BMCH2020-0220DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type:
Permit Number:
Property Address:
APN:
Legal Description
Property Zoning:
Valuation:
Mechanical
BMCH2O20-0220
52205 VIA CASTILE
777440007
$32,702.00
Declaration / Acknowledgement
BUILDING PERMIT
Ottigta
CALIFORNIA
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 07/28/2020
ISSUED DATE: 07/29/2020
Owner: MARSHALL BEERE
P 0 BOX 681003, PARK CITY, UT 92253
Applicant: iPermit iPermit
31225 La Baya Dr. #213, Westlake Village, CA
91362
Contractor: PATRICK T SOMERS / 686310
31170 RESERVE DRIVE, 92276
PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR
CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE
FOLLOWING:
LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2)
1) They are licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and the
referenced
License is in full force and effect, or;
2) That they are exempt from the Contractors' State License Law for the
reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or
she is exempt from licensure by a valid exemption. [Section 7031.5,
Business and Professions Code: Any city or county that requires a permit
to construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the
Contractors' State License Law (Chapter (commencing with Section 7000)
of Division 3 of the Business and Professions
Code] Any violation of Section 7031.5 by any applicant for a permit
subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).)
a) As owner of the property, or my employees with wages as their sole
compensation, will do all of or portions of the work, and the structure is
not intended or offered for sale (Section 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an owner of
property who, through employees' or personal effort, builds or improves
the property, provided that the improvements are not intended or offered
for sale. If, however, the building or improvement is sold within one year of
completion, the Owner -Builder will have the burden of proving that it was
not built or improved for the purpose of sale.).
b) As owner of the property, will be exclusively contracting with licensed
c) Are exempt from licensure under the Contractors' State License Law.
As an Owner -Builder, they acknowledge that, except for their personal
residence in which they must have resided in for at least one year prior to
completion of the improvements covered by this permit, they cannot legally
sell a structure built as an owner -builder if it has not been constructed in
its entirety by licensed contractors. It is understood that a copy of the
applicable law, Section 7044 of the Business and Professions Code, is
available upon request when this application was submitted at the
following Web site:
http://www.Ieg info.ca.gov/calaw. html.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If
applicable)
A construction lender will be used for completion of the improvements
covered by this permit and the name and information of which is on file for
public inspection during the regular business hours of the public entity.
Failure of the applicant to indicate the construction lender on the
application does not relieve that person of the requirement to give the
WORKERS' COMPENSATION DECLARATION (1, 2 or 3)
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION
TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION
3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1) Has and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code, for the performance of the work for
which this permit is issued.
2) Has and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued.
3) Certifies that, in the performance of the work for which this permit is
issued, shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that, if should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, shall forthwith comply with those provisions.
NOTICE TO APPLICANT (1, 2 and 3)
1) Each person upon whose behalf this application was made, each person
at whose request and for whose benefit work is being performed under or
pursuant to any permit issued as a result of this application, the owner, and
the applicant, each agrees to, and shall defend, indemnify and hold harmless
the City of La Quinta, its officers, agents, and employees for any act or
omission related to the work being performed under or following issuance of
this permit.
2) Any permit issued as a result of this application becomes null and void if
work is not commenced within 360 days from date of issuance of such
permit, or if cessation of work for 180 days will subject permit to
cancellation. On or after January 1, 2019, every permit issued shall become
invalid unless the work on the site authorized by such permit is commenced
within 12 months after its issuance, or if the work authorized on the site by
such permit is suspended or abandoned for a period of 12 months after the
time the work is commenced.
3) Certified that they read the application and state that the information
provided is correct. Agree to comply with all city and county ordinances and
state laws relating to building construction, and hereby authorize
representatives of this city to enter upon the above -mentioned property for
inspection purposes.
IMPORTANT: An Application for Permit was made to the Building Official,
subject to the conditions and restrictions set forth at the time of application,
which is now hereby an Issued Permit. If any part of the information being
supplied on this permit is inaccurate or untrue, please contact the City of La
Quinta at (760) 777-7125 immediately for correction.
Printed: 8/8/24 4:44 pm Page 1 of 4
BUILDING PERMIT
Permit Type:
Permit Number:
Property Address:
Mechanical
BMCH2O20-0220
52205 VIA CASTILE
construction lender preliminary notice from that duty.
Printed: 8/8/24 4:44 pm
Page 2 of 4
BUILDING PERMIT
Permit Type: Mechanical
Permit Number: BMCH2O20-0220
Property Address: 52205 VIA CASTILE
Use of Permit
BEERE / REPLACE (2) COMPLETE HVAC SYSTEMS *** [2] HVAC CHANGE OUTS - [2] 14 SEER/80 AFUE SPLIT SYSTEMS. LIKE FOR LI
NO CHANGE OF LOCATION. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2019 CALIFORNI/
BUILDING CODES.
Construction Details
Amount of
Split-System(s)
2
Valuation Details
Type
Group
Sq Ft Value
Financial Information
Invoice No.
PERMIT-BMCH2O20-0Z
0
Fee Fee Amount Amount Paid
HVAC CHANGEOUT - SPLIT -SYSTEM PC $161.00 $161.00
RECORDS MANAGEMENT FEE $10.00 $10.00
BSAS SB1473 FEE $2.00 $2.00
PERMIT ISSUANCE $101.97 $101.97
TECHNOLOGY ENHANCEMENT FEE $5.00 $5.00
HVAC CHANGEOUT - SPLIT -SYSTEM $80.50 $80.50
Total for Invoice PERMIT-BMCH2O20-0220 $360.47 $360.47
Grand Total for Permit
$360.47 $360.47
Inspections
Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work
shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be
construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections
presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be
valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for
inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of
any material required to allow inspection.
It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for
inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this
code.
Certificate of Occupancy
A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion
thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a
certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances
of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the
jurisdiction shall not be valid.
Printed: 8/8/24 4:44 pm
Page 3 of 4
BUILDING PERMIT
Permit Type:
Permit Number:
Property Address:
Service Utilities
Mechanical
BMCH2O20-0220
52205 VIA CASTILE
A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building
or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by
the building official.
Printed: 8/8/24 4:44 pm Page 4 of 4
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 1 of 8)
Project Name:
MARSHALL BEERE
Enforcement Agency:
La Quinta, City of
Permit Number:
BPLB2020-0058
BMCH2O20-0220,
Dwelling Address:
52205 VIA CASTILE
City:
La Quinta
Zip Code:
92253
A. General Information
01
Dwelling Unit Name
MARSHALL BEERE
02
Climate Zone
15
03
Dwelling Unit Total
2
Conditioned Floor Area (ft)
28 00
04
Number of Space
Conditioning Systems in this
Dwelling Unit.
2
05
Certificate of Compliance
Type
Prescriptive alterations (CF1R ALT)
06
Method Used to Calculate
HVAC Loads
Not applicable - equipment changeout,
like -for -like
07
Calculated Dwelling Unit
Sensible Cooling Load
(Btu/h)
This field or section is not applicable
08
Calculated Dwelling Unit
Heating Load (Btu/h)
This field or section is not applicable
09
Dwelling Unit Number of
Bedrooms
3
MCH-01b - Space Conditioning Systems Ducts and Fans - Prescriptive Alterations
Registration Number: 419-A020136976A-000-001-M01001A-0000 Registration Date/Time: 2020-08-25 16:09:34 HERS Provider: CHEERS
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not
responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2020-08-25 16:11:41
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 2 of 8)
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System (ft2)ducted
y
Is the SC
system a
system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing more
than 40 feet of
ducts?
Installing
entirely new
duct system?
Installing
entirely new SC
system?
Alteration Type
System 1
Location 1
1400
Yes
Yes
Yes
No
No
No
Altered space
conditioning
system
System 2
Location 2
1400
Yes
Yes
Yes
No
No
No
Altered space
conditioning
system
C. Space Conditioning (SC) System Alterations Compliance Information
01
02
03
04
05
06
07
08
09
10
11
12
13
SC
Identification
or Name
Heating
System Type
Altered
Heating
Component
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System Type
Altered
Cooling
Component
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
New or
Replaced
Duct
Length
New
Duct
R-Value
Central Fan
Integrated
(CFI)
Ventilation
System
Status
System 1
Central gas
furnace
All new
heating
componen
is
AFUE
0.8
Central
split AC
All new
cooling
components
SEER
14
Setback
This field
or
section is
not
applicabl
e
This
field
or
sectio
n is
not
applic
able
Not a CFI
system
Registration Number: 419-A020136976A-000-001-M01001A-0000 Registration Date/Time: 2020-08-25 16:09:34 HERS Provider: CHEERS
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not
responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2020-08-25 16:11:41
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 3 of 8)
C. Space Conditioning (SC) System Alterations Compliance Information
01
02
03
04
05
06
07
08
09
10
11
12
13
SC
Identification
or Name
Heating
System Type
Altered
Heating
Component
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System Type
Altered
Cooling
Component
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
New or
Replaced
Duct
Length
New
Duct
R-Value
Central Fan
Integrated
(CFI)
Ventilation
System
Status
System 2
Central gas
furnace
All new
heating
componen
is
AFUE
0.8
Central
split AC
All new
cooling
components
SEER
14
Setback
This field
or
section is
not
applicabl
e
This
field
or
sectio
n is
not
applic
able
Not a CFI
system
D. Installed Heating Equipment Information
01
02
03
04
05
06
07
SC Identification or Name
Heating Efficiency Type
Heating Efficiency
Value
Heating Unit
Manufacturer
Heating Unit
Model Number
Heating Unit Serial
Number
Rated Heating Capacity,
Output (Btu/h)
System 1
AFUE
0.8
Lennox
EL180UH100NE60
C-03
5919J17572
81000
System 2
AFUE
0.8
Lennox
EL180UH100NE60
C-03
5919J17577
81000
Notes:
Registration Number: 419-A020136976A-000-001-M01001A-0000 Registration Date/Time: 2020-08-25 16:09:34 HERS Provider: CHEERS
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not
responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2020-08-25 16:11:41
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 4 of 8)
E. Installed Cooling Equipment Information
01
02
03
04
05
06
07
08
Condenser or Package Unit
SC Identification or
Name
Cooling Efficiency
Type
Cooling Efficiency
Value
Condenser or
Package Unit
Manufacturer
Condenser or
Package Unit
Model Number
Condenser or
Package Unit
Serial Number
System Rated Cooling
Capacity at Design
Conditions (Btu/h)
Condenser Rated
Nominal Capacity
(ton)
System 1
SEER
14
Lennox
ML14XC1 060
230A04
1919H61532
60000
5
System 2
SEER
14
Lennox
ML14XC1 060
230A04
1919H61532
60000
5
Notes:
F. Extension of Existing Duct System, Greater Than 40 Feet
This section does not apply to this project.
G. Installed Duct System Information
This section does not apply to this project.
H. Installed Air Filter Device Information
This section does not apply to this project.
I. Air Filter Device Requirements
This section does not apply to this project.
Registration Number: 419-A020136976A-000-001-M01001A-0000 Registration Date/Time: 2020-08-25 16:09:34 HERS Provider: CHEERS
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not
responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2020-08-25 16:11:41
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 5 of 8)
J. HERS Verification Requirements
01
02
03
04
05
06
07
08
09
10
SC System
Identification or
Name
SC System
Location or Area
Served
Exemption
From Duct
Leakage
Requirements
MCH-20
Duct
Leakage
Test
Exemption
from
Minimum
R-Value for
Ducts In
Conditioned
Space
MCH-21
Duct Location
Verification
MCH-22
AHU Fan
Efficacy
(W/cfm)
MCH-23
AHU
Airflow
Rate
(cfm/ton)
MCH-25
Refrigerant
Charge
MCH-28
Return Duct Design
- Table 150.0-B or C
System 1
Location 1
None
Yes
applicoable t
No
No
Yes
Yes
No
System 2
Location 2
None
Yes
applicoable t
No
No
Yes
Yes
No
Notes:
Registration Number: 419-A020136976A-000-001-M01001A-0000 Registration Date/Time: 2020-08-25 16:09:34 HERS Provider: CHEERS
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not
responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2020-08-25 16:11:41
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 6 of 8)
K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures
Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the
system that are altered. Existing equipment may be exempt from these requirements.
Heating Equipment
01
Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
Regulations.
02
Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant
to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b).
03
Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections
150.0(h)1 and 2).
04
Furnace Temperature Rise: Central forced -air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum
inlet -to -outlet temperature rise specification. See Section 150.0(h)4.
05
Standby Losses and Pilot Lights: Fan -type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d).
Cooling Equipment
06
Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
Regulations.
07
Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section
150.0(j)2 and 3, and Section 150.0(m)9.
08
Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A.
09
Liquid Line Filter Drier: If applicable, a liquid line filter drier shall be installed according to the manufacturer's specifications. Section 150.0(h)3B
10
Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section
150.0(h)1 and 2.
Air Distribution System Ducts, Plenums and Fans
Registration Number: 419-A020136976A-000-001-M01001A-0000 Registration Date/Time: 2020-08-25 16:09:34 HERS Provider: CHEERS
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not
responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2020-08-25 16:11:41
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 7 of 8)
K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures
Note: 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.
11
Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be
required by the prescriptive or performance requirements. See Section 150.0(m)1.
12
Connections and Closures: All installed air -distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0,
602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006-2006: Supply -air and return -air ducts and plenums must be insulated to a minimum installed level of R-6.0 or
enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference
Residential Appendix RA3.1.4.3.8.
Heat Pump Thermostat
13
A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c).
14
The thermostat shall be installed in accordance with the manufacturers published installation specifications
15
First stage of heating shall be assigned to heat pump heating.
16
Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number: 419-A020136976A-000-001-M01001A-0000 Registration Date/Time: 2020-08-25 16:09:34 HERS Provider: CHEERS
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not
responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2020-08-25 16:11:41
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 8 of 8)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Patty Hernandez
Documentation Author Signature:
Patty1 �
Company:
I Permit E Raters
Signature te:
2020-08-25
Address:
31225 La Baya Drive
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Westlake Village CA 91362
Phone:
818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of
features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized
representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the
installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4. I will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Patrick Somers (authorized Patty Hernandez)
Responsible Builder/Installer Signature:
Patty .-{ pX
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
General Air Conditioning
Position With Company (Title):
Contractor/Installer
Address:
31170 Reserve Drive
CSLB License:
686310
City/State/Zip:
Thousand Palms CA 92276
Phone:
760-343-7488
Date Signed:
2020-08-25
Digitally signed by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS). 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: 419-A020136976A-000-001-M01001A-0000 Registration Date/Time: 2020-08-25 16:09:34 HERS Provider: CHEERS
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not
responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2020-08-25 16:11:41
Schema Version: rev 20180426
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name:
MARSHALL BEERE
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BMCH2O20-0220,
BPLB2020-0058
Dwelling Address:
52205 VIA CASTILE
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Location 1
03
Building Type from CF-1R
Single family
04
Verified Low Leakage Ducts in Conditioned Space (VLLDCS)
Credit from CF1R?
No, credit is not taken
05
Verified Low Leakage Air Handling Unit (VLLAHU) Credit
from CF1R?
No, credit is not taken
06
Duct System Compliance Category
Alteration using smoke test
MCH-20e - Sealing All Accessible Leaks using Smoke Test
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
5
02
Heating Capacity (kBtu/h)
81
03
Conditioned Floor Area served by this HVAC system (ft2)
1400
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.15
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage Rate (cfm)
300
10
Actual Duct Leakage Rate from Leakage Test
Measurement (cfm)
500
Registration Number:
419-A020136976A-000-001-M 20002A-M 20A
Registration Date/Time: 2020-08-25 16:13:30 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2020-08-25 16:15:48
Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Compliance Statement:
System passes using smoke test of an altered HVAC system in an existing building. No
visible smoke exits the accessible portions of the duct system. Smoke is only emanating
from air -handling unit (AHU) cabinet and non accessible portions of the duct system. Note
- Accessible is defined as having access thereto, but which first may require removal or
opening of access panels, doors, or moving similar obstructions. If access to the ducts
requires an object to be demolished or deconstructed then sealing of those ducts is not
required
12
Notes:
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
03
All supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
07
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
08
Verification Status::
Pass - all applicable requirements are met
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table.
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:
419-A020136976A-000-001-M 20002A-M 20A
Registration Date/Time: 2020-08-25 16:13:30 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2020-08-25 16:15:48
2016 Residential Compliance Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Angel Arechiga
Documentation Author Signature:
AvIge ,Arec1'Licjc_'
Company:
I Permit E Raters
Date Signed:
2020-08-25
Address:
31225 La Baya Drive
CEA/ HERS Certification Identification (if applicable):
RCN13516
City/State/Zip:
Westlake Village CA 91362
Phone:
818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
General Air Conditioning
Responsible Builder or Installer Name:
Patrick Somers (authorized Patty Hernandez)
CSLB License:
686310
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
I Permit E Raters
Responsible Rater Name:
Angel Arechiga
Responsible Rater�Signature: ��,��
AVi. e Arec i c_
Responsible Rater Certification Number w/ this HERS Provider:
RCN13516
Date Signed:
2020-08-25
Digitally signed by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS). 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:
419-A020136976A-000-001-M 20002A-M 20A
Registration Date/Time: 2020-08-25 16:13:30 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2020-08-25 16:15:48
2016 Residential Compliance Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 4)
Project Name:
MARSHALL BEERE
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BMCH2O20-0220,
BPLB2020-0058
Dwelling Address:
52205 VIA CASTILE
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 1
02
System Location or Area Served
Location 1
03
System Installation Type
Alteration
04
Nominal Cooling Capacity (tons) of Condenser
5
05
Condenser Speed Type
This field or section is not applicable
06
Cooling System Zonal Control Type
This field or section is not applicable
07
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
08
System Bypass Duct Status
No Bypass Duct
09
Date of System Airflow Rate Measurement
2020-08-23
10
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP)
in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the
HSPP/PSPP Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given
in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
ALNOR
03
Model number of Airflow Measurement Apparatus
EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.gov/title24/equipment_cert/ama_fas
/index.html
Registration Number:
419-A020136976A-000-001-M 23003A-M 23A
Registration Date/Time: 2020-08-25 16:13:34
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.2.000 Report Generated: 2020-08-25 16:15:41
Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 4)
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01
Required Minimum System Airflow Rate (cfm/ton)
300
02
Required Minimum System Airflow Target (cfm)
1500
03
Actual System Airflow Rate Measurement (cfm)
1883
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
system return duct airflow are not
of Compliance indicates an allowance
Certificate of Compliance, the airflow
that bypass ducts that deliver conditioned supply air directly to the space conditioning
used on newly constructed zonally controlled systems unless the Performance Certificate
for use of a bypass duct. When a bypass duct is accounted for on the Performance
rate shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table
Registration Number:
419-A020136976A-000-001-M 23003A-M 23A
Registration Date/Time: 2020-08-25 16:13:34 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.2.000 Report Generated: 2020-08-25 16:15:41
Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 4)
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:
419-A020136976A-000-001-M 23003A-M 23A
Registration Date/Time: 2020-08-25 16:13:34 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2020-08-25 16:15:41
2016 Residential Compliance Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Angel Arechiga
Documentation Author Signature:
AvIge ,Arec1'Licjc_'
Company:
I Permit E Raters
Date Signed:
2020-08-25
Address:
31225 La Baya Drive
CEA/ HERS Certification Identification (if applicable):
RCN13516
City/State/Zip:
Westlake Village CA 91362
Phone:
818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
General Air Conditioning
Responsible Builder or Installer Name:
Patrick Somers (authorized Patty Hernandez)
CSLB License:
686310
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
I Permit E Raters
Responsible Rater Name:
Angel Arechiga
Responsible Rater�Signature: ��,��
AVi. e Arec i c_
Responsible Rater Certification Number w/ this HERS Provider:
RCN13516
Date Signed:
2020-08-25
Digitally signed by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS). 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:
419-A020136976A-000-001-M 23003A-M 23A
Registration Date/Time: 2020-08-25 16:13:34 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2020-08-25 16:15:41
2016 Residential Compliance Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name:
MARSHALL BEERE
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BMCH2O20-0220,
BPLB2020-0058
Dwelling Address:
52205 VIA CASTILE
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
System Identification or Name
System 1
02
System Location or Area Served
Location 1
03
Condenser (or package unit) make or brand
Lennox
04
Condenser (or package unit) model number
ML14XC1-060-230A04
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) serial number
1919H61532
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
This field or section is not applicable
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
Alteration
11
Fault Indicator Display (FID) Status (Note: Even systems with
a FID must have refrigerant charge verified by installer)
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be
verified using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes, this is a ducted system and one of the system airflow
rate measurement procedures in RA3.3 or RA3.3.3 can be
used to verify system airflow rate requirements.
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
2020-08-23
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
HERS rater
17
HERS Verification Compliance Requirement Status
System does not qualify for group sampling
18
Refrigerant charge verification method used by HERS Rater.
Subcooling
Registration Number:
419-A020136976A-000-001-M 25004A-M 25A
Registration Date/Time: 2020-08-25 16:13:43
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2020-08-25 16:15:53
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
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
2020-08-01
02
Date of Digital Thermocouple Calibration
2020-08-01
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
Minimum Required System Airflow Rate (cfm)
1500
02
System Airflow Rate Verification Status
System complies with minimum airflow rate requirements
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)
80
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser, db)
106
Registration Number:
419-A020136976A-000-001-M 25004A-M 25A
Registration Date/Time: 2020-08-25 16:13:43
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2020-08-25 16:15:53
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
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
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tuquid) (°F)
105.2
05
Measured Liquid Line Pressure (Puquid) (psig)
358.6
06
Condenser Saturation Temperature (Tcondenser, sat) from
Digital Gauge or P-T Table using Line F05 (°F)
110
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
4.8
08
Target Subcooling from Manufacturer (°F)
7
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering
device operation are specified in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
63.7
02
Measured Suction Line Pressure (Psuction) (psig)
142
03
Evaporator Saturation Temperature (Tevaporator, sat) from
Digital Gauge or P-T Table using Line G02 (°F)
49.7
04
Measured Superheat (Line G01- Line G03) (°F)
14
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)
Yes, documentation to be provided upon request
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:
419-A020136976A-000-001-M 25004A-M 25A
Registration Date/Time: 2020-08-25 16:13:43
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2020-08-25 16:15:53
Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Angel Arechiga
Documentation Author Signature:
AvIge ,Arec1'Licjc_'
Company:
I Permit E Raters
Date Signed:
2020-08-25
Address:
31225 La Baya Drive
CEA/ HERS Certification Identification (if applicable):
RCN13516
City/State/Zip:
Westlake Village CA 91362
Phone:
818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
General Air Conditioning
Responsible Builder or Installer Name:
Patrick Somers (authorized Patty Hernandez)
CSLB License:
686310
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
I Permit E Raters
Responsible Rater Name:
Angel Arechiga
Responsible Rater�Signature: ��,��
AVi. e Arec i c_
Responsible Rater Certification Number w/ this HERS Provider:
RCN13516
Date Signed:
2020-08-25
Digitally signed by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS). 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:
419-A020136976A-000-001- M 25004A-M 25A
Registration Date/Time: 2020-08-25 16:13:43 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2020-08-25 16:15:53
2016 Residential Compliance Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name:
MARSHALL BEERE
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BMCH2O20-0220,
BPLB2020-0058
Dwelling Address:
52205 VIA CASTILE
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
Location 2
03
Building Type from CF-1R
Single family
04
Verified Low Leakage Ducts in Conditioned Space (VLLDCS)
Credit from CF1R?
No, credit is not taken
05
Verified Low Leakage Air Handling Unit (VLLAHU) Credit
from CF1R?
No, credit is not taken
06
Duct System Compliance Category
Alteration using smoke test
MCH-20e - Sealing All Accessible Leaks using Smoke Test
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
5
02
Heating Capacity (kBtu/h)
81
03
Conditioned Floor Area served by this HVAC system (ft2)
1400
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.15
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage Rate (cfm)
300
10
Actual Duct Leakage Rate from Leakage Test
Measurement (cfm)
500
Registration Number:
419-A020136976A-000-001-M 20005A-M 20A
Registration Date/Time: 2020-08-25 16:13:46 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2020-08-25 16:15:53
Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Compliance Statement:
System passes using smoke test of an altered HVAC system in an existing building. No
visible smoke exits the accessible portions of the duct system. Smoke is only emanating
from air -handling unit (AHU) cabinet and non accessible portions of the duct system. Note
- Accessible is defined as having access thereto, but which first may require removal or
opening of access panels, doors, or moving similar obstructions. If access to the ducts
requires an object to be demolished or deconstructed then sealing of those ducts is not
required
12
Notes:
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
03
All supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
07
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
08
Verification Status::
Pass - all applicable requirements are met
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table.
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:
419-A020136976A-000-001-M 20005A-M 20A
Registration Date/Time: 2020-08-25 16:13:46 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2020-08-25 16:15:53
2016 Residential Compliance Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Angel Arechiga
Documentation Author Signature:
AvIge ,Arec1'Licjc_'
Company:
I Permit E Raters
Date Signed:
2020-08-25
Address:
31225 La Baya Drive
CEA/ HERS Certification Identification (if applicable):
RCN13516
City/State/Zip:
Westlake Village CA 91362
Phone:
818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
General Air Conditioning
Responsible Builder or Installer Name:
Patrick Somers (authorized Patty Hernandez)
CSLB License:
686310
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
I Permit E Raters
Responsible Rater Name:
Angel Arechiga
Responsible Rater�Signature: ��,��
AVi. e Arec i c_
Responsible Rater Certification Number w/ this HERS Provider:
RCN13516
Date Signed:
2020-08-25
Digitally signed by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS). 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:
419-A020136976A-000-001-M 20005A-M 20A
Registration Date/Time: 2020-08-25 16:13:46 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2020-08-25 16:15:53
2016 Residential Compliance Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 4)
Project Name:
MARSHALL BEERE
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BMCH2O20-0220,
BPLB2020-0058
Dwelling Address:
52205 VIA CASTILE
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 2
02
System Location or Area Served
Location 2
03
System Installation Type
Alteration
04
Nominal Cooling Capacity (tons) of Condenser
5
05
Condenser Speed Type
This field or section is not applicable
06
Cooling System Zonal Control Type
This field or section is not applicable
07
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
08
System Bypass Duct Status
No Bypass Duct
09
Date of System Airflow Rate Measurement
2020-08-23
10
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP)
in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the
HSPP/PSPP Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given
in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
ALNOR
03
Model number of Airflow Measurement Apparatus
EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.gov/title24/equipment_cert/ama_fas
/index.html
Registration Number:
419-A020136976A-000-001-M 23006A-M 23A
Registration Date/Time: 2020-08-25 16:13:49
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.2.000 Report Generated: 2020-08-25 16:15:56
Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 4)
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01
Required Minimum System Airflow Rate (cfm/ton)
300
02
Required Minimum System Airflow Target (cfm)
1500
03
Actual System Airflow Rate Measurement (cfm)
1620
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
system return duct airflow are not
of Compliance indicates an allowance
Certificate of Compliance, the airflow
that bypass ducts that deliver conditioned supply air directly to the space conditioning
used on newly constructed zonally controlled systems unless the Performance Certificate
for use of a bypass duct. When a bypass duct is accounted for on the Performance
rate shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table
Registration Number:
419-A020136976A-000-001-M 23006A-M 23A
Registration Date/Time: 2020-08-25 16:13:49 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.2.000 Report Generated: 2020-08-25 16:15:56
Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 4)
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:
419-A020136976A-000-001-M 23006A-M 23A
Registration Date/Time: 2020-08-25 16:13:49 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2020-08-25 16:15:56
2016 Residential Compliance Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Angel Arechiga
Documentation Author Signature:
AvIge ,Arec1'Licjc_'
Company:
I Permit E Raters
Date Signed:
2020-08-25
Address:
31225 La Baya Drive
CEA/ HERS Certification Identification (if applicable):
RCN13516
City/State/Zip:
Westlake Village CA 91362
Phone:
818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
General Air Conditioning
Responsible Builder or Installer Name:
Patrick Somers (authorized Patty Hernandez)
CSLB License:
686310
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
I Permit E Raters
Responsible Rater Name:
Angel Arechiga
Responsible Rater�Signature: ��,��
AVi. e Arec i c_
Responsible Rater Certification Number w/ this HERS Provider:
RCN13516
Date Signed:
2020-08-25
Digitally signed by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS). 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:
419-A020136976A-000-001-M 23006A-M 23A
Registration Date/Time: 2020-08-25 16:13:49 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2020-08-25 16:15:56
2016 Residential Compliance Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name:
MARSHALL BEERE
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BMCH2O20-0220,
BPLB2020-0058
Dwelling Address:
52205 VIA CASTILE
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
System Identification or Name
System 2
02
System Location or Area Served
Location 2
03
Condenser (or package unit) make or brand
Lennox
04
Condenser (or package unit) model number
ML14XC1-060-230A04
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) serial number
1919H61532
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
This field or section is not applicable
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
Alteration
11
Fault Indicator Display (FID) Status (Note: Even systems with
a FID must have refrigerant charge verified by installer)
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be
verified using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes, this is a ducted system and one of the system airflow
rate measurement procedures in RA3.3 or RA3.3.3 can be
used to verify system airflow rate requirements.
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
2020-08-23
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or
greater than 55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
Subcooling
Registration Number:
419-A020136976A-000-001-M 25007A-M 25A
Registration Date/Time: 2020-08-25 16:13:57
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2020-08-25 16:16:04
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
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
2020-08-01
02
Date of Digital Thermocouple Calibration
2020-08-01
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
Minimum Required System Airflow Rate (cfm)
1500
02
System Airflow Rate Verification Status
System complies with minimum airflow rate requirements
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)
80
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser, db)
101
Registration Number:
419-A020136976A-000-001-M 25007A-M 25A
Registration Date/Time: 2020-08-25 16:13:57
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2020-08-25 16:16:04
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
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
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tuquid) (°F)
104.2
05
Measured Liquid Line Pressure (Puquid) (psig)
359.9
06
Condenser Saturation Temperature (Tcondenser, sat) from
Digital Gauge or P-T Table using Line F05 (°F)
108.7
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
4.5
08
Target Subcooling from Manufacturer (°F)
7
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering
device operation are specified in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
67.2
02
Measured Suction Line Pressure (Psuction) (psig)
145
03
Evaporator Saturation Temperature (Tevaporator, sat) from
Digital Gauge or P-T Table using Line G02 (°F)
50.9
04
Measured Superheat (Line G01- Line G03) (°F)
16.3
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)
Yes, documentation to be provided upon request
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:
419-A020136976A-000-001-M 25007A-M 25A
Registration Date/Time: 2020-08-25 16:13:57
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2020-08-25 16:16:04
Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Angel Arechiga
Documentation Author Signature:
AvIge ,Arec1'Licjc_'
Company:
I Permit E Raters
Date Signed:
2020-08-25
Address:
31225 La Baya Drive
CEA/ HERS Certification Identification (if applicable):
RCN13516
City/State/Zip:
Westlake Village CA 91362
Phone:
818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
General Air Conditioning
Responsible Builder or Installer Name:
Patrick Somers (authorized Patty Hernandez)
CSLB License:
686310
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
I Permit E Raters
Responsible Rater Name:
Angel Arechiga
Responsible Rater�Signature: ��,��
AVi. e Arec i c_
Responsible Rater Certification Number w/ this HERS Provider:
RCN13516
Date Signed:
2020-08-25
Digitally signed by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS). 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:
419-A020136976A-000-001- M 25007A-M 25A
Registration Date/Time: 2020-08-25 16:13:57 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2020-08-25 16:16:04
2016 Residential Compliance Schema Version: rev 20180426
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)
(Page 1 of 3)
Project Name:
MARSHALL BEERE
Date Prepared:
2019-12-12
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
MARSHALL BEERE
02
Date Prepared
2019-12-12
03
Project Location
52205 VIA CASTILE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
MARSHALL BEERE
07
Zip Code
92253
08
Dwelling Unit Conditioned
Floor Area (ft2)
2800
09
Climate Zone
15
10
Number of Space
Conditioning (SC) Systems in
this Dwelling Unit:
2
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System (ft2)
Is the SC
system a
ducted
system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing
more than 40
feet of ducts?
Installing
entirely new
duct system?
Installing
entirely new
SC system?
Alteration Type
System 1
Location 1
1400
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1400
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 419-A020136976A-000-000-0000000-0000
Registration Date/Time: 2019-12-12 09:36:29
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-12-12 09:36:36
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)
(Page 2 of 3)
D. Altered Space Conditioning System Sections 150.2(b)1E and F)
01
02
03
04
05
06
07
08
09
10
11
12
System
Identification
or Name
Heating
System
Type
Altered
Heating
Components
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System Type
Altered
Cooling
Components
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
New or
Replaced
Duct Length
New Duct
R-Value
System 1
Central gas
furnace
All new
heating
components
AFUE
0.8
Central split
AC
All new
cooling
components
SEER
14
Setback
This field or
section is not
applicable
This field or
section is not
applicable
System 2
Central gas
furnace
All new
heating
components
AFUE
0.8
Central split
AC
All new
cooling
components
SEER
14
Setback
This field or
section is not
applicable
This field or
section is not
applicable
Required Documentation:
Systems
new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced
or <= 10 percent leakage to outside, or seal all accessible leaks.
Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
>= 300 CFM per ton required when MCH-25 is required.
provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements.
Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25.
or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements.
CF2R-MCH-01-E - Space
- Duct insulation requirement
CF2R and CF3R-MCH-20-H
-Leakage rate compliance:
CF2R and CF3R-MCH-25-H
CF2R and CF3R-MCH-23
Exceptions:
Conditioning
for the
- Duct Leakage
<= 15 percent
Refrigerant
Airflow Rate
with HERS
and Air Handler
constructed, insulated
- Duct systems registered
- Heating -only systems
-Existing duct systems
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 419-A020136976A-000-000-0000000-0000
Registration Date/Time: 2019-12-12 09:36:29
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-12-12 09:36:36
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Jo Anne Orona
Documentation Author Signature:
, To" A nine/ 0 �. ita/
Company:
I Permit E Raters
Signature Date:
2019-12-12
Address:
31225 La Baya Drive
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Westlake Village CA 91362
Phone:
818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Patrick Somers
Responsible Designer Signature:
P r[. Soine'r-
Company :
General Air Conditioning
Date Signed:
2019-12-12
Address:
31170 Reserve Drive
License:
686310
City/State/Zip:
Thousand Palms CA 92276
Phone:
760-343-7488
Digitally signed by CHEERSTM. 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: 419-A020136976A-000-000-0000000-0000 Registration Date/Time: 2019-12-12 09:36:29
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-12-12 09:36:36
Schema Version: rev 20180426