A 04 System Installation Type New 05 Nominal Cooling Capacity (tons) of Condenser 4 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 2023-02-14 11 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement 12 Central Fan Ventilation Cooling System Status Not a CFVCS B. Fan Watt Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2. 01 Fan Watt Verification Device Used. Portable Watt Meter MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor Registration Number: 223-A020018189A-000-001-M 22003 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:09 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 2 of 3) C. Forced Air System Fan Efficacy Measurement The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3 01 Actual Tested Watts 100 02 Actual Tested Airflow from MCH-23 (cfm) 1426 03 Required Fan Efficacy (Watts/cfm) 0.45 04 Actual Fan Efficacy (Watts/cfm) 0.07 05 Compliance Statement: System fan efficacy complies D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 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. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Portable watt meters used for measurements of air handler watt draws shall be true power measurement systems (i.e. sensor plus data acquisition system) having an accuracy of+- 2% of reading or+- 10 Watts whichever is greater The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 223-A020018189A-000-001-M 22003 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:09 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (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: Tom Bachus Documentation Author Signature: �.w,�O. - Company: MLC Building Performance Signature Date: 2023-02-14 09:55:02 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:30 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:30 223-A020018189A-000-001-M 22003 B-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:09 2022 Residential Compliance Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-MCH-25-H (Page 1 of 5) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 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 Living Area 03 Condenser (or package unit) Make or Brand York 04 Condenser (or package unit) Model Number YAE24B215B 05 Nominal Cooling Capacity (tons) of Condenser 2 06 Condenser (or package unit) Serial Number W2B2061595 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 New 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 2023-02-14 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 Registration Number: 223-A020018189A-000-001-M 25001 B-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-02-14 10:09:55 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (Page 2 of 5) MCH-25b - Refrigerant Charge Verification - Subcooling Method 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 2023-02-14 02 Date of Digital Thermocouple Calibration 2023-02-14 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 System 1 1500 System complies with minimum airflow rate requirements 04 SC System complies with Minimum System Airflow Rate Verification Notes: Registration Number: 223-A020018189A-000-001-M 25001 B-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:55 2022 Residential Compliance Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (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) 77 02 Measured Condenser Air Entering Dry -Bulb Temperature (Tcondenser,db) 95 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method 04 Measured Liquid Line Temperature (Tiiquid) ( °F) 103.6 05 Measured Liquid Line Pressure (Piiquid) (psig) 241.2 06 Condenser Saturation Temperature (Tcondenser, sat) from Digital Gauge or P-T Table using Line F05 (°F) 110.4 07 Measured Subcooling (Line F06 - Lilne F04 (°F) 6.8 08 Target Subcooling from Manufacturer (°F) 6 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) 72.1 02 Measured Suction Line Pressure (Psuction) (psig) 104.6 03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital Gauge or P-T Table using Line G02 (°F) 65.1 04 Measured Superheat (Line G01- Line G03) (°F) 7 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: 223-A020018189A-000-001-M 25001 B-0000 Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:55 Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (Page 4 of 5) I. Fault Indicator Display Additional Requirements This section does not apply to this project. Registration Number: 223-A020018189A-000-001-M 25001 B-0000 CaICERTS, Inc HERS PROVIDER Registration Date/Time: 2023-02-14 10:08:29 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:55 2022 Residential Compliance Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (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: Tom Bachus Documentation Author Signature: � O' - Company: MLC Building Performance Signature Date: 2023-02-14 09:55:02 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:29 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:29 223-A020018189A-000-001-M 25001 B-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:55 2022 Residential Compliance Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-MCH-25-H (Page 1 of 5) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 01 Space Conditioning System Identification or Name System 2 02 Space Conditioning System Location or Area Served Bedroom 03 Condenser (or package unit) Make or Brand York 04 Condenser (or package unit) Model Number G5X160481FJ 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser (or package unit) Serial Number 2108207464 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 New 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 2023-02-14 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 Registration Number: 223-A020018189A-000-001-M 25002 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-02-14 10:09:14 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (Page 2 of 5) MCH-25b - Refrigerant Charge Verification - Subcooling Method 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 2023-02-14 02 Date of Digital Thermocouple Calibration 2023-02-14 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 System 2 1750 System complies with minimum airflow rate requirements 04 SC System complies with Minimum System Airflow Rate Verification Notes: Registration Number: 223-A020018189A-000-001-M 25002 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:14 2022 Residential Compliance Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (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) 77 02 Measured Condenser Air Entering Dry -Bulb Temperature (Tcondenser,db) 95 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method 04 Measured Liquid Line Temperature (Tiiquid) ( °F) 106.2 05 Measured Liquid Line Pressure (Piiquid) (psig) 214.1 06 Condenser Saturation Temperature (Tcondenser, sat) from Digital Gauge or P-T Table using Line F05 (°F) 110.9 07 Measured Subcooling (Line F06 - Lilne F04 (°F) 4.7 08 Target Subcooling from Manufacturer (°F) 6 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) 68.4 02 Measured Suction Line Pressure (Psuction) (psig) 103.2 03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital Gauge or P-T Table using Line G02 (°F) 60.1 04 Measured Superheat (Line G01- Line G03) (°F) 8.3 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: 223-A020018189A-000-001-M 25002 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:14 Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (Page 4 of 5) I. Fault Indicator Display Additional Requirements This section does not apply to this project. Registration Number: 223-A020018189A-000-001-M 25002 B-0000 CaICERTS, Inc HERS PROVIDER Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:14 2022 Residential Compliance Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (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: Tom Bachus Documentation Author Signature: � O' - Company: MLC Building Performance Signature Date: 2023-02-14 09:55:02 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:30 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:30 223-A020018189A-000-001-M 25002 B-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:14 2022 Residential Compliance Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-MCH-25-H (Page 1 of 5) Project Name: Paul Reim Enforcement Agency: City of La Quinta Dwelling Address: 49363 Guijarro Drive Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-02-14 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 01 Space Conditioning System Identification or Name System 3 02 Space Conditioning System Location or Area Served Guest Room 03 Condenser (or package unit) Make or Brand York 04 Condenser (or package unit) Model Number GSX169474 05 Nominal Cooling Capacity (tons) of Condenser 4 06 Condenser (or package unit) Serial Number 2108169474 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 New 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 2023-02-14 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 Registration Number: 223-A020018189A-000-001-M 25003 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-02-14 10:09:17 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (Page 2 of 5) MCH-25b - Refrigerant Charge Verification - Subcooling Method 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 2023-02-14 02 Date of Digital Thermocouple Calibration 2023-02-14 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 System 3 1426 System complies with minimum airflow rate requirements 04 SC System complies with Minimum System Airflow Rate Verification Notes: Registration Number: 223-A020018189A-000-001-M 25003 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:17 2022 Residential Compliance Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (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) 77 02 Measured Condenser Air Entering Dry -Bulb Temperature (Tcondenser,db) 95 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method 04 Measured Liquid Line Temperature (Tiiquid) ( °F) 106.2 05 Measured Liquid Line Pressure (Piiquid) (psig) 214.1 06 Condenser Saturation Temperature (Tcondenser, sat) from Digital Gauge or P-T Table using Line F05 (°F) 110.9 07 Measured Subcooling (Line F06 - Lilne F04 (°F) 4.7 08 Target Subcooling from Manufacturer (°F) 6 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) 68.4 02 Measured Suction Line Pressure (Psuction) (psig) 103.2 03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital Gauge or P-T Table using Line G02 (°F) 60.1 04 Measured Superheat (Line G01- Line G03) (°F) 8.3 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: 223-A020018189A-000-001-M 25003 B-0000 Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:17 Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (Page 4 of 5) I. Fault Indicator Display Additional Requirements This section does not apply to this project. Registration Number: 223-A020018189A-000-001-M 25003 B-0000 CaICERTS, Inc HERS PROVIDER Registration Date/Time: 2023-02-14 10:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:17 2022 Residential Compliance Schema Version: rev 20220101 REFRIGERANT CHARGE VERIFICATION CALIFORNIA ENERGY COMMISSION CF2R-MCH-25-H (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: Tom Bachus Documentation Author Signature: � O' - Company: MLC Building Performance Signature Date: 2023-02-14 09:55:02 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): City/State/Zip: Palm Desert CA 92211 Phone: 760-836-0066 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6. 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, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Donna Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Position With Company (Title): Management Address: 54440 AVENIDA CARRANZA CSLB License: 780534 City/State/Zip: LA QUINTA CA 92253 Phone: 760-564-7525 Date Signed: 2023-02-14 10:08:30 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. 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: 2023-02-14 10:08:30 223-A020018189A-000-001-M 25003 B-0000 CA Building Energy Efficiency Standards HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2023-02-14 10:09:17 2022 Residential Compliance Schema Version: rev 20220101