BRES2021-0104 Certificate of InstallationCERTIFICATE OF INSTALLATION
CF2R-ENV-21-I1
Q,II - Air Infiltration Seating - Framing Stage
(Page 1 of 5)
Project Name: Williams Residence
Enforcement Agency:
Ciui nta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante Hideaw
City:
La Quinta
Zip Code:
92253
A. Air Barrier Materials
01
A continuous sealed exterior air barrier is required in all thermal envelope assemblies to limit air movement between unconditioned/
outside spaces and conditioned/ inside spaces, and must comply using one of the following methods;
1. Using individual materials that have an air permeance not exceeding 0,004 cfm/ft2 under a pressure differential of 0,3 in. w.g.
(1.57 pcf) (0.02 L/s.m2 at 75 pa) when tested in accordance with ASTM E2178; or
2• Using assemblies of materials and components that have an average air leakage not to exceed 0.04 cfm/ft2 under a pressure
differential of 0.3 in. w.g. (1.57 pcf) (0.2 L/s.rn2 at 75 pa) when tested in accordance with ASTM E2357, ASTM E1677, ASTM E1680,
or ASTM E283; or
3. Testing the complete building and demonstrating that the air leakage rate of the building envelope does not exceed 0.40 cfm/ft2
under a pressure differential of 0.3 in. w.g. (1.57 pcf) (2.0 L/s.m2 at 75 pa) when tested in accordance with ASTM E779 or an
equivalent approved method.
02
Method of Compliance
Method 1 (Individual Materials)
Note:
SIT insulation is an acceptable air barrier and sealant when installed to a minimum thickness of 2 inches for closed cell and 5.5 inches for
open cell, except where not allowed by manufacturer {e.g. flues, vents, can lights, etc).
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
B. Ra 5ed Floor Adjacent to Unconditioned Space or Separate Dwelling Units
01
All gaps in the raised floor are sealed.
02
All chases sealed at floor level using a sealed hard cover.
03
All holes (e.g. for plumbing and electrical wires) that penetrate the floor or bottom plates of walls are sealed.
04
Subfloor sheathing is glued or sealed at all panel edges to create a continuous air tight subfloor air barrier.
The responsible persan's signature on this compliance document affirms that all applicable requirements in this table have been met.
C. Walls Adjacent to Unconditioned Space
01
All penetrations through the exterior wall air barrier are sealed to provide an air -tight envelope to unconditioned spaces such as the
outdoors, attic, garage and crawl space.
02
Exterior wall air barrier is sealed to the top plate and bottom plate in each stud bay.
03
All electrical boxes, including knockouts that penetrate the air barrier to unconditioned space are sealed.
04
All openings in top and bottom plate, including all interior and exterior walls, to unconditioned space are sealed; such as holes drilled for
electrical and plumbing.
05
Exterior bottom plates (all stories) are sealed to the floor.
Registration Number:
222-P010167430A-000-001-E21001B-0000
Registration Date/Time: 2022-08-25 09:34:59
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-08-24 15:54:48
CERTIFICATE OF INSTALLATION
CF2R-ENV-21-H
CIII - Air Infiltration Seating - Framing Stage
(page 2 of 5)
C. Walls Adjacent to Unconditioned Space
06
All gaps around windows and doors are sealed. The sealant used follows manufacturer specifications.
07
Rim joist gaps and openings are fully sealed.
08
Fan exhaust duct outlet/ damper at the exterior wall are sealed.
09
Knee walls have solid and sealed blocking at the bottom, top, left and right sides to prevent air movement into insulation.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. Ceiling Air Barrier Adjacent to Unconditioned Space
01
There is a continuous air barrier at the ceiling level. All openings into walls, drops, chases or double walls are sealed.
02
All penetrations through the top plate of interior and exterior walls are sealed.
03
Fire sprinklers penetrating a ceiling air barrier shall be sealed to prevent air movement according to the manufacturer's instructions.
04
All fixtures cut into the ceiling air barrier (e.g. HVAC registers, electrical boxes, fire alarm boxes, exhaust fan housing, and recessed lighting
fixtures) are sealed to the surrounding dry wall. If it is not possible to seal the fixture directly, a secondary air barrier shall be created
around the fixture.
05
Ali installed recessed lighting fixtures that penetrate the ceiling to unconditioned space are rated to be Insulation Contact and Airtight (lC
and AT) which allow direct contact with insulation. -
06
All dropped ceiling areas are covered with hard covers that are sealed to the framing, or else the bottom and sides of dropped ceiling
areas are all insulated and sealed as ceilings and walls as required on the Certificate of Compliance.
07
All vertical chases (e.g. HVAC ducts and plumbing) and soffits are sealed at the ceiling level.
0$
Chimneys and flues require sheet metal flashing at the ceiling level. The flashing shall be sealed to the chimney/flue with fire rated caulk.
The flashing shall be sealed to the surrounding framing.
09
Framing locations where air may move down into the walls from the attic (e.g. double walls, pocket doors, architectural bump -outs, etc)
have a sealed hard cover to prevent air movement.
10
Attic access forms an airtight seal between the conditioned space and unconditioned space. Vertical attic access requires mechanical
compression using screws or latches.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been rnet.
E. Roof Air Barrier - Unvented Attics Adjacent to Unconditioned Space
01
There is a continuous air barrier at the roof deck and gable ends.
02
Chimneys and flues require sheet metal flashing at the roof deck. The flashing shall be sealed to the chimney/flue with fire rated caulk.
The flashing shall be sealed to the surrounding framing.
03
All penetrations in the roof deck and gable ends for plumbing, electrical, etc. are sealed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010167430A-000-001-E21001B-0000
Registration date/Time: 2022-118-25 09:34:59
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-08-24 15:54:48
CERTIFICATE OF INSTALLATION
CM-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page3of5)
F. Conditioned Space Above Or Adjacent To Garage Air Barrier
01
All penetrations in the subfloor above the garage into conditioned space must follow the raised floor air barrier requirements above.
02
Infiltration between the space above the garage and subfloor is prevented by one of the following methods:
• Seal all edges of garage ceiling (typically drywall) at the perimeter of the garage to create a continuous air tight surface between
the garage and adjacent conditioned envelope. Seal all plumbing, electric and mechanical penetrations between the garage and
the adjacent conditioned space. For an open -web truss, airtight blocking is added on four sides of the garage perimeter. Insulation
can be placed on the garage ceiling.
• Seal the band joist above the wall at the garage to conditioned space transition. Seal all subfloor seams and penetrations between
the garage and adjacent conditioned space. Insulation must be placed in contact with the subfloor below the conditioned space.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Cantilevered Floor Air Barrier
01
Airtight blocking is installed between joists where the wall rim joist would have been located in the absence of a cantilever.
02
Exterior sheathing is installed to the bottom of the cantilever so that there is a continuous air and weather barrier for the cantilever. The
cantilevered joist must be insulated to the same R value as would be required for the subfloor prior to dosing.
03
Any gaps, cracks or penetrations in the air barrier of the cantilever are sealed. Recessed can lights in the cantilever are IC and AT and
properly sealed to the sheathing.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
H. Walls For Attached Porch, Attic, Double Wall Air Barrier
01
An exterior wall air barrier is required at the intersection of the porch and exterior wall when there is conditioned space on the other
side. The exterior wall includes an air barrier where the attic attaches to the conditioned space.
02
Truss framing blocking is used at the top and bottom of each wall/ roof section.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
I. Alr Barriers in Multifamily Dwellings
01
Each dwelling unit must be sealed to stop air movement between dwelling units. Treat adjacent dwelling units as unconditioned space far
air sealing.
02
All penetrations through the floor and ceiling of each dwelling unit are sealed including, electric and gas utilities, water pipes, drain pipes,
fire protection service pipes, and communication wiring.
03
Elevator penthouse, mechanical penthouse, stairwell doors, roof access hatches, and plumbing stacks that separate conditioned and
unconditioned space are all sealed.
04
Vertical chases for garbage chutes, elevator shafts, HVAC ducting and plumbing shall be treated as unconditioned space for sealing.
05
Common hallways shall be treated as unconditioned space for sealing.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010157430A-000-001-E21001B-0000
Registration Date/Time: 2022-08-25 09:34:59
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Cornpliance
Report Version: 2019.1.006 Report Generated: 2022-08-24 15:54:48
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CM-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 4 of 5)
J. Special Requirements for SIPs
01
51Ps are considered an air barrier when properly sealed at top, bottom, sides and all penetrations.
02
Air barrier is continuous across all surfaces, including between SIPS and non -SIP sections.
The responsible person's signature an this compliance document affirms that all applicable requirements in this table have been met.
K. Special Requirements for ICF
01
ICF sections are considered an air barrier when properly sealed at top, bottom, sides and all penetrations.
02
Air barrier is continuous across all surfaces, including between ICF and non-ICF sections.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
� Ca10ERTS, Inc.
HERS PROVIDER
Registration Number:
222-P010157430A-000-001-E21001B-0000
Registration Date/Time: 2022-08-25 09:34:59 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report version: 2019.1.006 Report Generated: 2022-08-24 15:54:48
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-21-H
CIII - Air Infiltration Sealing - Framing Stage
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
erdsea.r...4.0-f .ram
Company:
Advancing Mome Performance, Inc.
Signature Date:
2022-08-25 09:03:11
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable)!
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit Is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Maria K Saldana
Responsible Builder/installerSignature:
c ya arcSrairiana
Company Name: (Installing Subcontractor or General Contractor or
Builderfnwner)
TruTeam of California
Position With Company (Title):
Management
Address:
12251 lavelli Way
CSLB License:
1034361
City/State/Zip:
Poway CA 92064
Phone:
858-486-9155 4264
Date Signed:
2022-08-25 09:34:59
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:
222-P010167430A-000-001-E210016-0000
Registration Date/Time: 2022-08-25 09:34:59 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20191201
Report Generated: 2022-08-24 15:54:48
CERTIFICATE OF INSTALLATION
CF2R-ENV-22-H
aII - Insulation Installation
(Page 1 of 5)
Project Name: Williams Residence
Enforcement Agency:
Caui nta
City of La
Permit Number:
Dwelling Address: 53-07D Via Chiante Hideaw
City:
La Quinta
Zip Code:
92253
A. Insulation Materials Installed
01
Roof Deck Insulation Material Installed
Batt and Blanket
02
Ceiling Insulation Material Installed
Batt and Blanket
03
Exterior Wail Insulation Material Installed
Batt and Blanket
04
Raised Floor Insulation Material Installed
Batt and Blanket
05
Slab Edge Insulation Material Installed
Batt and Blanket
B. All Surfaces
01
Air barrier installation and preparation for insulation was done and verified prior to insulation being installed.
p2
All surfaces between conditioned and unconditioned space are sealed and insulated to meet or exceed the levels specified on the
Certificate of Compliance
03
All structural framing areas shall be insulated in a manner that resists thermal bridging through the assembly separating conditioned from
unconditioned space. Structural bracing, tie -downs, and framing of steel, or specialized framing used to meet structural requirements of
the CBC are allowed and must be insulated. These areas shall be called out an the building plans with diagrams and/ or specified design
drawings indicating the R-value of insulation and fastening method to be used.
04
All insulation was installed according to the manufacturer's installation instructions.
05
Labels or specification/ data sheets for each insulation material shall be provided to the HERS rater. Loose -fill material includes insulation
material bag labels or coverage charts.
06
Loose -fill insulation - the installed depth and density of insulation is verified in at least 6 random locations to ensure that the minimum
thickness and installed density meet R-value specified an the Certificate of Compliance, and are consistent with the manufacturer's
coverage chart.
D7
If kraft paper faced insulation is used, paper is installed on the conditioned (warm in winter) side of surface. Paper must be in contact
with air barrier to within 2" framing (stud, joists, etc.).
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
C. Raised Floor Adjacent to Unconditioned Space
01
Insulation is in full contact with the subfloor.
02
Insulation hangers are spaced at 18 inches or less. Insulation hangers do not compress insulation.
03
Netting, or mesh, can be used if the cavity under the floor is filled and in contact with the subfloor.
04
When daylight basements are adjacent to crawlspaces, if the basement is conditioned the walls adjacent to the crawlspace are insulated
to the R-value listed on the Certificate of Compliance. This includes framed stem walls, and vertical concrete retaining walls.
Registration Number:
222-P010167430A-000-001-E22001A-0000
Registration Date/Time: 2022-08-25 09:34:59
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-08-24 15:56:24
CERTIFICATE OF INSTALLATION
CF2R-ENV-22-H
all - Insulation Installation
(Page 2 of 5)
C. Raised floor Adjacent to Unconditioned Space
05
If access to the crawlspace is from the conditioned area the raised floor includes an airtight insulated access hatch. Where possible locate
crawl space access on the exterior.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been rnet.
D. Walls Adjacent to unconditioned Space
01
Insulation quality was verified prior to the installation of the interior air barrier (typically gypsum board).
42
Loose -fill and bat insulation is in contact with all six sides of wall cavities (top, bottom, back, left, right, front [to be installed later]) with
no gaps, voids or compression. Special Situation: Where framing depth is greater than required insulation thickness (e.g., double walls or
framed bump -outs) a secondary air barrier shall be installed and in contact with the insulation, so that the insulation fills the cavity
formed by the additional air barrier.
03
Insulation fits snuggly around obstructions (e.g., electrical boxes, plumbing and wiring) with no gaps, voids or compression.
04
Structural metal tie -downs and shear panels are insulated between exterior air barrier and metal.
05
Hard to access wall stud cavities, such as corner channels or wall intersections, are insulated to the proper R-value prior to the installation
of exterior sheathing or exterior stucco lathe.
05
Insulation and interior air barrier are installed behind tub, shower, fireplace enclosures and stairwells to the R-value listed on the
Certificate of Compliance when located against exterior walls.
07
All single -member window and door headers shall be insulated to a minimum of R-3 for a 2x4framing, or equivalent width, and a
minimum of R-5 for all other assemblies. No header insulation is required for single -member headers that are the same width as the wall,
provided that the entire wall has at least R-2 insulation.
08
After insulation is installed: All insulated walls have interior and exterior air barriers, including kneewalls and walls of skylight wells.
Exception: Rim joists. Interior air barrier (typically gypsum board) is sealed totop plate.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been rnet.
E. Ceiling Adjacent to Unconditioned Space
01
Insulation extends to the outside surface of the exterior wall.
02
Insulation is in direct contact with the ceiling air barrier so there are no gaps, voids or compression.
03
Chimneys and flues (except zero clearance) have a sheet metal collar at the ceiling level to prevent contact with the insulation. The collar
is at least as tall as the depth of the insulation. There is a minimum 1" clearance between the collar and the chimney/flue for double wall
vent, and 6" for single wall vent, unless manufacturer's instructions require otherwise. The collar is sealed to the ceilingwith high
temperature sealant to prevent air leakage. The insulation is in contact with the sheet metal collar.
04
Recessed can lights penetrating the ceiling air barrier are covered with insulation to the depth needed to meet the ceiling R-value
specified on the Certificate of Compliance.
05
External surfaces of steel studs, steel -framed kneewalls, skylight shafts, and gable ends are covered with insulation.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010167430A-000-001-E22001A-0000
Registration Date/Time: 2022-08-25 09:34:59
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-08-24 15:56:24
CERTIFICATE OF INSTALLATION
CF2R-ENV-22-H
QII - Insulation Installation
(Page 3 of 5)
F. Ceiling Insulation in Vented Attics
01
Required eave ventilation shall not be obstructed. The net -free ventilation area of the eave vent is maintained.
02
Eave vent baffles and dams are installed to prevent air movement under or into the ceiling insulation.
03
Attic access is insulated to the same R-value required by the Certificate of Compliance for ceiling insulation and the insulation is
permanently attached using adhesive or mechanical fasteners.
04
Attic access must have a dam around the access to at least the same depth as the insulation.
05
Attic rulers specified to the installed loose -fill material (brand and type) are installed and evenly distributed throughout the attic to verify
depth (one ruler for every 250 ft2). The rulers are clearly readable and scaled to read inches of insulation and the R-value installed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Insulation in unvented Attics
01
The roof sheathing is the air barrier and is sealed to prevent air movement to the outside.
02
Insulation is in full contact with the air barrier (roof sheathing).
03
If insulated using air permeable insulation, gable end walls are sealed and insulated the same as exterior walls, including interior air
barrier.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
H. Insulation in Vented Attics {High Performance Vented Attics)
01
Insulation is in full contact with roof sheathing and firmly supported to prevent sagging.
02
Batt insulation between roof trusses is acceptable with minimal gaps and voids caused by roof truss members.
03
Insulation is not required on gable end walls.
04
Required roof deck insulation over any conditioned space, or HVAC ducts, is installed on the entire attic roof deck; even over
unconditioned spaces (e.g.. garage, covered porch). Roof deck of attic over unconditioned space without HVAC ducts and separated frorr.
Other attics by a sealed air barrier do not need to be insulated.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
I. Special Requirements for Skylight Shafts and Attic Knee walls
01
Insulation must meet all the requirements for walls and insulation is in contact with the air barrier on all six sides unless SPF is used.
02
Insulation shall be in full contact with the interior wall finish. Batt insulation must be cut to fit around 2x4's that are laid flat.
03
Skylight shafts and attic knee walls shall be completely enclosed by vertical and horizontal framing, including horizontal plates at the top
and bottom of the insulation.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010157430A-000-001-E22001A-0000
Registration Date/Time: 2022-08-25 09:34:59
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-24 15:56:24
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CFZR-ENV-Z2-H
QII - Insulation Installation
(Page 4 of 5)
J. 5pecial Requirements for Floors Above Garages
01
If the air barrier is at the perimeter of the garage below the conditioned subfloor, then the insulation may be placed on the garage ceiling.
The perimeter of the subfloor must also be insulated.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
K. Special Requirements for Cantilevered Floors
01
Sealed blocking shall be installed between joists where the wall rim joist would have been located in the absence of a cantilever.
Insulation shall be placed on both sides of the block.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
L. Special Requirements for Attached Porches
01
Exterior wall at the intersect
02
ion of the porch roof is fully insulated above, below and behind the roof line.
Where truss framing is used, airtight blocking is used at the top and bottom of each wall/ roof section and is insulated.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
M. Special Requirements for 5PF Insulation
01
Installed product meets the claimed R-value per inch. Non-standard values are supported by an ICC Evaluation Service Report (ESR)
number (e.g., ESR-xxxx) and documented on the CF2R-ENV-03. Non-standard values are anything greater than R-5.8/inch for closed cell
and R-3.6/inch for open cell.
02
Installed thickness meets the required R-value from the Certificate of Compliance. Verified in at least 6 random places for each surface
type: floors, walls and ceilings.
03
Insulation is spray applied to fully adhere to structural assembly framing, floor and ceiling joists, and other framing surfaces within the
construction cavity.
04
If multiple layers are applied, each foam lift (e.g., spray application) adheres to the substrate and foam interfaces.
05
Closed cell SPF: in area where an air barrier is required the foam is at least 2" thick.
06
Open cell SPF: In area where an air barrier is required the foam is at least 5.5" thick.
07
Open cell SPF: Depressions in the foam insulation are not greater than 1/2" of the required thickness provided these depressions do not
exceed 10% of the surface area being insulated.
08
Open cell SPF: Insulation completely fills cavities of 2x4 framing.
09
SPF insulation is not applied directly to recessed lighting fixtures unless specifically allowed by manufacturer's instructions, when not
allowed, can lights are:
A. Covered with a minimum of 1.5" of mineral fiber insulation or
6, Enclosed in a manufacturer's approved box fabricated from an approved material, such as 18 gauge sheet metal or 1/2" gypsum
board.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010167430A-000-001-E22001A-0000
Registration Date/Time: 2022-08-25 09:34:59
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated:2022-08-24 15:56:24
CERTIFICATE OF INSTALLATION
CF2R-ENV-22-H
all - Insulation Installation
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
�aw.g.s.40-?Ii s-
Company:
Advancing Mome Performance, Inc.
Signature Date:
2022-08-25 09:03:11
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable)!
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permitls) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Maria K Saldana
Responsible Builder/installerSignature:
c ya arcSrairiana
Company Name: (Installing Subcontractor or General Contractor or
BuilderfDwner)
TruTeam of California
Position With Company (Title):
Management
Address:
12251 lavelli Way
CSLB License:
1034361
City/State/Zip:
Poway CA 92064
Phone:
858-486-9155 4264
Date Signed:
2022-08-25 09:34:59
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-E22001A-0000
Registration Date/Time: 2022-08-25 09:34:59 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20191201
Report Generated: 2022-08-24 15:56:24
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Method Used to Calculate HVAC
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Calculated Dwelling Unit Heating
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Dwelling Unit Name
Dwelling Unit Total Conditioned
Floor Area (ft2)
Certificate of Compliance Type
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Sensible Cooling Load (Btu/h)
Dwelling Unit Number of
Bedrooms
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HERS Provider: CaICERTS
2022-08-25 09:03:11
Registration Date/Time:
Registration Number: 222-P010167430A-000 001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Space Conditioning Systems, Ducts, and Fans
B. Design Space Conditioning ISO System Component Specifications from CF1R
This table reports the space conditioning system features that were specified on the registered CF1R-PRF compliance document for this project.
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Compressor
Speed
Single Speed
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System 2
System 3
System 4
HERS Provider: CaICERTS
2022-08-25 09:03:11
Registration Date/Tim
Registration Number:222-P010167430A-000-001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Space Conditioning Systems, Ducts, and Fans
C. Design space Conditioning (SC) System Compliance Requirements from CF1R
This table reports the space conditioning system features that were specified on the registered CF1R-PRF Compliance document for this project.
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space -entirely
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Central split AC
Central split AC
Central split AC
04
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Type
Central gas
furnace
Central gas
furnace
Central gas
furnace
Central gas
furnace
03
Conditioned Floor
Area Served by
the System (ft2)
(+7
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SC System
Description of
Area Served
Great Room
Master Bedroom
Hallways up/dwn
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.-1
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Name from CF1R
System 1
System 2
System 3
System 4
HERS Provider: CaICERTS
2022-08-25 09:03:11
Registration Date/Tim
Registration Number: 222-P010167430A-000-001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
CF2R-MCH-01-E
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Faris
E. Installed Heating System Equipment Information (not heat pumps)
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Ca parity,
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HERS Provider: CaICERTS
2022-06-25 09:03:11
Registration Date/Time:
Registration Number: 222-P010167430A-000-D01-MO1001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Space Conditioning Systems, Ducts, and Fans
F. Installed Cooling System Outdoor Condensing Unit or Package Unit Equipment Information (not heat pumps)
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HERS Provider: CaICERTS
2022-08-25 09:03:11
Registration Date/Time:
Registration Number: 222-P010167430A-000-001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
CF2R-MCH-01-E
CERTIFICATE OF INSTALLATION
4-
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I. Installed Heat Pump System -Efficiency and Performance Compliance Information
This section does not apply La this project.
HERS Provider: CaICERTS
2022-08-25 09:03:11
Registration Date/Time:
Registration Number: 222-P010167430A-000-001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
m
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J. Installed Duct System Information
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HERS Provider: CaICERTS
2022-08-25 09:03:11
Registration Date/Time:
Registration Number: 222-P010167430A-000 001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
rn
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Space Conditioning Systems, Ducts, and Fans
K. Installed Air Filter Device Information
Mandatory requirements for air filter devices are specified in Section 150.0(m)12. The installer shall place a sticker in or near the filter grille displaying the filter grille/rack
design airflow rate 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.
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L Air Filter Device Requirements
The system shall be designed to ensure that all recirculated air and all outdoor air supplied to the occupiable space is filtered before passing through the system's thermal conditioning
components.
The 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 location that discloses thefilter'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.
0
0
HERS Provider: Ca&CERTS
2022-08-25 09:03:11
Registration Date/Time:
Registration Number: 222-P010167430A-000-001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
CF2R-MCH-01-E
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
L. Air Filter Device Requirements
All system air filter devices shalt be located and installed in such a manner as to allow access and regular service by the system owner.
The system shall be provided with air filter media having a designated efficiency equal to or greater than MERV 13 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 to 1.0 µm range and equal to or greater than 85 percent in the 1.0 - 3.0 µm range when tested in accordance with AHRI
Standard 680.
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..
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met
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M. HERS Verification Requirements For Duct Systems
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Design Table
150.0-8 or C
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No
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MCH-23
AHU Airflow Rate
(cfm/ton)
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AHU Fan Efficacy
(W/cfm)
N
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Duct Location
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ad
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Duct Leakage Test
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Indoor Unit Name
or Description of
Area Served
Great Room
Master Bedroom
Hallways up/dwn
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SC System
Description of
Area Served
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HERS Provider: CaICERTS
2022-08-25 09:03:1 1
Registration Date/Time:
Registration Number: 222-P010167430A-000-001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
CF2R-MCH-01-E
CERTIFICATE OF INSTALLATION
(Page 10 of 13)
Space Conditioning Systems, Ducts, and Fans
N. HERS Verification Requirements For Space Conditioning Equipment
OS
MCH-33
VCHP Compliance Credit
d
z
0
z
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O
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MCH-26
Rated SC System
Equipment Verification
Yes
Yes
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Refrigerant Charge
r
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SC System Description of Area Served
Great Room
Master Bedroom
Hallways up/dwn
Upstairs Suite
O
SC System ID/ Name from CF1R
E
N
v.
vi
System 2
System 3
System 4
HERS Provider: CaICERTS
2022-08-25 09:03:11
Registration Date/Time:
Registration Number: 222-P010167430A-000-001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
O. 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
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.
Controls: AI! 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(h).
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)•
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.
Standby Losses and Pilot Lights: Fan -type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(dl_
Equipment -OBI
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.
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Liquid Line Filter Drier: A liquid line filter drier shall be installed according to the manufacturer's specifications 150.0(h)3B
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
Insulation: The minimum duct insulation value is R-6. Note that higher values may be required by the prescriptive or performance requirements. See Section 150.0(m)1.
Connections and Closures: All installed air -distribution system ducts and plenums must meet the requirements of CMC Sections 601.0, 602.0, 603.0, 604.0, 605.0 and
ANSIJSMACNA-006-2006: Supply -air and return -air ducts and plenums must be insulated to a minimum installed level of R-6.0, otherwise a minimum of R-4.2 is allowed if the system is
enclosed entirely in conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference Residential Appendix
RA3.1.4.3.8. Exceptions for ducts in interior wall cavities or exposed ducts entirely in conditioned space are specified in Section 150.0(m)1B.
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HERS Provider: CalCERTS
2022-08-25 09:03:11
Registration Date/Time:
Registration Number: 222-P010167430A-000 001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
CF2R-MCH-01-E
CERTIFICATE OF INSTALLATION
(Page 12 of 13)
Space Conditioning Systems, Ducts, and Fans
O. Space Conditioning Systems, Ducts and Fans -Mandatory Requirements and Additional Measures
Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly
installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements.
Heat Pump Thermostat
A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c).
The thermostat shall be installed in accordance with the manufacturers published installation specifications
First stage of heating shall be assigned to heat pump heating.
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 an this compliance document affirms that all applicable requirements in this table have been met.
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HERS Provider: CaICERTS
2022-08-25 09:03:11
Registration Date/Tim
Registration Number:222-P010167430A-000-001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Comphance
CF2R-MCH-01-E
CERTIFICATE OF INSTALLATION
(Page 13 of 13)
Space Conditioning Systems, Ducts, and Fans
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Signature:
CN-raorZza �(/ucxem
Signature Date:
2022-08-25 09:03:11
CEA/ HERS Certification Identification Of applicable)
00
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Responsible Person's Declaration statement
I certify the Following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of
features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized
representative of the responsible person and attest to the declarations In this statement on the responsible person's behalf.
3. The constructed or Installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the
installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4. I will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permits) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
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Position With Company;Title):
Management
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Phone: Date Signed:
562-201-3014 2022-08-25 09:03:11
Documentation Author Name:
Alexandra Winner
rj
Address:
74998 Country Club Drive. STE# 220-420
City/Statefzlp:
Palm Desert CA 92260
Responsible Builder/Installer Name:
Josh Thomson
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
THOMSON AIR CONDITIONING
Address:
4232 OPAL AVENUE
City/State/Zip:
CYPRESS CA 90630
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Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of The information.
HERS Provider: CalCERTS
2022-08-25 09:03:11
Registration Date/Time:
Registration Number: 222-P010167430A-000 001-M01001A-0000
Report Generated: 2022-08-24 16:47:59
CA Building Energy Efficiency Standards - 2019 Residential Compliance
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Great Room
03
Indoor Unit Name or Description of Area Served
Great Room
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
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-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
222-P010167430A-000-001-M 20001A-0000
Registration DatejTirne: 2022-08-25 09:03:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:10:11
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHtJ 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 (ft1)
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)
90.5 —
imp
12
Air Handling Unit Manufacturer Name
Daikin1411
iC
13
Air Handling Unit Model Number
DM84SE0805CUAA
•
14
Compliance Statement
System passes leakage test
T E R
C. Additional Requirements for Compliance
01
The Law Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling_units.ptif
02
System was tested in its normal operation condition. No temporary taping allowed.
03
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.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person% signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
222-P010167430A-000-001-M 20001A-0000
Registration Date/Time: 2022-08-25 09:03:11
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report version: 2019.1.006
Schema Version: rev 20210501
Report Generated:2022-08-25 08:10:11
CERTIFICATE OF INSTALLATION
CF2 R-MCI-I-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef� `" �'
Company:
Advancing Home Performance, Inc.
Signature Date: 2022-08-25 09:03:11
Address:
74998 Country Club Drive. STE4 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit Is) issued for the
building, and made available to the enforcement agency for ail applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed (}
By Authorized Rep a
Company Name: (Installing Subcontractor or General Contractor or
Builder/Dwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:11
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 20001A-0000
Registration Date/Time: 2022-08-25 09:03:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20210501
Report Generated: 2022-08-25 08:10:11
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 2
02
Space Conditioning System Location or Area Served
Master Bedroom
03
Indoor Unit Narne or Description of Area Served
Master Bedroom
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
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-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
222-P010167430A-000-001-M 20002A-0000
Registration DatejTirne: 2022-08-25 09:03:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:38:03
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHtJ 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 (ft1)
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)
78.4
-me
12
Air Handling Unit Manufacturer Name
Daikin1411
nc•
13
Air Handling Unit Model Number
DM84SE0805CUAA
14
Compliance Statement
System passes leakage test
T E R
C. Additional Requirements for Compliance
01
The Law Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling_units.ptif
02
System was tested in its normal operation condition. No temporary taping allowed.
03
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.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person% signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
222-P010167430A-000-001-M 20002A-0000
Registration Date/Time: 2022-08-25 09:03:11
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-08-25 08:38:03
CERTIFICATE OF INSTALLATION
CF2 R-MCI-I-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``' ` "r'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:11
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:11
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:
222-P010167430A-000-001-1V120002A-0000
Registration Date/Time: 2022-08-25 09:03:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:38:03
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 3
02
Space Conditioning System Location or Area Served
Hallways up/dwn
03
Indoor Unit Name or Description of Area Served
Hallways up/dwn
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
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-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
222-P010167430A-000-001-M 20003A-0000
Registration Date/Time: 2022-08-25 09:03:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:45:37
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHtJ 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 (ft1)
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)
96.5
12
Air Handling Unit Manufacturer Name
Daikin1411
nc•
13
Air Handling Unit Model Number
DM84SE0805CU
14
Compliance Statement
System passes leakage test
T E R
C. Additional Requirements for Compliance
01
The Law Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling_units.ptif
02
System was tested in its normal operation condition. No temporary taping allowed.
03
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.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person% signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
222-P010167430A-000-001-M 20003A-0000
Registration Date/Time: 2022-08-25 09:03:11
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-08-25 08:45:37
CERTIFICATE OF INSTALLATION
CF2 R-MCI-I-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``' ` c4e
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:11
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:11
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:
222-P010167430A-000-001-1V120003A-0000
Registration Date/Time: 2022-08-25 09:03:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20210501
Report Generated: 2022-08-25 08:45:37
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 4
02
Space Conditioning System Location or Area Served
Upstairs Suite
03
Indoor Unit Name or Description of Area Served
Upstairs Suite
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
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-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
222-P010167430A-000-001-M 20004A-0000
Registration DatejTirne: 2022-08-25 09:03:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:54:06
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHtJ 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 (ft1)
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)
39.5 —
-m
12
Air Handling Unit Manufacturer Name
Daikin1411
iC
13
Air Handling Unit Model Number
DM84SN0603AUAA
II •
14
Compliance Statement
System passes leakage test
T E R
C. Additional Requirements for Compliance
01
The Law Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling_units.ptif
02
System was tested in its normal operation condition. No temporary taping allowed.
03
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.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person% signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
222-P010167430A-000-001-M 20004A-0000
Registration Date/Time: 2022-08-25 09:03:11
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-08-25 08:54:06
CERTIFICATE OF IN5TALLATICI'N
CF2 R-MCI-I-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
��`"�'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:11
Address!
74998 Country Club Drive. STE4 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permitls) issued for the
building, and made available to the enforcement agency for ail applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed (}
By Authorized Rep a
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:11
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:
222-P010167430A-000-001-1V120004A-0000
Registration Date/Time: 2022-08-25 09:03:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20210501
Report Generated: 2022-08-25 08:54:06
CERTIFICATE OF INSTALLATION
CF2R-MCI-21-H
Duct Location
(Page 1 of 2)
Project Name:
Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address:
Hideaway
53-070 Via Chiante
City:
La Quinta
Zip Code:
92253
A. General Information
Note. Submit one Installation Certificate for each duct system that is taking credit for duct location.
01
Space Conditioning (SC) System Identification or Name
System 1
02
5C System Location or Area Served
Great Room
03
Indoor Unit Name or Description of Area Served
Great Roam
04
Status - Less than 12 ft Ducts in Conditioned Space Performance
Credit:
Not applicable
05
Status - Ducts Located In Conditioned Space Perforrnance Credit:
True
05
Status - All Ducts Entirely in Directly Conditioned Space R-value
Exception
Not applicable
imp
07
Status - Ducts Located In Wall Cavities R-Value Exception:
Not applicable
I.
OR
Status - Portions of Exposed Ducts in Directly Conditioned Space
R-Value Exception
Not applicable
L'
1
1
1
1
1/4
B. 12 Linear Feet or Less of Duct Located Outside of Conditioned Space - RA3.1.4.1.2
This section does not apply to this project.
C. Ducts Located In Conditioned Space - RA3.1.4.1.3
01
A visual inspection shall confirm the space conditioning system is located entirely in conditioned space
Theresponsible persan's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. All Ducts Located Entirely in Directly Conditioned Space R-Value Exception - RA3.1.4.3.8
This section does not apply to this project.
E. Exceptions to Minimum Duct R-Value Requirement
This section does not apply to this project.
Registration Number:
222-P010157430A-000-001-M 21001A-0000
Registration Date/Time: 2022-08-25 09:03:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:20:35
2019 Residential Cornpliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2 R-MCI+ -21-H
Duct Location
(Page 2 of 2)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``' ` c4e
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:11
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permitls) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:11
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:
222-P010167430A-000-001-M 21001A-0000
Registration Date/Time: 2022-08-25 09:03:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:20:35
2019 Residential Compliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-MCI-21-H
Duct Location
(Page 1 of 2)
Project Name:
Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address:
Hideaway
53-070 Via Chiante
City:
La Quinta
Zip Code:
92253
A. General Information
Note. Submit one Installation Certificate for each duct system that is taking credit for duct location.
01
Space Conditioning (SC) System Identification or Name
System 2
02
5C System Location or Area Served
Master Bedroom
03
Indoor Unit Name or Description of Area Served
Master Bedroom
04
Status - Less than 12 ft Ducts in Conditioned Space Performance
Credit:
Not applicable
05
Status - Ducts Located In Conditioned Space Perforrnance Credit:
True
05
Status - All Ducts Entirely in Directly Conditioned Space R-value
Exception
Not applicable
imp
07
Status - Ducts Located In Wall Cavities R-Value Exception:
Not applicable
I.
08
Status - Portions of Exposed Ducts in Directly Conditioned Space
R-Value Exception
Not applicable
L'
1
1
1
1
1/4
B. 12 Linear Feet or Less of Duct Located Outside of Conditioned Space - RA3.1.4.1.2
This section does not apply to this project.
C. Ducts Located In Conditioned Space - RA3.1.4.1.3
01
A visual inspection shall confirm the space conditioning system is located entirely in conditioned space.
The responsible persan's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. All Ducts Located Entirely in Directly Conditioned Space R-Value Exception - RA3.1.4.3.8
This section does not apply to this project.
E. Exceptions to Minimum Duct R-Value Requirement
This section does not apply to this project.
Registration Number:
222-P010157430A-000-001-M 21002A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:38:52
2019 Residential Cornpliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2 R-MCI+ -21-H
Duct Location
(Page 2 of 2)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``' `gi"e'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the decla rations 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. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permitls) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Dwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/StatefZip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 21002A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:38:52
2019 Residential Compliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-MC1-1-21-H
Duct Location
(Page 1 of 2)
Project Name:
Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address:
Hideaway
53-070 Via Chiante
City:
La Quinta
Zip Code:
92253
A. General Information
Note. Submit one Installation Certificate for each duct system that is taking credit for duct location.
01
Space Conditioning SC) System Identification or Name
System 3
02
5C System Location or Area Served
Hallways upjdwn
03
Indoor Unit Name or Description of Area Served
Hallways upjdwn
04
Status - Less than 12 ft Ducts in Conditioned Space Performance
Credit:
Not applicable
05
Status - Ducts Located In Conditioned Space Perforrnance Credit:
True
05
Status - All Ducts Entirely in Directly Conditioned Space R-value
Exception
Not applicable
imp
07
Status - Ducts Located In Wall Cavities R-Value Exception:
Not applicable
I.
OR
Status - Portions of Exposed Ducts in Directly Conditioned Space
R-Value Exception
Not applicable
L'
1
1
1
1
1/4
B. 12 Linear Feet or Less of Duct Located Outside of Conditioned Space - RA3.1.4.1.2
This section does not apply to this project.
C. Ducts Located In Conditioned Space - RA3.1.4.1.3
01
A visual inspection shall confirm the space conditioning system is located entirely in conditioned space.
The responsible persan's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. All Ducts Located Entirely in Directly Conditioned Space R-Value Exception - RA3.1.4.3.8
This section does not apply to this project.
E. Exceptions to Minimum Duct R-Value Requirement
This section does not apply to this project.
Registration Number:
222-P010157430A-000-001-M 21003A-0000
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:46:14
2019 Residential Cornpliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2 R-MCI+ -21-H
Duct Location
(Page 2 of 2)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``' `gi"e'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the decla rations 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. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permitls) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Dwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/StatefZip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 21003A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20190501
Report Generated: 2022-08-25 08:46:14
CERTIFICATE OF INSTALLATION
CF2R-MCI-21-H
Duct Location
(Page 1 of 2)
Project Name:
Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address:
Hideaway
53-070 Via Chiante
City:
La Quinta
Zip Code:
92253
A. General Information
Note. Submit one Installation Certificate for each duct system that is taking credit for duct location.
01
Space Conditioning (SC) System Identification or Name
System 4
02
5C System Location or Area Served
Upstairs Suite
03
Indoor Unit Name or Description of Area Served
Upstairs Suite
04
Status - Less than 12 ft Ducts in Conditioned Space Performance
Credit:
Not applicable
05
Status - Ducts Located In Conditioned Space Perforrnance Credit:
True
05
Status - All Ducts Entirely in Directly Conditioned Space R-value
Exception
Not applicable
imp
07
Status - Ducts Located In Wall Cavities R-Value Exception:
Not applicable
IV
08
Status - Portions of Exposed Ducts in Directly Conditioned Space
R-Value Exception
Not applicable
L'
1
1
1
1
1/4
B. 12 Linear Feet or Less of Duct Located Outside of Conditioned Space - RA3.1.4.1.2
This section does not apply to this project.
C. Ducts Located In Conditioned Space - RA3.1.4.1.3
01
A visual inspection shall confirm the space conditioning system is located entirely in conditioned space.
The responsible persan's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. All Ducts Located Entirely in Directly Conditioned Space R-Value Exception - RA3.1.4.3.8
This section does not apply to this project.
E. Exceptions to Minimum Duct R-Value Requirement
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-M 21004A-0000
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:54:47
2019 Residential Cornpliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2 R-MCI+ -21-Ff
Duct Location
(Page 2 of 2)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``' `gi"e'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the decla rations 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. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permitls) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Dwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/StatefZip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 21004A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20190501
Report Generated: 2022-08-25 08:54:47
CERTIFICATE OF INSTALLATION
CFZR-MCH-23 H
Space Conditioning System Airflow Rate
(Page 1 of 31
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Description of Area Served
Great Room
03
Indoor Unit Name
Great Room
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
5
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1-
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
ALNGR
03
Model number of Airflow Measurement Apparatus
E9T731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.govftitle24/equipment_certfama_fas/index.
html
Registration Number:
222-P010167430A-000-001-M23001A-0000
Registration Date/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:22:50
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-MCI-23-H
Space Conditioning System Airflow Rate
(Page 2of3)
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/tan)
350
02
Required Minimum System Airflow Target (cfm)
1750
03
Actual System Airflow Rate Measurement (cfm)
1779
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 airflow 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 an 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 airflow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010167430A-000-001-M23001A-0000
Registration Oate/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:22:50
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF IN5TALLATION
CF2 R-MCI-I-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``'`gi"r.'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit Is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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:
222-P010167430A-000-001-M 23001A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:22:50
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CFZR-MCH-23 H
Space Conditioning System Airflow Rate
(Page 1 of 31
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
System 2
02
Space Conditioning System Description of Area Served
Master Bedroom
03
Indoor Unit Narne
Master Bedroom
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
4
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1-
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
ALNGR
03
Model number of Airflow Measurement Apparatus
EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.govftitle24/equipment_certfama_fas/index.
html
Registration Number:
222-P010167430A-000-001-M23002A-0000
Registration Date/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:39:44
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-MCI-23-H
Space Conditioning System Airflow Rate
(Page 2of3)
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/tan)
350
02
Required Minimum System Airflow Target (cfm)
1400
03
Actual System Airflow Rate Measurement (cfm)
1517
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 airflow 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 an 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 airflow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010167430A-000-001-M 23002A-0000
Registration Oate/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:39:44
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF IN5TALLATION
CF2 R-MCI-I-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``'`gi"r.'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit Is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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:
222-P010167430A-000-001-1V123002A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20191201
Report Generated: 2022-08-25 08:39:44
CERTIFICATE OF INSTALLATION
CFZR-MCH-23 H
Space Conditioning System Airflow Rate
(Page 1 of 31
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
System 3
02
Space Conditioning System Description of Area Served
Hallways up/dwn
03
Indoor Unit Name
Hallways up/dwn
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
5
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1-
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
ALNGR
03
Model number of Airflow Measurement Apparatus
E9T731
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
Registration Number:
222-P010167430A-000-001-M23003A-0000
Registration Date/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:47:11
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-MCI-23-H
Space Conditioning System Airflow Rate
(Page 2of3)
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/tan)
350
02
Required Minimum System Airflow Target (cfm)
1750
03
Actual System Airflow Rate Measurement (cfm)
1776
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 airflow 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 an 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 airflow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010167430A-000-001-M23003A-0000
Registration Oate/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:47:11
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF IN5TALLATION
CF2 R-MCI-I-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``'`gi"r.'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit Is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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:
222-P010167430A-000-001-1V123003A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20191201
Report Generated: 2022-08-25 08:47:11.
CERTIFICATE OF INSTALLATION
CFZR-MCH-23 H
Space Conditioning System Airflow Rate
(Page 1 of 31
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
System 4
02
Space Conditioning System Description of Area Served
Upstairs Suite
03
Indoor Unit Name
Upstairs Suite
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
2
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1-
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
ALNOR
03
Model number of Airflow Measurement Apparatus
E9T731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.govftitle24/equipment_certfama_fas/index.
html
Registration Number:
222-P010167430A-000-001-M 23004A-0000
Registration Date/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:55:26
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-MCI-23-H
Space Conditioning System Airflow Rate
(Page 2of3)
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/tan)
350
02
Required Minimum System Airflow Target (cfm)
700
03
Actual System Airflow Rate Measurement (cfm)
801
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 airflow 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 an 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 airflow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010167430A-000-001-M 23004A-0000
Registration Oate/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:55:26
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF IN5TALLATION
CF2 R-MCI-I-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``'`gi"r.'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit Is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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:
222-P010167430A-000-001-1V123004A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20191201
Report Generated: 2022-08-25 08:55:26
CERTIFICATE OF INSTALLATION
CFZR-MC11-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 1
02
System Location or Area Served
Great Room
03
Indoor Unit Name or Description of Area Served
Great Room
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI] Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
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 fon 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
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
711.6
02
Actual Tested Airflow from MCH-23 (cfm)
1779
03
Required Fan Efficacy (Watts/cfm)
0.A
04
Actual Fan Efficacy (Watts/cfm)
0.4
05
Compliance Statement;
System fan efficacy complies
Registration Number:
222-P010167430A-000-001-M 22001A-0000
Registration Date/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-08-25 08:27:06
CERTIFICATE OF INSTALLATION
CF2R-MCI-22-H
Space Conditioning System Fan Efficacy
(Page2of3)
0. 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 dosed 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 (cfmjton) and fan efficacy
(Wattfcfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
05
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow tcfmfton) and fan efficacy (Wattfcfm)
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:
222-P010167430A-000-001-M ZZ001A-0000
Ca10ERTS, Inc.
HERS PROVIDER
Registration Oate/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:27:06
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2 R-MCH -Z2-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``'`gi"r.'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permitls) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Alexandra Winner
Responsible Builder/installer Signature:
Qef.e.e.wer.4,?11 av
Company Name: (Installing Subcontractor or General Contractor or
Builder/Dwner)
Advancing Home Performance, Inc.
Position With Company (Title):
Owner
Address:
74998 Country Club Drive. STE# 220-420
CSLB License:
957053
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Date Signed:
2022-08-25 09:03:12
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:
222-P010167430A-000-001-M 22001A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:27:06
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CFZR-MC11-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 2
02
System Location or Area Served
Master Bedroom
03
Indoor Unit Narne or Description of Area Served
Master Bedroom
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
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 fon 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
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
606.8
02
Actual Tested Airflow from MCH-23 (cfm)
1.517
03
Required Fan Efficacy (Watts/cfm)
0.A
04
Actual Fan Efficacy (Watts/cfm)
0.4
05
Compliance Statement;
System fan efficacy complies
Registration Number:
222-P010167430A-000-001-M22002A-0000
Registration Date/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-08-25 08:40:36
CERTIFICATE OF INSTALLATION
CF2R-MCI-22-H
Space Conditioning System Fan Efficacy
(Page2of3)
0. 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 dosed 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 (cfmjton) and fan efficacy
(Wattfcfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
05
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow tcfmfton) and fan efficacy (Wattfcfm)
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:
222-P010167430A-000-001-M22002A-0000
Ca10ERTS, Inc.
HERS PROVIDER
Registration Oate/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:40:36
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2 R-MCH -Z2-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``'`gi"r.'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit Is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 22002A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:40:36
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CFZR-MC11-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 3
02
System Location or Area Served
Hallways up/dwn
03
Indoor Unit Name or Description of Area Served
Hallways up/dwn
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
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 fon 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
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
710.4
02
Actual Tested Airflow from MCH-23 (cfm)
1776
03
Required Fan Efficacy (Watts/cfm)
0.4
04
Actual Fan Efficacy (Watts/cfm)
0.4
05
Compliance Statement;
System fan efficacy complies
Registration Number:
222-P010167430A-000-001-M22003A-0000
Registration D ate/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-08-25 08:47:59
CERTIFICATE OF INSTALLATION
CF2R-MCI-22-H
Space Conditioning System Fan Efficacy
(Page2of3)
0. 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 dosed 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 (cfmjton) and fan efficacy
(Wattfcfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
05
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow tcfmfton) and fan efficacy (Wattfcfm)
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:
222-P010167430A-000-001-M22003A-0000
Ca10ERTS, Inc.
HERS PROVIDER
Registration Oate/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:47:59
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2 R-MCH-Z2-Ff
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``'`gi"r.'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit Is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 22003A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20210501
Report Generated: 2022-08-25 08:47:59
CERTIFICATE OF INSTALLATION
CFZR-MC11-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 4
02
System Location or Area Served
Upstairs Suite
03
Indoor Unit Name or Description of Area Served
Upstairs Suite
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
2
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
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 fon 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
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
320.4
02
Actual Tested Airflow from MCH-23 (cfm)
801
03
Required Fan Efficacy (Watts/cfm)
0.4
04
Actual Fan Efficacy (Watts/cfm)
0.4
05
Compliance Statement;
System fan efficacy complies
Registration Number:
222-P010167430A-000-001-M 22004A-0000
Registration Date/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-08-25 08:56:11
CERTIFICATE OF INSTALLATION
CF2R-MCI-22-H
Space Conditioning System Fan Efficacy
(Page2of3)
0. 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 dosed 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 (cfmjton) and fan efficacy
(Wattfcfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
05
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow tcfmfton) and fan efficacy (Wattfcfm)
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:
222-P010167430A-000-001-M 22004A-0000
Ca10ERTS, Inc.
HERS PROVIDER
Registration Oate/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:56:11
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2 R-MCI-I-22-1i
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef
�`"�'
Company:
Advancing Home Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permitls) issued for the
building, and made available to the enforcement agency for ail applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed (}
By Authorized Rep a
Company Name: (Installing Subcontractor or General Contractor or
Builder/Dwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-1V122004A-0000
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20210501
Report Generated: 2022-08-25 08:56:11
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
System 1
02
Spare Conditioning System Location or Area Served
Great Room
03
Condenser (or package unit) Make or Brand
Daikin
04
Condenser (or package unit) Model Number
DX16SA0601AE
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) Serial Number
2204261987
07
Refrigerant Type
R-410A
08
other Refrigerant Type (if applicable)
nia AIM
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
2022-08-22
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
222-P010167430A-000-001-M 25001A-0000
Registration Date/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-08-25 08:31:25
CERTIFICATE OF INSTALLATION
CF2R-MC11-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
subcooling Method can only be used on systems that have a variable rnetering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
subcooling Method applicability status
Subcaoling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2022-08-01
02
Date of Digital Thermocouple Calibration
2022-08-01
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
Great Room
1150
System complies with minimum airflow rate
requirements
04
5C System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
222-P010167430A-000-001-M 25001A-0000
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:31:25
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
75
42
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db}
105
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tii4uid) (°F)
107.8
05
Measured Liquid Line Pressure (Pliquid) (psig)
399.1
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
116.3
07
Measured Subcooling (Line F06 - Lilne F04 ( °F)
8.5
08
Target Subcooling from Manufacturer (°F)
8
09
Compliance Statement: ;P
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 (Tsuctionf (°F)
71.7
02
Measured Suction Line Pressure (Psuction) (psig)
167.9
03
Eva porator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
59.2
04
Measured Superheat (Line G01- Line G03) (°F)
12.5
05
Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications (if known)
Not known
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-M 25001A-0000
Registration Date/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:31:25
Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CFZR-MC11-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
,‘ Ca10ERTS, Inc.
HERS PROVIDER
Registration Number:
222-P010157430A-000-001-M 25001A-0000
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report version: 2019.1.006 Report Generated: 2022-08-25 08:31:25
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CF2 R-MCI-I-25-1i
Refrigerant Charge Verification
{Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``'`gi"r.'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit Is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 25001A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20200901
Report Generated: 2022-08-25 08:31:25
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
System 2
02
Spare Conditioning System Location or Area Served
Master Bedroom
03
Condenser (or package unit) Make or Brand
Daikin
04
Condenser (or package unit) Model Number
DX16SA0481AF
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser (or package unit) Serial Number
2204155901
07
Refrigerant Type
R-410A
08
other Refrigerant Type (if applicable)
n/ap
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes — # - -- - — _.
E R
1
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
2022-08-22
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
222-P010167430A-000-001-M 25002A-0D00
Registration Date/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-08-25 08:42:27
CERTIFICATE OF INSTALLATION
CF2R-MC11-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
subcooling Method can only be used on systems that have a variable rnetering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
subcooling Method applicability status
subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2022-08-01
02
Date of Digital Thermocouple Calibration
2022-08-01
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
Master Bedroom
1400
System complies with minimum airflow rate
requirements
04
5C System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
222-P010167430A-000-001-M 25002A-0000
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:42:27
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
75
42
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db}
112
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tii4uid) (°F)
113.6
05
Measured Liquid Line Pressure (Pliquid) (psig)
411.5
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
118.6
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
5
08
Target Subcooling from Manufacturer (°F)
8
09
Compliance Statement: ;P
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 (Tsuctionf (°F)
76.9
02
Measured Suction Line Pressure (Psuction) (psig)
167.2
03
Eva porator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
59
04
Measured Superheat (Line G01- Line G03) (°F)
17.9
05
Measured Superheat (Line GD4) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications (if known)
Not known
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-M 25002A-0000
Registration Date/Time: 2022-08-25 09:03:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:42:27
Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CFZR-MC11-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
,‘ Ca10ERTS, Inc.
HERS PROVIDER
Registration Number:
222-P010157430A-000-001-1V125002A-OQ00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report version: 2019.1.006 Report Generated: 2022-08-25 08:42:27
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CF2 R-MCI-I-25-1i
Refrigerant Charge Verification
{Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``'`gi"r.'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:12
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit Is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:12
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 25002A-OD00
Registration Date/Time: 2022-08-25 09:03:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20200901
Report Generated: 2022-08-25 08:42:27
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
System 3
02
Spare Conditioning System Location or Area Served
Hallways upjdwn
03
Condenser (or package unit) Make or Brand
Daikin
04
Condenser (or package unit) Model Number
DX16SA06D:AE
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) Serial Number
2204261966
07
Refrigerant Type
R-410A
08
other Refrigerant Type (if applicable)
nia AIM
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
2022-08-22
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
222-P010167430A-000-001-M 25003A-0000
Registration Date/Time: 2022-08-25 09:03:13
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-08-25 08:50:09
CERTIFICATE OF INSTALLATION
CF2R-MC11-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
subcooling Method can only be used on systems that have a variable rnetering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
subcooling Method applicability status
Subcaoling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2022-08-01
02
Date of Digital Thermocouple Calibration
2022-08-01
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
Hallways upJdwn
1750
System complies with minimum airflow rate
requirements
04
5C System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
222-P010167430A-000-001-M 25003A-0000
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:50:09
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
75
42
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db}
105
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tii4uid) (°F)
107.9
05
Measured Liquid Line Pressure (Pliquid) (psig)
413.2
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
118.9
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11
08
Target Subcooling from Manufacturer (°F)
8
09
Compliance Statement: a! 0
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 (Tsuctionf (°F)
72.2
02
Measured Suction Line Pressure (Psuction) (psig)
153.1
03
Eva porator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
54
04
Measured Superheat (Line G01- Line G03) (°F)
18.2
05
Measured Superheat (Line GD4) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications (if known)
Not known
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-M 25003A-0000
Registration Date/Time: 2022-08-25 09:03:13
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:50:09
Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CFZR-MC11-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
,‘ Ca10ERTS, Inc.
HERS PROVIDER
Registration Number:
222-P010157430A-000-001-1V125003A-0000
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report version: 2019.1.006 Report Generated: 2022-08-25 08:50:09
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CF2 R-MCI-I-25-H
Refrigerant Charge Verification
{Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``'`gi"�'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:13
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:13
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-1v125003A-OD00
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:50:09
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CF2R-MCI-I-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Williams Residence
Enforcement Agency:
Qui nta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chia rite
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
System 4
02
Space Conditioning System Location or Area Served
upstairs Suite
03
Condenser (or package unit) Make or Brand
Daikin
04
Condenser (or package unit) Model Number
DX16SA0241AF
05
Nominal Cooling Capacity (tons) of Condenser
2
06
Condenser (or package unit) Serial Number
2110689502
07
Refrigerant Type
R-410A
n/a
Yes_..... rtTS,
Inc•
08
Other Refrigerant Type (if applicable)
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
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
2022-08-22
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
222-P010167430A-000-001-M 25004A-OD00
Registration Date/Time: 2022-08-25 09:03:13
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-08-25 08:57:27
CERTIFICATE OF INSTALLATION
CF2R-MC11-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
subcooling Method can only be used on systems that have a variable rnetering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
subcooling Method applicability status
Subcaoling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2022-08-01
02
Date of Digital Thermocouple Calibration
2022-08-01
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
Upstairs Suite
700
System complies with minimum airflow rate
requirements
04
5C System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
222-P010167430A-000-001-M 25004A-0000
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:57:27
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
75
42
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db}
102
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tii4uid) (°F)
103.4
05
Measured Liquid Line Pressure (Pliquid) (psig)
359
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
108.5
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
5.1
08
Target Subcooling from Manufacturer (°F)
8
09
Compliance Statement: a! 0
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 (Tsuctionf (°F)
88.2
02
Measured Suction Line Pressure (Psuction) (psig)
189
03
Eva porator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
66.2
04
Measured Superheat (Line G01- Line G03) (°F)
22
05
Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications (if known)
Not known
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-M 25004A-0000
Registration Date/Time: 2022-08-25 09:03:13
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:57:27
Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CFZR-MC11-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
,‘ Ca10ERTS, Inc.
HERS PROVIDER
Registration Number:
222-P010157430A-000-001-1V125004A-0000
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report version: 2019.1.006 Report Generated: 2022-08-25 08:57:27
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF INSTALLATION
CF2 R-MCI-I-25-H
Refrigerant Charge Verification
{Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``'`gi"�'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:13
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Gwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:13
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-1v125004A-OD00
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20200901
Report Generated: 2022-08-25 08:57:27
CERTIFICATE OF INSTALLATION
CF2R-MCI-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVACsystem requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Description of Area Served
Great Room
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
Yes
05
Status: Heat Pump Heating Output Performance Compliance Check
No
06
Status: HSPF Performance Compliance Credit Check
No
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
—
204601626
system from http://www.ahridrectory.org — T
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
Furnace air -handling unit
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
li
Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 1
Great Room
Great Room
HP Coil
Daikin
DX165A0601
AC
Aspen
CE60D44210
L004
Daikin
DM8OSE080
SCUAA
Registration Number:
222-P010167430A-000-001-M 26001A-0000
Registration Date/Time: 2022-08-25 09:03:13
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:35:53
Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Enformation from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
O1
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
5C System
ID/Name
from CF1R
5C System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
installed
Model
Number
Indoor Unit •
installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 1
Great Room
Great Room
HP Coil
Daikin
D?C165A0501
A
Aspen
C(A,C,D,E)60
D44+TDR
Daikin
D*805E0805
CUA*
D. Verified Cooling System SEER
01
Required minimum SEER
16
02
Installed SEER
16.5
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
01
Required minimum EER
13
02
Installed EER
13
03
Compliance Statement:
System passes EER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
F. Verified Heat Pump Heating Output
This section does riot apply to this project.
G. Verified Heat Pump HSPF
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-M 26001A-0D00
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:35:53
2019 Residential Compliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-MCH- 26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
01
If a specific air handler, furnace or fan coil is required by the directory used to certify product performance, the responsible person
certifies by signing this compliance document that the installed air handler/furnace matches the equiprnent specified by the Directory or
Certified Product Performance.
I. Verified Space Conditioning System Time Delay Relay
This section does not apply to this project.
J. Verified Space Conditioning System TXV
This section does not apply to this project.
� Ca10ERTS, Inc.
HERS PROVIDER
Registration Number:
222-P010167430A-000-001-M 26001A-0000
Registration DatejTirne: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:35:53
2019 Residential Compliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2 R-MCH -26-H
Rated Space Conditioning System Equipment Verification
(Page4of4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``' `gi"e'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:13
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Dwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/StatefZip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:13
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:
222-P010167430A-000-001-M 26001A-OD00
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20190501
Report Generated: 2022-08-25 08:35:53
CERTIFICATE OF INSTALLATION
CFZR-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVACsystem requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
System 2
02
Space Conditioning System Description of Area Served
Master Bedroom
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
Yes
05
Status: Heat Pump Heating Output Performance Compliance Check
No
06
Status: HSPF Performance Compliance Credit Check
No
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
—
204469530
system from http://www.ahridrectory.org — T
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
Furnace air -handling unit
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
li
Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 2
Master
Bedroom
Master
Bedroom
HP Coil
Daikin
DX165A0481
AF
Aspen
CE48D44210
L004
Daikin
DM8OSE08O
SCUAA
Registration Number:
222-P010167430A-000-001-1V126002A-0000
Registration Date/Time: 2022-08-25 09:03:13
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:44:39
Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Enformation from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
O1
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
5C System
ID/Name
from CF1R
5C System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
installed
Model
Number
Indoor Unit •
installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 2
Master
Bedroom
Master
Bedroom
HP Coil
Daikin
DX16SA0481
A
Aspen
C(A,C,D,E)48
D44+TDR
Daikin
DM80SEOSQ
SC*A*
D. Verified Cooling System SEER
01
Required minimum SEER
16
02
Installed SEER
16.5
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
01
Required minimum EER
13
02
Installed EER
13
03
Compliance Statement:
System passes EER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
F. Verified Heat Pump Heating Output
This section does riot apply to this project.
G. Verified Heat Pump HSPF
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-M 26002A-0000
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:44:39
2019 Residential Compliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-MCH- 26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
01
If a specific air handler, furnace or fan coil is required by the directory used to certify product performance, the responsible person
certifies by signing this compliance document that the installed air handler/furnace matches the equiprnent specified by the Directory or
Certified Product Performance.
I. Verified Space Conditioning System Time Delay Relay
This section does not apply to this project.
J. Verified Space Conditioning System TXV
This section does not apply to this project.
� Ca10ERTS, Inc.
HERS PROVIDER
Registration Number:
222-P010167430A-000-001-1V126002A-0000
Registration DatejTirne: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:44:39
2019 Residential Compliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2 R-MCH -26-H
Rated Space Conditioning System Equipment Verification
(Page4of4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``' `gi"e'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:13
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Dwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/StatefZip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:13
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:
222-P010167430A-000-001-1V126002A-OD00
Registration Date/Time: 2022-I}8-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20190501
Report Generated: 2022-08-25 08:44:39
CERTIFICATE OF INSTALLATION
CF2R-MCI-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVACsystem requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
System 3
02
Space Conditioning System Description of Area Served
Hallways up/dwn
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
Yes
05
Status: Heat Pump Heating Output Performance Compliance Check
No
06
Status: HSPF Performance Compliance Credit Check
No
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
—
204601626
system from http://www.ahridrectory.org — T
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
Furnace air -handling unit
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
li
Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 3
Hallways
upfdwn
Hallways
upfdwn
HP Coil
Daikin
DX165A0601
AE
Aspen
CE60D44210
L004
Daikin
DM8OSE08O
5CU
Registration Number:
222-P010167430A-000-001-1V126003A-0000
Registration Date/Time: 2022-08-25 09:03:13
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:52:49
Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Enformation from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
O1
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
5C System
ID/Name
from CF1R
5C System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
installed
Model
Number
Indoor Unit •
installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 3
Hallways
upfdwn
Hallways
up/dwn
HP Coil
Daikin
DX16SA0601
A
Aspen
C(A,C,D,E)60
D44+TDR
❑aikin
D*805E0805
CUA*
D. Verified Cooling System SEER
01
Required minimum SEER
16
02
Installed SEER
16.5
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
01
Required minimum EER
13
02
Installed EER
13
03
Compliance Statement:
System passes EER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
F. Verified Heat Pump Heating Output
This section does riot apply to this project.
G. Verified Heat Pump HSPF
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-M 26003A-0000
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:52:49
2019 Residential Compliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-MCH- 26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
01
If a specific air handler, furnace or fan coil is required by the directory used to certify product performance, the responsible person
certifies by signing this compliance document that the installed air handler/furnace matches the equiprnent specified by the Directory or
Certified Product Performance.
I. Verified Space Conditioning System Time Delay Relay
This section does not apply to this project.
J. Verified Space Conditioning System TXV
This section does not apply to this project.
� Ca10ERTS, Inc.
HERS PROVIDER
Registration Number:
222-P010167430A-000-001-1V126003A-0000
Registration DatejTirne: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:52:49
2019 Residential Compliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2 R-MCH -26-H
Rated Space Conditioning System Equipment Verification
(Page4of4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``' `gi"e'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:13
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Dwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/StatefZip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:13
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:
222-P010167430A-000-001-1V126003A-OD00
Registration Date/Time: 2022-I}8-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20190501
Report Generated: 2022-08-25 08:52:49
CERTIFICATE OF INSTALLATION
CFZR-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVACsystem requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
System 4
02
Space Conditioning System Description of Area Served
Upstairs Suite
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
Yes
05
Status: Heat Pump Heating Output Performance Compliance Check
No
06
Status: HSPF Performance Compliance Credit Check
No
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
—
207598836
system from http://www.ahridirectory.org — T
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
Furnace air -handling unit
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
li
Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 4
Upstairs
Suite
Upstairs
Suite
HP Coil
Daikin
DX165A0241
AF
Alumacoil
CAPF3137B6
AA
Daikin
DM805NO60
3AUAA
Registration Number:
222-P010167430A-000-001-M 26004A-0000
Registration Date/Time: 2022-08-25 09:03:13
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:59:51
Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Enformation from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
O1
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
5C System
ID/Name
from CF1R
5C System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
installed
Model
Number
Indoor Unit •
installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System
Upstairs
Suite
Upstairs
Suite
HPCoiI
Daikin
DX165A0241
A*
Alumacoil
CA*F3137*6
A'+TxV
❑aikin
DM8OSN060
3AUA*
D. Verified Cooling System SEER
01
Required minimum SEER
16
02
Installed SEER
16
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
01
Required minimum EER
13
02
Installed EER
13
03
Compliance Statement:
System passes EER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
F. Verified Heat Pump Heating Output
This section does riot apply to this project.
G. Verified Heat Pump HSPF
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-1V126004A-0000
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:59:51
2019 Residential Compliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-MCH- 26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
01
If a specific air handler, furnace or fan coil is required by the directory used to certify product performance, the responsible person
certifies by signing this compliance document that the installed air handler/furnace matches the equiprnent specified by the Directory or
Certified Product Performance.
I. Verified Space Conditioning System Time Delay Relay
This section does not apply to this project.
J. Verified Space Conditioning System TXV
This section does not apply to this project.
� Ca10ERTS, Inc.
HERS PROVIDER
Registration Number:
222-P010167430A-000-001-1V126004A-0000
Registration DatejTirne: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:59:51
2019 Residential Compliance Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2 R-MCH -26-H
Rated Space Conditioning System Equipment Verification
(Page4of4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef``' `gi"e'
Company:
Advancing Mome Performance, Inc.
Signature Date: 2022-08-25 09:03:13
Address!
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit is) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed
By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or
Builder/Dwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/StatefZip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:13
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:
222-P010167430A-000-001-1V126004A-OD00
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20190501
Report Generated: 2022-08-25 08:59:51
CERTIFICATE OF INSTALLATION
CFZR-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 1 of 5)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
Title 24, Part 6, Section 150.0(o) Ventilation for Indoor Air Quality. A!I dwelling units shall meet the requirements of ANSI/ASHRAE Standard
62.2.-2016 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings subject to amendments specified by Title 24, Part 6
Section 150.0(o)1,
A. Dwelling Mechanical Ventilation - General Information
01
Dwelling unit name
53-070 Via Chiante Hideaway
02
Building Type
Single family detached
03
Project scope
Newly Constructed
04
Total Conditioned Floor Area of Dwelling Unit
(For addition projects the conditioned floor area equals existing
area plus addition area.)
4821
,tom
05
Number of Bedrooms in Dwelling Unit
(For addition projects the number of bedrooms equals the existing
5
' '
iii)
bedrooms plus addition bedrooms)
lj
06
Ventilation System Type
Exhaust CD V 1 E E R
07
Ventilation Operation Schedule
Continuous
Note -
Non -dwelling units do not meet the definition for a dwelling unit as defined in Section 100.1(b). Non -dwelling units are not designed to provide
independent living facilities and do not provide permanent provisions for living, sleeping, eating, cooking and sanitation.
B. Single Family Attached/Detached General Information
01
Average Ceiling Height
9
02
Total Conditioned Volume
43389
03
Vertical distance between the lowest and highest above grade
points within the pressure boundary in feet
20.5
04
Air Changes Per Hour at 50 Pa
Default
05
Name of ANSI/ASHRAE Standard 62.2-2016 weather station for
climate zone
Palm Springs Intl
06
weather and shielding factor (wsf) (Based on city identified above)
0.45
Registration Number:
222-P010167430A-000-001-M27001A-0000
Registration Date/Time: 2022-08-25 09:03:13
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Cornpliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:01:38
Schema Version: rev 20200401
CERTIFICATE OF INSTALLATION
CF2R-MCI-Z7-I1
indoor Air Quality and Mechanical Ventilation
(Page2of5)
C. Ventilation - Total Ventilation Rate
A mechanical supply system, exhaust system or combination thereof shall provide whole -building ventilation with outdoor air each hour at no
less than the rate in 150.0(o)1Ci
01
Total Required Ventilation Rate (Qtot)
189.63
F
02
Enclosure Leakage Rate (Qso)
1446.3
03
Effective Annual Average Infiltration Rate (Cain+
48-83
04
Total Exterior Envelope Surface Area
n/a
05
Unshared Exterior Envelope Surface Area (exclude surface areas
attached to garages or other dwelling units)
ilia
06
Required Mechanical Ventilation Rate (O,fan)
177.06
D. Installed Ventilation - Total Ventilation Rate
A mechanical supply system, exhaust system, or combination thereof shall provide whole -building ventilation with outdoor air
each hour at no Tess than the rate in 150.0(o)ICi
01
02
03
04
O5
Fan Name
Fan Location
Runtime (min/hr}
Installed Mechanical
Ventilation Rate (CFM)
Equivalent Continuous
Ventilation {CFM}
LAUNDRY
Laundry
00
197
197
06
Total installed Continuous Ventilation {CFM}
197
E. Compliance Statement
01
Building Passes Mechanical Ventilation RateTest
F. Other Requirements
The items listed below (6.1 through 6,6 abd 6.8 through 6.9) correspond to the information given in ASHRAE 62.2 Section 6 "Other
Requirements". Refer also to Chapter 4,6 of the Residential Compliance Manual (Section 4.6.8) for information describing these "Other
Requirements". The signature of the Responsible Person In the declaration statement below certifies that the building complies with these
requirements specified in ASHRAE 62.2 Section 6.1 through 6.9 if applicable.
01
6.1 Adjacent Spaces and Transfer Air. Measures shall be taken to minimize air movement across envelope components to dwelling units
from adjacent spaces such as garages, unconditioned crawl spaces, unconditioned attics and other dwelling. Supply and balanced
ventilation systems shall be designed and constructed to provide ventilation air directly from the outdoors.
6.1.1 Compliance for Attached Dwelling Units . One method of demonstrating compliance with Section 6.1 shall be to verify a leakage
rate below a maximum of 0.3 cfm per ft2 (150 Lis per 100 m2) of the dwelling unit envelope per area (i.e, the sum of the area of walls
between dwelling units, exterior walls, ceiling and floor) at a test pressure of 50 Pa by a blower door test conducted in accordance with
either ANSI/ASTME779 or ANSIIASTM-E1827. The test shall be conducted with the dwelling unit as if it were exposed to outdoor air on all
sides, top and bottom by opening doors and windows of adjacent dwelling units.
02
6.2 Instructions and Labeling. Information on the ventilation design and/or ventilation systems installed, instructions on their proper
operation to meet the requirements of this standard, and instructions detailing any required maintenance (similar to that provided for
HVAC systems) shall be provided to the owner and the occupant of the dwelling unit. Controls shall be labeled as to their function (unless
that function is obvious, such as toilet exhaust fan switches). see Chapter 13 of Guideline 245 for information on instructions and labeling.
Registration Number:
222-P010167430A-000-001-M 27001A-0000
Registration Date/Time: 2022-08-25 09:03:13
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-08-25 09:01:38
CERTIFICATE OF INSTALLATION
CF2R-MCFI 27-K
indoor Air Quality and Mechanical Ventilation
(Page 3 of 5)
F. Other Requirements
The items listed below (6.1 through 6,5 abd 5.8 through 6.9) correspond to the information given in ASHRAE 62,2 Section 6 "Other
Requirements". Refer also to Chapter 4.6 of the Residential Compliance Manua! (Section 4.6.8) for information describing these "Other
Requirements". The signature of the Responsible Person in the declaration statement below certifies that the building complies with these
requirements specified in ASHRAE 62.2 .Section 6.1 through 6.9 if applicable.
03
6.3 Clothes Dryers. Clothes dryers shall be exhausted directly to the outdoors. Exception: Condensing dryers plumbed to a drain.
04
6.4 Combustion and Solid -Fuel Burning Appliances.
6.4.1 Combustion and solid -fuel burning appliances must be provided with adequate combustion and ventilation air and vented in
accordance with manufacturer installation instructions, NFPA 54 ANSI 2223.1, National Fuel Gas Code , NFPA 31, Standard for the
installation of Oil -Burning Equipment , or NFPA 211, Standard for Chimneys, Fireplaces, Vents, and Solid -Fuel Burning Appliances , or other
equivalent code acceptable to the building official.
6.4.2 Where atmospherically vented combustion appliances or solid -fuel burning appliances are located inside the pressure boundary,
the total net exhaust flow of the two largest exhaust fans (not including a summer cooling fan intended to be operated only when
windows or other air inlets are open) shall not exceed 15 cfm/100 ft2 (75 L/s per 100 m2) of occupiable space when in operation at full
capacity. If the designed total net flow exceeds this limit, the net exhaust flow must be reduced by reducing the exhaust flow or providing
compensating outdoor airflow. Atmospherically vented combustion appliances do not include direct -vent appliances. Combustion
appliances that pass safety testing performed according to ANSI/BPI-1200, Standard Practice for Basic Analysis of Buildings, 21 shall be
deemed as complying with Section 6.4.2
05
6.5 Air Tightness Requirements
6.5.1 Garages. When an occupiable space adjoins a garage, the design roust prevent migration of contaminants to the adjoining
occupiable space. Air seal the walls, ceilings, and floors that separate garages from occupiable space. To be considered air sealed, all
joints, seams, penetrations, openings between door assemblies and their respective jambs and framing, and other sources of air leakage
through wall and ceiling assemblies separating the garage from the residence and its attic area shall be caulked, gasketed, weather
stripped, wrapped, or otherwise sealed to limit air movement. Doors between garages and occupiable spaces shall be gasketed or made
substantially airtight with weather stripping.
06
6.6 Ventilation Opening Area. Spaces shall have ventilation openings es listed below. Such openings shall meet the requirements of
Section 6.8. Exception: Attached dwelling units and spaces that meet the local ventilation requirements set for bathrooms in Section 5 [ot
ASHRAE 62.21.
6.6.1 Habitable Spaces. Each habitable space shall be provided with ventilation openings with an openable area not less than 4% of
the floor area or less than 5 ft2 (0.5 m2).
6.6.1 Toilets and Utility Rooms Toilets and utility rooms shall be provided with ventilation openings with an openable area not less
than 4% of the floor area or less than 1,5 ft2 (0.5 m2). Exceptions:
1. Utility rooms with a dryer exhaust duct.
2. Toilet compartments in bathrooms.
D7
6.8 Air Inlets. Air inlets that are part of the ventilation design shall be located a minimum of 10 ft (3 m) from known sources of
contamination such as a stack, vent, exhaust hood, or vehicle exhaust. The intake shall be placed so that entering air is not obstructed by
snow, plantings, or other material. Forced air Inlets shall be provided with rodent/insect screens (mesh not larger than 1/2 inch [13 mm]).
1. Ventilation openings in the wall may be as close as a stretched -string distance of 3 ft (1 m) from sources of contamination exiting
through the roof or dryer exhausts.
2. No minimum separation distance shall be required between windows and local exhaust outlets in kitchens and bathrooms.
3. Vent terminations covered by and meeting the requirements of the National Fuel Gas Code NFPA 54/ ANSI Z223.1)7 or equivalent.
4. Where a combined exhaust/intake termination is used to separate intake air from exhaust air originating in a living space other
than kitchens, no minimum separation distance between these two openings is required. For these combined terminations, the
exhaust air concentration within the intake air shall not exceed 10%, as established by the manufacturer.
08
6.9 Carbon Monoxide Alarms. A carbon monoxide alarm shall be installed in each dwelling unit in accordance with NFPA 720, Standard
for the installation of Carbon Monoxide (CO) Detection and Warning Equipment 14, and shall be consistent with requirements of
applicable Jaws, codes, and standards.
The responsible person's signature an this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010167430A-000-001-M 27001A-0000
Registration Date/Time: 2022-08-25 09:03:13
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-08-25 09:01:38
CERTIFICATE OF INSTALLATION
CF2R-MCI-Z7-H
indoor Air Quality and Mechanical Ventilation
(Page 4of5)
G. Air Moving Equipment
The items listed below (7.1 through 7.4) correspond to the information given in ASHRAE 62,2 Section 7 "Air -Moving Equipment", Refer also to
Chapter4.6 of the Residential Compliance Manual (section 4.6.9) for information describing these requirements in more detail. The signature of
the Responsible Person in the declaration statement below certifies that the building complies with these requirements specified in ASHRAF 62.2
Section 7.1 through 7.4 if applicable.
01
7.1 Selection and Installation. Ventilation devices and equipment shall be tested and listed in accordance with ANSI/ASHRAE Standard
51/ AMCA 210, Laboratory Methods of Testing Fans farAerodynamic Performance Rating, and ANSI/AMCA Standard 300, Reverberant
Room Method for Sound Testing of Fans, and rated in accordance with the airflow and sound rating procedures of the Horne Ventilating
Institute (HVI) (HVI 915, Loudness Testing and Rating Procedure; HVI 916 Airflow Test Procedure; and HVI 920, Product Performance
Certification Procedure including Verification and Challenge). Installations of systems or equipment shall be carried out in accordance
with manufacturers' design requirements and installation instructions.
02
7.2 Sound Ratings for Fans. Ventilation fans shall be rated for sound at no less than the minimum airflow rate required by this standard,
as noted below. These sound ratings shall be at a minimum of 0.1 in. w.c. (25 Pa) static pressure in accordance with the HVI procedure
referenced in 7.1.
Exception: HVAC air handlers and remote mounted fans need not meet sound requirements. To be considered for this exception, a
remote mounted fan must be mounted outside the habitable spaces, bathrooms, toilets, and hallways, and there must be at least ft (1
m) of ductwork between the fan and the intake grille.
7.2.1 Dwelling Unit Ventilation or Continuous Local Exhaust Fans. These fans shall be rated for sound at a maximum of 1.0 sone.
7.2.2 Demand -Controlled Local Exhaust Fans. Bathroom exhaust fans used to comply with Section 5.2 shall be rated for sound at a
maximum of 3 sone, Kitchen exhaust fans used to comply with Section 5.2 shall be rated for sound at a maximum of 3 sone at one or
more airflow settings greater than or equal to 100 cfm (47 Lis).
Exceptions:
1. Fans with minimum airflow settings exceeding 400 cfm (189 Lis) need not comply. r ir
2. Kitchen Range hoods maybe rated for sound at the static pressure determined at working speed as specified in HVI 916 section 7.
03
7.3 Exhaust Ducts.
7.3.1 Multiple Exhaust Fans Using One Duct. Exhaust fans in separate dwelling units shall not share a common exhaust duct. If more
than one of the exhaust fans in a dwelling unit shares a common exhaust duct, each fan shall be equipped with a back draft damper to
prevent the recirculation of exhaust air from one room to another through the exhaust ducting system.
7.3.2 Single Exhaust Fan Ducted to Multiple Inlets. Where exhaust inlets are commonly ducted across multiple dwelling units, one or
more exhaust fans located downstream of the exhaust inlets shall be designed and Intended to run continuously, or a system of one or
more backdraft dampers shall be installed to isolate each dwelling unit from the common duct when the fan is not running.
04
7.4 Supply Ducts. Where supply outlets are commonly ducted across multiple dwelling units, one or more supply fans located upstream
of the supply inlets shall be designed and intended to run continuously, or a system of one or more backdraft dampers shall be installed
to isolate each dwelling unit from the common duct when the fan is not running.
The responsible person's signature an this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010167430A-000-001-M 27001A-0000
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:01:38
2019 Residential Compliance Schema Version: rev 20200401
CERTIFICATE OF INSTALLATION
CF2 R-MCI-I-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 5of5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
ef
�`"�'
Company:
Advancing Home Performance, Inc.
Signature Date: 2022-08-25 09:03:13
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. l will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permitls) issued for the
building, and made available to the enforcement agency for ail applicable inspections. I understand that a registered copy of this Certificate of
installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/installer Name:
Josh Thomson
Electronically Signed (}
ElyAuthorizee/ Rep a
Company Name: (Installing Subcontractor or General Contractor or
Builder/Dwner)
THOMSON AIR CONDITIONING
Position With Company (Title):
Management
Address:
4232 OPAL AVENUE
CSLB License:
959811
City/State/Zip:
CYPRESS CA 90630
Phone:
562-201-3014
Date Signed:
2022-08-25 09:03:13
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 27001A-0000
Registration Date/Time: 2022-08-25 09:03:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:01:38
2019 Residential Compliance Schema Version: rev 20200401
CERTIFICATE OF VERIFICATION
CF3R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 1 of 6)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Air Barrier Materials
01
A continuous sealed exterior air barrier is required in all thermal envelope assemblies to limit air movement between unconditioned/
outside spaces and conditioned/ inside spaces, and must comply using one of the following methods:
1. Using individual materials that have an air permeance not exceeding 0,004 cfm/ft2 under a pressure differential of 0.3 in. w,g.
(1.57 pcf) (0.02 L/s.rn2 at 75 pa) when tested in accordance with ASTM E2178; or
2. using assemblies of materials and components that have an average air leakage not to exceed 0.04 cfm/ft2 under a pressure
differential of 0.3 in. w_g. (1.57 pcf) (0.2 L/s.m2 at 75 pa) when tested in accordance with ASTM E2357, ASTM E1677, ASTM E1680,
or ASTM E283; or
3. Testing the complete building and demonstrating that the air leakage rate of the building envelope does not exceed 0.40 cfm/ft2
under a pressure differential of 0,3 in. w.g. (1.57 pcf) (2.0 L/s.m2 at 75 pa) when tested in accordance with ASTM E779 or an
equivalent approved method.
02
Method of Compliance
Method 1 (Individual Materials)
03
Verification Status
Pass - all applicable requirements are met. ill
i nr _
04
Correction Notes
Note:
SPF insulation is an acceptable air barrier and sealant when installed to a minimum thickness of 2 inches for closed cell and 5.5 inches for
open cell, except where not allowed by manufacturer {e.g, flues, vents, can lights, etc),
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
B. Raised Floor Adjacent to Unconditioned Space or Separate Dwelling Units
01
All gaps in the raised floor are sealed-
02
All chases sealed at floor level using a sealed hard cover.
03
All holes le.g. for plumbing and electrical wires) that penetrate the floor or bottom plates of walls are sealed.
04
Subfloor sheathing is glued or sealed at a!I panel edges to create a continuous air tight subfloor air barrier.
05
Verification Status
Pass - all applicable requirements are met.
06
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
C. Walls Adjacent to Unconditioned Space
01
All penetrations through the exterior wall air barrier are sealed to provide an air -tight envelope to unconditioned spaces such as the
outdoors, attic, garage and crawl space.
Registration Number:
222-P010167430A-000-001-E21001B-E21B
Registration Date/Time: 2022-08-25 09:05:08
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019,1,006
Schema Version: rev 20191201
Report Generated: 2022-08-25 09:35:30
CERTIFICATE OF VERIFICATION
CF3R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 2 of 6)
C. Walls Adjacent to Unconditioned Space
02
Exterior wall air barrier is sealed to the top plate and bottom plate in each stud bay.
03
All electrical boxes, including knockouts that penetrate the air barrier to unconditioned space are sealed.
04
All openings in top and bottom plate, including all interior and exterior walls, to unconditioned space are sealed; such as holes drilled for
electrical and plumbing.
05
Exterior bottom plates (all stories) are sealed to the floor,
06
All gaps around windows and doors are sealed. The sealant used follows manufacturer specifications.
07
Rim joist gaps and openings are fully sealed.
08
Fan exhaust duct outlet/ damper at the exterior wall are sealed.
09
Knee walls have solid and sealed
blocking at the bottom, top, left and right sides to prevent air movement into insulation.
10
Verification Status
Pass - all applicable requirements are met.
11
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
0. Ceiling Air Barrier Adjacent to Unconditioned Spate
01
There is a continuous air barrier at the ceiling level. All openings into walls, drops, chases or double walls are sealed.
02
All penetrations through the top plate of interior and exterior walls are sealed.
03
Fire sprinklers penetrating a ceiling air barrier shall be sealed to prevent air movement according to the manufacturer's instructions.
04
All fixtures cut into the ceiling air barrier (e.g. HVAC registers, electrical boxes, fire alarm boxes, exhaust fan housing, and recessed
lighting fixtures) are sealed to the surrounding drywall. If it is not possible to seal the fixture directly, a secondary air barrier shall be
created around the fixture.
05
All installed recessed lighting fixtures that penetrate the ceiling to unconditioned space are rated to be Insulation Contact and Airtight (IC
and AT) which allow direct contact with insulation.
06
All dropped ceiling areas are covered with hard covers that are sealed to the framing, or else the bottom and sides of dropped ceiling
areas are all insulated and sealed as ceilings and walls as required on the Certificate of Compliance.
07
All vertical chases (e.g_ HVAC ducts and plumbing) and soffits are sealed at the ceiling level.
08
Chimneys and flues require sheet metal flashing at the ceiling level. The flashing shall be sealed to the chimney/flue with fire rated caulk.
The flashing shall be sealed to the surrounding framing.
09
Framing locations where air may move down into the walls from the attic (e.g. double walls, pocket doors, architectural bump -outs, etc)
have a sealed hard cover to prevent air movement.
Registration Number:
222-P010157430A-000-001-E21001B-E21B
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:35:30
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-ENV-21-I1
Q,II - Air Infiltration Seating - Framing Stage
(page 3 of 6)
D. Ceiling Air Barrier Adjacent to Unconditioned Space
10
Attic access forms an airtight seal between the conditioned space and unconditioned space. Vertical attic access requires mechanical
compression using screws ar latches.
11
Verification Status
Pass - all applicable requirements are met.
12
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been rnet.
E. Roof Air Barrier - Unvented Attics Adjacent to Unconditioned Space
01
There is a continuous air barrier at the roof deck and gable ends.
02
Chimneys and flues require sheet metal flashing at the roof deck. The flashing shall be sealed to the chimney/flue with fire rated caulk.
The flashing shall be sea fed to the surrounding framing.
03
All penetrations in the roof deck and gable ends for plumbing, electrical, etc. are sealed.
04
Verification Status
Pass - all applicable requirements are met.
05
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
F. Condit -coned Space Above Or Adjacent To Garage Air Barrier
O1
All penetrations in the subfloor above the garage into conditioned space must follow the raised floor air barrier requirements above.
fl2
Infiltration between the space above the ga rage and subfloor is prevented by one of the following methods:
• Seal all edges of garage ceiling (typically drywall) at the perimeter of the garage to create a continuous air tight surface between
the garage and adjacent conditioned envelope. Seal all plumbing, electric and mechanical penetrations between the garage and
the adjacent conditioned space. For an open -web truss, airtight blocking is added an four sides of the garage perimeter.
Insulation can be placed on the garage ceiling.
• Seal the band joist above the wall at the garage to conditioned space transition. Seal all subfloor seams and penetrations
between the garage and adjacent conditioned space. Insulation must be placed in contact with the subfloor below the
conditioned space.
03
Verification Status
Pass - all applicable requirements are met.
04
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Cantilevered Floor Air Barrier
U1
r
Airtight blocking is installed between joists where the wall rim joist would have been located in the absence of a cantilever.
02
Exterior sheathing is installed to the bottom of the cantilever so that there is a continuous air and weather barrier for the cantilever. The
cantilevered joist must be insulated to the same R value as would be required for the subfloor prior to closing.
Registration Number:
222-P010167430A-000-001-E21001B-E21B
Registration Date/Time: 2022-08-25 09:05:08
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:35:30
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-ENV-Z1-H
QII - Air Infiltration Sealing - Framing Stage
(Page 4 of 6)
G. Cantilevered Floor Air Barrier
03
Any gaps, cracks or penetrations in the air barrier of the cantilever are sealed. Recessed can lights in the cantilever are IC and AT and
properly sealed to the sheathing.
04
Verification Status
Pass - all applicable requirements are met.
05
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
H. Walls For Attached Porch, Attic, Double Wall Air Barrier
O1
An exterior wall air barrier is required at the intersection of the porch and exterior wall when there is conditioned space on the other
side. The exterior wall includes an air barrier where the attic attaches to the conditioned space.
02
Truss framing blocking is used at the top and bottom of each wall/ roof section.
03
Verification Status
Pass - all applicable requirements are met.
04
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. ■
I. Air Barriers in Multifamily Dwellings 1 1 ! .•
01
Each dwelling unit must be sealed to stop air movement between dwelling units. Treat adjacent dwelling units as unconditioned space for
air sealing.
02
All penetrations through the floor and ceiling of each dwelling unit are sealed including, electric and gas utilities, water pipes, drain pipes,
fire protection service pipes, and communication wiring.
03
Elevator penthouse, mechanical penthouse, stairwell doors, roof access hatches, and plumbing stacks that separate conditioned and
unconditioned space are all sealed.
04
Vertical chases for garbage chutes, elevator shafts, HVAC ducting and plumbing shall be treated as unconditioned space for sealing.
05
Common hallways shall be treated as unconditioned space for sealing.
06
Verification Status
Pass - all applicable requirements are rnet.
07
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
J. Special Requirements for SIPs
01
SIPs are considered an air barrier when properly sealed at top, bottom, sides and all penetrations.
Registration Number:
222-P010157430A-000-001-E21001B-E21B
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:35:30
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 5 of 6)
J. Special Requirements for SIPs
02
Air barrier is continuous across all surfaces, including between SIPs and non -SIP sections.
03
Verification Status
Pass - all applicable requirements are met.
04
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
K. Special Requirements for ICF
01
ICF sections are considered an air barrier when properly sealed at top, bottom, sides and all penetrations.
02
Air barrier is continuous across all surfaces, including between ICF and non-ICF sections.
03
Verification Status
Pass - all applicable requirements are met.
04
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements In this table have been met.
L. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010157430A-000-001-E21001B-E21B
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:35:30
2019 Residential Corpliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-ENV-21-I1
C(,II - Air Infiltration Seating - Framing Stage
(Page 6 of 6)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.salbo-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
70PP-0R-9S fjO'C)S {16
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1_ The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Ownr):
TruTeam of California
Responsible Builder or installer Name:
Maria K Saldana
CSLB License:
1034361
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
((pia
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
bate Signed:
7022-08-25 09.05-06
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:
222-P010167430A-000-001-E21001B-E21B
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:35:30
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-ENV-Z2-11
all - Insulation Installation
(Page 1 of 7)
Project Name: Williams Residence
Enforcement Agency:
Qui nta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chia rite
Hideaway
City:
La Quinta
Zip Code:
92253
A. Insulation Materials Installed
01
Roof Deck Insulation Material Installed
Batt and Blanket
02
Ceiling Insulation Material Installed
Batt and Blanket
03
Exterior Wail Insulation Material Installed
Batt and Blanket
04
Raised Floor Insulation Material Installed
Batt and Blanket
05
Slab Edge Insulation Material Installed
Batt and Blanket
06
Verification Status
Pass - all applicable requirements are met.
B. All Surfaces
01
Air barrier installation and preparation for insulation was done and verified prior to insulation being installed.
02
All surfaces between conditioned and unconditioned space are sealed and insulated to meet or exceed the levels specified on the
Certificate of Compliance
03
All structural framing areas shall be insulated in a manner that resists thermal bridging through the assembly separating conditioned
from unconditioned space. Structural bracing, tie -downs, and framing of steel, or specialized framing used to meet structural
requirements of the CBC are allowed and must be insulated. These areas shall be called out on the building plans with diagrams and/ or
specified design drawings indicating the R-value of insulation and fastening method to be used.
04
All insulation was installed according to the manufacturer's installation instructions.
05
Labels or specification/ data sheets for each insulation material shall be provided to the HERS rater. Loose -fill material includes insulation
material bag labels or coverage charts.
06
Loose -fill insulation - the installed depth and density of insulation is verified in at least 6 random locations to ensure that the minimum
thickness and installed density meet R-value specified on the Certificate of Compliance, and are consistent with the manufacturer's
coverage chart.
07
If kraft paper faced insulation is used, paper is installed on the conditioned (warm in winter) side of surface. Paper must be in contact
with air barrier to within 2" framing (stud, joists, etc.).
08
Verification Status
Pass - all applicable requirements are met.
00
Correction Notes
Batt
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
C. Raised Floor Adjacent to Unconditioned Space
01
Insulation is in full contact with the subfloor.
Registration Number:
222-P010167430A-000-001-E22001A-E22A
Registration Date/Time: 2022-08-25 09:05:08
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-08-25 09:35:34
CERTIFICATE OF VERIFICATION
CF3R-ENV-Z2-H
all - Insulation Installation
(Page 2of7)
C. Raised floor Adjacent to Unconditioned Space
02
insulation hangers are spaced at 18 inches or less. Insulation hangers do not compress insulation.
03
Netting, or mesh, can be used if the cavity under the floor is filled and in contact with the subfioor.
04
When daylight basements are adjacent to crawispaces, if the basement is conditioned the walls adjacent to the crawlspace are insulated
to the R-value listed on the Certificate of Compliance. This includes framed stern walls, and vertical concrete retaining walls.
05
If access to the crawlspace is from the conditioned area the raised floor includes an airtight insulated access hatch. Where possible locate
crawl spare access on the exterior.
06
Verification Status
Pass - all applicable requirements are met.
07
Correction Notes
i
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. Walls Adjacent to Unconditioned Space
01
Insulation quality was verified prior to the installation of the interior air barrier (typically gypsum board).
02
Loose -fill and batt insulation is in contact with all six sides of wall cavities {top, bottom, back, left, right, front [to be installed laterj) with
no gaps, voids or compression. Special Situation: Where framing depth is greater than required insulation thickness (e.g., double walls or
framed bump -outs) a secondary air barrier shall be installed and in contact with the insulation, so that the insulation fills the cavity
formed by the additional air barrier.
03
Insulation fits snuggly around obstructions (e.g., electrical boxes, plumbing and wiring) with no gaps, voids or compression.
04
Structural metal tie -downs and shear panels are insulated between exterior air barrier and metal.
05
Hard to access wall stud cavities, such as corner channels or wall intersections, are insulated to the proper R-value prior to the
installation of exterior sheathing or exterior stucco lathe.
O6
Insulation and interior air barrier are installed behind tub, shower, fireplace enclosures and stairwells to the R-value listed on the
Certificate of Compliance when located against exterior walls.
07
All single -member window and door headers shall be insulated to a minimum of R-3 for a 2x4 framing, or equivalent width, and a
minimum of R-5 for all other assemblies. No header insulation is required for single -member headers that are the same width as the wall,
provided that the entire wall has at least R-2 insulation.
08
After insulation is installed: All insulated walls have interior and exterior air barriers, including kneewalls and walls of skylight wells.
Exception: Rim joists. Interior air barrier (typically gypsum board) is sealed to top plate.
09
Verification Status
Pass - all applicable requirerrieril. are filet.
10
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
E. Ceiling Adjacent to Unconditioned Space
01 Insulation extends to the outside surface of the exterior wall.
Registration Number:
222-P010167430A-000-001-E22001A-E22A
Registration Date/Time: 2022-08-25 09:05:08
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-08-25 09:35:34
CERTIFICATE OF VERIFICATION
CF3R-ENV-Z2-H
all - Insulation Installation
(Page 3 of 7)
E. Ceiling Adjacent to Unconditioned Space
02
Insulation is in direct contact with the ceiling air barrier so there are no gaps, voids or compression.
03
Chimneys and flues (except zero clearance) have a sheet metal collar at the ceiling level to prevent contact with the insulation. The collar
is at least as tall as the depth of the insulation. There is a minimum 1" clearance between the collar and the chimney/flue for double wall
vent, and 6" for single wall vent, unless manufacturer's instructions require otherwise. The collar is sealed to the ceiling with high
temperature sealant to prevent air leakage. The insulation is in contact with the sheet metal collar,
04
Recessed can lights penetrating the ceiling air barrier are covered with insulation to the depth needed to meet the ceiling R-value
specified on the Certificate of Compliance.
05
External surfaces of steel studs, steel -framed kneewalls, skylight shafts, and gable ends are covered with insulation.
06
Verification Status
Pass - all applicable requirements are met.
07
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
F. Ceiling Insulation in Vented Attics
01
Required eave ventilation shall not be obstructed. The net -free ventilation area of the eave vent is maintained.
02
Eave vent baffles and dams are installed to prevent air movement under or into the ceiling insulation.
03
Attic access is insulated to the same R-value required by the Certificate of Compliance for ceiling insulation and the insulation is
permanently attached using adhesive or mechanical fasteners.
04
Attic access must have a dam around the access to at least the same depth as the insulation.
05
Attic rulers specified to the installed loose -fill material (brand and type) are installed and evenly distributed throughout the attic to verify
depth (one ruler for every 250 ft2). The rulers are clearly readable and scaled to read inches of insulation and the R-value installed.
06
Verification Status
Pass - all applicable requirements are met.
07
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Insulation in unvented Attics
01
The roof sheathing is the air barrier and is sealed to prevent air movement to the outside.
02
Insulation is in full contact with the air barrier (roof sheathing).
03
If insulated using air permeable insulation, gable end walls are sealed and insulated the same as exterior walls, including interior air
barrier.
04
Verification Status
Pass - all applicable requirements are met.
05
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010167430A-000-001-E22001A-E22A
Registration Date/Time: 2022-08-25 09:05:06
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-08-25 09:35:34
CERTIFICATE OF VERIFICATION
CF3R-ENV-22-H
QII - Insulation Installation
(Page 4 of 71
H. Insulation in Vented Attics (High Performance Vented Attics)
01
Insulation is in fu[I contact with roof sheathing and firmly supported to prevent sagging.
02
Batt insulation between roof trusses is acceptable with minimal gaps and voids caused by roof truss members.
03
Insulation is not required on gable end walls.
04
Required roof deck insulation over any conditioned space, or HVAC ducts, is installed on the entire attic roof deck; even aver
unconditioned spaces (e.g., garage, covered porch). Roof deck of attic over unconditioned space without HVAC ducts and separated from
other attics by a sealed air barrier do not need to be insulated.
05
Verification Status
Pass - all applicable requirements are met.
06
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
I. Special Requirements for Skylight Shafts and Attic Knee Walls
01
Insulation must meet all the requirements for walls and insulation is in contact with the air barrier on all six sides unless SPF is used.
02
Insulation shall be in full contact with the interior wall finish. Batt insulation must be cut to fit around 2x4's that are laid flat.
03
Skylight shafts and attic knee walls
and bottom of the insulation.
shall be completely enclosed by vertical and horizontal framing, including horizontal plates at the top
04
Verification Status
Pass - all applicable requirements are met.
05
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
J. Special Requirements for Floors Above Garages
01
If the air barrier is at the perimeter of the garage below the conditioned subfloor, then the insulation may be placed on the garage
ceiling. The perimeter of the subfloor must also be insulated.
02
Verification Status
Pass - all applicable requirements are met.
03
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
222-P010167430A-000-001-E22001A-E22A
Registration Oate/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:35:34
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-ENV-22-H
QII - Insulation Installation
(Page 5 of 7)
K. Special Requirements for Cantilevered Floors
01
Sealed blacking shall be installed between joists where the wall rim joist would have been located in the absence of a cantilever.
Insulation shall be placed on both sides of the block.
02
Verification Status
Pass - all applicable requirements are met.
03
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
L. Special Requirements for Attached Porches
01
Exterior wall at the intersection of the porch roof is fully insulated above, below and behind the roof line.
02
Where truss framing is used, airtight blocking is used at the top and bottom of each wall/ roof section and is insulated.
03
Verification Status
Pass - all applicable requirements are met.
04
Correction Notes
The responsible person's signature an this compliance document affirms that all applicable requirements in this table have been met.
M. Special Requirements for SPF Insulation % 1 I L • 1
01
Installed product meets the claimed R-value per inch. Non-standard values are supported by an ICC Evaluation Service Report (ESR)
number (e.g_, ESR-xxxx) and documented on the CF2R-ENV-03. Non-standard values are anything greater than R-5.8/inch for closed cell
and R-3.6/inch for open cell.
02
Installed thickness meets the required R-value from the Certificate of Compliance. Verified in at least 6 random places for each surface
type: floors, walls and ceilings.
03
Insulation is spray applied to fully adhere to structural assembly framing, floor and ceiling joists, and other framing surfaces within the
construction cavity.
04
If multiple layers are applied, each foam lift (e.g., spray application) adheres to the substrate and foam interfaces.
05
Closed cell SPF: In area where an air barrier is required the foam is at least 2" thick.
05
Open cell SPF: In area where an air barrier is required the foam is at least 5.5" thick,
07
Open cell SPF: Depressions in the foam insulation are not greater than 1i2" of the required thickness provided these depressions do not
exceed 10% of the surface area being insulated.
08
Open cell SPF: Insulation completely fills cavities of 2x4 framing.
Registration Number:
222-P010167430A-000-001-E22001A-E22A
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019,1,006 Report Generated: 2022-08-25 09:35:34
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
Cr3R-Ef'\-22-H
QII - Insulation Installation
(Page 6 of 7)
M. Special Requirements for SPF Insulation
09
SPF insulation is not applied directly to recessed lighting fixtures unless specifically allowed by manufacturer's instructions. when not
allowed, can lights are:
A. Covered with a minimum of 1.5" of mineral fiber insulation or
B. Enclosed in a manufacturer's approved box fabricated from an approved material, such as 18 gauge sheet metal or 1/2" gypsum
board.
10
Verification Status
Pass - all applicable requirements are met.
11
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
N. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010157430A-000-001-E22001A-E22A
Ca10ERTS, Inc.
HERS PROVIDER
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:35:34
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-ENV-Z2-Ff
all - Insulation Installation
(Page 7 of 7)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.salbo-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
70PP-0R-9S cicl'0S'06
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1_ The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Ownr):
TruTeam of California
Responsible Builder or installer Name:
Maria K Saldana
CSLB License:
1034361
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
e(eexewenvi
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-06
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-E22001A-E22A
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20191201
Report Generated: 2022-08-25 09:35:34
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Great Room
03
Indoor Unit Name or Description of Area Served
Great Room
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
OG
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
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-20c - Low Leakage Air -Handling Unit (LLAHU)
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 Coaling 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 (cfrrf)
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
Registration Number:
222-P010167430A-000-001-M Z0001A-M 20A
Registration Date/Time: 2022-08-25 09:05:08
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:10:19
Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
90,5
12
Air Handling Unit Manufacturer Name
Daikin
13
Air Handling Unit Model Number
DM8OSE0805CUAA
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
htto://www.energv.ca.aovftitle24/eouinment certlllahu/low leakage air handling units.ndf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
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.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
!f cloth backed tape was used it was covered with Mastic and draw hands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are rnet.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010157430A-000-001-M 20001A-M 20A
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:10:19
2019 Residential Corpliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3 R-MCI-I-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesca.sallmav?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Ownr):
THOMS0N AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
((Ace:weever-xJ
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-06
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 20001A-M 20A
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20210501
Report Generated: 2022-08-25 08:10:19
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 2
02
Space Conditioning System Location or Area Served
Master Bedroom
03
Indoor Unit Narne or Description of Area Served
Master Bedroom
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
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-20c - Low Leakage Air -Handling Unit (LLAHU)
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 Coaling Capacity
Na
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
n/a
06
Measured AHU Airflow (cfrrf)
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
Registration Number:
222-P010167430A-000-001-M 20002A-M 20A
Registration Date/Time: 2022-08-25 09:05:07
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:38:08
Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
78,4
12
Air Handling Unit Manufacturer Name
Daikin
13
Air Handling Unit Model Number
DM8OSE0805CUAA
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
htto://www.energv.ca.aovftitle24/eouinment certlllahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
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.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
!f cloth backed tape was used it was covered with Mastic and draw hands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are rnet.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010157430A-000-001-M 20002A-M 20A
Registration Date/Time: 2022-08-25 09:05:07 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:38:08
2019 Residential Corpliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3 R-MCI-I-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesca.sallmav?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 fj0'C1h'f77
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Ownr):
THOMS0N AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
e(Ze.e.g#4e-m- ia-oor."—r-
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-07
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 20002A-M 20A
Registration Date/Time: 2022-08-25 09:05:07 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:38:08
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 3
02
Space Conditioning System Location or Area Served
Hallways up/dwn
03
Indoor Unit Name or Description of Area Served
Hallways up/dwn
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
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-20c - Low Leakage Air -Handling Unit (LLAHU)
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 Coaling Capacity
Na
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
n/a
06
Measured AHU Airflow (cfrrf)
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
Registration Number:
222-P010167430A-000-001-M 20003A-M 20A
Registration Date/Time: 2022-08-25 09:05:07
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:45:42
Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
96,5
12
Air Handling Unit Manufacturer Name
Daikin
13
Air Handling Unit Model Number
DM8OSE0805CU
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
htto://www.energv.ca.aovftitle24/eouinment certlllahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
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.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
!f cloth backed tape was used it was covered with Mastic and draw hands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are rnet.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-M 20003A-M 20A
Registration Date/Time: 2022-08-25 09:05:07 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:45:42
2019 Residential Corpliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3 R-MCI-I-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesca.sallmav?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 fj0'C1h'f77
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Ownr):
THOMS0N AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
e(Ze.e.g#4e-m- ia-oor."—r-
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-07
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 20003A-M 20A
Registration Date/Time: 2022-08-25 09:05:07 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20210501
Report Generated: 2022-08-25 08:45:42
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 4
02
Space Conditioning System Location or Area Served
Upstairs Suite
03
Indoor Unit Name or Description of Area Served
Upstairs Suite
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
OG
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
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-20c - Low Leakage Air -Handling Unit (LLAHU)
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 Coaling Capacity
Na
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
n/a
06
Measured AHU Airflow (cfrrf)
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
Registration Number:
222-P010167430A-000-001-M 20004A-M 20A
Registration Date/Time: 2022-08-25 09:05:08
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:54:11
Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
39.5
12
Air Handling Unit Manufacturer Name
Daikin
13
Air Handling Unit Model Number
DM8OSNO603AUAA
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
htto://www.energv.ca.aovftitle24/eouinment certlllahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
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.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
!f cloth backed tape was used it was covered with Mastic and draw hands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are rnet.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-M 20004A-M 20A
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:54:11
2019 Residential Corpliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3 R-MCI-I-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesca.sallmav?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 fj0'C1h'f77
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Ownr):
THOMS0N AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
�Ze.e.zwera-ia
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-08
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 20004A-M 20A
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:54:11
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MCH-21-H
Duct Location
(Page 1 of 3)
Project Name:
Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address:
Hideaway
53-070 Via Chiante
City:
La Quinta
Zip Code:
92253
A. General Information
Note. Submit one Installation Certificate for each duct system that is taking credit for duct location.
01
Space Conditioning (SC) System Identification or Name
System 1
02
5C System Location or Area Served
Great Room
03
Indoor Unit Name or Description of Area Served
Great Room
04
Status - Less than 12 ft Ducts in Conditioned Space Performance
Credit:
Not applicable
05
Status - Ducts Located In Conditioned Space Perforrnance Credit:
True
05
Status - All Ducts Entirely in Directly Conditioned Space R-value
Exception
Not applicable
07
Status - Ducts Located In Wall Cavities R-Value Exception:
Not applicable
08
Status - Portions of Exposed Ducts in Directly Conditioned Space
R-Value Exception
Not applicable
B. 12 Linear Feet or Less of Duct Located Outside of Conditioned Space - RA3.1.4.1.2
This section does not apply to this project.
C. Ducts Located In Conditioned Space - RA3.1.4.1.3
01
A visual inspection shall confirm the space conditioning system is located entirely in conditioned space.
02
Verification Status
Pass - allapplicablerequirementsarernet.
03
Correction Notes
The responsible persons signature an this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted In the Verification Status and the Corrections Notes in this table.
D. All Ducts Located Entirely in Directly Conditioned Space R-Value Exception - RA3.1.4.3.8
This section does not apply to this project,
Registration Number:
222-P010157430A-000-001-M 21001A-M 21A
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:20:39
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-21-H
Duct Location
(Page 2 of 3)
E. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010157430A-000-001-M 21001A-M 21A
Ca10ERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report version: 2019.1.006 Report Generated: 2022-08-25 08:20:39
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-NMCH-21-H
Duct Location
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.s.447.-?ems,
Company:
Advancing Home Performance, Inc.
Date signed:
90PP-0R-9S f19'iTh' 7R
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Owner):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
�Ze.,eswerer-ia
Responsible Rater Certification Number wf this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-08
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:
222-P010167430A-000-001-M 21001A-M 21A
Registration Date/Time: 2022-I}8-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:20:39
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-21-H
Duct Location
(Page 1 of 3)
Project Name:
Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address:
Hideaway
53-070 Via Chiante
City:
La Quinta
Zip Code:
92253
A. General Information
Note. Submit one Installation Certificate for each duct system that is taking credit for duct location.
01
Space Conditioning (SC) System Identification or Name
System 2
02
5C System Location or Area Served
Master Bedroom
03
Indoor Unit Name or Description of Area Served
Master Bedroom
04
Status - Less than 12 ft Ducts in Conditioned Space Performance
Credit:
Not applicable
05
Status - Ducts Located In Conditioned Space Perforrnance Credit:
True
05
Status - All Ducts Entirely in Directly Conditioned Space R-value
Exception
Not applicable
imp
07
Status - Ducts Located In Wall Cavities R-Value Exception:
Not applicable
I.
OR
Status - Portions of Exposed Ducts in Directly Conditioned Space
R-Value Exception
Not applicable
L'
1
1
1
1
1/4
B. 12 Linear Feet or Less of Duct Located Outside of Conditioned Space - RA3.1.4.1.2
This section does not apply to this project.
C. Ducts Located In Conditioned Space - RA3.1.4.1.3
01
A visual inspection shall confirm the space conditioning system is located entirely in conditioned space.
02
Verification Status
Pass - allapplicablerequirementsaremet.
03
Correction Notes
The responsible persons signature an this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted In the Verification Status and the Corrections Notes in this table.
D. All Ducts Located Entirely in Directly Conditioned Space R-Value Exception - RA3.1.4.3.8
This section does not apply to this project,
Registration Number:
222-P010157430A-000-001-M 21002A-M 21A
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:38:56
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-21-H
Duct Location
(Page 2 of 3)
E. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010157430A-000-001-M 21002A-M 21A
Ca10ERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report version: 2019.1.006 Report Generated: 2022-08-25 08:38:56
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-NMCH-21-H
Duct Location
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.s.447.-?ems,
Company:
Advancing Home Performance, Inc.
Date signed:
90PP-0R-9S f19'C1S'f7R
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Owner):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
�Ze.,eswerer-ia
Responsible Rater Certification Number wf this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-08
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:
222-P010167430A-000-001-M 21002A-M 21A
Registration Date/Time: 2022-118-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:38:56
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-21-H
Duct Location
(Page 1 of 3)
Project Name:
Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address:
Hideaway
53-070 Via Chiante
City:
La Quinta
Zip Code:
92253
A. General Information
Note. Submit one Installation Certificate for each duct system that is taking credit for duct location.
01
Space Conditioning (SC) System Identification or Name
System 3
02
5C System Location or Area Served
Hallways upjdwn
03
Indoor Unit Name or Description of Area Served
Hallways upjdwn
04
Status - Less than 12 ft Ducts in Conditioned Space Performance
Credit:
Not applicable
05
Status - Ducts Located In Conditioned Space Perforrnance Credit:
True
05
Status - All Ducts Entirely in Directly Conditioned Space R-value
Exception
Not applicable
imp
07
Status - Ducts Located In Wall Cavities R-Value Exception:
Not applicable
I.
OR
Status - Portions of Exposed Ducts in Directly Conditioned Space
R-Value Exception
Not applicable
L'
1
1
1
1
1/4
B. 12 Linear Feet or Less of Duct Located Outside of Conditioned Space - RA3.1.4.1.2
This section does not apply to this project.
C. Ducts Located In Conditioned Space - RA3.1.4.1.3
01
A visual inspection shall confirm the space conditioning system is located entirely in conditioned space.
02
Verification Status
Pass - allapplicablerequirementsaremet.
03
Correction Notes
The responsible persons signature an this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted In the Verification Status and the Corrections Notes in this table.
D. All Ducts Located Entirely in Directly Conditioned Space R-Value Exception - RA3.1.4.3.8
This section does not apply to this project,
Registration Number:
222-P010157430A-000-001-M 21003A-M 21A
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:46:18
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-21-H
Duct Location
(Page 2 of 3)
E. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010157430A-000-001-M 21003A-M 21A
Ca10ERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report version: 2019.1.006 Report Generated: 2022-08-25 08:46:18
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-NMCH-21-H
Duct Location
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.s.447.-?ems,
Company:
Advancing Home Performance, Inc.
Date signed:
90PP-0R-9S f19'iTh' 7R
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Owner):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
�Ze.,eswerer-ia
Responsible Rater Certification Number wf this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-08
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:
222-P010167430A-000-001-M 21003A-M 21A
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:46:18
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-21-H
Duct Location
(Page 1 of 3)
Project Name:
Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address:
Hideaway
53-070 Via Chiante
City:
La Quinta
Zip Code:
92253
A. General Information
Note. Submit one Installation Certificate for each duct system that is taking credit for duct location.
01
Space Conditioning (SC) System Identification or Name
System 4
02
5C System Location or Area Served
Upstairs Suite
03
Indoor Unit Name or Description of Area Served
Upstairs Suite
04
Status - Less than 12 ft Ducts in Conditioned Space Performance
Credit:
Not applicable
05
Status - Ducts Located In Conditioned Space Perforrnance Credit:
True
05
Status - All Ducts Entirely in Directly Conditioned Space R-value
Exception
Not applicable
imp
07
Status - Ducts Located In Wall Cavities R-Value Exception:
Not applicable
IV
08
Status - Portions of Exposed Ducts in Directly Conditioned Space
R-Value Exception
Not applicable
L'
1)
1
1
1
1/4
B. 12 Linear Feet or Less of Duct Located Outside of Conditioned Space - RA3.1.4.1.2
This section does not apply to this project.
C. Ducts Located In Conditioned Space - RA3.1.4.1.3
01
A visual inspection shall confirm the space conditioning system is located entirely in conditioned space.
02
Verification Status
Pass - allapplicablerequirementsaremet.
03
Correction Notes
The responsible persons signature an this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted In the Verification Status and the Corrections Notes in this table.
D. All Ducts Located Entirely in Directly Conditioned Space R-Value Exception - RA3.1.4.3.8
This section does not apply to this project,
Registration Number:
222-P010157430A-000-001-M 21004A-M 21A
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:54:50
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-21-H
Duct Location
(Page 2 of 3)
E. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010157430A-000-001-M 21004A-M 21A
Ca10ERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2022-08-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report version: 2019.1.006 Report Generated: 2022-08-25 08:54:50
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-NMCH-21-H
Duct Location
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.s.447.-?ems,
Company:
Advancing Home Performance, Inc.
Date signed:
90PP-0R-9S f19'iTh' 7R
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-8648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Owner):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
�Ze.,eswerer-ia
Responsible Rater Certification Number wf this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-08
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:
222-P010167430A-000-001-M 21004A-M 21A
Registration Date/Time: 2022-I}8-25 09:05:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:54:50
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-23 H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Description of Area Served
Great Room
03
Indoor Unit Name
Great Room
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
5
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1-
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
ALNGR
03
Model number of Airflow Measurement Apparatus
E9T731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.govftitle24/equipment_certfama_fas/index.
html
Registration Number:
222-P010157430A-000-001-M 23001A-M 23A
Registration Date/Time: 2022-08-25 09:05:09
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:22:55
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCI-23-H
Space Conditioning System Airflow Rate
(Page 2 of 3)
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/tan)
350
02
Required Minimum System Airflow Target (cfm)
1750
03
Actual System Airflow Rate Measurement (cfm)
1779
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150,0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was
calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in
RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return
duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an
allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate
shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Mufti -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-M 23001A-M 23A
Registration Oate/Time: 2022-08-25 09:05:09
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:22:55
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3 R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.salm-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
90PP-0R-9S fIcl'I S'f7R
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-g648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for ail applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Ownr):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
�Ze..edwerer-i
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
bate Signed:
7022-08-25 09.05-09
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 23001A-M 23A
Registration Date/Time: 2022-08-25 09:05:09 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:22:55
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-23 H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
System 2
02
Space Conditioning System Description of Area Served
Master Bedroom
03
Indoor Unit Narne
Master Bedroom
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
4
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1-
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
ALNGR
03
Model number of Airflow Measurement Apparatus
EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.govftitle24/equipment_certfama_fas/index.
html
Registration Number:
222-P010157430A-000-001-M 23002A-M 23A
Registration Date/Time: 2022-08-25 09:05:09
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:39:49
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCI-23-H
Space Conditioning System Airflow Rate
(Page 2 of 3)
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/tan)
350
02
Required Minimum System Airflow Target (cfm)
1400
03
Actual System Airflow Rate Measurement (cfm)
1517
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150,0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was
calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in
RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return
duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an
allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate
shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Mufti -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-M 23002A-M 23A
Registration Oate/Time: 2022-08-25 09:05:09
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:39:49
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3 R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.salm-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
90PP-0R-9S fIcl'.M'Oc)
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-g648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Ownr):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
e(Zexa#4senviO
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
bate Signed:
7022-08-25 09.05-09
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-1V123002A-M 23A
Registration Date/Time: 2022-08-25 09:05:09 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:39:49
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-23 H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
System 3
02
Space Conditioning System Description of Area Served
Hallways up/dwn
03
Indoor Unit Name
Hallways up/dwn
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
5
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1-
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
ALNGR
03
Model number of Airflow Measurement Apparatus
E9T731
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
Registration Number:
222-P010157430A-000-001-M 23003A-M 23A
Registration Date/Time: 2022-08-25 09:05:09
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:47:17
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCI-23-H
Space Conditioning System Airflow Rate
(Page 2 of 3)
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/tan)
350
02
Required Minimum System Airflow Target (cfm)
1750
03
Actual System Airflow Rate Measurement (cfm)
1776
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150,0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was
calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in
RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return
duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an
allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate
shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Mufti -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-M 23003A-M 23A
Registration Oate/Time: 2022-08-25 09:05:09
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:47:17
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3 R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.salm-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
90PP-0R-9S fIcl'.M'Oc)
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-g648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Ownr):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
e(Zexa#4senviO
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
bate Signed:
7022-08-25 09.05-09
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-1V123003A-M 23A
Registration Date/Time: 2022-08-25 09:05:09 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20191201
Report Generated: 2022-08-25 08:47:17
CERTIFICATE OF VERIFICATION
CF3R-MCH-23 H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
System 4
02
Space Conditioning System Description of Area Served
Upstairs Suite
03
Indoor Unit Name
Upstairs Suite
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
2
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1-
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
ALNOR
03
Model number of Airflow Measurement Apparatus
E9T731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.govftitle24/equipment_certfama_fas/index.
html
Registration Number:
222-P010157430A-000-001-M 23004A-M 23A
Registration Date/Time: 2022-08-25 09:05:10
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:55:30
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCI-23-H
Space Conditioning System Airflow Rate
(Page 2 of 3)
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/tan)
350
02
Required Minimum System Airflow Target (cfm)
700
03
Actual System Airflow Rate Measurement (cfm)
801
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150,0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was
calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in
RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return
duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an
allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate
shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Mufti -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-M 23004A-M 23A
Registration Oate/Time: 2022-08-25 09:05:10
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:55:30
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3 R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.salm-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-g648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Ownr):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
e(Zexa#4senviO
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
bate Signed:
7022-08-25 09-05-10
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-1V123004A-M 23A
Registration Date/Time: 2022-08-25 09:05:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:55:30
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MC11-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 1
02
System Location or Area Served
Great Room
03
Indoor Unit Name or Description of Area Served
Great Room
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI] Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
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 fon 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
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
711.6
02
Actual Tested Airflow from MCH-23 (cfm)
1779
03
Required Fan Efficacy (Watts/cfm)
0.A
04
Actual Fan Efficacy (watts/cfm)
0.4
05
Compliance Statement;
System fan efficacy complies
Registration Number:
222-P010167430A-000-001-M 22001A-M 22A
Registration Date/Time: 2022-08-25 09:05:10
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-08-25 08:27:10
CERTIFICATE OF VERIFICATION
CF3R-MCI-I-Z2-11
Space Conditioning System Fan Efficacy
(Page 2 of 3)
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
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
E. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-M 22001A-M 22A
Registration Date/Time: 2022-08-25 09:05:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:27:10
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3 R-MCH-Z2-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.salm-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 fl9'05' 10
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (installing Subcontractor, General Contractor, or Builder/Ownr):
Advancing Home Performance, Inc.
Responsible Builder or Installer Name:
Alexandra Winner
CSLB License:
967053
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
�Ze.,eswerer-i
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09-05-10
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 22001A-M 22A
Registration Date/Time: 2022-08-25 09:05:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:27:10
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MC11-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 2
02
System Location or Area Served
Master Bedroom
03
Indoor Unit Narne or Description of Area Served
Master Bedroom
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
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 fon 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
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
606.8
02
Actual Tested Airflow from MCH-23 (cfm)
1.517
03
Required Fan Efficacy (Watts/cfm)
0.A
04
Actual Fan Efficacy (watts/cfm)
0.4
05
Compliance Statement;
System fan efficacy complies
Registration Number:
222-P010167430A-000-001-M 22002A-M 22A
Registration Date/Time: 2022-08-25 09:05:10
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-08-25 08:40:41
CERTIFICATE OF VERIFICATION
CF3R-MCI-I-Z2-11
Space Conditioning System Fan Efficacy
(Page 2 of 3)
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
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
E. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-1v122002A-M 22A
Registration Date/Time: 2022-08-25 09:05:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:40:41
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3 R-MCH-Z2-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.salm-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 fl9'05' 10
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Ownr):
THOMS0N AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
((Ace:wee-At-xJ
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09-05-10
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 22002A-M 22A
Registration Date/Time: 2022-08-25 09:05:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:40:41
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MC11-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 3
02
System Location or Area Served
Hallways up/dwn
03
Indoor Unit Name or Description of Area Served
Hallways up/dwn
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
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 fon 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
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
710.4
02
Actual Tested Airflow from MCH-23 (cfm)
1776
03
Required Fan Efficacy (Watts/cfm)
0.4
04
Actual Fan Efficacy (watts/cfm)
0.4
05
Compliance Statement;
System fan efficacy complies
Registration Number:
222-P010157430A-000-001-M 22003A-M 22A
Registration D ate/Time: 2022-08-25 09:05:10
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-08-25 08:48:04
CERTIFICATE OF VERIFICATION
CF3R-NMCH-Z2-H
Space Conditioning System Fan Efficacy
(Page 2 of 3)
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
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
E. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-M 22003A-M 22A
Registration Date/Time: 2022-08-25 09:05:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:48:04
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3 R-MCH-Z2-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.salm-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 fl9'05' 10
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Ownr):
THOMS0N AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
((Ace:wee-At-xJ
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09-05-10
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 22003A-M 22A
Registration Date/Time: 2022-08-25 09:05:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:48:0a
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MC11-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 4
02
System Location or Area Served
Upstairs Suite
03
Indoor Unit Name or Description of Area Served
Upstairs Suite
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
2
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated {CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2022-08-22
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 fon 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
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
320.4
02
Actual Tested Airflow from MCH-23 (cfm)
801
03
Required Fan Efficacy (Watts/cfm)
CI 4
04
Actual Fan Efficacy (watts/cfm)
0.4
05
Compliance Statement;
System fan efficacy complies
Registration Number:
222-P010157430A-000-001-M 22004A-M 22A
Registration Date/Time: 2022-08-25 09:05:10
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-08-25 08:56:15
CERTIFICATE OF VERIFICATION
CF3R-MCI-I-Z2-11
Space Conditioning System Fan Efficacy
(Page 2 of 3)
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
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
E. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-1v122004A-M 22A
Registration Date/Time: 2022-08-25 09:05:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:56:15
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3 R-MCH-Z2-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.salm-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 fl9'05' 10
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Ownr):
THOMS0N AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
((Ace:wee-At-xJ
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09-05-10
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 22004A-M 22A
Registration Date/Time: 2022-08-25 09:05:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:56:15
2019 Residential Compliance Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-MCH-Z5-11
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Qui nta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chia rite
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Great Room
03
Condenser (or package unit) make or brand
Daikin
04
Condenser (or package unit) model number
DX16SA0601AE
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) serial number
2204261987
07
Refrigerant Type
R-410A
imririt
08
Other Refrigerant Type (if applicable)
tom. ANN
nia
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
2022-08-22
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
5ubcooling
Registration Number:
222-P010167430A-000-001-M 25001A-M 25A
Registration Date/Time: 2022-08-25 09:05:10
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:31:31
Schema Version: rev 20200901
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of el)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (T) V)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2022-08-01
02
Date of Digital Thermocouple Calibration
2022-08-01
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
Great Rgom
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
222-P010157430A-000-001-M 25001A-M 25A
Registration Date/Time: 2022-08-25 09:05:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:31:31
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F}
75
42
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
105
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using subcaoling
refrigerant charge verification method
04
Measured Liquid Line Temperature (TIIquld) (°F)
107.8
05
Measured Liquid Line Pressure (Pliquid) (psig)
399.1
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
116.3
07
Measured Subcooling (Line F06 - Lilne F04 ( °F)
8.5
08
Target Subcooling from Manufacturer (°F)
8
09
Compliance Statement:
System complies with Subcopiing Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
71.7
02
Measured Suction Line Pressure (Psuc ion) (psig)
167.9
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
59.2
04
Measured Superheat (Line G01- Line G03) (°F)
12.5
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not known
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-M 25001A-M 25A
Registration Date/Time: 2022-08-25 09:05:10
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-08-25 08:31:31
CERTIFICATE OF VERIFICATION
CF3 R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
efleseawdea•fetmew
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 01'05' 10
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name ( Instaiiing Subcontractor, General Contractor, or Builder/Ownr):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
�Ze.,edwerer-i
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09-05-10
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 25001A-M 25A
Registration Date/Time: 2022-08-25 09:05:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:31:31
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF VERIFICATION
CF3R-MCH-Z5-11
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Qui nta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chia rite
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
System 2
02
Space Conditioning System Location or Area Served
Master Bedroom
03
Condenser (or package unit) make or brand
Daikin
04
Condenser (or package unit) model number
DX16SA0481AF
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser (or package unit) serial number
2204155901
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a �t
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes — # — — — T
E R
1
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
2022-08-22
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
5ubcooling
Registration Number:
222-P010167430A-000-001-M 25002A-M 25A
Registration Date/Time: 2022-08-25 09:05:11
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:42:33
Schema Version: rev 20200901
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of el)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2022-08-01
02
Date of Digital Thermocouple Calibration
2022-08-01
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
Master Bedroom
1400
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
222-P010157430A-000-001-1V125002A-M 25A
Registration Date/Time: 2022-08-25 09:05:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:42:33
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F}
75
42
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
112
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using subcaoling
refrigerant charge verification method
04
Measured Liquid Line Temperature (TIIquld) (°F)
113.6
05
Measured Liquid Line Pressure (Pliquid) (psig)
411.5
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
118.6
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
5
08
Target Subcooling from Manufacturer (°F)
8
09
Compliance Statement:
System complies with Subcopiing Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
76.9
02
Measured Suction Line Pressure (Psuc ion) (psig)
167.2
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
59
04
Measured Superheat (Line 601- Line 603) (°F)
17.9
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not known
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-1V125002A-M 25A
Registration Date/Time: 2022-08-25 09:05:11
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-08-25 08:42:33
CERTIFICATE OF VERIFICATION
CF3 R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
efleseawdea•fetmew
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 01'05' 10
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name ( Instaiiing Subcontractor, General Contractor, or Builder/Ownr):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
�Ze.,edwerer-i
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-11
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 25002A-M 25A
Registration Date/Time: 2022-08-25 09:05:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:42:33
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
System 3
02
Spare Conditioning System Location or Area Served
Hallways upjdwn
03
Condenser (or package unit) make or brand
Daikin
04
Condenser (or package unit) model number
DX16SAO6D1AE
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) serial number
2204261966
07
Refrigerant Type
R-410A
08
other Refrigerant Type (if applicable)
nia AIM
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
2022-08-22
15
Refrigerant charge verification method used.
5ubcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
Subcooling
Registration Number:
222-P010167430A-000-001-1V125003A-M 25A
Registration Date/Time: 2022-08-25 09:05:11
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:50:16
Schema Version: rev 20200901
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of el)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (T) V)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2022-08-01
02
Date of Digital Thermocouple Calibration
2022-08-01
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
Hallways up/dwn
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
222-P010167430A-000-001-1V125003A-M 25A
Registration Date/Time: 2022-08-25 09:05:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:50:16
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F}
75
42
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
105
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using subcaoling
refrigerant charge verification method
04
Measured Liquid Line Temperature (TIquld) (°F)
107.9
05
Measured Liquid Line Pressure (Pliquid) (psig)
413.2
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
118.9
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11
08
Target Subcooling from Manufacturer (°F)
8
09
Compliance Statement:
System complies with Subcopiing Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
72.2
02
Measured Suction Line Pressure (Psuc ion) (psig)
153.1
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
54
04
Measured Superheat (Line G01- Line G03) (°F)
18.2
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not known
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-1V125003A-M 25A
Registration Date/Time: 2022-08-25 09:05:11
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-08-25 08:50:16
CERTIFICATE OF VERIFICATION
CF3 R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
efleseawdea•fetmew
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-25 fl9'flr,' 11
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
ef(Aeswerer-ia
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-11
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 25003A-M 25A
Registration Date/Time: 2022-08-25 09:05:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20200901
Report Generated: 2022-08-25 08:50:16
CERTIFICATE OF VERIFICATION
CF3R-MCH-Z5-11
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Qui nta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chia rite
Hideaway
City:
La Quinta
Zip Code:
92253
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
System 4
02
Space Conditioning System Location or Area Served
upstairs Suite
03
Condenser (or package unit) make or brand
Daikin
04
Condenser (or package unit) model number
DX16SA0241AF
05
Nominal Cooling Capacity (tons) of Condenser
2
06
Condenser (or package unit) serial number
2110689502
07
Refrigerant Type
R-410A
n/a
Yes_.....r{TS,
Inc•
08
Other Refrigerant Type (if applicable)
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
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
2022-08-22
15
Refrigerant charge verification method used.
5ubcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
5ubcooling
Registration Number:
222-P010167430A-000-001-M 25004A-M 25A
Registration Date/Time: 2022-08-25 09:05:11
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:57:35
Schema Version: rev 20200901
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of el)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2022-08-01
02
Date of Digital Thermocouple Calibration
2022-08-01
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
Upstairs Suite
700
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
222-P010157430A-000-001-1v125004A-M 25A
Registration Date/Time: 2022-08-25 09:05:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:57:35
2019 Residential Compliance Schema Version: rev 20200901
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F}
75
42
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
102
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using 5ubcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (TIIquld) (°F)
103.4
05
Measured Liquid Line Pressure (Pliquid) (psig)
359
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
108.5
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
5.1
08
Target Subcooling from Manufacturer (°F)
8
09
Compliance Statement:
System complies with Subcopiing Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
88.2
02
Measured Suction Line Pressure (Psuction) (psig)
189
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
66.2
04
Measured Superheat (Line G01- Line G03) (°F)
22
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not known
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-1V125004A-M 25A
Registration Date/Time: 2022-08-25 09:05:11
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-08-25 08:57:35
CERTIFICATE OF VERIFICATION
CF3 R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
efleseawdea•fetmew
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-25 fl9'flr,' 11
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
ef(Aeswerer-ia
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-11
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 25004A-M 25A
Registration Date/Time: 2022-08-25 09:05:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2019.1.006
2019 Residential Compliance Schema Version: rev 20200901
Report Generated: 2022-08-25 08:57:35
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVACsystem requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Description of Area Served
Great Room
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
Yes
05
Status: Heat Pump Heating Output Performance Compliance Check
No
06
Status: HSPF Performance Compliance Credit Check
No
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
—
204601626
system from http://www.ahridrectory.org — T
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
Furnace air -handling unit
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
li
Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 1
Great Room
Great Room
HP Coil
Daikin
DX165A0601
AC
Aspen
CE60D44210
LD44
004
Daikin
DM80SE080
SCUAA
Registration Number:
222-P010167430A-000-001-M 26001A-M 26A
Registration Date/Time: 2022-08-25 09:05:11
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:36:05
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Enformation from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
O1
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
5C System
ID/Nameon
CF1R
5C System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
installed
Model
Number
Indoor Unit •
installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 1
Great Room
Great Room
HP Coil
Daikin
D?C165A0501
A
Aspen
C(A,C,D,E)60
D44+TDR
Daikin
D*805E0805
CUA*
D. Verified Cooling System SEER
01
Required minimum SEER
16
02
Installed SEER
16
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
01
Required minimum EER
13
02
Installed EER
13
03
Compliance Statement:
System passes EER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
F. Verified Heat Pump Heating Output
This section does riot apply to this project.
G. Verified Heat Pump HSPF
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-M 26001A-M 26A
Registration Date/Time: 2022-08-25 09:05:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:36:05
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
01
If a specific air handler, furnace or fan coil is required by the directory used to certify product performance, the responsible person
certifies by signing this compliance document that the installed air handler/furnace matches the equipment specified by the Directory of
Certified Product Performance.
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes;
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
I. Verified Space Conditioning System Time Delay Relay
This section does not apply to this project.
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-M 26001A-M 26A
I rm), thr•
`, HERS PROVIDER
Registration Date/Time: 2022-08-25 09:05:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:36:05
2019 Residential Cornpliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3 R-MCH -26-H
Rated Space Conditioning System Equipment Verification
(Page4of4)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.r.dra-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-19R-25 fjcl'f)ri' 11
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/Ste te/2ip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
! certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Ownr):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
exe.zweze-i0
Responsible Rater Certification Number wf this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09.05-11
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-M 26001A-M 26A
Registration Date/Time: 2022-L18-25 09:05:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:36:05
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVACsystem requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
System 2
02
Space Conditioning System Description of Area Served
Master Bedroom
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
Yes
05
Status: Heat Pump Heating Output Performance Compliance Check
No
06
Status: HSPF Performance Compliance Credit Check
No
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
—
204469530
system from http://www.ahridrectory.org — T
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
Furnace air -handling unit
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
li
Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 2
Master
Bedroom
Master
Bedroom
HP Coil
Daikin
DX165A0481
AF
Aspen
CE48D44210
L004
Daikin
DM8OSE08O
SCUAA
Registration Number:
222-P010167430A-000-001-1V126002A-M 26A
Registration Date/Time: 2022-08-25 09:05:12
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:44:47
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Enformation from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
O1
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
5C System
ID/Nameon
CF1R
5C System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
installed
Model
Number
Indoor Unit •
installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 2
Master
Bedroom
Master
Bedroom
HP Coil
Daikin
DX16SA0481
A
Aspen
C(A,C,D,E)48
D44+TDR
Daikin
DM80SEOSQ
SC*A*
D. Verified Cooling System SEER
01
Required minimum SEER
16
02
Installed SEER
16
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
01
Required minimum EER
13
02
Installed EER
13
03
Compliance Statement:
System passes EER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
F. Verified Heat Pump Heating Output
This section does riot apply to this project.
G. Verified Heat Pump HSPF
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-1V126002A-M 26A
Registration Date/Time: 2022-08-25 09:05:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:44:47
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
01
If a specific air handler, furnace or fan coil is required by the directory used to certify product performance, the responsible person
certifies by signing this compliance document that the installed air handler/furnace matches the equipment specified by the Directory of
Certified Product Performance.
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes;
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
I. Verified Space Conditioning System Time Delay Relay
This section does not apply to this project.
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-1V126002A-M 26A
‘...c3 1‘...1.1% I ft.,),
`, HERS PROVIDER
Registration Date/Time: 2022-08-25 09:05:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:44:47
2019 Residential Cornpliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3 R-MCH -26-H
Rated Space Conditioning System Equipment Verification
(Page4of4)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.r.dra-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-25 flci'0 ' 11
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/Ste te/2ip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Ownr):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
exe.zweze-i0
Responsible Rater Certification Number wf this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09-05-12
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-1V126002A-M 26A
Registration Date/Time: 2022-118-25 09:05:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:44:47
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVACsystem requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
System 3
02
Space Conditioning System Description of Area Served
Hallways up/dwn
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
Yes
05
Status: Heat Pump Heating Output Performance Compliance Check
No
06
Status: HSPF Performance Compliance Credit Check
No
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
—
204601626
system from http://www.ahridrectory.org — T
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
Furnace air -handling unit
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
li
Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 3
Hallways
upjdwn
Hallways
upfdwn
HP Coil
Daikin
DX165A0601
AE
Aspen
CE60D44210
L004
Daikin
DM8OSE08O
5CU
Registration Number:
222-P010167430A-000-001-1V126003A-M 26A
Registration Date/Time: 2022-08-25 09:05:12
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:52:58
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Enformation from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
O1
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
5C System
ID/Nameon
CF1R
5C System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
installed
Model
Number
Indoor Unit •
installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 3
Hallways
upfdwn
Hallways
upfdwn
HP Coil
Daikin
DX16SA0601
A
Aspen
C(A,C,D,E)60
D44+TDR
Daikin
D*805E0805
CUA*
D. Verified Cooling System SEER
01
Required minimum SEER
16
02
Installed SEER
16
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
01
Required minimum EER
13
02
Installed EER
13
03
Compliance Statement:
System passes EER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
F. Verified Heat Pump Heating Output
This section does riot apply to this project.
G. Verified Heat Pump HSPF
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-1V126003A-M 26A
Registration Date/Time: 2022-08-25 09:05:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:52:58
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
01
If a specific air handler, furnace or fan coil is required by the directory used to certify product performance, the responsible person
certifies by signing this compliance document that the installed air handler/furnace matches the equipment specified by the Directory of
Certified Product Performance.
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes;
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
I. Verified Space Conditioning System Time Delay Relay
This section does not apply to this project.
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-1V126003A-M 26A
‘...c3 1‘...1.1% I ft.,),
`, HERS PROVIDER
Registration Date/Time: 2022-08-25 09:05:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:52:58
2019 Residential Cornpliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3 R-MCH -26-H
Rated Space Conditioning System Equipment Verification
(Page4of4)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.r.dra-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 fj9'f)12
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. E will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Ownr):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
�Ze.,esswerer-i
Responsible Rater Certification Number wf this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09-05-12
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-1V126003A-M 26A
Registration Date/Time: 2022-08-25 09:05:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 08:52:58
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
A. System information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVACsystem requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
System 4
02
Space Conditioning System Description of Area Served
Upstairs Suite
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
Yes
05
Status: Heat Pump Heating Output Performance Compliance Check
No
06
Status: HSPF Performance Compliance Credit Check
No
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
—
207598836
system from http://www.ahridrectory.org — T
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
Furnace air -handling unit
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
li
Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 4
Upstairs
Suite
Upstairs
Suite
HP Coil
Daikin
DX165A0241
AF
Alumacoil
CAPF3137B6
AA
Daikin
DM805NO60
3AUAA
Registration Number:
222-P010167430A-000-001-1V126004A-M 26A
Registration Date/Time: 2022-08-25 09:05:12
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:00:00
Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Enformation from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
O1
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
5C System
ID/Nameon
CF1R
5C System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit-
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
installed
Model
Number
Indoor Unit •
installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System
Upstairs
Suite
Upstairs
Suite
HPCoiI
Daikin
DX16SA0241
A*
Alumacoil
CA*F3137*6
A'+TxV
Daikin
DM8OSN060
3AUA*
D. Verified Cooling System SEER
01
Required minimum SEER
16
02
Installed SEER
16
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
01
Required minimum EER
13
02
Installed EER
13
03
Compliance Statement:
System passes EER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
F. Verified Heat Pump Heating Output
This section does riot apply to this project.
G. Verified Heat Pump HSPF
This section does not apply to this project.
Registration Number:
222-P010167430A-000-001-1V126004A-M 26A
Registration Date/Time: 2022-08-25 09:05:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:00:00
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
01
If a specific air handler, furnace or fan coil is required by the directory used to certify product performance, the responsible person
certifies by signing this compliance document that the installed air handler/furnace matches the equipment specified by the Directory of
Certified Product Performance.
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes;
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
I. Verified Space Conditioning System Time Delay Relay
This section does not apply to this project.
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-1V126004A-M 26A
‘...c3 1‘...1.1% I ft.,),
`, HERS PROVIDER
Registration Date/Time: 2022-08-25 09:05:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:00:00
2019 Residential Cornpliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3 R-MCH -26-H
Rated Space Conditioning System Equipment Verification
(Page4of4)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.r.dra-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 fje'f)12
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (InstaiiingSubcontractor, General Contractor, or Builder/Ownr):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
�Ze.,edwerer-iO
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09-05-12
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 aocuracy of the information.
Registration Number:
222-P010167430A-000-001-1V126004A-M 26A
Registration Date/Time: 2022-08-25 09:05:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:00:00
2019 Residential Compliance Schema Version: rev 20191201
CERTIFICATE OF VERIFICATION
CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 1 of 3)
Project Name: Williams Residence
Enforcement Agency:
Quinta
City of La
Permit Number:
Dwelling Address: 53-070 Via Chiante
Hideaway
City:
La Quinta
Zip Code:
92253
Title 24, Part 6, Section 150.0(o) Ventilation for indoor Air Quality. A!I dwelling units shall meet the requirements of ANSI/ASHRAE Standard
62.2.-2016 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings subject to amendments specified by Title 24, Part 6
Section 150.0(o)1,
A. Dwelling Mechanical Ventilation - General Information
01
Dwelling unit name
53-070 Via Chiante Hideaway
02
Building Type
Single family detached
03
Project scope
Newly Constructed
04
Total Conditioned Floor Area of Dwelling Unit
(For addition projects the conditioned floor area equals existing
area plus addition area.)
4821
,tom
05
Number of Bedrooms in Dwelling Unit
(For addition projects the number of bedrooms equals the existing
5
' '
bedrooms plus addition bedrooms)
lj
06
Ventilation System Type
Exhaust CD V 1 E E R
07
Ventilation Operation Schedule
Continuous
Note -
Non -dwelling units do not meet the definition for a dwelling unit as defined in Section 100.1(b). Non -dwelling units are not designed to provide
independent living facilities and do not provide permanent provisions for living, sleeping, eating, cooking and sanitation.
MCH-27a - Single Family Attached/Detached
B. Single Family Attached/Detached General Information
01
Average Ceiling Height
9
02
Total Conditioned Volume
43389
03
Vertical distance between the lowest and highest above grade
points within the pressure boundary in feet
20.5
04
Air Changes Per Hour at 50 Pa
Default
05
Name of ANSI/ASHRAE Standard 62.2-2016 weather station for
climate zone
Palm Springs Intl
06
Weather and shielding factor (wsf) (Based on city identified above)
0.45
Registration Number:
222-P010167430A-000-001-M 27001A-M 27A
Registration Date/Time: 2022-08-25 09:05:13
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2019 Residential Cornpliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-08-25 09:01:44
CERTIFICATE OF VERIFICATION
CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 2 of 3)
C. Ventilation - Total Ventilation Rate
A mechanical supply system, exhaust system or combination thereof shall provide whole -building ventilation with outdoor air each hour at no
less than the rate in 150.0(o)1Ci
01
Total Required Ventilation Rate (Qtot)
189.63
02
Enclosure Leakage Rate (Oso)
1446.3
03
Effective Annual Average Infiltration Rate (Qinf
48,83
04
Total Exterior Envelope Surface Area
nia
05
Unshared Exterior Envelope Surface Area (exclude surface areas
attached to garages or other dwelling units)
n/a
06
Required Mechanical Ventilation Rate (gran)
177.06
D. Installed Ventilation - Total Ventilation Rate
A mechanical supply system, exhaust system, or combination thereof shall provide whole -building ventilation with outdoor air
each hour at no less than the rate in 1S0.0(o)1Ci
01
02
03
04
05
Fan Name
Fan Location
Runtime (minJhr)
Installed Mechanical
Ventilation Rate (CFM)
Equivalent Continuous
Ventilation (CFM)
LAUNDRY
Laundry
60
197
197
06
Total Installed Continuous Ventilation (CFM)
197
E. Compliance Statement
01
Building Passes Mechanical Ventilation RateTest
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
222-P010167430A-000-001-M 27001A-M 27A
Registration Date/Time: 2022-08-25 09:05:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:01:44
2019 Residential Compliance Schema Version: rev 20200401
CERTIFICATE OF VERIFICATION
CF3 R-MCI-I-27-H
indoor Air Quality and Mechanical Ventilation
(Page 3 of 3)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Namel
Alexandra Winner
Documentation Author Signature:
eesea.salbo-?I��,.
Company:
Advancing Home Performance, Inc.
Date Signed:
7029-0R-75 .0cl'0�' 13
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
760-851-S648
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1- The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the
building, and made available to the enforcement agency for all applicable inspections_ I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer information As Shown On The Certificate Of Installation
Company Name (installing Subcontractor, General Contractor, or Builder/Ownr):
THOMSON AIR CONDITIONING
Responsible Builder or installer Name:
Josh Thomson
CSLB License:
959811
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Advancing Home Performance, Inc.
Responsible Rater Name:
Alexandra Winner
Responsible Rater Signature:
((A.:we-2a-iO
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
7022-08-25 09-05-13
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:
222-P010167430A-000-001-M 27001A-M 27A
Registration Date/Time: 2022-08-25 09:05:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2022-08-25 09:01:44
2019 Residential Compliance Schema Version: rev 20200401