BRES2017-0329 Certificate of InstallationCERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 1 of 19)
Project Name:
Via Dona Project
Enforcement Agency:
City of La Quinta
Permit Number:
.
Dwelling Address:
53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. General Information
01
Dwelling Unit Name
Unit 1
02
Climate Zone
15
03
Dwelling Unit Total
Conditioned Floor Area (ft2)
5527
04
Number of Space
Conditioning Systems in this
dwelling unit.
7
05
Certificate of Compliance
Type
Performance (CF1R-PRF)
06
Method Used to Calculate
HVAC Loads
ACCA Manual J
07
Calculated Dwelling Unit
Sensible Cooling Load
(Btu/h)
60000
Amy
08
Calculated Dwelling Unit
Heating Load (Btu/h)
80000
09
Dwelling Unit Number of
Bedrooms
5 111111111,_,!r it__31
I (
MCH-01a - Space Conditioning Systems Ducts and Fans - For use with Performance Certificate of Compliance
Registration Number: 219-P010089040A-000-001-M01001A-0000 Registration Date/Time:
2019-04-17 12:19:18 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:25:20
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 2 of 19)
B. Design Space Conditioning (SC) System Component Specifications from CF1R
This table reports the space conditioning system features that were specified on the registered CF1R-PRF compliance document for this project.
01
02
03
04
05
06
07
08
09
10
11
12
Zone Name
SC System
Identification
or Name
SC System
Type
Heating
System
Type
Cooling
System Type
SC Fan Type
Distribution
System Type
Required
Thermostat
Type
Low
Leakage
Air -Handling
Unit
(LLAHU)
Status
Bypass Duct
Status
Cooling
Zoning Type
Cooling
System
Compressor
Speed
This field or
section is
not
applicable
System 1
Heating and
cooling system
other
Central gas
furnace
Central split
AC
PSC
Permanent
Split Capacitor
Unconditione
d attic
Setback
No, credit is
not taken
No Bypass
Duct
Not Zonal
Multi -speed
This field or
section is
not
applicable
System 2
Heating and
cooling system
other
Central gas
furnace
Central split
AC
PSC
Permanent
Split Capacitor
Unconditione
d attic
j owe
Setbacknot
No, credit is
taken
No Bypass
Duct
Not Zonal
Multi speed
This field or
section is
not
applicable
System 3
Heating and
cooling system
other
Central gas
furnace
Central split
AC
PSC
Permanent
Split Capacitor
Unconditione
d attic
Setback
No, credit is
not taken
No Bypass
Duct
Not Zonal
Multi -speed
This field or
section is
not
applicable
System 4
Heat pump
heating
cooling
Central
split HP
Central split
HP
PSC
Permanent
Split Capacitor
Unconditione
d attic
Setback
No, credit is
not taken
No Bypass
Duct
Not Zonal
Multi -speed
This field or
section is
not
applicable
System 5
Heat pump
heating
cooling
Central
split HP
Central split
HP
PSC
Permanent
Split Capacitor
Unconditione
d attic
Setback
No, credit is
not taken
No Bypass
Duct
Not Zonal
Multi -speed
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 3 of 19)
B. Design Space Conditioning (SC) System Component Specifications from CF1R
This table reports the space conditioning system features that were specified on the registered CF1R-PRF compliance document for this project.
01
02
03
04
05
06
07
08
09
10
11
12
Zone Name
SC System
Identification
or Name
SC System
Type
Heating
System
Type
Cooling
System Type
SC Fan Type
Distribution
System Type
Required
Thermostat
Type
Low
Leakage
Air -Handling
Unit
(LLAHU)
Status
Bypass Duct
Status
Cooling
Zoning Type
Cooling
System
Compressor
Speed
This field or
section is
not
applicable
System 6
Heat pump
heating
cooling
Central
split HP
Central split
HP
PSC
Permanent
Split Capacitor
Unconditione
d attic
Setback
No, credit is
not taken
No Bypass
Duct
Not Zonal
Multi -speed
This field or
section is
not
applicable
System 7
Heat pump
heating
cooling
Central
split HP
Central split
HP
PSC
Permanent
Split Capacitor
Unconditione
d attic
Setbacknot
No credit is
taken
No Bypass
Duct
Not Zonal
Multi speed
Notes:
Registration Number: 219-P010089040A-000-001-M01001A-0000 Registration Date/Time:
2019-04-17 12:19:18 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:25:20
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 4 of 19)
C. Design Space Conditioning (SC) System Compliance Requirements from CF1R
This table reports the space conditioning system features that were specified on the registered CF1R-PRF compliance document for this project.
01
02
03
04
05
06
07
08
09
10
SC System
Identification or
Name
Heating
Efficiency Type
Minimum
Heating
Efficiency Value
Heat Pump
Heating
Capacity at 47°F
Heat Pump
Heating
Capacity at 17°F
Minimum
Cooling
Efficiency SEER
Minimum
Cooling
Efficiency EER
Minimum
Cooling System
Airflow Rate
(CFM/ton)
Maximum Fan
Efficacy
(W/CFM)
Minimum Duct
R-Value
System 1
Annual Fuel
Utilization
Efficiency
(AFUE)
80
This field or
section is not
applicable
This field or
section is not
applicable
18
13
350
0.58
R-8
System 2
Annual Fuel
Utilization
Efficiency
(AFUE)
80
This field or
section is not
applicable
This field or
section is not
applicable
18
13
350
0.58
R-8
System 3
Annual Fuel
Utilization
Efficiency
(AFUE)
80
This field or
section is not
applicable
This field or
section is not
applicable
18
13
350
0.58
R-8
System 4
Heating
Seasonal
Performance
Factor (HSPF)
10.5
27000
17300
16.5
12.3
350
0.58
R-8
System 5
Heating
Seasonal
Performance
Factor (HSPF)
10.5
27000
17300
16.5
12.3
350
0.58
R-8
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 5 of 19)
C. Design Space Conditioning (SC) System Compliance Requirements from CF1R
This table reports the space conditioning system features that were specified on the registered CF1R-PRF compliance document for this project.
01
02
03
04
05
06
07
08
09
10
SC System
Identification or
Name
Heating
Efficiency Type
Minimum
Heating
Efficiency Value
Heat Pump
Heating
Capacity at 47°F
Heat Pump
Heating
Capacity at 17°F
Minimum
Cooling
Efficiency SEER
Minimum
Cooling
Efficiency EER
Minimum
Cooling System
Airflow Rate
(CFM/ton)
Maximum Fan
Efficacy
(W/CFM)
Minimum Duct
R-Value
System 6
Heating
Seasonal
Performance
Factor (HSPF)
10.5
27000
17300
16.5
12.3
350
0.58
R-8
System 7
Heating
Seasonal
Performance
Factor (HSPF)
10.5
27000
17300
16.5
12.3
350
0.58
R-8
Notes:
D. Installed Space Conditioning (SC) System Component Information
01
02
03
04
05
06
07
08
09
10
11
SC System
Identification
or Name
SC System
Location or
Area Served
Conditioned
Floor Area
Served by the
System (ft2)
Heating
System Type
Cooling
System Type
SC Fan Type
Distribution
System Type
SC System
Thermostat
Type
Cooling Zoning
Type
Cooling
System
Compressor
Speed Type
Central Fan
Integrated
(CFI)
Ventilation
System Status
System 1
GREATROOM/
KITCHEN
1000
Central gas
furnace
Central split
AC
PSC
Permanent
Split Capacitor
Unconditioned
attic
Setback
Not Zonal
Multi -speed
Not a CFI
system
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 6 of 19)
D. Installed Space Conditioning (SC) System Component Information
01
02
03
04
05
06
07
08
09
10
11
SC System
Identification
or Name
SC System
Location or
Area Served
Conditioned
Floor Area
Served by the
System (ft2)
Heating
System Type
Cooling
System Type
SC Fan Type
Distribution
System Type
SC System
Thermostat
Type
Cooling Zoning
Type
Cooling
System
Compressor
Speed Type
Central Fan
Integrated
(CFI)
Ventilation
System Status
System 2
KITCHEN
1000
Central gas
furnace
Central split
AC
PSC
Permanent
Split Capacitor
Unconditioned
attic
Setback
Not Zonal
Multi -speed
Not a CFI
system
System 3
MASTER
827
Central gas
furnace
Central split
AC
PSC
Permanent
Split Capacitor
Unconditioned
attic
Setback
Not Zonal
Multi -speed
Not a CFI
system
System 4
LOWER
OUTSIDE
SUITE
675
Central split
HP
Central split
HP
PSC
Permanent
Split Capacitor
Unconditioned
attic
Setback
Not Zonal
Multi -speed
Not a CFI
system
System 5
LOWER INNER
SUITE
675
Central split
HP
Central split
HP
PSC
Permanent
Split Capacitor
Unconditioned
attic
Setback
Not Zonal
Multi -speed
Not a CFI
system
System 6
UPPER POOL
SUITE
675
Central split
HP
Central split
HP
PSC
Permanent
Split Capacitor
Unconditioned
attic
Setback
Not Zonal
Multi -speed
Not a CFI
system
System 7
UPPER ENTRY
SUITE
675
Central split
HP
Central split
HP
PSC
Permanent
Split Capacitor
Unconditioned
attic
Setback
Not Zonal
Multi -speed
Not a CFI
system
Notes:
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 7 of 19)
E. Installed Heating System Equipment Information (not heat pumps)
01
02
03
04
05
06
07
08
SC System
Identification
or Name
SC System
Location or
Area Served
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
GREATROOM
/KITCHEN
Annual Fuel
Utilization
Efficiency
(AFUE)
80
GOODMAN
AMVC80805CXCA
1812102895
64000
System 2
KITCHEN
Annual Fuel
Utilization
Efficiency
(AFUE)
80
GOODMAN
AMVC80805CXCA
18106167732
64000
System 3
MASTER
Annual Fuel
Utilization
Efficiency
(AFUE)
80
�M
iii
GOODMAN
i
MS IL
E R 1
AMVC80805CXCA 1812102894
ROVIDE
64000
Notes:
Registration Number: 219-P010089040A-000-001-M01001A-0000 Registration Date/Time:
2019-04-17 12:19:18 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:25:20
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 8 of 19)
F. Installed Cooling System Outdoor Condensing Unit or Package Unit Equipment Information (not heat pumps)
01
02
03
04
05
06
07
08
09
SC System
Identificatio
n or Name
SC System
Location or
Area Served
Cooling
Efficiency
SEER
Cooling
Efficiency
EER
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
GREATROO
M/KITCHEN
18.8
13
GOODMAN
AVXC200601AE
1811187417
60000
5
System 2
KITCHEN
21
13
GOODMAN
AVXC200361AE
1807328244
36000
3
System 3
MASTER
18.8
13
GOODMAN
AVXC200601AE
181187418
60000
5
Notes:
G. Installed Split System Indoor Coil or Fan Coil Unit Equipment Information (applicable to DX or hydronic heating/cooling coils or fan coil units)
Systems with more than one indoor coil or fan coil unit (e.g. multi -split systems) shall provide information for each of the system indoor coils or fan coil units.
01
02
03
04
05
SC System
Identification or
Name
SC System Location
or Area Served
Indoor Coil or Fan Coil Unit Manufacturer
Indoor Coil or Fan Coil Unit Model
Number
Indoor Coil or Fan Coil Unit Serial Number
System 1
GREATROOM/KITC
ASPEN
CC60G44245L004
H18-00012091
System 2
KITCHEN
US ALUMACOIL
CAPF3743C6DB
1901004262
System 3
MASTER
ASPEN
CC60G44245L004
H18-00012092
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 9 of 19)
G. Installed Split System Indoor Coil or Fan Coil Unit Equipment Information (applicable to DX or hydronic heating/cooling coils or fan coil units)
Systems with more than one indoor coil or fan coil unit (e.g. multi -split systems) shall provide information for each of the system indoor coils or fan coil units.
01
02
03
04
05
SC System
Identification or
Name
SC System Location
or Area Served
Indoor Coil or Fan Coil Unit Manufacturer
Indoor Coil or Fan Coil Unit Model
Number
Indoor Coil or Fan Coil Unit Serial Number
System 4
LOWER OUTSIDE
SUITE
DAIKIN
FDMQ24RVJU
E000329
System 5
LOWER INNER
SUITE
DAIKIN
FDMQ18RVJU
E000149
System 6
UPPER POOL SUITE
DAIKIN
FDMQ24RVJU
E000332
System 7
UPPER ENTRY
SUITE
DAIKIN
FDMQ24RVJU
E000333
Notes:
H. Installed Heat Pump System - Split System Condensing Unit or Package Unit Equipment Information
01
02
03
04
05
SC System
Identification or
Name
SC System Location
or Area Served
Condenser or Package Unit Manufacturer
Condenser or Package Unit Model
Number
Condenser or Package Unit Serial Number
System 4
LOWER OUTSIDE
SUITE
DAIKIN
RX24RMVJU
G000972
System 5
LOWER INNER
SUITE
DAIKIN
RX18RMVJU
G001163
System 6
UPPER POOL SUITE
DAIKIN
RX24RMVJU
G001027
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 10 of 19)
H. Installed Heat Pump System - Split System Condensing Unit or Package Unit Equipment Information
01
02
03
04
05
SC System
Identification or
Name
SC System Location
or Area Served
Condenser or Package Unit Manufacturer
Condenser or Package Unit Model
Number
Condenser or Package Unit Serial Number
System 7
UPPER ENTRY
SUITE
DAIKIN
RX24RMVJU
G001149
Notes:
I. Installed Heat Pump System -Efficiency and Performance Compliance Information
01
02
03
04
05
06
07
08
09
10
SC System
Identification
or Name
SC System
Location or
Area Served
Heating
Efficiency Type
Heating
Efficiency Value
‘I,
System
Heating
Capacity
Rated
at 47°F
CD
System
Heating
Capacity
Rated
at 17°F
-C
System Rated
Cooling
Efficiency SEER
pur%
System Rated
Cooling
Efficiency EER
System Rated
Cooling
Capacity at
Design
Conditions
(Btu/h)
Condenser
Rated Nominal
Capacity (ton)
System 4
LOWER
OUTSIDE
SUITE
Heating
Seasonal
Performance
Factor (HSPF)
10.5
27000
17300
18.6
12.5
24000
2
System 5
LOWER INNER
SUITE
Heating
Seasonal
Performance
Factor (HSPF)
10.5
27000
17300
18.5
12.5
18000
1.5
System 6
UPPER POOL
SUITE
Heating
Seasonal
Performance
Factor (HSPF)
10.5
27000
17300
18.6
12.5
24000
2
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 11 of 19)
I. Installed Heat Pump System -Efficiency and Performance Compliance Information
01
02
03
04
05
06
07
08
09
10
SC System
Identification
or Name
SC System
Location or
Area Served
Heating
Efficiency Type
Heating
Efficiency Value
System Rated
Heating
Capacity at 47°F
System Rated
Heating
Capacity at 17°F
System Rated
Cooling
Efficiency SEER
System Rated
Cooling
Efficiency EER
System Rated
Cooling
Capacity at
Design
Conditions
(Btu/h)
Condenser
Rated Nominal
Capacity (ton)
System 7
UPPER ENTRY
SUITE
Heating
Seasonal
Performance
Factor (HSPF)
10.5
27000
17300
18.6
12.5
24000
2
Notes:
J. Installed Duct System Information
01
02
03
04
05
06
07
08
09
10
11
12
SC System
Identification
or Name
SC System
Location or
Area Served
Supply Duct
Location
Supply Duct
R-Value
Return Duct
Location
Return Duct
R-Value
Exemption
from Min
R-Value for
Ducts In
Conditioned
Space
Method of
compliance
with duct
and filter
grille sizing
Req's in
150.0(m)13
Exemption
From Duct
Leakage
Requirement
s
Bypass Duct
Status
Number of
Air Filter
Devices on
System
Can RA3.3
Airflow
Protocols be
used to test
this System?
System 1
GREATROO
M/KITCHEN
Unconditio
ned attic
R 8
Unconditio
ned attic
R 8
Not
applicable
HERS
verified fan
efficacy
(W/cfm)
and airflow
rate
(cfm/ton)
None
No Bypass
Duct
1
Yes
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 12 of 19)
J. Installed Duct System Information
01
02
03
04
05
06
07
08
09
10
11
12
SC System
Identification
or Name
SC System
Location or
Area Served
Supply Duct
Location
Supply Duct
R-Value
Return Duct
Location
Return Duct
R-Value
Exemption
from Min
R-Value for
Ducts In
Conditioned
Space
Method of
compliance
with duct
and filter
grille sizing
Req's in
150.0(m)13
Exemption
From Duct
Leakage
Requirement
s
Bypass Duct
Status
Number of
Air Filter
Devices on
System
Can RA3.3
Airflow
Protocols be
used to test
this System?
System 2
KITCHEN
Unconditio
ned attic
R-8
Unconditio
ned attic
R-8
Not
applicable
HERS
verified fan
efficacy
(W/cfm)
and airflow
rate
(cfm/ton)
None
No Bypass
Duct
1
Yes
System 3
MASTER
Unconditio
ned attic
R-8
Unconditio
ned attic
R-8
Not
applicable
HERS
verified fan
efficacy
(W/cfm)
and airflow
rate
(cfm/ton)
r
r--�
None
'1
No Bypass
Duct
1
Yes
System 4
LOWER
OUTSIDE
SUITE
Unconditio
ned attic
R-8
Unconditio
ned attic
R-8
Not
applicable
HERS
verified fan
efficacy
(W/cfm)
and airflow
rate
(cfm/ton)
None
No Bypass
Duct
1
Yes
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 13 of 19)
J. Installed Duct System Information
01
02
03
04
05
06
07
08
09
10
11
12
SC System
Identification
or Name
SC System
Location or
Area Served
Supply Duct
Location
Supply Duct
R-Value
Return Duct
Location
Return Duct
R-Value
Exemption
from Min
R-Value for
Ducts In
Conditioned
Space
Method of
compliance
with duct
and filter
grille sizing
Req's in
150.0(m)13
Exemption
From Duct
Leakage
Requirement
s
Bypass Duct
Status
Number of
Air Filter
Devices on
System
Can RA3.3
Airflow
Protocols be
used to test
this System?
System 5
LOWER
INNER
SUITE
Unconditio
ned attic
R-8
Unconditio
ned attic
R-8
Not
applicable
HERS
verified fan
efficacy
(W/cfm)
and airflow
rate
(cfm/ton)
None
No Bypass
Duct
1
Yes
System 6
UPPER
POOL SUITE
Unconditio
ned attic
R-8
Unconditio
ned attic
R-8
Not
applicable
HERS
verified fan
efficacy
(W/cfm)
and airflow
rate
(cfm/ton)
r
r--�
None
'1
No Bypass
Duct
1
Yes
System 7
UPPER
ENTRY
SUITE
Unconditio
ned attic
R-8
Unconditio
ned attic
R-8
Not
applicable
HERS
verified fan
efficacy
(W/cfm)
and airflow
rate
(cfm/ton)
None
No Bypass
Duct
1
Yes
Notes:
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 14 of 19)
K. Installed Air Filter Device Information
Mandatory requirements for air filter devices are specified Section 150.0(m)12.
01
02
03
04
05
06
07
SC System
Identification or Name
SC System Location or
Area Served
Air Filter Device
Identification or Name
Air Filter Device Type
Air Filter Device
Location
Determined Design
Airflow Rate for Air
Filter Device (cfm)
Determined Design
Allowable Pressure
Drop for Air Filter
Device (inch W.C.)
System 1
GREATRO NM/KITCHE
FILTER 1
Filter Grille
CEILING
2000
0.1
System 2
KITCHEN
FILTER 2
Filter Grille
CEILING
1200
0.1
System 3
MASTER
FILTER 3
Filter Grille
CEILING
2000
0.1
System 4
LOWER OUTSIDE
SUITE
FILTER 4
Filter Grille
CEILING
800
0.1
System 5
LOWER INNER SUITE
FILTER 5
Filter Grille
CEILING
800
0.1
System 6
UPPER POOL SUITE
FILTER 6
Filter Grille
CEILING
600
0.1
System 7
UPPER ENTRY SUITE
FILTER 7
Filter Grille
CEILING
800
0.1
Notes:
L. Air Filter Device Requirements
01
The system shall be designed to ensure that all recirculated air and all outdoor air supplied to the occupiable space is filtered before passing through the system's
thermal conditioning components.
Registration Number: 219-P010089040A-000-001-M01001A-0000 Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 15 of 19)
L. Air Filter Device Requirements
02
The system shall be designed to accommodate the clean -filter pressure drop imposed by the system air filter device(s). The design airflow rate and maximum
allowable clean -filter pressure drop at the design airflow rate applicable to each air filter device shall be determined, and all system air filter device locations shall be
labeled to disclose the applicable design airflow rate and the maximum allowable clean -filter pressure drop. The labels shall be permanently affixed to the air filter
device, readily legible, and visible to a person replacing the air filter media, and the air filter devices shall be provided with air filter media that conforms to these
determined or labeled maximum allowable clean -filter pressure drop values as rated using AHRI Standard 680.
03
All system air filter devices shall be located and installed in such a manner as to allow access and regular service by the system owner.
04
The system shall be provided with air filter media having a designated efficiency equal to or greater than MERV 6 when tested in accordance with ASHRAE Standard
52.2, or a particle size efficiency rating equal to or greater than 50% in the 3.0 to10 µm range when tested in accordance with AHRI Standard 680.
05
The system shall be provided with air filter media that has been labeled by the manufacturer to disclose the efficiency and pressure drop ratings that conform to the
required efficiency and pressure drop requirements for the air filter device.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met
M. HERS Verification Requirements r- 3 I V II Illy • mink -- _
01
02
03
04
05
06
07
08
09 I
10
11
12
SC System
Identificati
on or
Name
SC System
Location or
Area
Served
MCH-20
Duct
Leakage
Test
MCH-21
Duct
Location
Verification
MCH-22
AHU Fan
Efficacy
(W/cfm)
MCH-23
AHU
Airflow
Rate
(cfm/ton)
MCH-25
Refrigerant
Charge
MCH-26
Rated SC
System
Equipment
Verification
MCH-27
IAQ
Mechanical
Ventilation
MCH-28
Return
Duct
Design
Table
150.0-B or
C
MCH-29
Supply
Duct
Surface
Area
R-Value
Buried
Ducts
MCH30
Ventilation
Cooling
Credit
System 1
GREATROO
M/KITCHEN
Yes
No
Yes
Yes
No
Yes
Yes
No
No
No
System 2
KITCHEN
Yes
No
Yes
Yes
No
Yes
Yes
No
No
No
System 3
MASTER
Yes
No
Yes
Yes
No
Yes
Yes
No
No
No
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 16 of 19)
M. HERS Verification Requirements
01
02
03
04
05
06
07
08
09
10
11
12
SC System
Identificati
on or
Name
SC System
Location or
Area
Served
MCH-20
Duct
Leaka a
g
Test
MCH-21
Duct
Location
Verification
MCH-22
AHU Fan
Efficacy
(W/cfm)
MCH-23
AHU
Airflow
Rate
(cfm/ton)
MCH-25
Refrigerant
Charge
g
MCH-26
Rated SC
System
Equipment
Verification
MCH-27
IAQ
Mechanical
Ventilation
MCH-28
Return
Duct
Design
Table
150.0-B or
C
MCH-29
Supply
Duct
Surface
Area
R-Value
Buried
Ducts
MCH30
Ventilation
Cooling
Credit
System 4
LOWER
OUTSIDE
SUITE
Yes
No
Yes
Yes
No
Yes
Yes
No
No
No
System 5
LOWER
INNER
SUITE
Yes
No
Yes
Yes
No
Yes
Yes
No
No
No
System 6
UPPER
POOL SUITE
Yes
No
Yes
Yes
Yes
Yes
Yes
No
No
No
System 7
UPPER
ENTRY
SUITE
Yes
No
Yes
Yes
Yes
Yes
Yes
No
No
No
Notes:
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:25:20
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 17 of 19)
N. 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: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:25:20
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 18 of 19)
N. 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: 219-P010089040A-000-001-M01001A-0000 Registration Date/Time:
2019-04-17 12:19:18 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:25:20
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 19 of 19)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 4‘L1SllLfl/ �`Z in 64a-
Company:
PALOMA AIR CONDITIONING
Signature Date:
2019-04-17 12:19:18
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
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:
Herman Paredes
Responsible Builder/Installer Signature: LLI
y7 Gas*; Pa/eedea-
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:18
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 219-P010089040A-000-001-M01001A-0000
Registration Date/Time: 2019-04-17 12:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:25:20
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name:
Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address:
53034 Via Dona
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
GREATROOM/KITCHEN
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
New
MCH-20a - Completely New Duct System
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
5
02
Heating Capacity (kBtu/h)
64
03
Conditioned Floor Area Served by this HVAC System (ft2)
1000
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.05
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow (cfm)
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage (cfm)
100
10
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
99
11
Compliance Statement
System passes leakage test
Registration Number:
219-P010089040A-000-001-M20002A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:26:33
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
03
All supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in).
After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must
be performed
07
For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are
properly sealed.
08
If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
09
Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M20002A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:26:33
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M20002A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:26:33
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name:
Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address:
53034 Via Dona
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
KITCHEN
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
New
MCH-20a - Completely New Duct System
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
3
02
Heating Capacity (kBtu/h)
64
03
Conditioned Floor Area Served by this HVAC System (ft2)
1000
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.05
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow (cfm)
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage (cfm)
60
10
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
53
11
Compliance Statement
System passes leakage test
Registration Number:
219-P010089040A-000-001-M20003A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:30:55
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
03
All supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in).
After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must
be performed
07
For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are
properly sealed.
08
If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
09
Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M20003A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:30:55
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M20003A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:30:55
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name:
Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address:
53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 3
02
Space Conditioning System Location or Area Served
MASTER
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
New
MCH-20a - Completely New Duct System
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
5
02
Heating Capacity (kBtu/h)
64
03
Conditioned Floor Area Served by this HVAC System (ft2)
827
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.05
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow (cfm)
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage (cfm)
100
10
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
80
11
Compliance Statement
System passes leakage test
Registration Number:
219-P010089040A-000-001-M20004A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:32:45
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
03
All supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in).
After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must
be performed
07
For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are
properly sealed.
08
If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
09
Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M20004A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:32:45
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M20004A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:32:45
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name:
Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address:
53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 4
02
Space Conditioning System Location or Area Served
LOWER OUTSIDE SUITE
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
New
MCH-20a - Completely New Duct System
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
2
02
Heating Capacity (kBtu/h)
0
03
Conditioned Floor Area Served by this HVAC System (ft2)
675
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.05
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow (cfm)
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage (cfm)
40
10
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
38
11
Compliance Statement
System passes leakage test
Registration Number:
219-P010089040A-000-001-M20005A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:35:20
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
03
All supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in).
After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must
be performed
07
For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are
properly sealed.
08
If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
09
Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M20005A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:35:20
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M20005A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:35:20
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name:
Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address:
53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 5
02
Space Conditioning System Location or Area Served
LOWER INNER SUITE
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
New
MCH-20a - Completely New Duct System
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
1.5
02
Heating Capacity (kBtu/h)
0
03
Conditioned Floor Area Served by this HVAC System (ft2)
675
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.05
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow (cfm)
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage (cfm)
30
10
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
27
11
Compliance Statement
System passes leakage test
Registration Number:
219-P010089040A-000-001-M20006A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:37:04
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
03
All supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in).
After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must
be performed
07
For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are
properly sealed.
08
If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
09
Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M20006A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:37:04
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M20006A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:37:04
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name:
Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address:
53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 6
02
Space Conditioning System Location or Area Served
UPPER POOL SUITE
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
New
MCH-20a - Completely New Duct System
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
2
02
Heating Capacity (kBtu/h)
0
03
Conditioned Floor Area Served by this HVAC System (ft2)
675
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.05
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow (cfm)
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage (cfm)
40
10
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
37
11
Compliance Statement
System passes leakage test
Registration Number:
219-P010089040A-000-001-M20007A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:40:04
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
03
All supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in).
After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must
be performed
07
For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are
properly sealed.
08
If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
09
Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M20007A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:40:04
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M20007A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:40:04
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name:
Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address:
53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
System 7
02
Space Conditioning System Location or Area Served
UPPER ENTRY SUITE
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
New
MCH-20a - Completely New Duct System
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
2
02
Heating Capacity (kBtu/h)
0
03
Conditioned Floor Area Served by this HVAC System (ft2)
675
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.05
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow (cfm)
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage (cfm)
40
10
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
34
11
Compliance Statement
System passes leakage test
Registration Number:
219-P010089040A-000-001-M20008A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:50:58
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
03
All supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in).
After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must
be performed
07
For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are
properly sealed.
08
If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
09
Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M20008A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:50:58
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M20008A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:50:58
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 1
02
System Location or Area Served
GREATROOM/KITCHEN
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
5
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
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:
219-P010089040A-000-001-M23002A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:27:03
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 3)
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01
Required Minimum System Airflow Rate (cfm/ton)
350
02
Required Minimum System Airflow Target (cfm)
1750
03
Actual System Airflow Rate Measurement (cfm)
1773
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Installation.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M23002A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:27:03
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M23002A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:27:03
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 2
02
System Location or Area Served
KITCHEN
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
3
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
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:
219-P010089040A-000-001-M23003A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:31:25
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 3)
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01
Required Minimum System Airflow Rate (cfm/ton)
350
02
Required Minimum System Airflow Target (cfm)
1050
03
Actual System Airflow Rate Measurement (cfm)
1104
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Installation.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M23003A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:31:25
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M23003A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:31:25
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 3
02
System Location or Area Served
MASTER
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
5
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
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:
219-P010089040A-000-001-M23004A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:33:17
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 3)
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01
Required Minimum System Airflow Rate (cfm/ton)
350
02
Required Minimum System Airflow Target (cfm)
1750
03
Actual System Airflow Rate Measurement (cfm)
1791
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Installation.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M23004A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:33:17
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M23004A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:33:17
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 4
02
System Location or Area Served
LOWER OUTSIDE SUITE
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
2
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
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:
219-P010089040A-000-001-M23005A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:35:44
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 3)
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01
Required Minimum System Airflow Rate (cfm/ton)
350
02
Required Minimum System Airflow Target (cfm)
700
03
Actual System Airflow Rate Measurement (cfm)
727
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Installation.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M23005A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:35:44
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M23005A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:35:44
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 5
02
System Location or Area Served
LOWER INNER SUITE
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
1.5
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
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:
219-P010089040A-000-001-M23006A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:38:00
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 3)
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01
Required Minimum System Airflow Rate (cfm/ton)
350
02
Required Minimum System Airflow Target (cfm)
525
03
Actual System Airflow Rate Measurement (cfm)
548
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Installation.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M23006A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:38:00
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M23006A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:38:00
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 6
02
System Location or Area Served
UPPER POOL SUITE
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
2
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
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:
219-P010089040A-000-001-M23007A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:41:02
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 3)
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01
Required Minimum System Airflow Rate (cfm/ton)
350
02
Required Minimum System Airflow Target (cfm)
700
03
Actual System Airflow Rate Measurement (cfm)
719
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Installation.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M23007A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:41:02
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M23007A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:41:02
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 7
02
System Location or Area Served
UPPER ENTRY SUITE
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
2
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
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:
219-P010089040A-000-001-M23008A-0000
Registration Date/Time: 2019-04-17 12:19:19
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:51:28
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 3)
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01
Required Minimum System Airflow Rate (cfm/ton)
350
02
Required Minimum System Airflow Target (cfm)
700
03
Actual System Airflow Rate Measurement (cfm)
742
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Installation.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M23008A-0000
Registration Date/Time: 2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:51:28
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:19
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:19
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M23008A-0000
2019-04-17 12:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2016.2.000 Report Generated: 2019-04-17 11:51:28
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 1
02
System Location or Area Served
GREATROOM/KITCHEN
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
5
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
10
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable watt meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01
Actual Tested Watts
921
02
Actual Tested Airflow from MCH-23 (cfm)
1773
03
Required Fan Efficacy (watts/cfm)
0.58
04
Actual Fan Efficacy (watts/cfm)
0.52
05
Compliance Statement:
System fan efficacy complies
Registration Number:
219-P010089040A-000-001-M22002A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:27:25
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 2 of 3)
D. Additional Requirements
01
All registers were fully open during the diagnostic test.
02
System fan was set at maximum speed during the diagnostic test.
03
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
05
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M22002A-0000
CaICERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:27:25
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M22002A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:27:25
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 2
02
System Location or Area Served
KITCHEN
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
3
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
10
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable watt meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01
Actual Tested Watts
563
02
Actual Tested Airflow from MCH-23 (cfm)
1104
03
Required Fan Efficacy (watts/cfm)
0.58
04
Actual Fan Efficacy (watts/cfm)
0.51
05
Compliance Statement:
System fan efficacy complies
Registration Number:
219-P010089040A-000-001-M22003A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:31:41
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 2 of 3)
D. Additional Requirements
01
All registers were fully open during the diagnostic test.
02
System fan was set at maximum speed during the diagnostic test.
03
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
05
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M22003A-0000
CaICERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:31:41
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M22003A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:31:41
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 3
02
System Location or Area Served
MASTER
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
5
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
10
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable watt meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01
Actual Tested Watts
931
02
Actual Tested Airflow from MCH-23 (cfm)
1791
03
Required Fan Efficacy (watts/cfm)
0.58
04
Actual Fan Efficacy (watts/cfm)
0.52
05
Compliance Statement:
System fan efficacy complies
Registration Number:
219-P010089040A-000-001-M22004A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:33:32
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 2 of 3)
D. Additional Requirements
01
All registers were fully open during the diagnostic test.
02
System fan was set at maximum speed during the diagnostic test.
03
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
05
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M22004A-0000
CaICERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:33:32
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M22004A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:33:32
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 4
02
System Location or Area Served
LOWER OUTSIDE SUITE
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
2
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
10
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable watt meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01
Actual Tested Watts
363
02
Actual Tested Airflow from MCH-23 (cfm)
727
03
Required Fan Efficacy (watts/cfm)
0.58
04
Actual Fan Efficacy (watts/cfm)
0.5
05
Compliance Statement:
System fan efficacy complies
Registration Number:
219-P010089040A-000-001-M22005A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:36:11
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 2 of 3)
D. Additional Requirements
01
All registers were fully open during the diagnostic test.
02
System fan was set at maximum speed during the diagnostic test.
03
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
05
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M22005A-0000
CaICERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:36:11
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M22005A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:36:11
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 5
02
System Location or Area Served
LOWER INNER SUITE
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
1.5
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
10
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable watt meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01
Actual Tested Watts
284
02
Actual Tested Airflow from MCH-23 (cfm)
548
03
Required Fan Efficacy (watts/cfm)
0.58
04
Actual Fan Efficacy (watts/cfm)
0.52
05
Compliance Statement:
System fan efficacy complies
Registration Number:
219-P010089040A-000-001-M22006A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:38:46
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 2 of 3)
D. Additional Requirements
01
All registers were fully open during the diagnostic test.
02
System fan was set at maximum speed during the diagnostic test.
03
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
05
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M22006A-0000
CaICERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:38:46
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M22006A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:38:46
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 6
02
System Location or Area Served
UPPER POOL SUITE
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
2
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
10
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable watt meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01
Actual Tested Watts
366
02
Actual Tested Airflow from MCH-23 (cfm)
719
03
Required Fan Efficacy (watts/cfm)
0.58
04
Actual Fan Efficacy (watts/cfm)
0.51
05
Compliance Statement:
System fan efficacy complies
Registration Number:
219-P010089040A-000-001-M22007A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:41:34
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 2 of 3)
D. Additional Requirements
01
All registers were fully open during the diagnostic test.
02
System fan was set at maximum speed during the diagnostic test.
03
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
05
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M22007A-0000
CaICERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:41:34
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M22007A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:41:34
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
System 7
02
System Location or Area Served
UPPER ENTRY SUITE
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
2
05
Condenser Speed Type
Multi -speed
06
Cooling System Zonal Control Type
Not Zonal
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
2019-04-08
10
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable watt meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01
Actual Tested Watts
393
02
Actual Tested Airflow from MCH-23 (cfm)
742
03
Required Fan Efficacy (watts/cfm)
0.58
04
Actual Fan Efficacy (watts/cfm)
0.53
05
Compliance Statement:
System fan efficacy complies
Registration Number:
219-P010089040A-000-001-M22008A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:51:53
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 2 of 3)
D. Additional Requirements
01
All registers were fully open during the diagnostic test.
02
System fan was set at maximum speed during the diagnostic test.
03
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
05
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M22008A-0000
CaICERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:51:53
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M22008A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:51:53
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name:
Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address:
53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
System Identification or Name
System 6
02
System Location or Area Served
UPPER POOL SUITE
03
Condenser (or package unit) Make or Brand
DAIKIN
04
Condenser (or package unit) Model Number
RX24RMVJU
05
Nominal Cooling Capacity (tons) of Condenser
2
06
Condenser (or package unit) Serial Number
E000332
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
N/A
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with
a FID must have refrigerant charge verified by installer).
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be
verified 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)?
No, none of the refrigerant charge verification procedures in
RA3.2.2, or RA1 are applicable to the system therefore
compliance shall use HERS Rater observation of the
installer's weigh-in charging procedure
14
Date of Refrigerant Charge Verification for this system
2019-04-08
15
Refrigerant charge verification method used.
Weigh-in with HERS Rater Observation
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System does not qualify for group sampling
Registration Number:
219-P010089040A-000-001-M25007A-0000
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:49:22
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
MCH-25c - Refrigerant Charge Verification - Weigh In Observation Procedure
B. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.3.1.4
01
Date of expiration of Digital Refrigerant Scale Calibration
2019-05-31
02
Date of Digital Thermometer and Temperature Sensor
Calibration
2019-05-31
03
Digital Refrigerant Scale Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
C. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the
Measurement Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
D. 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)
700
02
System Airflow Rate Verification Status
System complies with minimum airflow rate requirements
E. Weigh In Charge Procedure
Procedures for Refrigerant Charge using the Weigh-in Charging Procedure are given in Reference Residential Appendix RA3.2.2.2
and RA3.2.3
01
Measured Condenser Air Entering Dry-bulb Temperature
(Tcondenser, db) ((° F)
72
02
Specify the Method of Weigh-in
TotalCharge
03
Manufacturer Standard Charge for Condenser (lbs, oz.)
3, 3
04
Manufacturer Standard Liquid Line Length (ft)
98
05
Manufacturer's Standard Liquid Line Diameter (in)
0.25
06
Manufacturer's Standard Indoor Coil Size (tons)
2
07
Installed Liquid Line Length (ft)
26
08
Installed Liquid Line Diameter (in)
0.25
Registration Number:
219-P010089040A-000-001-M25007A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:49:22
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
E. Weigh In Charge Procedure
Procedures for Refrigerant Charge using the Weigh-in Charging Procedure are given in Reference Residential Appendix RA3.2.2.2
and RA3.2.3
09
Installed Indoor Coil Size (tons)
2
10
Charge Adjustment to Standard Charge from Manufacturer's
Specifications (ounces, positive = add, negative = remove)
0
11
Refrigerant Required to be Weighed in by the Installer (lbs,
oz)
3, 3
12
Refrigerant Weighed in by Installer (Ibs, oz)
3, 3
13
Compliance Statement:
System complies with the Weigh-in charge requirement
F. Weigh In Charge Procedure - Additional Requirements
01
All brazing of refrigerant lines done with dry nitrogen in lines and evaporator coil
02
The indoor coil correction to refrigerant weight is used if it is supplied by the manufacturer.
03
Prior to introducing refrigerant, system is evacuated to 500 microns or less and, when isolated, has risen no more than 300
microns after 5 minutes.
04
When applicable and if necessary to avoid delay of approval of dwelling units completed when outside temperatures are
below 55°F, the enforcement agency may approve compliance with the refrigerant charge verification requirements based
on registration of this CF2R-MCH-25, documenting use of the RA3.2.3.1 HVAC Installer Weigh -In Charging Procedure when
the optional Section RA3.2.3.2 HERS Rater Observation of Weigh -In Charging Procedure is not used. As condition for such
enforcement agency approval, the responsible person's signature on this compliance document affirms the installer agrees
to return to correct refrigerant charge if a HERS Rater determines at a later time, when the outside temperature is 55°F or
greater, that refrigerant charge correction is necessary.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
G. Fault Indicator Display
This section does not apply to this project.
H. Fault Indicator Display - Additional Requirements
This section does not apply to this project.
Registration Number:
219-P010089040A-000-001-M25007A-0000
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:49:22
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M25007A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:49:22
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name:
Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address:
53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
System Identification or Name
System 7
02
System Location or Area Served
UPPER ENTRY SUITE
03
Condenser (or package unit) Make or Brand
DAIKIN
04
Condenser (or package unit) Model Number
RX24RMVJU
05
Nominal Cooling Capacity (tons) of Condenser
2
06
Condenser (or package unit) Serial Number
E000333
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
N/A
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with
a FID must have refrigerant charge verified by installer).
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be
verified 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)?
No, none of the refrigerant charge verification procedures in
RA3.2.2, or RA1 are applicable to the system therefore
compliance shall use HERS Rater observation of the
installer's weigh-in charging procedure
14
Date of Refrigerant Charge Verification for this system
2019-04-08
15
Refrigerant charge verification method used.
Weigh-in with HERS Rater Observation
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System does not qualify for group sampling
Registration Number:
219-P010089040A-000-001-M25008A-0000
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:52:50
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
MCH-25c - Refrigerant Charge Verification - Weigh In Observation Procedure
B. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.3.1.4
01
Date of expiration of Digital Refrigerant Scale Calibration
2019-05-31
02
Date of Digital Thermometer and Temperature Sensor
Calibration
2019-05-31
03
Digital Refrigerant Scale Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
C. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the
Measurement Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
D. 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)
700
02
System Airflow Rate Verification Status
System complies with minimum airflow rate requirements
E. Weigh In Charge Procedure
Procedures for Refrigerant Charge using the Weigh-in Charging Procedure are given in Reference Residential Appendix RA3.2.2.2
and RA3.2.3
01
Measured Condenser Air Entering Dry-bulb Temperature
(Tcondenser, db) ((° F)
72
02
Specify the Method of Weigh-in
TotalCharge
03
Manufacturer Standard Charge for Condenser (lbs, oz.)
3, 3
04
Manufacturer Standard Liquid Line Length (ft)
98
05
Manufacturer's Standard Liquid Line Diameter (in)
0.25
06
Manufacturer's Standard Indoor Coil Size (tons)
2
07
Installed Liquid Line Length (ft)
30
08
Installed Liquid Line Diameter (in)
0.25
Registration Number:
219-P010089040A-000-001-M25008A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:52:50
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
E. Weigh In Charge Procedure
Procedures for Refrigerant Charge using the Weigh-in Charging Procedure are given in Reference Residential Appendix RA3.2.2.2
and RA3.2.3
09
Installed Indoor Coil Size (tons)
2
10
Charge Adjustment to Standard Charge from Manufacturer's
Specifications (ounces, positive = add, negative = remove)
0
11
Refrigerant Required to be Weighed in by the Installer (lbs,
oz)
3, 3
12
Refrigerant Weighed in by Installer (Ibs, oz)
3, 3
13
Compliance Statement:
System complies with the Weigh-in charge requirement
F. Weigh In Charge Procedure - Additional Requirements
01
All brazing of refrigerant lines done with dry nitrogen in lines and evaporator coil
02
The indoor coil correction to refrigerant weight is used if it is supplied by the manufacturer.
03
Prior to introducing refrigerant, system is evacuated to 500 microns or less and, when isolated, has risen no more than 300
microns after 5 minutes.
04
When applicable and if necessary to avoid delay of approval of dwelling units completed when outside temperatures are
below 55°F, the enforcement agency may approve compliance with the refrigerant charge verification requirements based
on registration of this CF2R-MCH-25, documenting use of the RA3.2.3.1 HVAC Installer Weigh -In Charging Procedure when
the optional Section RA3.2.3.2 HERS Rater Observation of Weigh -In Charging Procedure is not used. As condition for such
enforcement agency approval, the responsible person's signature on this compliance document affirms the installer agrees
to return to correct refrigerant charge if a HERS Rater determines at a later time, when the outside temperature is 55°F or
greater, that refrigerant charge correction is necessary.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
G. Fault Indicator Display
This section does not apply to this project.
H. Fault Indicator Display - Additional Requirements
This section does not apply to this project.
Registration Number:
219-P010089040A-000-001-M25008A-0000
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:52:50
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M25008A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:52:50
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system
requ'ring verification must use a separate form.
01
System Name or Identification/Tag
System 1
02
System Location or Area Served
GREATROOM/KITCHEN
03
Status: SEER and EER performance compliance credit check
Both SEER and EER HERS Verification is required
04
Directory used to certify product performance
AHRI
05
AHRI certification number for the installed space
conditioning system from http://www.ahridirectory.org
8256560
06
Does the directory used to certify product performance
require a specific air handler/furnace make and model? i
Yes
R 5,
I
07
Does the directory used to certify product performance
require a time delay relay (+TDR)?
Now
t
nc
08
Does the directory used to certify product performance
require a TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Data from Nameplate of Installed system
component
Data from the Directory used to certify
product performance for the rated system
component
Outdoor Condenser or Package Unit -
Installed Manufacturer Name
01
GOODMAN
02
GOODMAN
Outdoor Condenser or Package Unit -
Installed Model Number
03
AVXC200601AE
04
AVXC200601AE
Inside Coil - Installed Manufacturer
Name
05
ASPEN
06
ASPEN
Inside Coil - Installed Model Number
07
CC60G44245L004
08
CC60G44245L004
Air Handler/Furnace - Installed
Manufacturer Name
09
GOODMAN
10
GOODMAN
Registration Number:
219-P010089040A-000-001-M26002A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:28:10
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 3)
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Air Handler/Furnace - Installed Model
Number
11
A M VC80805 CXCA
12
AMVC80805CXCA
C. Verified Cooling System SEER
01
Required minimum SEER
18
02
Installed SEER
18.85
03
Compliance Statement:
System passes SEER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
D. Verified Cooling System EER
01
Required minimum EER
N.
13
02
Installed EER —
13
03
Compliance Statement:
System passes EER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
E. Verified Cooling System Air Handler/Furnace
01
If a specific air handler or furnace is required by the directory used to certify product performance, the responsible party
certifies by signing below that the installed air handler/furnace matches the equipment specified in the directory.
F. Verified Cooling System Time Delay Relay
This section does not apply to this project.
G. Verified Cooling System TXV
This section does not apply to this project.
Registration Number:
219-P010089040A-000-001-M26002A-0000
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:28:10
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M26002A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:28:10
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system
requ'ring verification must use a separate form.
01
System Name or Identification/Tag
System 2
02
System Location or Area Served
KITCHEN
03
Status: SEER and EER performance compliance credit check
Both SEER and EER HERS Verification is required
04
Directory used to certify product performance
AHRI
05
AHRI certification number for the installed space
conditioning system from http://www.ahridirectory.org
8224876
06
Does the directory used to certify product performance
require a specific air handler/furnace make and model? ir
Yes
R 5,
I
07
Does the directory used to certify product performance
require a time delay relay (+TDR)?
Now
t
n c
08
Does the directory used to certify product performance
require a TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Data from Nameplate of Installed system
component
Data from the Directory used to certify
product performance for the rated system
component
Outdoor Condenser or Package Unit -
Installed Manufacturer Name
01
GOODMAN
02
GOODMAN
Outdoor Condenser or Package Unit -
Installed Model Number
03
AVXC200361AE
04
AVXC200361AE
Inside Coil - Installed Manufacturer
Name
05
US ALUMACOIL
06
ALUMACOIL
Inside Coil - Installed Model Number
07
CAPF3743C6DB
08
CAPF3743C6DB
Air Handler/Furnace - Installed
Manufacturer Name
09
GOODMAN
10
GOODMAN
Registration Number:
219-P010089040A-000-001-M26003A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:32:16
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 3)
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Air Handler/Furnace - Installed Model
Number
11
A M VC80805 CXCA
12
AMVC80805CXCA
C. Verified Cooling System SEER
01
Required minimum SEER
18
02
Installed SEER
21
03
Compliance Statement:
System passes SEER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
D. Verified Cooling System EER
01
Required minimum EER
N.
13
02
Installed EER —
13
03
Compliance Statement:
System passes EER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
E. Verified Cooling System Air Handler/Furnace
01
If a specific air handler or furnace is required by the directory used to certify product performance, the responsible party
certifies by signing below that the installed air handler/furnace matches the equipment specified in the directory.
F. Verified Cooling System Time Delay Relay
This section does not apply to this project.
G. Verified Cooling System TXV
This section does not apply to this project.
Registration Number:
219-P010089040A-000-001-M26003A-0000
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:32:16
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M26003A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:32:16
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system
requ'ring verification must use a separate form.
01
System Name or Identification/Tag
System 3
02
System Location or Area Served
MASTER
03
Status: SEER and EER performance compliance credit check
Both SEER and EER HERS Verification is required
04
Directory used to certify product performance
AHRI
05
AHRI certification number for the installed space
conditioning system from http://www.ahridirectory.org
8256560
06
Does the directory used to certify product performance
require a specific air handler/furnace make and model? i
Yes
R 5,
I
07
Does the directory used to certify product performance
require a time delay relay (+TDR)?
Now
t
nc
08
Does the directory used to certify product performance
require a TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Data from Nameplate of Installed system
component
Data from the Directory used to certify
product performance for the rated system
component
Outdoor Condenser or Package Unit -
Installed Manufacturer Name
01
GOODMAN
02
GOODMAN
Outdoor Condenser or Package Unit -
Installed Model Number
03
AVXC200601AE
04
AVXC200601AE
Inside Coil - Installed Manufacturer
Name
05
ASPEN
06
ASPEN
Inside Coil - Installed Model Number
07
CC60G44245L004
08
CC60G44245L004
Air Handler/Furnace - Installed
Manufacturer Name
09
GOODMAN
10
GOODMAN
Registration Number:
219-P010089040A-000-001-M26004A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:34:24
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 3)
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Air Handler/Furnace - Installed Model
Number
11
A M VC80805 CXCA
12
AMVC80805CXCA
C. Verified Cooling System SEER
01
Required minimum SEER
18
02
Installed SEER
18.85
03
Compliance Statement:
System passes SEER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
D. Verified Cooling System EER
01
Required minimum EER
N.
13
02
Installed EER —
13
03
Compliance Statement:
System passes EER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
E. Verified Cooling System Air Handler/Furnace
01
If a specific air handler or furnace is required by the directory used to certify product performance, the responsible party
certifies by signing below that the installed air handler/furnace matches the equipment specified in the directory.
F. Verified Cooling System Time Delay Relay
This section does not apply to this project.
G. Verified Cooling System TXV
This section does not apply to this project.
Registration Number:
219-P010089040A-000-001-M26004A-0000
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:34:24
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M26004A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:34:24
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system
requ'ring verification must use a separate form.
01
System Name or Identification/Tag
System 4
02
System Location or Area Served
LOWER OUTSIDE SUITE
03
Status: SEER and EER performance compliance credit check
Both SEER and EER HERS Verification is required
04
Directory used to certify product performance
AHRI
05
AHRI certification number for the installed space
conditioning system from http://www.ahridirectory.org
201851574
06
Does the directory used to certify product performance
require a specific air handler/furnace make and model? ir
No
ic
R 5
07
Does the directory used to certify product performance
require a time delay relay (+TDR)?
Now
t ,
08
Does the directory used to certify product performance
require a TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Data from Nameplate of Installed system
component
Data from the Directory used to certify
product performance for the rated system
component
Outdoor Condenser or Package Unit -
Installed Manufacturer Name
01
DAIKIN
02
DAIKIN
Outdoor Condenser or Package Unit -
Installed Model Number
03
RX24RMVJU
04
RX24RMVJU
Inside Coil - Installed Manufacturer
Name
05
DAIKIN
06
DAIKIN
Inside Coil - Installed Model Number
07
FDMQ24RVJU
08
FDMQ24RVJU
Air Handler/Furnace - Installed
Manufacturer Name
09
N/A
10
This field or section is not applicable
Registration Number:
219-P010089040A-000-001-M26005A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:36:34
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 3)
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Air Handler/Furnace - Installed Model
Number
11
N/A
12
This field or section is not applicable
C. Verified Cooling System SEER
01
Required minimum SEER
16.5
02
Installed SEER
18.6
03
Compliance Statement:
System passes SEER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
D. Verified Cooling System EER
01
Required minimum EER
N.
12.3
02
Installed EER —
12.5
03
Compliance Statement:
System passes EER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
E. Verified Cooling System Air Handler/Furnace
This section does not apply to this project.
F. Verified Cooling System Time Delay Relay
This section does not apply to this project.
G. Verified Cooling System TXV
This section does not apply to this project.
Registration Number:
219-P010089040A-000-001-M26005A-0000
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:36:34
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M26005A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:36:34
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system
requ'ring verification must use a separate form.
01
System Name or Identification/Tag
System 5
02
System Location or Area Served
LOWER INNER SUITE
03
Status: SEER and EER performance compliance credit check
Both SEER and EER HERS Verification is required
04
Directory used to certify product performance
AHRI
05
AHRI certification number for the installed space
conditioning system from http://www.ahridirectory.org
201851573
06
Does the directory used to certify product performance
require a specific air handler/furnace make and model? ir
No
ic
R 5
07
Does the directory used to certify product performance
require a time delay relay (+TDR)?
Now
t ,
08
Does the directory used to certify product performance
require a TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Data from Nameplate of Installed system
component
Data from the Directory used to certify
product performance for the rated system
component
Outdoor Condenser or Package Unit -
Installed Manufacturer Name
01
DAIKIN
02
DAIKIN
Outdoor Condenser or Package Unit -
Installed Model Number
03
RX18RMVJU
04
RX18RMVJU
Inside Coil - Installed Manufacturer
Name
05
DAIKIN
06
DAIKIN
Inside Coil - Installed Model Number
07
FDMQ18RVJU
08
FDMQ18RVJU
Air Handler/Furnace - Installed
Manufacturer Name
09
N/A
10
This field or section is not applicable
Registration Number:
219-P010089040A-000-001-M26006A-0000
Registration Date/Time: 2019-04-17 12:19:20
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:39:27
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 3)
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Air Handler/Furnace - Installed Model
Number
11
N/A
12
This field or section is not applicable
C. Verified Cooling System SEER
01
Required minimum SEER
16.5
02
Installed SEER
18.5
03
Compliance Statement:
System passes SEER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
D. Verified Cooling System EER
01
Required minimum EER
N.
12.3
02
Installed EER —
12.5
03
Compliance Statement:
System passes EER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
E. Verified Cooling System Air Handler/Furnace
This section does not apply to this project.
F. Verified Cooling System Time Delay Relay
This section does not apply to this project.
G. Verified Cooling System TXV
This section does not apply to this project.
Registration Number:
219-P010089040A-000-001-M26006A-0000
Registration Date/Time: 2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:39:27
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:20
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:20
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M26006A-0000
2019-04-17 12:19:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:39:27
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system
requ'ring verification must use a separate form.
01
System Name or Identification/Tag
System 6
02
System Location or Area Served
UPPER POOL SUITE
03
Status: SEER and EER performance compliance credit check
Both SEER and EER HERS Verification is required
04
Directory used to certify product performance
AHRI
05
AHRI certification number for the installed space
conditioning system from http://www.ahridirectory.org
201851574
06
Does the directory used to certify product performance
require a specific air handler/furnace make and model? ir
No
ic
R 5
07
Does the directory used to certify product performance
require a time delay relay (+TDR)?
Now
t ,
08
Does the directory used to certify product performance
require a TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Data from Nameplate of Installed system
component
Data from the Directory used to certify
product performance for the rated system
component
Outdoor Condenser or Package Unit -
Installed Manufacturer Name
01
DAIKIN
02
DAIKIN
Outdoor Condenser or Package Unit -
Installed Model Number
03
RX24RMVJU
04
RX24RMVJU
Inside Coil - Installed Manufacturer
Name
05
DAIKIN
06
DAIKIN
Inside Coil - Installed Model Number
07
FDMQ24RVJU
08
FDMQ24RVJU
Air Handler/Furnace - Installed
Manufacturer Name
09
N/A
10
This field or section is not applicable
Registration Number:
219-P010089040A-000-001-M26007A-0000
Registration Date/Time: 2019-04-17 12:19:21
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 11:50:18
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 3)
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Air Handler/Furnace - Installed Model
Number
11
N/A
12
This field or section is not applicable
C. Verified Cooling System SEER
01
Required minimum SEER
16.5
02
Installed SEER
18.6
03
Compliance Statement:
System passes SEER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
D. Verified Cooling System EER
01
Required minimum EER
N.
12.3
02
Installed EER —
12.5
03
Compliance Statement:
System passes EER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
E. Verified Cooling System Air Handler/Furnace
This section does not apply to this project.
F. Verified Cooling System Time Delay Relay
This section does not apply to this project.
G. Verified Cooling System TXV
This section does not apply to this project.
Registration Number:
219-P010089040A-000-001-M26007A-0000
Registration Date/Time: 2019-04-17 12:19:21 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:50:18
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:21
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:21
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M26007A-0000
2019-04-17 12:19:21 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 11:50:18
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 3)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system
requ'ring verification must use a separate form.
01
System Name or Identification/Tag
System 7
02
System Location or Area Served
UPPER ENTRY SUITE
03
Status: SEER and EER performance compliance credit check
Both SEER and EER HERS Verification is required
04
Directory used to certify product performance
AHRI
05
AHRI certification number for the installed space
conditioning system from http://www.ahridirectory.org
801851574
06
Does the directory used to certify product performance
require a specific air handler/furnace make and model? ir
No
ic
R 5
07
Does the directory used to certify product performance
require a time delay relay (+TDR)?
Now
t ,
08
Does the directory used to certify product performance
require a TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Data from Nameplate of Installed system
component
Data from the Directory used to certify
product performance for the rated system
component
Outdoor Condenser or Package Unit -
Installed Manufacturer Name
01
DAIKIN
02
DAIKIN
Outdoor Condenser or Package Unit -
Installed Model Number
03
RX24RMVJU
04
RX24RMVJU
Inside Coil - Installed Manufacturer
Name
05
DAIKIN
06
DAIKIN
Inside Coil - Installed Model Number
07
FDMQ24RVJU
08
FDMQ24RVJU
Air Handler/Furnace - Installed
Manufacturer Name
09
N/A
10
This field or section is not applicable
Registration Number:
219-P010089040A-000-001-M26008A-0000
Registration Date/Time: 2019-04-17 12:19:21
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2019-04-17 12:17:57
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 3)
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Air Handler/Furnace - Installed Model
Number
11
N/A
12
This field or section is not applicable
C. Verified Cooling System SEER
01
Required minimum SEER
16.5
02
Installed SEER
18.6
03
Compliance Statement:
System passes SEER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
D. Verified Cooling System EER
01
Required minimum EER
N.
12.3
02
Installed EER —
12.5
03
Compliance Statement:
System passes EER verification
Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed
on the CF1R.
E. Verified Cooling System Air Handler/Furnace
This section does not apply to this project.
F. Verified Cooling System Time Delay Relay
This section does not apply to this project.
G. Verified Cooling System TXV
This section does not apply to this project.
Registration Number:
219-P010089040A-000-001-M26008A-0000
Registration Date/Time: 2019-04-17 12:19:21 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 12:17:57
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:21
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
79VPIs:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:21
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M26008A-0000
2019-04-17 12:19:21 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 12:17:57
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 1 of 7)
Project Name: Via Dona Project
Enforcement Agency:
Quinta
City of La
Permit Number:
.
Dwelling Address: 53034 Via Dona
City:
La Quinta
Zip Code:
92253
Title 24, Part 6, Section 150.0(o) Ventilation for Indoor Air Quality. All dwelling units shall meet the requirements of ANSI/ASHRAE
Standard 62.2. Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Equation and table numbering on
this form corresponds to the numbering for that information in the published ANSI/SHRAE Standard 62.2-2010.
A. Dwelling Mechanical Ventilation - General Information
01
Dwelling unit name
Via Dona Project
02
Building Type
Single Family
03
Project scope
Newly constructed building
04
Total Conditioned Floor Area of Dwelling Unit
(For addition projects the conditioned floor area equals
existing area plus addition area. )
5527
_
Number of bedrooms in dwelling unit
(For addition projects the number of bedrooms equals the
existing bedrooms plus addition bedrooms)'OV
5 is05
I
L
E R
06
Ventilation Operation Schedule
Continuous
07
Whole -Building Ventilation Rate Calculation Method
Fan Ventilation Rate Method (4.1.1)
08
Whole Building Ventilation System Type
Standalone - Exhaust
09
IAQ Fan Location
LAUNDRY
Note:
Non -dwelling units do not meet the definition for a dwelling unit as defined in Section 100.1(b). Non -dwelling units are not
designed to provide independent living facilities and do not provide permanent provisions for living, sleeping, eating, cooking and
sanitation.
MCH-27a - Continuous Ventilation Airflow - Fan Ventilation Rate Method
B. Whole -Building Continuous Ventilation - Fan Ventilation Rate Method
A mechanical supply system, exhaust system, or combination thereof shall provide whole -building ventilation with
outdoor air each hour at no less than the rate in equation 4.1a.
01
Required Continuous Whole -Building Ventilation Rate (Qfan)
100
02
Installed Continuous Whole -Building Ventilation Rate
121
Registration Number:
219-P010089040A-000-001-M27001A-0000
Registration Date/Time: 2019-04-17 12:19:21
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 12:19:08
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 2 of 7)
C. Compliance Statement
01
Building passes continuous whole -building ventilation rate test
Registration Number:
219-P010089040A-000-001-M27001A-0000
CaICERTS, Inc
HERS PROVIDER
•
Registration Date/Time: 2019-04-17 12:19:21 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 12:19:08
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page3of7)
D. Local Mechanical Exhaust System - Fan selection and duct design criteria for compliance
Local mechanical exhaust fans shall be installed in each kitchen and bathroom. Delivered local ventilation rates:
• All local ventilation rates have been measured using a flow hood, flow grid, or other airflow measuring device and meet the
requirements of 62.2 Tables 5.1 or 5.2. OR
• The airflow rating at a pressure of 0.25 in. w.c. of a certified fan is assumed because the local ventilation system duct sizing
meets the prescriptive requirements of 62.2 Table 5.3, or manufacturer's design criteria.
Table 5.1
Intermittent Local Ventilation Exhaust Airflow Rates
Application
Airflow
Notes
Kitchen
100 cfm
Vented range hood (including
appliance -range hood combinations)
required if exhaust fan flow is less than 5
ACH.
Bathroom
50 cfm
Table 5.2
Continuous Local Ventilation Exhaust Airflow Rates
Application
Airflow
Notes
Kitchen
5 ACH
Based on Kitchen volume.
Bathroom
Ulk
20 cfm
Table 5.3 _ •
Prescriptive Duct Sizing Requirements
Duct Type
Flex Duct
Smooth Duct
Fan Rating
cfm @ 0.25
in. w.g.
50
80
100
125
50
80
100
125
Maximum Allowable Duct Length (ft)
Diameter,
(in)
Flex Duct
Smooth Duct
3
X
X
X
X
5
X
X
X
4
70
3
X
X
105
35
5
X
5
NL
70
35
20
NL
135
85
55
6
NL
NL
125
95
NL
NL
NL
145
7andabove
NL
NL
NL
NL
NL
NL
NL
NL
This table assumes no elbows. Deduct 15 ft of allowable duct length for each turn, elbow, or fitting. Interpolation and extrapolation
in 62.2 Table 5.3 is not allowed. For airflow values not listed, use the next higher value. This table is not applicable for airflow > 125
cfm.
NL = no limit on duct length of this size.
X = not allowed, any length of duct of this size with assumed turns, elbows, fittings will exceed the rated pressure drop.
Registration Number:
219-P010089040A-000-001-M27001A-0000
Registration Date/Time: 2019-04-17 12:19:21 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 12:19:08
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 4 of 7)
E. Other Requirements
The items listed below (6.1 through 6.8) correspond to the information given in ASHRAE 62.2 Section 6 "Other
Requirements". Refer also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.5) for information
describing these "Other Requirements". The signature of the Responsible Person in the declaration statement below
certifies that the building complies with these requirements specified in ASHRAE 62.2 Section 6.1 through 6.9 if
applicable.
01
6.1 Transfer Air. Measures shall be taken to minimize air movement across envelope components to occupiable spaces from
garages, unconditioned crawl spaces, and unconditioned attics. Supply and balanced ventilation systems shall be designed
and constructed to provide ventilation air directly from the outdoors.
02
6.2 Instructions and Labeling. Information on the ventilation design and/or ventilation systems installed, instructions on
their proper operation to meet the requirements of this standard, and instructions detailing any required maintenance
(similar to that provided for HVAC systems) shall be provided to the owner and the occupant of the dwelling unit. Controls
shall be labeled as to their function (unless that function is obvious, such as toilet exhaust fan switches). See Chapter 13 of
Guideline 24 2 for information on instructions and labeling.
03
6.3 Clothes Dryers. Clothes dryers shall be exhausted directly to the outdoors
04
6.4 Combustion and Solid -Fuel Burning Appliances. Combustion and solid -fuel burning appliances must be provided with
adequate combustion and ventilation air and vented in accordance with manufacturer installation instructions, NFPA 54
ANSI Z223.1, National Fuel Gas Code, NFPA 31, Standard for the Installation of Oil -Burning Equipment, or NFPA 211,
Standard for Chimneys, Fireplaces, Vents, and Solid -Fuel Burning Appliances, or other equivalent code acceptable to the
building official.
Where atmospherically vented combustion appliances or solid -fuel burning appliances are located inside the pressure
boundary, the total net exhaust flow of the two largest exhaust fans (not including a summer cooling fan intended to be
operated only when windows or other air inlets are open) shall not exceed 15 cfm/100 ft2 (75 Lps/100 m2) of occupiable
space when in operation at full capacity. If the designed total net flow exceeds this limit, the net exhaust flow must be
reduced by reducing the exhaust flow or providing compensating outdoor airflow. Atmospherically vented combustion
appliances do not include direct -vent appliances.
05
6.5 Garages. When an occupiable space adjoins a garage, the design must prevent migration of contaminants to the
adjoining occupiable space. Air seal the walls, ceilings, and floors that separate garages from occupiable space. To be
considered air sealed, all joints, seams, penetrations, openings between door assemblies and their respective jambs and
framing, and other sources of air leakage through wall and ceiling assemblies separating the garage from the residence and
its attic area shall be caulked, gasketed, weather stripped, wrapped, or otherwise sealed to limit air movement. Doors
between garages and occupiable spaces shall be gasketed or made substantially airtight with weather stripping.
06
6.6 Ventilation Opening Area. Spaces shall have ventilation openings as listed below. Such openings shall meet the
requirements of Section 6.8
07
6.7 Minimum Filtration. Mechanical systems that supply air to an occupiable space through ductwork exceeding 10 ft (3 m)
in length and through a thermal conditioning component, except evaporative coolers, shall be provided with a filter having
a designated minimum efficiency of MERV 6, or better, when tested in accordance with ANSI ASHRAE Standard 52.2,
Method of Testing General Ventilation Air -Cleaning Devices for Removal Efficiency by Particle Size, or a minimum Particle
Size Efficiency of 50 percent in the 3.0-10 µm range in accordance with AHRI Standard 680, Performance Rating of
Residential Air Filter Equipment. The system shall be designed such that all recirculated and mechanically supplied outdoor
air is filtered before passing through the thermal conditioning components. The filter shall be located and installed in such a
manner as to facilitate access and regular service by the owner.
Registration Number:
219-P010089040A-000-001-M27001A-0000
Registration Date/Time: 2019-04-17 12:19:21
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2018.0.001 Report Generated: 2019-04-17 12:19:08
Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page5of7)
E. Other Requirements
The items listed below (6.1 through 6.8) correspond to the information given in ASHRAE 62.2 Section 6 "Other
Requirements". Refer also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.5) for information
describing these "Other Requirements". The signature of the Responsible Person in the declaration statement below
certifies that the building complies with these requirements specified in ASHRAE 62.2 Section 6.1 through 6.9 if
applicable.
08
6.8 Air Inlets. Air inlets that are part of the ventilation design shall be located a minimum of 10 ft (3 m) from known sources
of contamination such as a stack, vent, exhaust hood, or vehicle exhaust. The intake shall be placed so that entering air is
not obstructed by snow, plantings, or other material. Forced air inlets shall be provided with rodent insect screens (mesh
not larger than 1/2 inch).
09
6.9 Carbon Monoxide Detectors. A carbon monoxide alarm shall be installed in each dwelling unit in accordance with NFPA
720, Standard for the Installation of Carbon Monoxide (CO) Detection and Warning Equipment 14, and shall be consistent
with requirements of applicable laws, codes, and standards.
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met.
F. Air Moving Equipment
The items listed below (7.1 through 7.3) correspond to the information given in ASHRAE 62.2 Section 7Air-Moving
Equipment. Refer also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.6) for information describing
these requirements in more detail. The signature of the Responsible Person in the declaration statement below
certifies that the building complies with these requirements specified in ASHRAE 62.2 Section 7.1 through 7.3 if
applicable.
01
7.1 Selection and Installation. Ventilation devices and equipment shall be tested and listed in accordance with specific
standards. Installations of systems or equipment shall be carried out in accordance with manufacturers' design
requirements and installation instructions.
02
7.2 Sound Ratings for Fans. Ventilation fans shall be rated for sound at no less than the minimum airflow rate required by
this standard, as noted below. These sound ratings shall be at a minimum of 0.1 in. w.c. (25 Pa) static pressure.
7.2.1 Whole Building or Continuous Ventilation Fans. These fans shall be rated for sound at a maximum of 1.0 sone.
7.2.2 Intermittent Local Exhaust Fans. Fans used to comply with Section 5.2 shall be rated for sound at a maximum of 3
sone, unless their maximum rated airflow exceeds 400 cfm (200 L/s). (Some exceptions may apply.)
03
7.3 Multibranch Exhaust Ducting. If more than one of the exhaust fans in a dwelling unit shares a common exhaust duct,
each fan shall be equipped with a back draft damper to prevent the recirculation of exhaust air from one room to another
through the exhaust ducting system.
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
219-P010089040A-000-001-M27001A-0000
Registration Date/Time: 2019-04-17 12:19:21 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 12:19:08
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page6of7)
G. Multifamily Buildings -Other Requirements
The items listed below correspond to the information given in ASHRAE 62.2 Section 8 "Multifamily Buildings". Refer
also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.5) for information describing these
requirements in more detail. The signature of the Responsible Person in the declaration statement below certifies that
the building complies with these requirements specified in ASHRAE 62.2 Section 8, if applicable.
8.2 Whole -Building Mechanical Ventilation. For multifamily buildings, the term "building" in Section 4 refers to a single
dwelling unit.
8.4.1 Transfer Air. Measures shall be taken to minimize air movement across envelope components separating dwelling
units, including sealing penetrations in the common walls, ceilings, and floors of each unit and by sealing vertical chases
adjacent to the units. All doors between dwelling units and common hallways shall be gasketed or made substantially
airtight.
8.4.1.1 Compliance. One method of demonstrating compliance with Section 8.4.1 shall be to verify a leakage rate below a
maximum of 0.2 cfm/ ft2 (100 Lis per 100 m2) of the dwelling unit envelope area (i.e., the sum of the area of the walls
01
between dwelling units, exterior walls, ceiling and floor) at a test pressure of 50 Pa by a blower door test. The test shall be
conducted with the dwelling unit as if it were exposed to outdoor air on all sides, top, and bottom by opening doors and
windows of adjacent dwelling units.
8.5.1 Exhaust Ducts. Exhaust fans in separate dwelling units shall not share a common exhaust duct. Exhaust inlets from
more than one dwelling unit may be served by a single exhaust fan downstream of all the exhaust inlets if the fan is
designated and intended to run continuously or if each inlet is equipped with a back -draft damper to prevent
cross -contamination when the fan is not running.
8.5.2 Supply Ducts. Supply outlets to more than one dwelling unit may be served by a single fan upstream of all the supply
outlets if the fan is designed and intended to run continuously or if each supply outlet is equipped with a back -draft damper
to prevent cross -contamination when the fan is not running.
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met
Registration Number:
219-P010089040A-000-001-M27001A-0000
Registration Date/Time: 2019-04-17 12:19:21 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 12:19:08
2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 7 of 7)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Herman Paredes
Documentation Author Signature: 7L/L 11 l/ pa in
7�%�1f
Company:
PALOMA AIR CONDITIONING
Signature Date: 2019-04-17 12:19:21
Address:
83019 ave 45
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4. I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am
required to offer any necessary corrective action at no charge to the building owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Herman Paredes
Responsible Builder/Installer Signature:
y9VPss:2f!/ Faze
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
PALOMA AIR CONDITIONING
Position With Company (Title):
OWNER
Address:
83019 ave 45
CSLB License:
619091
City/State/Zip:
Indio CA 92201
Phone:
760-347-1212
Date Signed:
2019-04-17 12:19:21
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time:
219-P010089040A-000-001-M27001A-0000
2019-04-17 12:19:21 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards
Report Version: 2018.0.001 Report Generated: 2019-04-17 12:19:08
2016 Residential Compliance Schema Version: rev 20180426