BRES2020-0218 Title 24 AnalysisCERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 1 of 21)
GENERAL INFORMATION
01
Project Name
Kaintz Residence
02
Run Title
Title 24 Analysis
03
Project Location
81325 Columbus Way Madison Club CC
04
City
La Quinta
05
Standards Version
2019
06
Zip code
92253
07
Software Version
EnergyPro 8.1
08
Climate Zone
15
09
Front Orientation (deg/ Cardinal)
0
10
Building Type
Single family
11
Number of Dwelling Units
1
12
Project Scope
NewConstruction
13
Number of Bedrooms
5
14
Addition Cond. Floor Area (ft2)
0
15
Number of Stories
1
16
Existing Cond. Floor Area (ft2)
n/a
17
Fenestration Average U-factor
0.32
18
Total Cond. Floor Area (ft2)
11095
19
Glazing Percentage (%)
32.97%
20
ADU Bedroom Count
0
21
ADU Conditioned Floor Area
0
22
Is Natural Gas Available?
Yes
VALID ONLY FOR NEW PERMIT APPLICATIONS THROUGH DECEM
BER 31, 2021
COMPLIANCE RESULTS
01
Building Complies with Computer Performance
02
This building incorporates features that require field testing and/or verification by a certified HERS rater under the supervision of a CEC-approved HERS provider.
03
This building incorporates one or more Special Features shown below
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 2 of 21)
ENERGY DESIGN RATING
Energy Design Ratings
Compliance Margins
Efficiency' (EDR)
Total2 (EDR)
Efficiency' (EDR)
Total2 (EDR)
Standard Design
36.1
19.3
Proposed Design
35.9
11.4
0.2
7.9
RESULT: 3' COMPLIES
1: Efficiency EDR includes improvements to the building envelope
2: Total EDR includes efficiency and demand response measures
3: Building complies when efficiency and total compliance margins
and more efficient equipment
such as photovoltaic (PV) systems and batteries
are greater than or equal to zero
• Standard Design PV Capacity: 13.57 kWdc
• Proposed PV kWh output exceeds proposed electricity use
by 26% which may violate NEM rules. Contact local utility.
Energy Use (kTDV/ft2-yr)
Space Heating
Space Cooling
IAQ Ventilation
Water Heating
Self Utilization Credit
Compliance Energy Total
ENERGY USE SUMMARY
Standard Design
4.03
73.58
1.94
2.12
n/a
81.67
Proposed Design
3.63
75.28
1.94
2.97
-2.72
81.1
Compliance Margin
0.4
-1.7
0
-0.85
2.72
0.57
Percent Improvement
9.9
-2.3
0
-40.1
n/a
0.7
REQUIRED PV SYSTEMS - SIMPLIFIED
01
02
03
04
05
06
07
08
09
10
11
12
DC System Size
(kWdc)
Exception
Module Type
Array Type
Power Electronics
CFI
Azimuth
(deg)
Tilt
Input
Array Angle
(deg)
Tilt: (x in 12)
Inverter Eft
MI
Annual
Solar Access
(%)
20
NA
Premium
Flxedmou(nt) f
Microinverters
false
186
Degre
5
1.05
96
100
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 3 of 21)
ENERGY DESIGN RATING BATTERY INPUTS
01
02
03
04
05
06
Control
Capacity (kWh)
Charging Efficiency
Rate (kW)Rate (kW)
Discharging Efficiency
Rate (kW)Rate (kW)
Basic
20
0.95
n/a
0.95
n/a
REQUIRED SPECIAL FEATURES
The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis.
• Battery System: 20 kWh (Self Utilization Credit taken)
• Cool roof
• Insulation above roof deck
• Insulation below roof deck
• Window overhangs and/or fins
• Non-standard duct location (any location other than attic)
HERS FEATURE SUMMARY
The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional
detail is provided in the buildng tables below. Registered CF2Rs and CF3Rs are required to be completed in the HERS Registry
Building -level Verifications:
• Quality insulation installation (QII)
• Building air leakage/reduced infiltration
• Indoor air quality ventilation
• Kitchen range hood
• High R-value Spray Foam Insulation
Cooling System Verifications:
• Minimum Airflow
• Verified EER
• Verified SEER
• Verified Refrigerant Charge
• Fan Efficacy Watts/CFM
Heating System Verifications:
• Verified HSPF
• Verified heat pump rated heating capacity
HVAC Distribution System Verifications:
• Duct leakage testing
• Low -leakage Air Handling Unit
Domestic Hot Water System Verifications:
• Pipe Insulation, All Lines
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 4 of 21)
BUILDING - FEATURES INFORMATION
01
02
03
04
05
06
07
Project Name
z
Conditioned Floor Area (ft)
Number of Dwelling
Units
Number of Bedrooms
Number of Zones
Number of Ventilation
Cooling Systems
Number of Water
Heating Systems
Kaintz Residence
11095
1
5
9
0
1
ZONE INFORMATION
01
02
03
04
05
06
07
Zone Name
Zone Type
HVAC System Name
Zone Floor Area (ft2)
Avg. Ceiling Height
Water Heating System 1
Water Heating System 2
Zone 1
Conditioned
HVAC System 11
1642
8
DHW Sys 1
N/A
Zone 2
Conditioned
HVAC System 22
1303
8
DHW Sys 1
N/A
Zone 3
Conditioned
HVAC System 33
1400
8
DHW Sys 1
N/A
Zone 4
Conditioned
HVAC System 44
1505
8
DHW Sys 1
N/A
Zone 5
Conditioned
HVAC System 55
1370
8
DHW Sys 1
N/A
Zone 6
Conditioned
HVAC System 66
944
8
DHW Sys 1
N/A
Zone 7
Conditioned
HVAC System 77
1047
8
DHW Sys 1
N/A
Zone 8
Conditioned
HVAC System 88
1169
8
DHW Sys 1
N/A
Zone 9
Conditioned
HVAC System 99
715
8
DHW Sys 1
N/A
OPAQUE SURFACES
01
02
03
04
05
06
07
08
Name
Zone
Construction
Azimuth
Orientation
Gross Area (ftz)
Window and Door
Area (ft2)
Tilt (deg)
North Exterior Wall
Zone 1
R-21 Wall1
0
Front
40
30
90
South Exterior Wall
Zone 1
R-21 Wall1
180
Back
546
240
90
East Exterior Wall
Zone 1
R-30 Wall
90
Left
940
267
90
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 5 of 21)
OPAQUE SURFACES
01
02
03
04
05
06
07
08
Name
Zone
Construction
Azimuth
Orientation
Gross Area (ft2)
Window and Door
Area (ft2)
Tilt (deg)
West Exterior Wall
Zone 1
R-21 Wall1
270
Right
210
30
90
North Exterior Wall 2
Zone 2
R-21 Wall1
0
Front
532
357.075
90
South Exterior Wall 2
Zone 2
R-21 Wall1
180
Back
620
578.077
90
West Exterior Wall 2
Zone 2
R-21 Wall1
270
Right
156
46
90
North Exterior Wall 3
Zone 3
R-21 Wall1
0
Front
140
68
90
South Exterior Wall 3
Zone 3
R-21 Wall1
180
Back
420
201.96
90
East Exterior Wall 2
Zone 3
R-30 Wall
90
Left
2238
151.944
90
West Exterior Wall 3
Zone 3
R-21 Wall1
270
Right
560
95
90
North Exterior Wall 4
Zone 4
R-21 Wall1
0
Front
560
35
90
East Exterior Wall 3
Zone 4
R-30 Wall
90
Left
476
228
90
Wwest Exterior Wall
Zone 4
R-21 Wall1
270
Right
616
80
90
West Exterior Wall 4
Zone 5
R-21 Wall1
270
Right
700
380
90
South Exterior Wall 4
Zone 6
R-21 Wall1
180
Back
84
0
90
East Exterior Wall 4
Zone 6
R-30 Wall
90
Left
910
148
90
North Exterior Wall 5
Zone 7
R-21 Wall1
0
Front
700
120
90
South Exterior Wall 5
Zone 7
R-21 Wall1
180
Back
308
0
90
Eaast Exterior Wall
Zone 7
R-30 Wall
90
Left
448
9
90
West Exterior Wall 5
Zone 7
R-21 Wall1
270
Right
476
9
90
North Exterior Wall 6
Zone 8
R-21 Wall1
0
Front
350
20
90
South Exterior Wall 6
Zone 8
R-21 Wall1
180
Back
350
35
90
East Exterior Wall 5
Zone 8
R-30 Wall
90
Left
700
0
90
West Exterior Wall 6
Zone 8
R-21 Wall1
270
Right
700
264
90
North Exterior Wall 7
Zone 9
R-21 Wall1
0
Front
120
83
90
South Exterior Wall 7
Zone 9
R-21 Wall1
180
Back
240
132
90
West Exterior Wall 7
Zone 9
R-21 Wall1
270
Right
336
120
90
Roof
Zone 1
R-59 Roof Attic AG Batt
n/a
n/a
1642
n/a
n/a
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 6 of 21)
OPAQUE SURFACES
01
02
03
04
05
06
07
08
Name
Zone
Construction
Azimuth
Orientation
Gross Area (ft2)
Window and Door
Area (ft2)
Tilt (deg)
Roof 2
Zone 2
R-59 Roof Attic AG Batt
n/a
n/a
1303
n/a
n/a
Roof 3
Zone 3
R-59 Roof Attic AG Batt
n/a
n/a
1400
n/a
n/a
Roof 4
Zone 4
R-59 Roof Attic AG Batt
n/a
n/a
1505
n/a
n/a
Roof 5
Zone 5
R-59 Roof Attic AG Batt
n/a
n/a
1370
n/a
n/a
Roof 6
Zone 6
R-59 Roof Attic AG Batt
n/a
n/a
944
n/a
n/a
Roof 7
Zone 7
R-59 Roof Attic AG Batt
n/a
n/a
1047
n/a
n/a
Roof 8
Zone 8
R-59 Roof Attic AG Batt
n/a
n/a
1169
n/a
n/a
Roof 9
Zone 9
R-59 Roof Attic AG Batt
n/a
n/a
715
n/a
n/a
ATTIC
01
02
03
04
05
06
07
08
Name
Construction
Type
Roof Rise (x in 12)
Roof Reflectance
Roof Emittance
Radiant Barrier
Cool Roof
Attic Zone 1
Attic RoofZone 1
Unventilated
0
0.74
0.93
No
Yes
Attic Zone 2
Attic RoofZone 2
Unventilated
0
0.74
0.93
No
Yes
Attic Zone 3
Attic RoofZone 3
Unventilated
0
0.74
0.93
No
Yes
Attic Zone 4
Attic RoofZone 4
Unventilated
0
0.74
0.93
No
Yes
Attic Zone 5
Attic RoofZone 5
Unventilated
0
0.74
0.93
No
Yes
Attic Zone 6
Attic RoofZone 6
Unventilated
0
0.74
0.93
No
Yes
Attic Zone 7
Attic RoofZone 7
Unventilated
0
0.74
0.93
No
Yes
Attic Zone 8
Attic RoofZone 8
Unventilated
0
0.74
0.93
No
Yes
Attic Zone 9
Attic RoofZone 9
Unventilated
0
0.74
0.93
No
Yes
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 7 of 21)
FENESTRATION / GLAZING
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Name
Type
Surface
Orientation
Azimuth
Width
(ft)
Height
(ft)
Mult.
Area
z
(ft)
U-factor
U-factor
Source
SHGC
SHGC
Sourc
e
Exterior
Shading
Window D-04
Window
North Exterior Wall
Front
0
1
30
0.35
NFRC
0.21
NFRC
Bug Screen
Window D-03
Window
South Exterior Wall
Back
180
18.5
12
1
222
0.35
NFRC
0.21
NFRC
Bug Screen
Window W-35
Window
South Exterior Wall
Back
180
1
18
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-17
Window
East Exterior Wall
Left
90
1
18
0.43
NFRC
0.19
NFRC
Bug Screen
Window W-18
Window
East Exterior Wall
Left
90
1
170
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-25
Window
East Exterior Wall
Left
90
1
41
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-34
Window
East Exterior Wall
Left
90
1
38
0.24
NFRC
0.24
NFRC
Bug Screen
Window D-04 2
Window
West Exterior Wall
Right
270
1
30
0.35
NFRC
0.21
NFRC
Bug Screen
Window D-01
Window
North Exterior Wall 2
Front
0
6
10
1
60
0.35
NFRC
0.21
NFRC
Bug Screen
Window W--01
Window
North Exterior Wall 2
Front
0
21.5
10
1
216'0
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-02
Window
North Exterior Wall 2
Front
0
8.1
10
1
81
0.24
NFRC
0.24
NFRC
Bug Screen
Window D-03 2
Window
South Exterior Wall 2
Back
180
33
17.5
1
578'0
0.35
NFRC
0.21
NFRC
Bug Screen
Window W-31
Window
West Exterior Wall 2
Right
270
23
2
1
46
0.24
NFRC
0.24
NFRC
Bug Screen
Window 32
Window
North Exterior Wall 3
Front
0
34
2
1
68
0.24
NFRC
0.24
NFRC
Bug Screen
Window D-07
Window
South Exterior Wall 3
Back
180
17
12
0
206'9
0.35
NFRC
0.21
NFRC
Bug Screen
Window D-06
Window
East Exterior Wall 2
Left
90
13
12
0
1 4'9
0.35
NFRC
0.21
NFRC
Bug Screen
Window W-10
Window
West Exterior Wall 3
Right
270
1
14
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-11
Window
West Exterior Wall 3
Right
270
1
14
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-12
Window
West Exterior Wall 3
Right
270
1
14
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-19
Window
West Exterior Wall 3
Right
270
1
14
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-20
Window
West Exterior Wall 3
Right
270
1
39
0.24
NFRC
0.24
NFRC
Bug Screen
Window D-40
Window
East Exterior Wall 3
Left
90
1
228
0.35
NFRC
0.21
NFRC
Bug Screen
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 8 of 21)
FENESTRATION / GLAZING
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Name
Type
Surface
Orientation
Azimuth
Width
(ft)
Height
(ft)
Mult.
Area
(ftz)
U-factor
U-factor
Source
SHGC
SHGC
Sourc
e
Exterior
Shading
Window W-21
Window
Wwest Exterior Wall
Right
270
1
80
0.24
NFRC
0.24
NFRC
Bug Screen
Window D-02
Window
West Exterior Wall 4
Right
270
38
10
1
380
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-13
Window
East Exterior Wall 4
Left
90
1
18
0.43
NFRC
0.19
NFRC
Bug Screen
Window W-14
Window
East Exterior Wall 4
Left
90
1
56
0.43
NFRC
0.19
NFRC
Bug Screen
Window W-15
Window
East Exterior Wall 4
Left
90
1
56
0.43
NFRC
0.19
NFRC
Bug Screen
Window W-16
Window
East Exterior Wall 4
Left
90
1
18
0.43
NFRC
0.19
NFRC
Bug Screen
Window D-37
Window
North Exterior Wall 5
Front
0
6
10
1
60
0.35
NFRC
0.21
NFRC
Bug Screen
Window D-38
Window
North Exterior Wall 5
Front
0
6
10
1
60
0.35
NFRC
0.21
NFRC
Bug Screen
Window W-07
Window
Eaast Exterior Wall
Left
90
1
9
0.44
NFRC
0.19
NFRC
Bug Screen
Window W-09
Window
West Exterior Wall 5
Right
270
1
9
0.44
NFRC
0.19
NFRC
Bug Screen
Window W-22
Window
North Exterior Wall 6
Front
0
1
20
0.24
NFRC
0.24
NFRC
Bug Screen
Window D-08
Window
West Exterior Wall 6
Right
270
1
72
0.59
Table
110.6-A
0.57
Table
110.6-
B
Bug Screen
Window D-09
Window
West Exterior Wall 6
Right
270
1
144
0.59
Table
110.6-A
0.57
Table
110.6-
B
Bug Screen
Window D-10
Window
West Exterior Wall 6
Right
270
1
48
0.59
Table
110.6-A
0.57
Table
110.6-
B
Bug Screen
Window W-08
Window
North Exterior Wall 7
Front
0
1
83
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-05B
Window
South Exterior Wall 7
Back
180
1
132
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-05A
Window
West Exterior Wall 7
Right
270
1
60
0.24
NFRC
0.24
NFRC
Bug Screen
Window W-04
Window
West Exterior Wall 7
Right
270
1
60
0.24
NFRC
0.24
NFRC
Bug Screen
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 9 of 21)
OPAQUE DOORS
01
02
03
04
Name
Side of Building
Area (ft2)
U-factor
Door D-32
North Exterior Wall 4
35
0.5
Door D-11
South Exterior Wall 6
35
0.5
OVERHANGS AND FINS
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Window
Overhang
Left Fin
Right Fin
Depth
Dist Up
Left Extent
Right
Extent
Flap Ht.
Depth
Top Up
Dist L
Bot Up
Depth
Top Up
Dist R
Bot Up
Window D-03
4
0.1
4
4
0
0
0
0
0
0
0
0
0
Window D-01
4
0.1
4
4
0
0
0
0
0
0
0
0
0
Window W--01
4
0.1
4
4
0
0
0
0
0
0
0
0
0
Window W-02
4
0.1
4
4
0
0
0
0
0
0
0
0
0
Window D-03 2
10
0.1
10
10
0
0
0
0
0
0
0
0
0
Window W-31
6
0.1
6
6
0
0
0
0
0
0
0
0
0
Window 32
10
0.1
10
10
0
0
0
0
0
0
0
0
0
Window D-07
2
0.1
2
2
0
0
0
0
0
0
0
0
0
Window D-06
10
0.1
10
10
0
0
0
0
0
0
0
0
0
Window D-02
8
0.1
8
8
0
0
0
0
0
0
0
0
0
Window D-37
8
0.1
8
8
0
0
0
0
0
0
0
0
0
Window D-38
8
0.1
8
8
0
0
0
0
0
0
0
0
0
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 10 of 21)
SLAB FLOORS
01
02
03
04
05
06
07
Name
Zone
Area (ft2)
Perimeter (ft)
Edge Insul. R-value and Depth
Carpeted Fraction
Heated
Slab -on -Grade
Zone 1
1642
80
None
100%
No
Slab -on -Grade 2
Zone 2
1303
40
None
100%
No
Slab -on -Grade 3
Zone 3
1400
30
None
100%
No
Slab -on -Grade 4
Zone 4
1505
0.1
None
100%
No
Slab -on -Grade 5
Zone 5
1370
20
None
100%
No
Slab -on -Grade 6
Zone 6
944
40
None
100%
No
Slab -on -Grade 7
Zone 7
1047
60
None
100%
No
Slab -on -Grade 8
Zone 8
1169
120
None
100%
No
Slab -on -Grade 9
Zone 9
715
20
None
100%
No
OPAQUE SURFACE CONSTRUCTIONS
01
02
03
04
05
06
07
08
Construction Name
Surface Type
Construction Type
Framing
Total Cavity
R-value
Interior / Exterior
Continuous
R-value
U-factor
Assembly Layers
R-21 Wall1
Exterior Walls
Wood Framed Wall
2x6 @ 16 in. O. C.
R-21
None / None
0.069
Inside Finish: Gypsum Board
Cavity / Frame: R-21 / 2x6
Exterior Finish: 3 Coat Stucco
R-30 Wall
Exterior Walls
Wood Framed Wall
2x6 @ 16 in. O. C.
R-30
R-30 / None
0.019
Inside Finish: Gypsum Board
Sheathing / Insulation: R-30 Sheathing
Cavity / Frame: R-30 / 2x6
Exterior Finish: 3 Coat Stucco
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 11 of 21)
OPAQUE SURFACE CONSTRUCTIONS
01
02
03
04
05
06
07
08
Construction Name
Surface Type
Construction Type
Framing
Total Cavity
R-value
Interior / Exterior
Continuous
R-value
U-factor
Assembly Layers
R-21 Wall
Interior Walls
Wood Framed Wall
2x6 @ 16 in. O. C.
R-21
None / None
0.064
Inside Finish: Gypsum Board
Cavity / Frame: R-21 / 2x6
Other Side Finish: Gypsum Board
Attic RoofZone 1
Attic Roofs
Wood Framed
Ceiling
2x4 @ 24 in. 0. C.
R-38
None / R-8.8
0.024
Roofing: Light Roof (Asphalt Shingle)
Above Deck Insulation: R-8.8 Sheathing
Roof Deck: Wood
Siding/sheathing/decking
Cavity / Frame: R-13.0 / 2x4
Around Roof Joists: R-25.0 insul.
Attic RoofZone 2
Attic Roofs
Wood Framed
Ceiling
2x4 @ 24 in. 0. C.
R-38
None / R-8.8
0.024
Roofing: Light Roof (Asphalt Shingle)
Above Deck Insulation: R-8.8 Sheathing
Roof Deck: Wood
Siding/sheathing/decking
Cavity / Frame: R-13.0 / 2x4
Around Roof Joists: R-25.0 insul.
Attic RoofZone 3
Attic Roofs
Wood Framed
Ceiling
2x4 @ 24 in. O. C.
R-38
None / R-8.8
0.024
Roofing: Light Roof (Asphalt Shingle)
Above Deck Insulation: R-8.8 Sheathing
Roof Deck: Wood
Siding/sheathing/decking
Cavity / Frame: R-13.0 / 2x4
Around Roof Joists: R-25.0 insul.
Attic RoofZone 4
Attic Roofs
Wood Framed
Ceiling
2x4 @ 24 in. O. C.
R-38
None / R-8.8
0.024
Roofing: Light Roof (Asphalt Shingle)
Above Deck Insulation: R-8.8 Sheathing
Roof Deck: Wood
Siding/sheathing/decking
Cavity / Frame: R-13.0 / 2x4
Around Roof Joists: R-25.0 insul.
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 12 of 21)
OPAQUE SURFACE CONSTRUCTIONS
01
02
03
04
05
06
07
08
Construction Name
Surface Type
Construction Type
Framing
Total Cavity
R-value
Interior / Exterior
Continuous
R-value
U-factor
Assembly Layers
Attic RoofZone 5
Attic Roofs
Wood Framed
Ceiling
2x4 @ 24 in. 0. C.
R-38
None / R-8.8
0.024
Roofing: Light Roof (Asphalt Shingle)
Above Deck Insulation: R-8.8 Sheathing
Roof Deck: Wood
Siding/sheathing/decking
Cavity / Frame: R-13.0 / 2x4
Around Roof Joists: R-25.0 insul.
Attic RoofZone 6
Attic Roofs
Wood Framed
Ceiling
2x4 @ 24 in. 0. C.
R-38
None / R-8.8
0.024
Roofing: Light Roof (Asphalt Shingle)
Above Deck Insulation: R-8.8 Sheathing
Roof Deck: Wood
Siding/sheathing/decking
Cavity / Frame: R-13.0 / 2x4
Around Roof Joists: R-25.0 insul.
Attic RoofZone 7
Attic Roofs
Wood Framed
Ceiling
2x4 @ 24 in. 0. C.
R-38
None / R-8.8
0.024
Roofing: Light Roof (Asphalt Shingle)
Above Deck Insulation: R-8.8 Sheathing
Roof Deck: Wood
Siding/sheathing/decking
Cavity / Frame: R-13.0 / 2x4
Around Roof Joists: R-25.0 insul.
Attic RoofZone 8
Attic Roofs
Wood Framed
Ceiling
2x4 @ 24 in. O. C.
R-38
None / R-8.8
0.024
Roofing: Light Roof (Asphalt Shingle)
Above Deck Insulation: R-8.8 Sheathing
Roof Deck: Wood
Siding/sheathing/decking
Cavity / Frame: R-13.0 / 2x4
Around Roof Joists: R-25.0 insul.
Attic RoofZone 9
Attic Roofs
Wood Framed
Ceiling
2x4 @ 24 in. O. C.
R-38
None / R-8.8
0.024
Roofing: Light Roof (Asphalt Shingle)
Above Deck Insulation: R-8.8 Sheathing
Roof Deck: Wood
Siding/sheathing/decking
Cavity / Frame: R-13.0 / 2x4
Around Roof Joists: R-25.0 insul.
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 13 of 21)
OPAQUE SURFACE CONSTRUCTIONS
01
02
03
04
05
06
07
08
Construction Name
Surface Type
Construction Type
Framing
Total Cavity
R-value
Interior / Exterior
Continuous
R-value
U-factor
Assembly Layers
R-59 Roof Attic AG Batt
Ceilings (below
attic)
Wood Framed
Ceiling
2x12 @ 24 in. O. C.
R-21
None / None
0.035
Cavity / Frame: R-21.0 / 2x12
Inside Finish: Gypsum Board
BUILDING ENVELOPE - HERS VERIFICATION
01
02
03
04
Quality Insulation Installation (QII)
Quality Installation of Spray Foam Insulation
Building Envelope Air Leakage
CFM50
Required
Required
Required
4438.0
WATER HEATING SYSTEMS
01
02
03
04
05
06
07
Name
System Type
Distribution Type
Water Heater Name (#)
Solar Heating System
Compact Distribution
HERS Verification
DHW Sys 1
Domestic Hot Water
(DHW)
HERS Verified Pipe
Insulation credit
DHW Heater 1 (1)
n/a
None
DHW Sys 1-hers-dhw
WATER HEATERS
01
02
03
04
05
06
07
08
09
10
11
12
Name
Heating
Element
Type
Tank Type
#
Units
Tank
Vol.
(gal)
Energy
Factor or
Efficiency
Input Rating
or Pilot
Tank
Insulation
R-value
(Int/Ext)
Standby Loss
or Recovery
Eff.
1st Hr. Rating
or Flow Rate
NEEA Heat Pump
Brand or Model
Tank Location or
Ambient Condition
DHW Heater 1
Gas
Commercial
Storage
1
75
0.82-TE
85
kBtu/hr
0
0.020000
n/a
n/a
n/a
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 14 of 21)
WATER HEATING - HERS VERIFICATION
01
02
03
04
05
06
07
08
Name
Pipe Insulation
Parallel Piping
Compact Distribution
Compact Distribution
Type
Recirculation Control
Central DHW
Distribution
Shower Drain Water
Heat Recovery
DHW Sys 1 - 1/1
Required
Not Required
Not Required
None
Not Required
Not Required
Not Required
SPACE CONDITIONING SYSTEMS
01
02
03
04
05
06
07
08
09
10
11
Name
System Type
Heating Unit
Name
Cooling Unit
Name
Fan Name
Distribution
Name
Required
Thermostat
Type
Status
Verified
Existing
Condition
Heating
Equipment
Count
Cooling
Equipment
Count
HVAC System 11
Heat pump heating cooling
Heat Pump
System 1
Heat Pump
System 1
HVAC Fan 1
Air
Distribution
System 1
Setback
New
NA
1
1
HVAC System 22
Heat pump heating cooling
Heat Pump
System 2
Heat Pump
System 2
HVAC Fan 2
Air
Distribution
System 2
Setback
New
NA
1
1
HVAC System 33
Heat pump heating cooling
Heat Pump
System 3
Heat Pump
System 3
HVAC Fan 3
Air
Distribution
System 3
Setback
New
NA
1
1
HVAC System 44
Heat pump heating cooling
Heat Pump
System 4
Heat Pump
System 4
HVAC Fan 4
Air
Distribution
System 4
Setback
New
NA
1
1
HVAC System 55
Heat pump heating cooling
Heat Pump
System 5
Heat Pump
System 5
HVAC Fan 5
Air
Distribution
System 5
Setback
New
NA
1
1
HVAC System 66
Heat pump heating cooling
Heat Pump
System 6
Heat Pump
System 6
HVAC Fan 6
Air
Distribution
System 6
Setback
New
NA
1
1
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 15 of 21)
SPACE CONDITIONING SYSTEMS
01
02
03
04
05
06
07
08
09
10
11
Name
System Type
Heating Unit
Name
Cooling Unit
Name
Fan Name
Distribution
Name
Required
Thermostat
Type
Status
Verified
Existing
Condition
Heating
Equipment
Count
Cooling
Equipment
Count
HVAC System 77
Heat pump heating cooling
Heat Pump
System 7
Heat Pump
System 7
HVAC Fan 7
Air
Distribution
System 7
Setback
New
NA
1
1
HVAC System 88
Heat pump heating cooling
Heat Pump
System 8
Heat Pump
System 8
HVAC Fan 8
Air
Distribution
System 8
Setback
New
NA
1
1
HVAC System 99
Heat pump heating cooling
Heat Pump
System 9
Heat Pump
System 9
HVAC Fan 9
Air
Distribution
System 9
Setback
New
NA
1
1
HVAC - HEAT PUMPS
01
02
03
04
05
06
07
08
09
10
11
Name
System Type
Number of Units
Heating
Cooling
Zonally
Controlled
Compressor
Type
HERS Verification
HSPF/COP
Cap 47
Cap 17
SEER
EER
Heat Pump System 1
Central split HP
1
11
59000
49500
21
13
Not Zonal
Multi
speed
Heat Pump System
1-hers-htpump
Heat Pump System 2
Central split HP
1
11
59000
49500
21
13
Not Zonal
Multi
speed
Heat Pump System
2-hers-htpump
Heat Pump System 3
Central split HP
1
10.5
45000
42500
22
13
Not Zonal
Multi
speed
Heat Pump System
3-hers-htpump
Heat Pump System 4
Central split HP
1
10.5
45000
42500
22
13
Not Zonal
Multi
speed
Heat Pump System
4-hers-htpump
Heat Pump System 5
Central split HP
1
10.5
45000
42500
22
13
Not Zonal
Multi
speed
Heat Pump System
5-hers-htpump
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 16 of 21)
HVAC - HEAT PUMPS
01
02
03
04
05
06
07
08
09
10
11
Name
System Type
Number of Units
Heating
Cooling
Zonally
Controlled
Compressor
Type
HERS Verification
HSPF/COP
Cap 47
Cap 17
SEER
EER
Heat Pump System 6
Central split HP
1
11.5
33400
31730
20
15.5
Not Zonal
Multi
speed
Heat Pump System
6-hers-htpump
Heat Pump System 7
Central split HP
1
10.5
45000
42500
22
13
Not Zonal
Multi
speed
Heat Pump System
7-hers-htpump
Heat Pump System 8
Central split HP
1
8.3
34800
27300
19.3
12.3
Not Zonal
Single
Speed
Heat Pump System
8-hers-htpump
Heat Pump System 9
Central split HP
1
11.5
33400
31730
20
13.5
Not Zonal
Multi
speed
Heat Pump System
9-hers-htpump
HVAC HEAT PUMPS - HERS VERIFICATION
01
02
03
04
05
06
07
08
09
Name
Verified Airflow
Airflow Target
Verified EER
Verified SEER
Verified Refrigerant
Charge
Verified HSPF
Verified Heating
Cap 47
Verified Heating
Cap 17
Heat Pump System
1 hers htpump
Required
350
Required
Required
Yes
Yes
Yes
Yes
Heat Pump System
2-hers-htpump
Required
350
Required
Required
Yes
Yes
Yes
Yes
Heat Pump System
3-hers-htpump
Required
350
Required
Required
Yes
Yes
Yes
Yes
Heat Pump System
4-hers-htpump
Required
350
Required
Required
Yes
Yes
Yes
Yes
Heat Pump System
5-hers-htpump
Required
350
Required
Required
Yes
Yes
Yes
Yes
Heat Pump System
6 hers htpump
Required
350
Required
Required
Yes
Yes
Yes
Yes
Heat Pump System
7 hers htpump
Required
350
Required
Required
Yes
Yes
Yes
Yes
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 17 of 21)
HVAC HEAT PUMPS - HERS VERIFICATION
01
02
03
04
05
06
07
08
09
Name
Verified Airflow
Airflow Target
Verified EER
Verified SEER
Verified Refrigerant
Charge
Verified HSPF
Verified Heating
Cap 47
Verified Heating
Cap 17
Heat Pump System
8-hers-htpump
Required
350
Required
Required
No
Yes
Yes
Yes
Heat Pump System
9 hers htpump
Required
350
Required
Required
Yes
Yes
Yes
Yes
HVAC - DISTRIBUTION SYSTEMS
01
02
03
04
05
06
07
08
09
10
11
12
Duct Ins R-value
Duct Location
Surface Area
Name
Type
Design Type
Supply
Return
Supply
Return
Supply
Return
Ducts
Duct Leakage
HERS
Verification
Air Distribution
System 1
Unconditioned attic
Non -Verified
R-8
R-8
Attic
Attic
n/a
n/a
No
Bass
Duct
Air
Distribution
System
1-hers-dist
Air Distribution
System 2
Outdoor locations
Non -Verified
R-8
R-8
Outside
Outside
n/a
n/a
No
Bypass
Duct
Air
Distribution
System
2-hers-dist
Air Distribution
System 3
Outdoor locations
Non -Verified
R-8
R-8
Outside
Outside
n/a
n/a
No
Bypass
Duct
Air
Distribution
System
3-hers-dist
Air Distribution
System 4
Outdoor locations
Non -Verified
R-8
R-8
Outside
Outside
n/a
n/a
No
Bypass
Duct
Air
Distribution
System
4-hers-dist
Air Distribution
System 5
Outdoor locations
Non -Verified
R-8
R-8
Outside
Outside
n/a
n/a
No
Bypass
Duct
Air
Distribution
System
5-hers-dist
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provide : CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 18 of 21)
HVAC - DISTRIBUTION SYSTEMS
01
02
03
04
05
06
07
08
09
10
11
12
Duct Ins R-value
Duct Location
Surface Area
Name
Type
Design Type
Supply
Return
Supply
Return
Supply
Return
Ducts
Duct Leakage
HERS
Verification
Air Distribution
System 6
Outdoor locations
Non -Verified
R-8
R-8
Outside
Outside
n/a
n/a
No
Bypass
Duct
Air
Distribution
System
6-hers-dist
Air Distribution
System 7
Outdoor locations
Non -Verified
R-8
R-8
Outside
Outside
n/a
n/a
No
Bypass
Duct
Air
Distribution
System
7-hers-dist
Air Distribution
System 8
Unconditioned attic
Non -Verified
R-8
R-8
Attic
Attic
n/a
n/a
No
Bypass
Duct
Sealed and
Tested
Air
Distribution
System
8-hers-dist
Air Distribution
System 9
Outdoor locations
Non -Verified
R-8
R-8
Outside
Outside
n/a
n/a
No
Bypass
Duct
Air
Distribution
System
9-hers-dist
HVAC DISTRIBUTION - HERS VERIFICATION
01
02
03
04
05
06
07
08
09
Name
Duct Leakage
Verification
Duct Leakage
Target (%)
Verified Duct
Location
Verified Duct
Design
g
Buried Ducts
Deeply Buried
Ducts
Low -leakage Air
Handler
Low Leakage
Ducts Entirely in
Conditioned
Space
Air Distribution
System 1-hers-dist
Yes
2.0
Not Required
Not Required
Not Required
Credit not taken
Required
No
Air Distribution
System 2-hers-dist
Yes
2.0
Not Required
Not Required
Not Required
Credit not taken
Required
No
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 19 of 21)
HVAC DISTRIBUTION - HERS VERIFICATION
01
02
03
04
05
06
07
08
09
Name
Duct Leakage
Verification
Duct Leakage
TargetDucts
( )
Verified Duct
Location
Verified Duct
Design
Buried Ducts
Deeply Buried
Low -leakage Air
Handler
Low Leakage
Ducts Entirely in
Conditioned
Space
Air Distribution
System 3-hers-dist
Yes
2.0
Not Required
Not Required
Not Required
Credit not taken
Required
No
Air Distribution
System 4-hers-dist
Yes
3.0
Not Required
Not Required
Not Required
Credit not taken
Required
No
Air Distribution
System 5-hers-dist
Yes
2.0
Not Required
Not Required
Not Required
Credit not taken
Required
No
Air Distribution
System 6-hers-dist
Yes
3.0
Not Required
Not Required
Not Required
Credit not taken
Required
No
Air Distribution
System 7-hers-dist
Yes
3.0
Not Required
Not Required
Not Required
Credit not taken
Required
No
Air Distribution
System 8-hers-dist
Yes
5.0
Not Required
Not Required
Not Required
Credit not taken
Not Required
No
Air Distribution
System 9-hers-dist
Yes
2.0
Not Required
Not Required
Not Required
Credit not taken
Required
No
HVAC - FAN SYSTEMS
01
02
03
04
Name
Type
Fan Power (Watts/CFM)
Name
HVAC Fan 1
HVAC Fan
0.38
HVAC Fan 1-hers-fan
HVAC Fan 2
HVAC Fan
0.38
HVAC Fan 2-hers-fan
HVAC Fan 3
HVAC Fan
0.28
HVAC Fan 3-hers-fan
HVAC Fan 4
HVAC Fan
0.28
HVAC Fan 4-hers-fan
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Prov'der: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribdl9x
CF1R-PRF-01E
(Page 20 of 21)
HVAC - FAN SYSTEMS
01
02
03
04
Name
Type
Fan Power (Watts/CFM)
Name
HVAC Fan 5
HVAC Fan
0.28
HVAC Fan 5-hers-fan
HVAC Fan 6
HVAC Fan
0.23
HVAC Fan 6-hers-fan
HVAC Fan 7
HVAC Fan
0.28
HVAC Fan 7-hers-fan
HVAC Fan 8
HVAC Fan
0.58
HVAC Fan 8-hers-fan
HVAC Fan 9
HVAC Fan
0.23
HVAC Fan 9-hers-fan
HVAC FAN SYSTEMS - HERS VERIFICATION
01
02
03
Name
Verified Fan Watt Draw
Required Fan Efficacy (Watts/CFM)
HVAC Fan 1-hers-fan
Required
0.38
HVAC Fan 2-hers-fan
Required
0.38
HVAC Fan 3-hers-fan
Required
0.28
HVAC Fan 4-hers-fan
Required
0.28
HVAC Fan 5-hers-fan
Required
0.28
HVAC Fan 6-hers-fan
Required
0.23
HVAC Fan 7-hers-fan
Required
0.28
HVAC Fan 8-hers-fan
Required
0.58
HVAC Fan 9-hers-fan
Required
0.23
IAQ (INDOOR AIR QUALITY) FANS
01
02
03
04
05
06
Dwelling Unit
IAQ CFM
IAQ Watts/CFM
IAQ Fan Type
IAQ Recovery Effectiveness (%)
IAQ Recovery Effectiveness -
SREIAQ Recovery Effectiveness
- SRE
SFam IAQVentRpt
365
0.25
Default
0
n/a
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF COMPLIANCE
Project Name: Kaintz Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2022-12-31T13:25:49-08:00
Input File Name: Kaintz Residence.ribd19x
CF1R-PRF-01E
(Page 21 of 21)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Butch White
Documentation Author Signature:
Bu. -C.A'v White,
Company:
Breeze Air Conditioning LLC
Signature Date:
12/31/2022
Address:
75-145 Street Charles Place
CEA/ HERS Certification Identification
(If applicable):
City/State/Zip:
Palm Desert, CA 92211
Phone:
(760) 346-0855
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State
1. I am eligible under Division 3 of the Business and Professions
2. I certify that the energy features and performance specifications
3. The building design features or system design features identified
calculations, plans and specifications submitted to the enforcement
of California:
Code to accept responsibility for the building design identified on this Certificate
identified on this Certificate of Compliance conform to the requirements
on this Certificate of Compliance are consistent with the information provided
agency for approval with this building permit application.
of Compliance.
of Title 24, Part 1 and Part 6 of the California Code of Regulations.
on other applicable compliance documents, worksheets,
Responsible Designer Name:
Butch White
Responsible Designer Signature:
13 utc3qi l: e,
Company:
Breeze Air Conditioning LLC
Date Signed:
12/31/2022
Address:
75-145 Street Charles Place
License:
1045015
City/State/Zip:
Palm Desert, CA 92211
Phone:
(760) 346-0855
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 422-P010206032A-000-000-0000000-0000 Registration Date/Time: 12/31/2022 13:26 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.108 Report Generated: 2022-12-31 13:29:00
Schema Version: rev 20200101
CERTIFICATE OF INSTALLATION CF2R-ENV-01-E
Fenestration Installation (Page 1 of 7)
Project Name: Kaintz Residence
Enforcement Agency: La Quinta, City of
Permit Number: BRES2020-0218
Dwelling Address: 81325 Columbus Way Madison Club CC
City: La Quinta
Zip Code: 92253
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they
are responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. The signer agrees that all applicable Mandatory
Measures were met. Temporary labels are not to be removed before verification by the building inspector.
Registration Number: 422-P010206032A-000-001-E01001A-0000 Registration Date/Time: 2023-07-17 10:53:42 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:53:42
Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-ENV-01-E
Fenestration Installation
(Page 2 of 7)
A. Fenestration/ Glazing
Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors.Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft2 glass in door, it is assumed to
meet the minimum required U-factor (0.30) and SHGC (0.23).
If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft2 tubular skylight, it is assumed to meet the minimum required U-factor (0.55) and SHGC (0.30).
Doors with greater than or equal to 25 percent glazing area are considered glazed doors and are treated as fenestration products
01
02
03
04
05
06
07
08
09
10
11
12
Tag ID
Manufacturer/
Brand
Fenestration
Area (ft2)
Orientation
Chromogenic
U-factor
Source
SHGC
Source
Fenestration
Type
Exterior
Shading
Devices
Comments/Sp
ecial Features
Window D-04
OWENS
30.0000
0
No
0.35
NFRC
0.21
NFRC
Window
Standard bug
screens
Window D-03
OWENS
222.0000
180
No
0.35
NFRC
0.21
NFRC
Window
Standard bug
screens
Window W-35
OWENS
18.0000
180
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window W-17
OWENS
18.0000
90
No
0.43
NFRC
0.19
NFRC
Window
Standard bug
screens
Window W-18
OWENS
170.0000
90
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window W-25
OWENS
41.0000
90
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window W-34
OWENS
38.0000
90
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window D-04
2
OWENS
30.0000
270
No
0.35
NFRC
0.21
NFRC
Window
Standard bug
screens
Window D-01
OWENS
60.0000
0
No
0.35
NFRC
0.21
NFRC
Window
Standard bug
screens
Window
W--01
OWENS
216.0700
0
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Registration Number: 422-P010206032A-000-001-E01001A-0000 Registration Date/Time: 2023-07-17 10:53:42 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:53:42
Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-ENV-01-E
Fenestration Installation
(Page3of7)
A. Fenestration/ Glazing
Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors.Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft2 glass in door, it is assumed to
meet the minimum required U-factor (0.30) and SHGC (0.23).
If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft2 tubular skylight, it is assumed to meet the minimum required U-factor (0.55) and SHGC (0.30).
Doors with greater than or equal to 25 percent glazing area are considered glazed doors and are treated as fenestration products
01
02
03
04
05
06
07
08
09
10
11
12
Tag ID
Manufacturer/
Brand
Fenestration
Area (ft2)
Orientation
Chromogenic
U-factor
Source
SHGC
Source
Fenestration
Type
Exterior
Shading
Devices
Comments/Sp
ecial Features
Window W-02
OWENS
81.0000
0
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window D-03
2
OWENS
578.0800
180
No
0.35
NFRC
0.21
NFRC
Window
Standard bug
screens
Window W-31
OWENS
46.0000
270
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window 32
OWENS
68.0000
0
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window D-07
OWENS
201.9600
180
No
0.35
NFRC
0.21
NFRC
Window
Standard bug
screens
Window D-06
OWENS
151.9400
90
No
0.35
NFRC
0.21
NFRC
Window
Standard bug
screens
Window W-10
OWENS
14.0000
270
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window W-11
OWENS
14.0000
270
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window W-12
OWENS
14.0000
270
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window W-19
OWENS
14.0000
270
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Registration Number: 422-P010206032A-000-001-E01001A-0000 Registration Date/Time: 2023-07-17 10:53:42 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:53:42
Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-ENV-01-E
Fenestration Installation
(Page 4 of 7)
A. Fenestration/ Glazing
Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors.Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft2 glass in door, it is assumed to
meet the minimum required U-factor (0.30) and SHGC (0.23).
If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft2 tubular skylight, it is assumed to meet the minimum required U-factor (0.55) and SHGC (0.30).
Doors with greater than or equal to 25 percent glazing area are considered glazed doors and are treated as fenestration products
01
02
03
04
05
06
07
08
09
10
11
12
Tag ID
Manufacturer/
Brand
Fenestration
Area (ft2)
Orientation
Chromogenic
U-factor
Source
SHGC
Source
Fenestration
Type
Exterior
Shading
Devices
Comments/Sp
ecial Features
Window W-20
OWENS
39.0000
270
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window D-40
OWENS
228.0000
90
No
0.35
NFRC
0.21
NFRC
Window
Standard bug
screens
Window W-21
OWENS
80.0000
270
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window D-02
OWENS
380.0000
270
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window W-13
OWENS
18.0000
90
No
0.43
NFRC
0.19
NFRC
Window
Standard bug
screens
Window W-14
OWENS
56.0000
90
No
0.43
NFRC
0.19
NFRC
Window
Standard bug
screens
Window W-15
OWENS
56.0000
90
No
0.43
NFRC
0.19
NFRC
Window
Standard bug
screens
Window W-16
OWENS
18.0000
90
No
0.43
NFRC
0.19
NFRC
Window
Standard bug
screens
Window D-37
OWENS
60.0000
0
No
0.35
NFRC
0.21
NFRC
Window
Standard bug
screens
Window D-38
OWENS
60.0000
0
No
0.35
NFRC
0.21
NFRC
Window
Standard bug
screens
Registration Number: 422-P010206032A-000-001-E01001A-0000 Registration Date/Time: 2023-07-17 10:53:42 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:53:42
Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-ENV-01-E
Fenestration Installation
(Page5of7)
A. Fenestration/ Glazing
Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors.Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft2 glass in door, it is assumed to
meet the minimum required U-factor (0.30) and SHGC (0.23).
If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft2 tubular skylight, it is assumed to meet the minimum required U-factor (0.55) and SHGC (0.30).
Doors with greater than or equal to 25 percent glazing area are considered glazed doors and are treated as fenestration products
01
02
03
04
05
06
07
08
09
10
11
12
Tag ID
Manufacturer/
Brand
Fenestration
Area (ft2)
Orientation
Chromogenic
U-factor
Source
SHGC
Source
Fenestration
Type
Exterior
Shading
Devices
Comments/Sp
ecial Features
Window W-07
OWENS
9.0000
90
No
0.44
NFRC
0.19
NFRC
Window
Standard bug
screens
Window W-09
OWENS
9.0000
270
No
0.44
NFRC
0.19
NFRC
Window
Standard bug
screens
Window W-22
OWENS
20.0000
0
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window D-08
OWENS
72.0000
270
No
0.59
NFRC
0.57
NFRC
Window
Standard bug
screens
Window D-09
OWENS
144.0000
270
No
0.59
NFRC
0.57
NFRC
Window
Standard bug
screens
Window D-10
OWENS
48.0000
270
No
0.59
NFRC
0.57
NFRC
Window
Standard bug
screens
Window W-08
OWENS
83.0000
0
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window
W-05B
OWENS
132.0000
180
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window
W-05A
OWENS
60.0000
270
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Window W-04
OWENS
60.0000
270
No
0.24
NFRC
0.24
NFRC
Window
Standard bug
screens
Registration Number: 422-P010206032A-000-001-E01001A-0000 Registration Date/Time: 2023-07-17 10:53:42 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:53:42
Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-ENV-01-E
Fenestration Installation
(Page6of7)
B. Fenestration Installation
01
The U-factor of the installed windows for new construction and existing buildings must be equal to or less than those listed on the CF1R.
02
The SHGC of the installed windows for new construction and existing buildings must be equal to or less than those listed on the CF1R in climate zones 2, 4 and 8-15. For climate zones 1,
3, 5 and 16 there is no SHGC requirement.
03
Temporary labels are not to be removed until verified
by the building inspector.
04
The fenestration product manufacturer's installation specifications
shall be completely filled with insulation. If batt insulation
shall be followed when installing these products. The space
is used, it is cut to size and placed properly around the fenestration
between the fenestration product and rough opening
product.
The responsible person's signature on this compliance document
affirms that all applicable requirements in this table have been
met.
Registration Number: 422-P010206032A-000-001-E01001A-0000 Registration Date/Time: 2023-07-17 10:53:42 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:53:42
Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-ENV-01-E
Fenestration Installation
(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:
Dave Johnston
Documentation Author Signature:
cI ve,Je h.vi b-V1i
Company:
Dave Johnston
Signature Date:
2023-07-17
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
John Quinn (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Dave,_Taieueustervii
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Quinn Enterprises inc
Position With Company (Title):
Address:
3 Oak Tree Dr
CSLB License:
725864
City/State/Zip:
Rancho Mirage CA 92270
Phone:
7147853885
Date Signed:
2023-07-17
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 422-P010206032A-000-001-E01001A-0000 Registration Date/Time: 2023-07-17 10:53:42 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-17 10:53:42
Schema Version: rev 20190501
CERTIFICATE OF INSTALLATION
CF2R-ENV-03-E
Insulation Installation
(Page 1 of 8)
Project Name:
Kaintz Residence
Enforcement Agency:
La Quinta, City of
Permit Number:
BRES2020-0218
Dwelling Address:
81325 Columbus Way Madison Club CC
City:
La Quinta
Zip Code:
92253
Medium and light density SPF manufacturers claim various R-values per inch. In California the maximum R-value that can be claimed for ccSPF is an R-value of 5.8 per inch and for ocSPF is an
R-value of 3.6 per inch unless documentation is provided showing that the product and/or manufacturer has a current ICC Evaluation Service Report (ESR) that shows compliance with Acceptance
Criteria for Spray -Applied Foam Plastic Insulation (AC-377).
Note: The Energy Standards Section 110.7 requires that 'all joints, penetrations and other openings in the building envelope that are potential sources of air leakage shall be caulked, gasketed,
weather stripped, or otherwise sealed to limit infiltration and exfiltration.' In areas where spray foam (SPF) insulation is used, the SPF can be considered the air barrier. Other than rigid board
insulation, all other forms of insulation are not considered as an air barrier.
A. Roof/Ceiling Insulation
01
02
03
04
05
06
07
08
09
10
I.D.
Manufacturer and
Brand
Assembly/Framin
g Material
Assembly
Thickness (inches)
Framing Size and
Spacing
Insulation Type
ESR Number
Core/Cavity
Insulation R-value
Insulation Depth
(inches)
Continuous
Insulation R-value
R-59 Roof Attic
AG Batt
OWENS
Wood Framed
Ceiling
11.75
2x12 24InchOC
Fiberglass
n/a
21
18
0
Attic RoofZone 1
OWENS
Wood Framed
Ceiling
11.93
2x4 24lnchOC
Fiberglass
n/a
38
18
8.8
Attic RoofZone 2
OWENS
Wood Framed
Ceiling
11.93
2x4 24InchOC
Fiberglass
n/a
38
18
8.8
Attic RoofZone 3
OWENS
Wood Framed
Ceiling
11.93
2x4 24InchOC
Fiberglass
n/a
38
18
8.8
Attic RoofZone 4
OWENS
Wood Framed
Ceiling
11.93
2x4 24InchOC
Fiberglass
n/a
38
18
8.8
Attic RoofZone 5
OWENS
Wood Framed
Ceiling
11.93
2x4 24InchOC
Fiberglass
n/a
38
18
8.8
Attic RoofZone 6
OWENS
Wood Framed
Ceiling
11.93
2x4 24InchOC
Fiberglass
n/a
38
18
8.8
Registration Number: 422-P010206032A-000-001-E03002A-0000 Registration Date/Time: 2023-07-17 10:55:20 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:55:20
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-03-E
Insulation Installation
(Page 2 of 8)
A. Roof/Ceiling Insulation
01
02
03
04
05
06
07
08
09
10
I.D.
Manufacturer and
Brand
Assembly/Framin
g Material
Assembly
Thickness (inches)
Framing Size and
Spacing
Insulation Type
ESR Number
Core/Cavity
Insulation R-value
Insulation Depth
(inches)
Continuous
Insulation R-value
Attic RoofZone 7
OWENS
Wood Framed
Ceiling
11.93
2x4 24InchOC
Fiberglass
n/a
38
18
8.8
Attic RoofZone 8
OWENS
Wood Framed
Ceiling
11.93
2x4 24InchOC
Fiberglass
n/a
38
18
8.8
Attic RoofZone 9
OWENS
Wood Framed
Ceiling
11.93
2x4 24InchOC
Fiberglass
n/a
38
18
8.8
B. Wall Insulation
01
02
03
04
05
06
07
08
09
10
I.D.
Manufacturer and
Brand
Assembly/Framin
g Material
Assembly
Thickness (inches)
Framing Size and
Spacing
Insulation Type
ESR Number
Core/Cavity
Insulation R-value
Insulation Depth
(inches)
Continuous
Insulation R-value
R-21 Wall1
OWENS
Wood Framed
Walls
6.88
2x6 16lnchOC
Fiberglass
n/a
21
n/a
0
R-30 Wall
OWENS
Wood Framed
Walls
7.88
2x6 16lnchOC
Fiberglass
n/a
30
n/a
0
C. Mass Insulation
This section does not apply to this project.
D. Raised Floor Insulation
This section does not apply to this project.
E. Slab Floor/Perimeter Insulation (See Section F. For Insulation Requirements For Heated Slabs)
This section does not apply to this project.
Registration Number: 422-P010206032A-000-001-E03002A-0000 Registration Date/Time: 2023-07-17 10:55:20 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:55:20
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-03-E
Insulation Installation
(Page 3 of 8)
F. Heated Slabs Insulation
01
All heated slabs shall be insulated as required by Section 110.8(g). Footings must meet required insulation levels.
02
Insulation shall be installed from the top of the slab, down 16 inches or to the frost line, whichever is greater. Climate zones 1-15 require R-5, and climate zone 16 requires R-10.
03
Alternatively, vertical insulation from top of slab at inside edge of outside wall down to the top of the horizontal insulation. Horizontal insulation from the outside edge of the vertical
insulation extending 4 feet toward the center of the slab in a direction normal to the outside of the building in plain view. Climate zones 1-5 require R-5, and climate zone 16 requires
R-10 vertical and R-7 horizontal.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Minimum Mandatory Measures
01
Insulation - 110.8(a): All installed Insulation is certified and listed with Department of Consumer Affairs, "Standards for Insulating Material".
02
Insulation - 110.8(b): Urea formaldehyde foam insulation is protected by 4 mil polyethylene vapor retarder.
03
Insulation - 110.8(c): Flame spread and smoke density requirements of CBC are met.
04
Raised Floor - 150.0(d): All raised wood -frame floor have a minimum R-19 insulation or equivalent U-factor
05
Slab Floor/Perimeter - 150.0(1): Water absorption rate for the insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0
perm/inch and is protected from physical damage and UV Tight deterioration.
06
Above Grade Exterior Wall - 150.0(c)1 and 150.1(c)6: All 2x4 wood -frame walls have a minimum R-13 insulation or equivalent U-factor not exceeding U-0.102.
07
Above Grade Exterior Wall - 150.0(c)2 and 150.1(c)6: All 2x6 wood -frame walls have a minimum R-20 insulation or equivalent U-factor not exceeding U-0.071.
08
Ceiling/Rafter Roof - 150.0(a)1: All wood -frame ceiling have a minimum R-22 insulation or equivalent U-factor.
09
Vapor Retarder - 150(g)1: In Climate Zones 1 through 16, the earth floor of unvented crawl space shall be covered with a Class I or Class II vapor retarder. This requirement shall also
apply to controlled ventilation crawl space for buildings complying with the Exception to Section 150.0(d).
10
Vapor Retarder - 150(g)2: In Climate Zones 14 and 16, a Class 1 or Class II vapor retarder shall be installed on the conditioned space side of all insulation in all exterior walls, vented attics
and unvented attics with air -permeable insulation.
Registration Number: 422-P010206032A-000-001-E03002A-0000 Registration Date/Time: 2023-07-17 10:55:20 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:55:20
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-03-E
Insulation Installation
(Page 4 of 8)
G. Minimum Mandatory Measures
11
Heated Slabs - 110.8(g): All heated slabs shall be insulated as required.
• Insulation shall be installed from the top of the slab, down 16 inches or to the frost line, whichever is greater. Climate zones 1-5 require R-5, and climate zone 16 requires R-10.
• Alternatively, vertical insulation from top of slab at inside edge of outside wall down to the top of the horizontal insulation. Horizontal insulation from the outside edge of the
vertical insulation extending 4 feet toward the center of the slab in a direction normal to the outside of the building in plain view. Climate zones 1-5 require R-5, and climate zone
16 requires R-10 vertical and R-7 horizontal.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
H. Installed Insulation
01
Installed insulation R-values are the same or greater than listed on the CF1R.
02
No gaps or voids between the insulation and framing.
03
No gaps between the sides or ends of batt insulation.
04
Loose -fill insulation must be installed to the minimum installed weight per square foot (density) of the manufacturer's cut sheet for the proposed R-value.
05
Batt insulation is not compressed (no stuffing of the insulation into the cavity) and is installed to its full thickness.
06
Insulation is cut around obstructions such as electrical boxes.
07
Batt insulation is delaminated around all plumbing and electrical lines in ceilings, walls and floors.
08
Band joists are insulated to the same R-value as the wall.
09
In all narrow cavities the insulation shall be cut to fit or filled with expanding foam.
10
Insulation was installed per manufacturer instructions.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
I. Wall Insulation
01
When allowed by manufacturer, low expanding foam shall be used to fill gaps and voids around windows and doors. If not, the cavity must be air tight and filled completely with
insulation. Batt insulation must be cut to width. No stuffing allowed.
Registration Number: 422-P010206032A-000-001-E03002A-0000 Registration Date/Time: 2023-07-17 10:55:20 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:55:20
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-03-E
Insulation Installation
(Page 5 of 8)
I. Wall Insulation
02
Install wall insulation before installing tubs, showers and fireplaces.
03
Electric panels on walls separating conditioned and unconditioned space are sealed and insulated behind the panel with rigid insulation or expanding foam.
04
All walls of interior closets vented to the outside for HVAC or water heating equipment have the same R-value and air barrier as the exterior walls and ceiling. Doors are insulated and
weather stripped.
05
Ducting not allowed in exterior walls unless insulated to R6 or greater and the insulation and duct are not crushed. Ducting not allowed in 2x4 wall assemblies.
06
Corner channels, wall intersections, and double sided shear walls insulated to the required R-value before enclosing the wall.
07
Insulation that does not fill the cavity placed against exterior air barrier.
08
Band joists are insulated to the same R-value as the walls.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
J. Ceiling Roof Insulation
01
Insulation extends to the outside edge of the exterior top plates and is flush against any ventilation dams/baffles.
02
Insulation is in direct contact with ceiling, so there are no gaps between the ceiling and the insulation.
03
For chimneys and flues, the insulation is in contact with the sheet metal collar.
04
Can lights are covered with insulation to the same depth as required by the CF1R for ceiling insulation. If not an area weighted calculation is required to be turned in with this
compliance document.
05
Walkways and mechanical platforms insulated to the same R-value as required for the ceiling. If not an area weighted calculation is required to be turned in with this compliance
document.
06
Insulate soffits by adding an air barrier and cover with insulation, or insulate the entire soffit including floor and walls.
07
Knee walls and skylight shafts are insulated to the wall R-value and in full contact with the interior air barrier. If framing on these surfaces is laid flat batt insulation is cut to fit around
the framing. Batt insulation is not allowed to be draped over the framing.
08
Attic access doors insulated to the same R-value as ceiling. The insulation is permanently attached using adhesive or mechanical fasteners.
Registration Number: 422-P010206032A-000-001-E03002A-0000 Registration Date/Time: 2023-07-17 10:55:20 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:55:20
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-03-E
Insulation Installation
(Page 6 of 8)
J. Ceiling Roof Insulation
09
Attic access must be surrounded with a dam at least the same depth as the insulation to prevent loss of ceiling insulation.
10
Batt insulation cut to fit around cross bracings and truss webs in attic.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
K. Raised Floor Insulation
01
Insulation in full contact with subfloor.
02
Insulation hangers spaced at 18 inches or less, insulation hangers must not compress insulation.
03
If netting or mesh is used, the cavity under the floor is filled and in contact with the subfloor.
04
If the basement is conditioned the walls adjacent to the crawlspace must meet minimum wall R-value requirements. This includes framed stem walls, and vertical concrete retaining
walls.
05
If access to the crawl space is from the conditioned area, the raised floor must have an airtight insulated access hatch.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
L. Floor Above Garage Insulation
01
Insulation must be in full contact with subfloor if the air barrier is at the band joist at the garage/house wall.
02
Insulation hangers spaced at 18 inches or less, insulation hangers must not compress insulation.
03
If netting or mesh is used, the cavity under the floor is filled and in contact with the subfloor.
04
If air barrier is at the perimeter of the garage, below conditioned subfloor, the insulation is placed on the garage ceiling. The perimeter of subfloor is also insulated.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number: 422-P010206032A-000-001-E03002A-0000 Registration Date/Time: 2023-07-17 10:55:20 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:55:20
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-03-E
Insulation Installation
(Page 7 of 8)
M. Cantilevered Floor Insulation
01
Insulation in full contact with cantilevered subfloor. Insulation hangers spaced at 18 inches or less, insulation hangers do not compress insulation.
02
If netting or mesh is used, the cavity under the floor is filled and in contact with the subfloor.
03
Sealed blocking is installed between joists where wall
rim joist would be located in the absence of a cantilever. Insulation is
placed on both sides of this block.
The responsible person's signature on this compliance document
affirms that all applicable requirements in this table have been
met.
N. Attached Porch Roof Insulation
01
The exterior insulated wall at the intersection with the
porch roof is fully insulated above, below and behind the roof line.
02
Where truss framing is used, airtight blocking is at the
top and bottom of each wall/roof section and insulated.
The responsible person's signature on this compliance document
affirms that all applicable requirements in this table have been
met.
Registration Number: 422-P010206032A-000-001-E03002A-0000 Registration Date/Time: 2023-07-17 10:55:20 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 10:55:20
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-03-E
Insulation Installation
(Page 8 of 8)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
cI ve,Je h.vi b-V1i
Company:
Dave Johnston
Signature Date:
2023-07-17
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
John Quinn (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Dave,_Taieueustervii
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Quinn Enterprises inc
Position With Company (Title):
Address:
3 Oak Tree Dr
CSLB License:
725864
City/State/Zip:
Rancho Mirage CA 92270
Phone:
7147853885
Date Signed:
2023-07-17
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 422-P010206032A-000-001-E03002A-0000 Registration Date/Time: 2023-07-17 10:55:20 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-17 10:55:20
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-04-E
Roofing Radiant Barrier
(Page 1 of 4)
Project Name:
Kaintz Residence
Enforcement Agency:
La Quinta, City of
Permit Number:
BRES2020-0218
Dwelling Address:
81325 Columbus Way Madison Club CC
City:
La Quinta
Zip Code:
92253
A. General Information
01
Construction Type
Attic
02
Total Attic Area (ft2)
2000
03
Radiant Barrier Installed?
Yes
04
Attic Space Ventilated or Unventilated?
Unventilated
05
Minimum Ventilation Method of Compliance
n/a
Note: in order to comply with the 1/300 exception, a Class I or II vapor retarder is required to be installed in climate zone 14 and 16.
B. Radiant Barrier
01
Brand Name and product number
N/A
02
Installation Type
Attached between truss/rafters, stapled to each side
C. Schedule of Lower Vents
This section does not apply to this project.
D. Schedule of Upper Vents
This section does not apply to this project.
E. Required Vent Area
This section does not apply to this project.
Registration Number: 422-P010206032A-000-001-E04003A-0000 Registration Date/Time: 2023-07-17 11:03:04 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:05
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-04-E
Roofing Radiant Barrier
(Page 2 of 4)
F. Radiant Barrier - Additional Requirements
Radiant Barrier
01
Radiant barrier must be installed on all vertical surfaces in the attic including gable ends.
02
The emittance of the radiant barrier shall be less than
or equal to 0.05 as tested with ASTM C1371, or E408.
03
The product shall meet all requirements for California certified insulation materials (radiant barriers) of the Department of
Home Furnishings and Thermal Insulation, as specified by CCR, Title 24, Part 12, Chapter 12-13, Standards for Insulating Material
Consumer Affairs, Bureau of Electronic and Appliance Repair,
04
When determining the Total Attic Area, the area over
unconditioned spaces such as the garage is included when the attic spaces
are connected
G. Attic Ventilation - Additional Requirements
This section does not apply to this project.
H. Roofing Products (Cool Roof) Installation Information
01
02
03
04
05
06
07
08
09
10
11
12
Tag/ID
Roof Pitch
CRRC Product
ID Number
Product type
CRRC Listed
Aged Solar
Reflectance
Installed
Required
Initial Solar
Reflectance
Aged Solar
Reflectance
Thermal
Emittance
SRI
Aged Solar
Reflectance
Thermal
Emittance
SRI
Attic Zone 1
Roof pitch is <
2 :12
Spray
polyurethane
foam
Yes
0.74
0.74
0.93
0
0.74
0.93
Attic Zone 2
Roof pitch is <
2 :12
Spray
polyurethane
foam
Yes
0.74
0.74
0.93
0
0.74
0.93
Attic Zone 3
Roof pitch is <
2 :12
Spray
polyurethane
foam
Yes
0.74
0.74
0.93
0
0.74
0.93
Attic Zone 4
Roof pitch is <
2 :12
Spray
polyurethane
foam
Yes
0.74
0.74
0.93
0
0.74
0.93
Registration Number: 422-P010206032A-000-001-E04003A-0000 Registration Date/Time: 2023-07-17 11:03:04 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:05
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-04-E
Roofing Radiant Barrier
(Page 3 of 4)
H. Roofing Products (Cool Roof) Installation Information
Attic Zone 5
Roof pitch is <
2 :12
Spray
polyurethane
foam
Yes
0.74
0.74
0.93
0
0.74
0.93
Attic Zone 6
Roof pitch is <
2 :12
Spray
polyurethane
foam
Yes
0.74
0.74
0.93
0
0.74
0.93
Attic Zone 7
Roof pitch is <
2 :12
Spray
polyurethane
foam
Yes
0.74
0.74
0.93
0
0.74
0.93
Attic Zone 8
Roof pitch is <
2 :12
Spray
polyurethane
foam
Yes
0.74
0.74
0.93
0
0.74
0.93
Attic Zone 9
Roof pitch is <
2 :12
Spray
polyurethane
foam
Yes
0.74
0.74
0.93
0
0.74
0.93
I. Roofing Products (Cool Roof) - Additional Requirements
01
Any roof area covered by building integrated photovoltaic
panels and solar thermal panels are exempt from the above Cool
Roof requirements
02
Liquid field applied coatings must comply with installation criteria from section 110.8(i)4
03
Mass roof 25 Ib/ft2 or greater: Mass roofs are not required to have a cool roof even if the climate zone specifies minimum performance requirements
The responsible persons signature on this compliance document
affirms that all applicable requirements in this table have been met.
Registration Number: 422-P010206032A-000-001-E04003A-0000 Registration Date/Time: 2023-07-17 11:03:04 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:05
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION
CF2R-ENV-04-E
Roofing Radiant Barrier
(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:
Dave Johnston
Documentation Author Signature:
cI ve,Je h.vi b-V1i
Company:
Dave Johnston
Signature Date:
2023-07-17
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
John Quinn (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Dave,_Taieueustervii
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Quinn Enterprises inc
Position With Company (Title):
Address:
3 Oak Tree Dr
CSLB License:
725864
City/State/Zip:
Rancho Mirage CA 92270
Phone:
7147853885
Date Signed:
2023-07-17
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 422-P010206032A-000-001-E04003A-0000 Registration Date/Time: 2023-07-17 11:03:04 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:05
Schema Version: rev 20191201
CERTIFICATE OF INSTALLATION CF2R-ENV-20-H
Building Air Leakage Diagnostic Test - Building Enclosures and Dwelling Unit Enclosures (Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency: La Quinta,
City of
Permit Number: BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City: La Quinta
Zip Code: 92253
A. Enclosure Air Leakage - General Information
01
Is HERS verification of building enclosure air leakage to outside
required by CF1R?
Required
02
Is HERS verification of dwelling compartmentalization leakage <=
0.3 CFM5o/ft2 of enclosure area required by CF1R?
N/A
03
Target Enclosure Air Leakage from CF1R (CFM50)
4438
04
Indoor Temperature During Test (°F)
73.5
05
Outdoor Temperature During Test (°F)
97.5
06
Blower Door Location
FRONT DOOR
07
Building Elevation Above Sea level (ft)
500
08
Total dwelling unit floor area (ft2)
n/a
09
Total dwelling unit ceiling area (ft2)
n/a
10
Total dwelling unit exterior wall area (ft2)
n/a
11
Total dwelling unit wall area shared with other dwelling units (ft2)
n/a
12
Total dwelling unit enclosure area (ft2)
n/a
13
Target dwelling unit compartmentalization leakage (CFM50)
n/a
14
Date of Diagnostic Test for this Dwelling
2023-07-12
15
Test Procedure Used
Single -Point Test with Automatic Meter
B. Diagnostic Equipment Information
01
Number of Manometers Used to Measure Home Pressurization
1
02
03
04
05
06
Manometer Make
Manometer Model
Manometer Serial
Number
Manometer Calibration
Date
Manometer Calibration
Status
MINNIAPOLIS
DG-700
36500-7-700
2022-07-22
Manometer Calibration is
valid
Registration Number:
422-P010206032A-000-001-E20040A-0000
Registration Date/Time: 2023-07-18 09:08:52
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:08:52
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-20-H
Building Air Leakage Diagnostic Test - Building Enclosures and Dwelling Unit Enclosures
(Page 2 of 4)
07
Number of Fans Used to Pressurize Home
1
08
09
10
11
Fan Make
Fan Model
Fan Serial Number
Fan Configuration (rings)
MINNIAPOLIS
MODEL 3
42866
A
ENV20b Single Point Air Tightness Test With Automatic Meter
C. Enclosure Air Leakage Diagnostic Test
01
Time Average Period of Meter (seconds)
360
02
Test Methodology
Pressurization
03
Pre -test Baseline Enclosure Pressure (Pa) (may be positive or
negative)
-24.0
04
Induced Enclosure Pressure Difference from Manometer (Pa) Goal
= 50 +- 3 (Pressurization is positive; Depressurization is negative)
-49.2
05
Induced Enclosure Pressure Check
Induced pressure within range for single point test
06
Calculated Nominal CFM50
1389
D. Altitude and Temperature Correction
01
Altitude and Temperature Correction Factor
0.992
02
Corrected CFM50
1378
E. Accuracy Adjustment
01
Adjusted CFM50 (measured air leakage rate)
1516
F. Compliance Statement
01
Passes Enclosure Air Leakage Test
G. Additional Requirements For Compliance
01
The procedure for preparing the enclosure for testing is detailed in RESNET 380-2016 Section 3.2.
02
When multifamily attached dwelling units must comply with the maximum dwelling unit enclosure air leakage specified in Standards
Section 150.0(o)1Eii, the test shall be conducted with the dwelling unit as if it were exposed to the outdoor air on all sides, top and
bottom by opening doors and windows of adjacent dwelling units as specified by RA3.8.3.1.
Registration Number:
422-P010206032A-000-001-E20040A-0000
Registration Date/Time: 2023-07-18 09:08:52
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:08:52
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-20-H
Building Air Leakage Diagnostic Test - Building Enclosures and Dwelling Unit Enclosures
(Page 3 of 4)
G. Additional Requirements For Compliance
03
The test procedure for installation of the test apparatus, and preparations for measurement shall conform to RESNET 380-2016 Section
3.3
04
The procedure for the conduct of the enclosure air leakage test shall conform to the One -Point Airtightness Test specified in RESNET
380-2016 Section 3.4.1
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
422-P010206032A-000-001-E20040A-0000
Registration Date/Time: 2023-07-18 09:08:52 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:08:52
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-20-H
Building Air Leakage Diagnostic Test - Building Enclosures and Dwelling Unit Enclosures
(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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
John Quinn (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Dav c tem/
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Quinn Enterprises inc
Position With Company (Title):
Address:
3 Oak Tree Dr
CSLB License:
725864
City/State/Zip:
Rancho Mirage CA 92270
Phone:
7147853885
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P010206032A-000-001-E20040A-0000
Registration Date/Time: 2023-07-18 09:08:52 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:08:52
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 1 of 5)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Air Barrier Materials
01
A continuous sealed exterior air barrier is required in all thermal envelope assemblies to limit air movement between unconditioned/
outside spaces and conditioned/ inside spaces, and must comply using one of the following methods:
1. Using individual materials that have an air permeance not exceeding 0.004 cfm/ft2 under a pressure differential of 0.3 in. w.g.
(1.57 pcf) (0.02 L/s.m2 at 75 pa) when tested in accordance with ASTM E2178; or
2. Using assemblies of materials and components that have an average air leakage not to exceed 0.04 cfm/ft2 under a pressure
differential of 0.3 in. w.g. (1.57 pcf) (0.2 L/s.m2 at 75 pa) when tested in accordance with ASTM E2357, ASTM E1677, ASTM E1680,
or ASTM E283; or
3. Testing the complete building and demonstrating that the air leakage rate of the building envelope does not exceed 0.40 cfm/ft2
under a pressure differential of 0.3 in. w.g. (1.57 pcf) (2.0 L/s.m2 at 75 pa) when tested in accordance with ASTM E779 or an
equivalent approved method.
02
Method of Compliance
Method 1 (Individual Materials)
Note.
SPF insulation is an acceptable air barrier and sealant when installed to a minimum thickness of 2 inches for closed cell and 5.5 inches for
open cell, except where not allowed by manufacturer (e.g. flues, vents, can lights, etc).
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
B. Raised Floor Adjacent to Unconditioned Space or Separate Dwelling Units
01
All gaps in the raised floor are sealed.
02
All chases sealed at floor level using a sealed hard cover.
03
All holes (e.g. for plumbing and electrical wires) that penetrate the floor or bottom plates of walls are sealed.
04
Subfloor sheathing is glued or sealed at all panel edges to create a continuous air tight subfloor air barrier.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
C. Walls Adjacent to Unconditioned Space
01
All penetrations through the exterior wall air barrier are sealed to provide an air -tight envelope to unconditioned spaces such as the
outdoors, attic, garage and crawl space.
02
Exterior wall air barrier is sealed to the top plate and bottom plate in each stud bay.
03
All electrical boxes, including knockouts that penetrate the air barrier to unconditioned space are sealed.
04
All openings in top and bottom plate, including all interior and exterior walls, to unconditioned space are sealed; such as holes drilled for
electrical and plumbing.
Registration Number:
422-P010206032A-000-001-E21004A-0000
Registration Date/Time: 2023-07-17 11:03:15
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:15
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 2 of 5)
C. Walls Adjacent to Unconditioned Space
05
Exterior bottom plates (all stories) are sealed to the floor.
06
All gaps around windows and doors are sealed. The sealant used follows manufacturer specifications.
07
Rim joist gaps and openings are fully sealed.
08
Fan exhaust duct outlet/ damper at the exterior wall are sealed.
09
Knee walls have solid and sealed blocking at the bottom, top, left and right sides to prevent air movement into insulation.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. Ceiling Air Barrier Adjacent to Unconditioned Space
01
There is a continuous air barrier at the ceiling level. All openings into walls, drops, chases or double walls are sealed.
02
All penetrations through the top plate of interior and exterior walls are sealed.
03
Fire sprinklers penetrating a ceiling air barrier shall be sealed to prevent air movement according to the manufacturer's instructions.
04
All fixtures cut into the ceiling air barrier (e.g. HVAC registers, electrical boxes, fire alarm boxes, exhaust fan housing, and recessed lighting
fixtures) are sealed to the surrounding dry wall. If it is not possible to seal the fixture directly, a secondary air barrier shall be created
around the fixture.
05
All installed recessed lighting fixtures that penetrate the ceiling to unconditioned space are rated to be Insulation Contact and Airtight (IC
and AT) which allow direct contact with insulation.
06
All dropped ceiling areas are covered with hard covers that are sealed to the framing, or else the bottom and sides of dropped ceiling
areas are all insulated and sealed as ceilings and walls as required on the Certificate of Compliance.
07
All vertical chases (e.g. HVAC ducts and plumbing) and soffits are sealed at the ceiling level.
08
Chimneys and flues require sheet metal flashing at the ceiling level. The flashing shall be sealed to the chimney/flue with fire rated caulk.
The flashing shall be sealed to the surrounding framing.
09
Framing locations where air may move down into the walls from the attic (e.g. double walls, pocket doors, architectural bump -outs, etc)
have a sealed hard cover to prevent air movement.
10
Attic access forms an airtight seal between the conditioned space and unconditioned space. Vertical attic access requires mechanical
compression using screws or latches.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
E. Roof Air Barrier - Unvented Attics Adjacent to Unconditioned Space
01
There is a continuous air barrier at the roof deck and gable ends.
02
Chimneys and flues require sheet metal flashing at the roof deck. The flashing shall be sealed to the chimney/flue with fire rated caulk.
The flashing shall be sealed to the surrounding framing.
Registration Number:
422-P010206032A-000-001-E21004A-0000
Registration Date/Time: 2023-07-17 11:03:15
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:15
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 3 of 5)
E. Roof Air Barrier - Unvented Attics Adjacent to Unconditioned Space
03
All penetrations in the roof deck and gable ends for plumbing, electrical, etc. are sealed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
F. Conditioned Space Above Or Adjacent To Garage Air Barrier
01
All penetrations in the subfloor above the garage into conditioned space must follow the raised floor air barrier requirements above.
02
Infiltration between the space above the garage and subfloor is prevented by one of the following methods:
• Seal all edges of garage ceiling (typically drywall) at the perimeter of the garage to create a continuous air tight surface between
the garage and adjacent conditioned envelope. Seal all plumbing, electric and mechanical penetrations between the garage and
the adjacent conditioned space. For an open -web truss, airtight blocking is added on four sides of the garage perimeter. Insulation
can be placed on the garage ceiling.
• Seal the band joist above the wall at the garage to conditioned space transition. Seal all subfloor seams and penetrations between
the garage and adjacent conditioned space. Insulation must be placed in contact with the subfloor below the conditioned space.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Cantilevered Floor Air Barrier
01
Airtight blocking is installed between joists where the wall rim joist would have been located in the absence of a cantilever.
02
Exterior sheathing is installed to the bottom of the cantilever so that there is a continuous air and weather barrier for the cantilever. The
cantilevered joist must be insulated to the same R value as would be required for the subfloor prior to closing.
03
Any gaps, cracks or penetrations in the air barrier of the cantilever are sealed. Recessed can lights in the cantilever are IC and AT and
properly sealed to the sheathing.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
H. Walls For Attached Porch, Attic, Double Wall Air Barrier
01
An exterior wall air barrier is required at the intersection of the porch and exterior wall when there is conditioned space on the other
side. The exterior wall includes an air barrier where the attic attaches to the conditioned space.
02
Truss framing blocking is used at the top and bottom of each wall/ roof section.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
I. Air Barriers in Multifamily Dwellings
01
Each dwelling unit must be sealed to stop air movement between dwelling units. Treat adjacent dwelling units as unconditioned space for
air sealing.
02
All penetrations through the floor and ceiling of each dwelling unit are sealed including, electric and gas utilities, water pipes, drain pipes,
fire protection service pipes, and communication wiring.
03
Elevator penthouse, mechanical penthouse, stairwell doors, roof access hatches, and plumbing stacks that separate conditioned and
unconditioned space are all sealed.
Registration Number:
422-P010206032A-000-001-E21004A-0000
Registration Date/Time: 2023-07-17 11:03:15
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2023-07-17 11:03:15
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 4 of 5)
I. Air Barriers in Multifamily Dwellings
04
Vertical chases for garbage chutes, elevator shafts, HVAC ducting and plumbing shall be treated as unconditioned space for sealing.
05
Common hallways shall be treated as unconditioned space for sealing.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
J. Special Requirements for SIPs
01
SIPs are considered an air barrier when properly sealed at top, bottom, sides and all penetrations.
02
Air barrier is continuous across all surfaces, including between SIPs and non -SIP sections.
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
K. Special Requirements for ICF
01
ICF sections are considered an air
barrier when properly sealed at top, bottom, sides and all penetrations.
02
Air barrier is continuous across all
surfaces, including between ICF and non-ICF sections.
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
Registration Number:
422-P010206032A-000-001-E21004A-0000
Registration Date/Time: 2023-07-17 11:03:15 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:15
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-17
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
John Quinn (authorized Dave Johnston)
Responsible Builder/Installer Signature:
D cuve/ ,-a-/
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Quinn Enterprises inc
•61-
Position With Company (Title):
Address:
3 Oak Tree Dr
CSLB License:
725864
City/State/Zip:
Rancho Mirage CA 92270
Phone:
7147853885
Date Signed:
2023-07-17
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P010206032A-000-001-E21004A-0000
Registration Date/Time: 2023-07-17 11:03:15 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:15
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-22-H
QII - Insulation Installation
(Page 1 of 6)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Insulation Materials Installed
01
Roof Deck Insulation Material Installed
Batt and Blanket
02
Ceiling Insulation Material Installed
Batt and Blanket
03
Exterior Wall Insulation Material Installed
Batt and Blanket
04
Raised Floor Insulation Material Installed
n/a
05
Slab Edge Insulation Material Installed
n/a
B. All Surfaces
01
Air barrier installation and preparation for insulation was done and verified prior to insulation being installed.
02
All surfaces between conditioned and unconditioned space are sealed and insulated to meet or exceed the levels specified on the
Certificate of Compliance
03
All structural framing areas shall be insulated in a manner that resists thermal bridging through the assembly separating conditioned from
unconditioned space. Structural bracing, tie -downs, and framing of steel, or specialized framing used to meet structural requirements of
the CBC are allowed and must be insulated. These areas shall be called out on the building plans with diagrams and/ or specified design
drawings indicating the R-value of insulation and fastening method to be used.
04
All insulation was installed according to the manufacturer's installation instructions.
05
Labels or specification/ data sheets for each insulation material shall be provided to the HERS rater. Loose -fill material includes insulation
material bag labels or coverage charts.
06
Loose -fill insulation - the installed depth and density of insulation is verified in at least 6 random locations to ensure that the minimum
thickness and installed density meet R-value specified on the Certificate of Compliance, and are consistent with the manufacturer's
coverage chart.
07
If kraft paper faced insulation is used, paper is installed on the conditioned (warm in winter) side of surface. Paper must be in contact
with air barrier to within 2" framing (stud, joists, etc.).
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
C. Raised Floor Adjacent to Unconditioned Space
01
Insulation is in full contact with the subfloor.
02
Insulation hangers are spaced at 18 inches or less. Insulation hangers do not compress insulation.
03
Netting, or mesh, can be used if the cavity under the floor is filled and in contact with the subfloor.
Registration Number:
422-P010206032A-000-001-E22005A-0000
Registration Date/Time: 2023-07-17 11:03:30
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:30
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-22-H
QII - Insulation Installation
(Page 2 of 6)
C. Raised Floor Adjacent to Unconditioned Space
04
When daylight basements are adjacent to crawlspaces, if the basement is conditioned the walls adjacent to the crawlspace are insulated
to the R-value listed on the Certificate of Compliance. This includes framed stem walls, and vertical concrete retaining walls.
05
If access to the crawlspace is from the conditioned area the raised floor includes an airtight insulated access hatch. Where possible locate
crawl space access on the exterior.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. Walls Adjacent to Unconditioned Space
01
Insulation quality was verified prior to the installation of the interior air barrier (typically gypsum board).
02
Loose -fill and batt insulation is in contact with all six sides of wall cavities (top, bottom, back, left, right, front [to be installed later]) with
no gaps, voids or compression. Special Situation: Where framing depth is greater than required insulation thickness (e.g., double walls or
framed bump -outs) a secondary air barrier shall be installed and in contact with the insulation, so that the insulation fills the cavity
formed by the additional air barrier.
03
Insulation fits snuggly around obstructions (e.g., electrical boxes, plumbing and wiring) with no gaps, voids or compression.
04
Structural metal tie -downs and shear panels are insulated between exterior air barrier and metal.
05
Hard to access wall stud cavities, such as corner channels or wall intersections, are insulated to the proper R-value prior to the installation
of exterior sheathing or exterior stucco lathe.
06
Insulation and interior air barrier are installed behind tub, shower, fireplace enclosures and stairwells to the R-value listed on the
Certificate of Compliance when located against exterior walls.
07
All single -member window and door headers shall be insulated to a minimum of R-3 for a 2x4 framing, or equivalent width, and a
minimum of R-5 for all other assemblies. No header insulation is required for single -member headers that are the same width as the wall,
provided that the entire wall has at least R-2 insulation.
08
After insulation is installed: All insulated walls have interior and exterior air barriers, including kneewalls and walls of skylight wells.
Exception: Rim joists. Interior air barrier (typically gypsum board) is sealed to top plate.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
E. Ceding Adjacent to Unconditioned Space
01
Insulation extends to the outside surface of the exterior wall.
02
Insulation is in direct contact with the ceiling air barrier so there are no gaps, voids or compression.
03
Chimneys and flues (except zero clearance) have a sheet metal collar at the ceiling level to prevent contact with the insulation. The collar
is at least as tall as the depth of the insulation. There is a minimum 1" clearance between the collar and the chimney/flue for double wall
vent, and 6" for single wall vent, unless manufacturer's instructions require otherwise. The collar is sealed to the ceiling with high
temperature sealant to prevent air leakage. The insulation is in contact with the sheet metal collar.
04
Recessed can lights penetrating the ceiling air barrier are covered with insulation to the depth needed to meet the ceiling R-value
specified on the Certificate of Compliance.
Registration Number:
422-P010206032A-000-001-E22005A-0000
Registration Date/Time: 2023-07-17 11:03:30
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:30
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-22-H
QII - Insulation Installation
(Page 3 of 6)
E. Ceiling Adjacent to Unconditioned Space
05
External surfaces of steel studs, steel -framed kneewalls, skylight shafts, and gable ends are covered with insulation.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
F. Ceiling Insulation in Vented Attics
01
Required eave ventilation shall not be obstructed. The net -free ventilation area of the eave vent is maintained.
02
Eave vent baffles and dams are installed to prevent air movement under or into the ceiling insulation.
03
Attic access is insulated to the same R-value required by the Certificate of Compliance for ceiling insulation and the insulation is
permanently attached using adhesive or mechanical fasteners.
04
Attic access must have a dam around the access to at least the same depth as the insulation.
05
Attic rulers specified to the installed loose -fill material (brand and type) are installed and evenly distributed throughout the attic to verify
depth (one ruler for every 250 ft2). The rulers are clearly readable and scaled to read inches of insulation and the R-value installed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Insulation in unvented Attics
01
The roof sheathing is the air barrier and is sealed to prevent air movement to the outside.
02
Insulation is in full contact with the air barrier (roof sheathing).
03
If insulated using air permeable insulation, gable end walls are sealed and insulated the same as exterior walls, including interior air
barrier.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
H. Insulation in Vented Attics (High Performance Vented Attics)
01
Insulation is in full contact with roof sheathing and firmly supported to prevent sagging.
02
Batt insulation between roof trusses is acceptable with minimal gaps and voids caused by roof truss members.
03
Insulation is not required on gable end walls.
04
Required roof deck insulation over any conditioned space, or HVAC ducts, is installed on the entire attic roof deck; even over
unconditioned spaces (e.g., garage, covered porch). Roof deck of attic over unconditioned space without HVAC ducts and separated from
other attics by a sealed air barrier do not need to be insulated.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
I. Special Requirements for Skylight Shafts and Attic Knee Walls
01
Insulation must meet all the requirements for walls and insulation is in contact with the air barrier on all six sides unless SPF is used.
Registration Number:
422-P010206032A-000-001-E22005A-0000
Registration Date/Time: 2023-07-17 11:03:30
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:30
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-22-H
QII - Insulation Installation
(Page 4 of 6)
I. Special Requirements for Skylight Shafts and Attic Knee Walls
02
Insulation shall be in full contact with the interior wall finish. Batt insulation must be cut to fit around 2x4's that are laid flat.
03
Skylight shafts and attic knee walls shall be completely enclosed by vertical and horizontal framing, including horizontal plates at the top
and bottom of the insulation.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
J. Special Requirements for Floors Above Garages
01
If the air barrier is at the perimeter of the garage below the conditioned subfloor, then the insulation may be placed on the garage ceiling.
The perimeter of the subfloor must also be insulated.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
K. Special Requirements for Cantilevered Floors
01
Sealed blocking shall be installed between joists where the wall rim joist would have been located in the absence of a cantilever.
Insulation shall be placed on both sides of the block.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
L. Special Requirements for Attached Porches
01
Exterior wall at the intersection of the porch roof is fully insulated above, below and behind the roof line.
02
Where truss framing is used, airtight blocking is used at the top and bottom of each wall/ roof section and is insulated.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
M. Special Requirements for SPF Insulation
01
Installed product meets the claimed R-value per inch. Non-standard values are supported by an ICC Evaluation Service Report (ESR)
number (e.g., ESR-xxxx) and documented on the CF2R-ENV-03. Non-standard values are anything greater than R-5.8/inch for closed cell
and R-3.6/inch for open cell.
02
Installed thickness meets the required R-value from the Certificate of Compliance. Verified in at least 6 random places for each surface
type: floors, walls and ceilings.
03
Insulation is spray applied to fully adhere to structural assembly framing, floor and ceiling joists, and other framing surfaces within the
construction cavity.
04
If multiple layers are applied, each foam lift (e.g., spray application) adheres to the substrate and foam interfaces.
05
Closed cell SPF: In area where an air barrier is required the foam is at least 2" thick.
06
Open cell SPF: In area where an air barrier is required the foam is at least 5.5" thick.
07
Open cell SPF: Depressions in the foam insulation are not greater than 1/2" of the required thickness provided these depressions do not
exceed 10% of the surface area being insulated.
Registration Number:
422-P010206032A-000-001-E22005A-0000
Registration Date/Time: 2023-07-17 11:03:30
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2023-07-17 11:03:30
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-22-H
QII - Insulation Installation
(Page 5 of 6)
M. Special Requirements for SPF Insulation
08
Open cell SPF: Insulation completely fills cavities of 2x4 framing.
09
SPF insulation is not applied directly to recessed lighting fixtures unless specifically allowed by manufacturer's instructions. when not
allowed, can lights are:
A. Covered with a minimum of 1.5" of mineral fiber insulation or
B. Enclosed in a manufacturer's approved box fabricated from an approved material, such as 18 gauge sheet metal or 1/2" gypsum
board.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
422-P010206032A-000-001-E22005A-0000
Registration Date/Time: 2023-07-17 11:03:30 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:30
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-ENV-22-H
QII - Insulation Installation
(Page 6 of 6)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-17
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
John Quinn (authorized Dave Johnston)
Responsible Builder/Installer Signature:
D cuve/ ,-a-/
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Quinn Enterprises inc
•61-
Position With Company (Title):
Address:
3 Oak Tree Dr
CSLB License:
725864
City/State/Zip:
Rancho Mirage CA 92270
Phone:
7147853885
Date Signed:
2023-07-17
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P010206032A-000-001-E22005A-0000
Registration Date/Time: 2023-07-17 11:03:30 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:03:30
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-LTG-01-E
Lighting Single Family Dwellings
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Installed Lighting and Controls
Select Yes or No according to whether your work on the project includes each of the following types of lighting and controls. See sections B
through H for applicable requirements.
01
High Efficacy luminaires installed in any interior rooms. (See
Section B.)
Yes
02
JA8 compliant luminaires and controls installed in any interior
rooms. (See Section B.)
Yes
03
Recessed downlight luminaires in ceilings in any interior room (See
Section C).
Yes
04
Screw -based luminaires installed in any interior rooms (See Section
D.)
No
05
Enclosed or recessed luminaires installed in any interior room (See
Section D).
Yes
06
Lighting and controls in bathrooms (See Section E.)
Yes
07
Lighting and controls in laundry rooms (See Section E.)
Yes
08
Lighting and controls in utility rooms (See Section E.)
Yes
09
Lighting and controls in garage (See Section E.)
Yes
10
Outdoor lighting and controls (See Section H.)
Yes
11
Blank electrical boxes installed more than 5 feet from finished floor.
(See Section F.)
No
12
Internally illuminated address signs. (See Section G.)
Yes
B. High Efficacy Luminaires and Controls
01
150.0(k)1A and Table 150.0-A: All luminaires are installed with:
• Light sources of one of the lighting technologies specified under the "High Efficacy" column of Table 150.0-A; or
• JA8 compliant light sources and the light sources are marked with a label reading "JA8-2019" or "JA8-2019-E".
02
150.0(k)2J: Dimming control for all luminaires with dimmable JA8 compliant light sources except for those controlled by occupancy or
vacancy sensors.
03
150.0(k)2A: Forward phase cut dimmers used with LED light sources shall comply with NEMA SSL 7A.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
422-P010206032A-000-001-L01006A-0000
Registration Date/Time: 2023-07-17 11:04:06
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:04:06
Schema Version: rev 20200401
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-LTG-01-E
Lighting Single Family Dwellings
(Page 2 of 4)
C. Recessed Downlight Luminaires in Ceilings
01
150.0(k)1Cv: Do not contain screw based sockets.
02
The luminaire shall be marked with "JA8-2019".
03
150.0(k)1Ci: Listed for zero clearance insulation contact (IC)
04
150.0(k)1Cii: Has label certifying air tight
05
150.0(k)1Ciii: Sealed with a gasket or caulk between the luminaire housing and ceiling, and all air leakage paths between conditioned and
unconditioned spaces are sealed with a gasket or caulk.
06
150.0(k)1Civ: Allows ballast maintenance and replacement to be readily accessible to building occupants from below the ceiling without
requiring the cutting of holes in the ceiling.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. Additional Luminaire Requirements
01
150.0(k)1G: Screw based luminaires are installed with all of the following requirements: The luminaire is not recessed downlight
luminaire in ceilings; and The luminaires are installed with lamps or light sources marked with "JA8-2019".
02
150.0(k)1H: Enclosed or Recessed Luminaires are installed with lamps or other separable light sources marked with "JA8-2019-E".
03
150.0(k)1D: Ballasts for fluorescent lamps rated 13 Watts or greater are electronic.
04
150.0(k)1E: Night lights, step lights and path lights are rated to consume no more than 5 Watts of power and emit more than 150 lumens,
or in compliance with Table 150.0-A, or controlled by vacancy sensor.
05
150.0(k)1F: Lighting integral to exhaust fans meets the requirements of Table 150.0-A, with exception to the lighting installed by the
manufacturer in kitchen exhaust hoods.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
E. Additional Lighting Controls
01
150.0(k)2J: In bathrooms, garages, laundry rooms, and utility rooms, at least one luminaire in each of these spaces is controlled by an
occupant or vacancy sensor providing automatic -off functionality.
02
150.0(k)2B: Exhaust fans are controlled separately from lighting systems, or the lighting can be turned OFF on the same control as the fan.
03
150.0(k)2C: Lighting has readily accessible wall- mounted controls that allow the lighting to be manually turned ON and OFF.
04
150.0(k)2D: Lighting controls and equipment are installed in accordance with manufacturer's instructions
05
150.0(k)2E: No control bypasses a dimmer, occupancy sensor or vacancy sensor function where that dimmer or sensor has been installed
to comply with Section 150.0(k)
06
150.0(k)2F: Lighting controls comply with the applicable requirements in Section 110.9.
07
150.0(k)2G: Energy Management Control Systems used to comply with control requirements provide the functionality the specific control
in accordance with Section 110.9, meet the installation certificate requirements in Section 130.4, meets the EMCS requirements in
Section 130.0(e), and complies with all other applicable requirements in Section 150.0(k)2.
Registration Number:
422-P010206032A-000-001-L01006A-0000
Registration Date/Time: 2023-07-17 11:04:06
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2023-07-17 11:04:06
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-LTG-01-E
Lighting Single Family Dwellings
(Page 3 of 4)
E. Additional Lighting Controls
08
150.0(k)2H: A multi -scene programmable controller used to comply with dimmer requirements provides the functionality of a dimmer in
accordance with Section 110.9, and complies with all other applicable requirements in Section 150.0(k)2.
09
150.0(k)2K: Undercabinet lighting is controlled separately from ceiling installed lighting.
10
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
F. Blank Electrical Boxes
This section does not apply to this project.
G. Address Signs
01
150.0(k)4: Internally illuminated address signs. Internally illuminated address signs shall either:
a. Comply with Section 140.8. Applicable nonresidential sign lighting compliance forms shall also be submitted, or
b. Consume no more than 5 Watts of power.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
H. Single Family Outdoor Lighting
01
150.0(k)1A and Table 150.0-A: High efficacy outdoor lighting or LED light sources are installed
02
150.0(k)3A: Outdoor lighting is controlled by a manual ON and OFF switch that permits one of the following automatic actions:
• Controlled be a photocell and either a motion sensor or an automatic time switch control;
• Controlled by an astronomical time clock control.
Control that override to ON shall not be allowed unless the override automatically returns to automatic control to its normal operation
within 6 hours.
An energy management control that provides the specified lighting control functionality and complies with all requirements applicable to
the specified controls may be used to meet the above requirements.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
422-P010206032A-000-001-L01006A-0000
Registration Date/Time: 2023-07-17 11:04:06 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:04:06
2019 Residential Compliance Schema Version: rev 20200401
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-LTG-01-E
Lighting Single Family Dwellings
(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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-17
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury,
1. The information provided on this
2. I am either: a) a responsible person
responsibility for the system design,
identified on this Certificate of Installation,
person and attest to the declarations
3. The constructed or installed features,
conforms to all applicable codes
specifications approved by the enforcement
4. I will ensure that a registered copy
building, and made available to the
Installation is required to be included
under the laws of the State of California:
Certificate of Installation is true and correct.
eligible under Division 3 of the Business and Professions Code in the applicable
construction, or installation of features, materials, components, or manufactured
and attest to the declarations in this statement, or b) I am an authorized
in this statement on the responsible person's behalf.
materials, components or manufactured devices (the installation) identified
and regulations and the installation conforms to the requirements given
agency.
of this Certificate of Installation shall be posted or made available with
enforcement agency for all applicable inspections. I understand that a
with the documentation the builder provides to the building owner
classification to accept
devices for the scope of work
representative of the responsible
on this Certificate of Installation
on the Certificate of Compliance, plans, and
the building permit(s) issued for the
registered copy of this Certificate of
at occupancy.
Responsible Builder/Installer Name:
John Quinn (authorized Dave Johnston)
Responsible Builder/Installer Signature:
DouVP1?'1Ar11s,[}.11
Position With Company (Title):
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Quinn Enterprises inc
Address:
3 Oak Tree Dr
CSLB License:
725864
City/State/Zip:
Rancho Mirage CA 92270
Phone:
7147853885
Date Signed:
2023-07-17
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P010206032A-000-001-L01006A-0000
Registration Date/Time: 2023-07-17 11:04:06 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:04:06
2019 Residential Compliance Schema Version: rev 20200401
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 1 of 15)
Project Name: Kaintz Residence
Enforcement Agency:
La Quinta, City of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way Madison Club CC
City:
La Quinta
Zip Code:
92253
A. General Information
01
Dwelling Unit Name
Single Family Dwelling
02
Climate Zone
15
03
Dwelling Unit Total Conditioned
Floor Area (ft2)
11095
04
Number of Space Conditioning
Systems in this dwelling unit.
9
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)
51000
08
Calculated Dwelling Unit Heating
Load (Btu/h)
52000
09
Dwelling Unit Number of
Bedrooms
5
MCH-Ola - Space Conditioning Systems Ducts and Fans - For use with Performance Certificate of Compliance
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 2 of 15)
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
SC System
ID/Name from
CF1R
SC System Type
Heating System
TypeSystem
Cooling
y TypeCoolingSystem
Central Fan
Ventilation
yyyP
Type
Distribution
System Type
Required
Thermostat Type
yP
Low Leakage
Air -Handling Unit
(LLAHU) Status
Bypass Duct
Status
Cooling Zoning
Type
Cooling System
Compressor
Speed
HVAC System
11
Heat pump
heating cooling
Central split HP
Central split
HP
Not a CFVCS
Unconditioned
attic
Setback
Yes credit is taken
No Bypass
Duct
Not Zonal
Multi -speed
HVAC System
22
Heat pump
heating cooling
Central split HP
Central split
HP
Not a CFVCS
Outdoor locations
Setback
Yes credit is taken
No Bypass
Duct
Not Zonal
Multi -speed
HVAC System
33
Heat pump
heating cooling
Central split HP
Central split
HP
Not a CFVCS
Outdoor locations
Setback
Yes credit is taken
No Bypass
Duct
Not Zonal
Multi -speed
HVAC System
44
Heat pump
heating cooling
Central split HP
Central split
HP
Not a CFVCS
Outdoor locations
Setback
Yes credit is taken
No Bypass
Duct
Not Zonal
Multi -speed
HVAC System
55
Heat pump
heating cooling
Central split HP
Central split
HP
Not a CFVCS
Outdoor locations
Setback
Yes credit is taken
No Bypass
Duct
Not Zonal
Multi -speed
HVAC System
66
Heat pump
heating cooling
Central split HP
Central split
HP
Not a CFVCS
Outdoor locations
Setback
Yes credit is taken
No Bypass
Duct
Not Zonal
Multi -speed
HVAC System
77
Heat pump
heating cooling
Central split HP
Central split
HP
Not a CFVCS
Outdoor locations
Setback
Yes credit is taken
No Bypass
Duct
Not Zonal
Multi -speed
HVAC System
88
Heat pump
heating cooling
Central split HP
Central split
HP
Not a CFVCS
Unconditioned
attic
Setback
No, credit is riot
taken
No Bypass
Duct
Not Zonal
Single Speed
HVAC System
99
Heat pump
heating cooling
Central split HP
Central split
HP
Not a CFVCS
Outdoor locations
Setback
Yes credit is taken
No Bypass
Duct
Not Zonal
Multi -speed
Notes:
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 3 of 15)
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
11
12
SC System ID/ Name
from CF1R
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/CEER
Minimum
Cooling
System
Airflow Rate
(CFM/ton)
Maximum Fan
Efficacy
(W/CFM)
Modeled Duct
R-Value
Central Fan
Ventilation
Cooling
Airflow
Central Fan
Ventilation
Cooling Fan
Efficacy
HVAC System 11
HSPF
11
59000
49500
21
13
350
0.38
R-8
n/a
n/a
HVAC System 22
HSPF
11
59000
49500
21
13
350
0.38
R-8
n/a
n/a
HVAC System 33
HSPF
10.5
45000
42500
22
13
350
0.28
R-8
n/a
n/a
HVAC System 44
HSPF
10.5
45000
42500
22
13
350
0.28
R-8
n/a
n/a
HVAC System 55
HSPF
10.5
45000
42500
22
13
350
0.28
R-8
n/a
n/a
HVAC System 66
HSPF
11.5
33400
31730
20
15.5
350
0.23
R-8
n/a
n/a
HVAC System 77
HSPF
10.5
45000
42500
22
13
350
0.28
R-8
n/a
n/a
HVAC System 88
HSPF
8.3
34800
27300
19.3
12.3
350
0.58
R-8
n/a
n/a
HVAC System 99
HSPF
11.5
33400
31730
20
13.5
350
0.23
R-8
n/a
n/a
Notes:
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 4 of 15)
D. Installed Space Conditioning (SC) System Component Information
01
02
03
04
05
06
07
08
09
10
SC System ID/
Name from CF1R
SC System
Description of
Area Served
Conditioned Floor
Area Served by
the System (ft2)
Heating System
Type
Cooling System
Type
Number of Indoor
Units for this
System
Distribution
System Type
SC System
Thermostat Type
Cooling Zoning
Type
Cooling System
Compressor
Speed Type
HVAC System 11
LIVING AREA
1642
Central split HP
Central split HP
1
Unconditioned
attic
Setback
Not Zonal
Multi -speed
HVAC System 22
LIVING AREA
1303
Central split HP
Central split HP
1
Outdoor locations
Setback
Not Zonal
Multi -speed
HVAC System 33
SLEEPING AREA
1400
Central split HP
Central split HP
1
Outdoor locations
Setback
Not Zonal
Multi -speed
HVAC System 44
SLEEPING AREA
1505
Central split HP
Central split HP
1
Outdoor locations
Setback
Not Zonal
Multi -speed
HVAC System 55
LIVING AREA
1370
Central split HP
Central split HP
1
Outdoor locations
Setback
Not Zonal
Multi -speed
HVAC System 66
SLEEPING AREA
944
Central split HP
Central split HP
1
Outdoor locations
Setback
Not Zonal
Multi -speed
HVAC System 77
SLEEPING AREA
1047
Central split HP
Central split HP
1
Outdoor locations
Setback
Not Zonal
Multi -speed
HVAC System 88
LIVING AREA
1169
Central split HP
Central split HP
1
Unconditioned
attic
Setback
Not Zonal
Single Speed
HVAC System 99
LIVING AREA
715
Central split HP
Central split HP
1
Outdoor locations
Setback
Not Zonal
Multi -speed
Notes:
E. Installed Heating System Equipment Information (not heat pumps)
This section does not apply to this project.
F. Installed Cooling System Outdoor Condensing Unit or Package Unit Equipment Information (not heat pumps)
This section does not apply to this project.
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 5 of 15)
G. Installed Split System Indoor Unit ( Coil or Fan Coil) Equipment Information - applicable to DX or hydronic heating or cooling, coils and fan coil units.
Systems with more than one indoor unit 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
06
07
08
09
10
SC System ID/ Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Indoor Unit
Type
Indoor Unit
Duct Status
Does Indoor
Unit Provide
CFI IAQ
Ventilation?
Indoor Unit Manufacturer
Indoor Unit Model Number
Indoor Unit Serial Number
Indoor Unit
Nominal
Cooling
Capoanity
( )
HVAC System 11
LIVING AREA
LIVING AREA
HP Coil
Ducted >
10ft length
Yes
DAIKIN
DMVE6ODP1400
2302042344
Value not
required
HVAC System 22
LIVING AREA
LIVING AREA
HP Coil
Ducted >
10ft length
Yes
DAIKIN
DMVE6ODP1400
2212112050
Value not
required
HVAC System 33
SLEEPING
AREA
SLEEPING
AREA
HP Coil
Ducted >
10ft length
Yes
DAIKIN
DMVE6ODP1400
22122042346
Value not
required
HVAC System 44
SLEEPING
AREA
SLEEPING
AREA
HP Coil
Ducted >
10ft length
Yes
DAIKIN
DMVE481400
2302209204
Value not
required
HVAC System 55
LIVING AREA
LIVING AREA
HP Coil
Ducted >
10ft length
Yes
DAIKIN
DMVE481400
2302061686
Value not
required
HVAC System 66
SLEEPING
AREA
SLEEPING
AREA
HP Coil
Ducted >
10ft length
Yes
DAIKIN
DMVE36CP1400
2302212515
Value not
required
HVAC System 77
SLEEPING
AREA
SLEEPING
AREA
HP Coil
Ducted >
10ft length
Yes
DAIKIN
DMVE36CP1400
2302212516
Value not
required
HVAC System 88
LIVING AREA
LIVING AREA
HP Coil
Ducted >
10ft length
Yes
DAIKIN
DMVE36CP1400
2302065169
Value not
required
HVAC System 99
LIVING AREA
LIVING AREA
HP Coil
Ducted >
10ft length
Yes
DAIKIN
DMVE36CP1400
2302065174
Value not
required
Notes:
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 6 of 15)
H. Installed Heat Pump System - Split System Condensing Unit or Package Unit Equipment Information
01
02
03
04
05
SC System ID/ Name
from CF1R
SC System Description
of Area Served
Condenser or Package Unit Manufacturer
Condenser or Package Unit Model Number
Condenser or Package Unit Serial Number
HVAC System 11
LIVING AREA
DAIKIN
DZ9VCA6010AA
2304135135
HVAC System 22
LIVING AREA
DAIKIN
DZ9VCA6010AA
2304130069
HVAC System 33
SLEEPING AREA
DAIKIN
DZ9VCA6010AA
2304136736
HVAC System 44
SLEEPING AREA
DAIKIN
DZ9VCA4810AA
2304042201
HVAC System 55
LIVING AREA
DAIKIN
DZ9VCA4810AA
2304042208
HVAC System 66
SLEEPING AREA
DAIKIN
DZ9VCA3610AA
2304062626
HVAC System 77
SLEEPING AREA
DAIKIN
DZ9VCA3610AA
2304062431
HVAC System 88
LIVING AREA
DAIKIN
DZ9VCA3610AA
2304065411
HVAC System 99
LIVING AREA
DAIKIN
DZ9VCA3610AA
2304665421
Notes:
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 7 of 15)
I. Installed Heat Pump System -Efficiency and Performance Compliance Information
01
02
03
04
05
06
07
08
09
10
SC System ID/
Name from CF1R
SC System
Description of
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/CEER
System Cooling
Capacity at Design
Conditions
(Btu/h)
Condenser
Nominal Capacity
(ton)
HVAC System 11
LIVING AREA
HSPF
11
59000
49500
21
13
49500
5
HVAC System 22
LIVING AREA
HSPF
11
59000
49500
21
13
49500
5
HVAC System 33
SLEEPING AREA
HSPF
10.5
45000
42500
22
13
49500
5
HVAC System 44
SLEEPING AREA
HSPF
10.5
45000
42500
22
13
42500
4
HVAC System 55
LIVING AREA
HSPF
10.5
45000
42500
22
13
42500
4
HVAC System 66
SLEEPING AREA
HSPF
11.5
33400
31730
20
15.5
31750
3
HVAC System 77
SLEEPING AREA
HSPF
10.5
45000
42500
22
13
31750
3
HVAC System 88
LIVING AREA
HSPF
11
34800
27300
19.3
12.3
31750
3
HVAC System 99
LIVING AREA
HSPF
11.5
33400
31730
20
13.5
31750
3
Notes:
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 8 of 15)
J. Installed Duct System Information
01
02
03
04
05
06
07
08
09
10
11
12
13
14
SC System
ID/ Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Supply Duct
Location
Supply Duct
R-Value
Return Duct
Location
Return Duct
R-Value
Exception
from Min
R-Value
Method of
compliance
with Airflow
and Fan
Efficacy
Req's in
150.0(m)13
Bypass Duct
Status
Number of
Air Filter
Devices on
Indoor Unit
Can
Approved
Airflow
Protocols be
used to test
this System?
Can
Approved
Fan Efficacy
Protocol be
used to test
this System?
Total Duct
Length
HVAC
System 11
LIVING
AREA
LIVING
AREA
Uncondition
edAttic
R8
Uncondition
edAttic
R8
NoException
HERS_FanEff
icacyAirflow
Rate
false
1
Yes
Yes
DuctsGT10F
t
HVAC
System 22
LIVING
AREA
LIVING
AREA
Uncondition
edAttic
R8
Uncondition
edAttic
R8
NoException
HERS_FanEff
icacyAirflow
Rate
false
1
Yes
Yes
DuctsGT1OF
t
HVAC
System 33
SLEEPING
AREA
SLEEPING
AREA
Uncondition
edAttic
R8
Uncondition
edAttic
R8
NoException
HERS_FanEff
icacyAirflow
Rate
false
1
Yes
Yes
DuctsGT1OF
t
HVAC
System 44
SLEEPING
AREA
SLEEPING
AREA
Uncondition
edAttic
R8
Uncondition
edAttic
R8
NoException
HERS_FanEff
icacyAirflow
Rate
false
1
Yes
Yes
DuctsGT10F
t
HVAC
System 55
LIVING
AREA
LIVING
AREA
Uncondition
edAttic
R8
Uncondition
edAttic
R8
NoException
HERS_FanEff
icacyAirflow
Rate
false
1
Yes
Yes
DuctsGT1OF
t
HVAC
System 66
SLEEPING
AREA
SLEEPING
AREA
Uncondition
edAttic
R8
Uncondition
edAttic
R8
NoException
HERS_FanEff
icacyAirflow
Rate
false
1
Yes
Yes
DuctsGT1OF
t
HVAC
System 77
SLEEPING
AREA
SLEEPING
AREA
Uncondition
edAttic
R8
Uncondition
edAttic
R8
NoException
HERS_FanEff
icacyAirflow
Rate
false
1
Yes
Yes
DuctsGT10F
t
HVAC
System 88
LIVING
AREA
LIVING
AREA
Uncondition
edAttic
R8
Uncondition
edAttic
R8
NoException
HERS_FanEff
icacyAirflow
Rate
false
1
Yes
Yes
DuctsGT1OF
t
HVAC
System 99
LIVING
AREA
LIVING
AREA
Uncondition
edAttic
R8
Uncondition
edAttic
R8
NoException
HERS_FanEff
icacyAirflow
Rate
false
1
Yes
Yes
DuctsGT1OF
t
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 9 of 15)
K. Installed Air Filter Device Information
Mandatory requirements for air filter devices are specified in Section 150.0(m)12. The installer shall place a sticker in or near the filter grille displaying the filter grille/rack
design airflow rate and the maximum allowed clean filter pressure drop at the design airflow rate. This will inform the occupant of the airflow vs pressure drop performance
required for replacement air filters.
01
02
03
04
05
06
07
08
09
10
11
12
13
SC System ID/
Name from
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Air Filter
Device Name
or
Description
of Area
Served
Air Filter
Device Type
Design
Airflow Rate
for Air Filter
Device (cfm)
Air Filter
Nominal
Depth (inch)
Air Filter
Nominal
Length (inch)
Air Filter
Nominal
Width (inch)
Air Filter
Calculated
Nominal Face
Area (inch')
Air Filter
Required
Minimum
Face Area
Z
(inch)
Face Area
Compliance
Design
Allowable
Pressure
Drop for Air
Filter Device
(inch W.C.)
HVAC System
11
LIVING AREA
LIVING AREA
Filter 1
Furnace
Mounted
350
4
26
20
520
Specified by
System
Designer
Specified by
System
Designer
0.3
HVAC System
22
LIVING AREA
LIVING AREA
Filter 2
Furnace
Mounted
350
4
26
20
520
Specified by
System
Designer
Specified by
System
Designer
0.3
HVAC System
33
SLEEPING
AREA
SLEEPING
AREA
Filter 3
Furnace
Mounted
350
4
26
20
520
Specified by
System
Designer
Specified by
System
Designer
0.3
HVAC System
44
SLEEPING
AREA
SLEEPING
AREA
Filter 4
Furnace
Mounted
350
4
26
20
520
Specified by
System
Designer
Specified by
System
Designer
0.3
HVAC System
55
LIVING AREA
LIVING AREA
Filter 5
Furnace
Mounted
350
4
26
20
520
Specified by
System
Designer
Specified by
System
Designer
0.3
HVAC System
66
SLEEPING
AREA
SLEEPING
AREA
Filter 6
Furnace
Mounted
350
4
26
20
520
Specified by
System
Designer
Specified by
System
Designer
0.3
HVAC System
77
SLEEPING
AREA
SLEEPING
AREA
Filter 7
Furnace
Mounted
350
4
26
20
520
Specified by
System
Designer
Specified by
System
Designer
0.3
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 10 of 15)
K. Installed Air Filter Device Information
Mandatory requirements for air filter devices are specified in Section 150.0(m)12. The installer shall place a sticker in or near the filter grille displaying the filter grille/rack
design airflow rate and the maximum allowed clean filter pressure drop at the design airflow rate. This will inform the occupant of the airflow vs pressure drop performance
required for replacement air filters.
01
02
03
04
05
06
07
08
09
10
11
12
13
SC System ID/
Name from
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Air Filter
Device Name
or
Description
of Area
Served
Air Filter
Device Type
Design
Airflow Rate
for Air Filter
Device (cfm)
Air Filter
Nominal
Depth (inch)
Air Filter
Nominal
Length (inch)
Air Filter
Nominal
Width (inch)
Air Filter
Calculated
Nominal Face
Area (inch2)
Air Filter
Required
Minimum
Face Area
2
(inch)
Face Area
Compliance
Design
Allowable
Pressure
Drop for Air
Filter Device
(inch W.C.)
HVAC System
88
LIVING AREA
LIVING AREA
Filter 8
Furnace
Mounted
350
4
26
20
520
Specified by
System
Designer
Specified by
System
Designer
0.3
HVAC System
99
LIVING AREA
LIVING AREA
Filter 9
Furnace
Mounted
350
4
26
20
520
Specified by
System
Designer
Specified by
System
Designer
0.3
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.
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 shall be determined by the system designer. The system installer shall affix a sticker/label to each system air filter
grille/rack location that discloses the filter's design airflow rate and the filter's maximum allowable clean -filter pressure drop at the design airflow rate. The sticker/labels shall be
permanently affixed to the air filter grille/rack, readily legible, and visible to a person replacing the air filter.
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 13 when tested in accordance with ASHRAE Standard 52.2, or a particle
size efficiency rating equal to or greater than 50% in the 0.30 to 1.0 µm range and equal to or greater than 85 percent in the 1.0 - 3.0 µm range when tested in accordance with AHRI
Standard 680.
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 11 of 15)
L. Air Filter Device Requirements
05
The system shall be provided with air filters that have been labeled by the manufacturer to disclose efficiency and pressure drop ratings that conform to the efficiency and pressure drop
requirements for the air filter grilles/racks..
The responsible person's signature on this compliance docum
ent affirms that all applicable requirements in this table have been
met
M. HERS Verification Requirements For Duct Systems
01
02
03
04
05
06
07
08
09
10
SC System ID/
Name from CF1R
SC System
Description of
Area Served
Indoor Unit Name
or Description of
Area Served
MCH-20
Duct Leakage Test
MCH-21
Duct Location
Verification
MCH-22
AHU Fan Efficacy
(W/cfm)
)
MCH-23
AHU Airflow Rate
(cfm/ton)R-Value
MCH-28
Return Duct
Design Table
150.0-B or C
MCH-29
Supply Duct
Surface Area
Buried
Ducts
MCH30
Central Fan
Ventilation
Cooling Credit
HVAC System 11
LIVING AREA
LIVING AREA
Yes
No
Yes
Yes
No
No
No
HVAC System 22
LIVING AREA
LIVING AREA
Yes
No
Yes
Yes
No
No
No
HVAC System 33
SLEEPING AREA
SLEEPING AREA
Yes
No
Yes
Yes
No
No
No
HVAC System 44
SLEEPING AREA
SLEEPING AREA
Yes
No
Yes
Yes
No
No
No
HVAC System 55
LIVING AREA
LIVING AREA
Yes
No
Yes
Yes
No
No
No
HVAC System 66
SLEEPING AREA
SLEEPING AREA
Yes
No
Yes
Yes
No
No
No
HVAC System 77
SLEEPING AREA
SLEEPING AREA
Yes
No
Yes
Yes
No
No
No
HVAC System 88
LIVING AREA
LIVING AREA
Yes
No
Yes
Yes
No
No
No
HVAC System 99
LIVING AREA
LIVING AREA
Yes
No
Yes
Yes
No
No
No
Notes:
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 12 of 15)
N. HERS Verification Requirements For Space Conditioning Equipment
01
02
03
04
05
SC System ID/ Name from CF1R
SC System Description of Area Served
MCH-25
Refrigerant Charge
MCH-26
Rated SC System
Equipment Verification
MCH-33
VCHP Compliance Credit
HVAC System 11
LIVING AREA
Yes
Yes
No
HVAC System 22
LIVING AREA
Yes
Yes
No
HVAC System 33
SLEEPING AREA
Yes
Yes
No
HVAC System 44
SLEEPING AREA
Yes
Yes
No
HVAC System 55
LIVING AREA
Yes
Yes
No
HVAC System 66
SLEEPING AREA
Yes
Yes
No
HVAC System 77
SLEEPING AREA
Yes
Yes
No
HVAC System 88
LIVING AREA
No
Yes
No
HVAC System 99
LIVING AREA
Yes
Yes
No
Notes:
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 13 of 15)
O. Space Conditioning Systems, Ducts and Fans -Mandatory Requirements and Additional Measures
Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly
installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements.
Heating Equipment
01
Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations.
02
Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the
temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b).
03
Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 150.0(h)1 and
2).
04
Furnace Temperature Rise: Central forced -air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet -to -outlet temperature
rise specification. See Section 150.0(h)4.
05
Standby Losses and Pilot Lights: Fan -type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d).
Cooling Equipment
06
Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations.
07
Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section 150.0(j)2 and 3,
and Section 150.0(m)9.
08
Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A.
09
Liquid Line Filter Drier: A liquid line filter drier shall be installed according to the manufacturer's specifications 150.0(h)3B
10
Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section 150.0(h)1 and 2.
Air Distribution System Ducts, Plenums and Fans
11
Insulation: The minimum duct insulation value is R-6. 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 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, otherwise a minimum of R-4.2 is allowed if the system is
enclosed entirely in conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference Residential Appendix
RA3.1.4.3.8. Exceptions for ducts in interior wall cavities or exposed ducts entirely in conditioned space are specified in Section 150.0(m)1B.
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 14 of 15)
O. Space Conditioning Systems, Ducts and Fans -Mandatory Requirements and Additional Measures
Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly
installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements.
Heat Pump Thermostat
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: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 15 of 15)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Dive Je h.i i b-v.i
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Daivei_Terieueustervil
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 422-P010206032A-000-001-M01011A-0000 Registration Date/Time: 2023-07-18 08:29:56 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:30:54
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 1 of 5)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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.-2016 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings subject to amendments specified by Title 24, Part 6
Section 150.0(0)1.
A. Dwelling Mechanical Ventilation - General Information
01
Dwelling unit name
Single Family Dwelling
02
Building Type
Single family detached
03
Project scope
Newly Constructed
04
Total Conditioned Floor Area of Dwelling Unit
(For addition projects the conditioned floor area equals existing
area plus addition area. )
11095
05
Number of Bedrooms in Dwelling Unit
(For addition projects the number of bedrooms equals the existing
bedrooms plus addition bedrooms)
5
06
Ventilation System Type
Exhaust
07
Ventilation Operation Schedule
Continuous
Note.
Non -dwelling units do not meet the definition for a dwelling unit as defined in Section 100.1(b). Non -dwelling units are not designed to provide
independent living facilities and do not provide permanent provisions for living, sleeping, eating, cooking and sanitation.
B. Single Family Attached/Detached General Information
01
Average Ceiling Height
8
02
Total Conditioned Volume
88760
03
Vertical distance between the lowest and highest above grade
points within the pressure boundary in feet
8
04
Air Changes Per Hour at 50 Pa
Default
05
Name of ANSI/ASHRAE Standard 62.2-2016 weather station for
climate zone
Palm Springs Intl
06
Weather and shielding factor (wsf) (Based on city identified above)
0.45
Registration Number:
422-P01020603 2A-000-001-M 27012A-0000
Registration Date/Time: 2023-07-18 08:31:46
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:31:47
Schema Version: rev 20200401
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 2 of 5)
C. Ventilation - Total Ventilation Rate
A mechanical supply system, exhaust system or combination thereof shall provide whole -building ventilation with outdoor air each hour at no
less than the rate in 150.0(o)1Ci
01
Total Required Ventilation Rate (Qtot)
377.85
02
Enclosure Leakage Rate (Q5o)
2958.67
03
Effective Annual Average Infiltration Rate (Qinf
68.55
04
Total Exterior Envelope Surface Area
n/a
05
Unshared Exterior Envelope Surface Area (exclude surface areas
attached to garages or other dwelling units)
n/a
06
Required Mechanical Ventilation Rate (Qfan)
365.41
D. Installed Ventilation - Total Ventilation Rate
A mechanical supply system, exhaust system, or combination thereof shall provide whole -building ventilation with outdoor air
each hour at no less than the rate in 150.0(o)1Ci
01
02
03
04
05
Fan Name
Fan Location
Runtime (min/hr)
Installed Mechanical
Ventilation Rate (CFM)
Equivalent Continuous
Ventilation (CFM)
NUTONE
LAUNDRY ROOM
60
425
425
06
Total Installed Continuous Ventilation (CFM)
425
E. Compliance Statement
01
Building Passes Mechanical Ventilation RateTest
F. Other Requirements
The items listed below (6.1 through 6,6 abd 6.8 through 6.9) correspond to the information given in ASHRAE 62.2 Section 6 "Other
Requirements". Refer also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.8) for information describing these "Other
Requirements". The signature of the Responsible Person in the declaration statement below certifies that the building complies with these
requirements specified in ASHRAE 62.2 Section 6.1 through 6.9 if applicable.
01
6.1 Adjacent Spaces and Transfer Air. Measures shall be taken to minimize air movement across envelope components to dwelling units
from adjacent spaces such as garages, unconditioned crawl spaces, unconditioned attics and other dwelling. Supply and balanced
ventilation systems shall be designed and constructed to provide ventilation air directly from the outdoors.
6.1.1 Compliance for Attached Dwelling Units . One method of demonstrating compliance with Section 6.1 shall be to verify a leakage
rate below a maximum of 0.3 cfm per ft2 (150 L/s per 100 m2) of the dwelling unit envelope per area (i.e. the sum of the area of walls
between dwelling units, exterior walls, ceiling and floor) at a test pressure of 50 Pa by a blower door test conducted in accordance with
either ANSI/ASTME779 or ANSI/ASTM-E1827. The test shall be conducted with the dwelling unit as if it were exposed to outdoor air on all
sides, top and bottom by opening doors and windows of adjacent dwelling units.
02
6.2 Instructions and Labeling. Information on the ventilation design and/or ventilation systems installed, instructions on their proper
operation to meet the requirements of this standard, and instructions detailing any required maintenance (similar to that provided for
HVAC systems) shall be provided to the owner and the occupant of the dwelling unit. Controls shall be labeled as to their function (unless
that function is obvious, such as toilet exhaust fan switches). See Chapter 13 of Guideline 245 for information on instructions and labeling.
Registration Number:
422-P01020603 2A-000-001-M 27012A-0000
Registration Date/Time: 2023-07-18 08:31:46
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2023-07-18 08:31:47
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 3 of 5)
F. Other Requirements
The items listed below (6.1 through 6,6 abd 6.8 through 6.9) correspond to the information given in ASHRAE 62.2 Section 6 "Other
Requirements". Refer also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.8) for information describing these "Other
Requirements". The signature of the Responsible Person in the declaration statement below certifies that the building complies with these
requirements specified in ASHRAE 62.2 Section 6.1 through 6.9 if applicable.
03
6.3 Clothes Dryers. Clothes dryers shall be exhausted directly to the outdoors. Exception: Condensing dryers plumbed to a drain.
04
6.4 Combustion and Solid -Fuel Burning Appliances.
6.4.1 Combustion and solid -fuel burning appliances must be provided with adequate combustion and ventilation air and vented in
accordance with manufacturer installation instructions, NFPA 54 ANSI 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.
6.4.2 Where atmospherically vented combustion appliances or solid -fuel burning appliances are located inside the pressure boundary,
the total net exhaust flow of the two largest exhaust fans (not including a summer cooling fan intended to be operated only when
windows or other air inlets are open) shall not exceed 15 cfm/100 ft2 (75 L/s per 100 m2) of occupiable space when in operation at full
capacity. If the designed total net flow exceeds this limit, the net exhaust flow must be reduced by reducing the exhaust flow or providing
compensating outdoor airflow. Atmospherically vented combustion appliances do not include direct -vent appliances. Combustion
appliances that pass safety testing performed according to ANSI/BPI-1200, Standard Practice for Basic Analysis of Buildings, 21 shall be
deemed as complying with Section 6.4.2
05
6.5 Air Tightness Requirements
6.5.1 Garages. When an occupiable space adjoins a garage, the design 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. Exception: Attached dwelling units and spaces that meet the local ventilation requirements set for bathrooms in Section 5 [of
ASHRAE 62.2].
6.6.1 Habitable Spaces. Each habitable space shall be provided with ventilation openings with an openable area not less than 4% of
the floor area or less than 5 ft2 (0.5 m2).
6.6.1 Toilets and Utility Rooms Toilets and utility rooms shall be provided with ventilation openings with an openable area not less
than 4% of the floor area or less than 1.5 ft2 (0.5 m2). Exceptions:
1. Utility rooms with a dryer exhaust duct.
2. Toilet compartments in bathrooms.
07
6.8 Air Inlets. Air inlets that are part of the ventilation design shall be located a minimum of 10 ft (3 m) from known sources of
contamination such as a stack, vent, exhaust hood, or vehicle exhaust. The intake shall be placed so that entering air is not obstructed by
snow, plantings, or other material. Forced air inlets shall be provided with rodent/insect screens (mesh not larger than 1/2 inch [13 mm]).
1. Ventilation openings in the wall may be as close as a stretched -string distance of 3 ft (1 m) from sources of contamination exiting
through the roof or dryer exhausts.
2. No minimum separation distance shall be required between windows and local exhaust outlets in kitchens and bathrooms.
3. Vent terminations covered by and meeting the requirements of the National Fuel Gas Code NFPA 54/ ANSI Z223.1)7 or equivalent.
4. Where a combined exhaust/intake termination is used to separate intake air from exhaust air originating in a living space other
than kitchens, no minimum separation distance between these two openings is required. For these combined terminations, the
exhaust air concentration within the intake air shall not exceed 10%, as established by the manufacturer.
08
6.9 Carbon Monoxide Alarms. A carbon monoxide alarm shall be installed in each dwelling unit in accordance with NFPA 720, Standard
for the Installation of Carbon Monoxide (CO) Detection and Warning Equipment 14, and shall be consistent with requirements of
applicable laws, codes, and standards.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 27012A-0000
Registration Date/Time: 2023-07-18 08:31:46
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2023-07-18 08:31:47
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 4 of 5)
G. Air Moving Equipment
The items listed below (7.1 through 7.4) correspond to the information given in ASHRAE 62.2 Section 7 "Air -Moving Equipment". Refer also to
Chapter 4.6 of the Residential Compliance Manual (Section 4.6.9) for information describing these requirements in more detail. The signature of
the Responsible Person in the declaration statement below certifies that the building complies with these requirements specified in ASHRAE 62.2
Section 7.1 through 7.4 if applicable.
01
7.1 Selection and Installation. Ventilation devices and equipment shall be tested and listed in accordance with ANSI/ASHRAE Standard
51/ AMCA 210, Laboratory Methods of Testing Fans for Aerodynamic Performance Rating, and ANSI/AMCA Standard 300, Reverberant
Room Method for Sound Testing of Fans, and rated in accordance with the airflow and sound rating procedures of the Home Ventilating
Institute (HVI) (HVI 915, Loudness Testing and Rating Procedure; HVI 916 Airflow Test Procedure; and HVI 920, Product Performance
Certification Procedure Including Verification and Challenge). Installations of systems or equipment shall be carried out in accordance
with manufacturers' design requirements and installation instructions.
02
7.2 Sound Ratings for Fans. Ventilation fans shall be rated for sound at no less than the minimum airflow rate required by this standard,
as noted below. These sound ratings shall be at a minimum of 0.1 in. w.c. (25 Pa) static pressure in accordance with the HVI procedure
referenced in 7.1.
Exception: HVAC air handlers and remote mounted fans need not meet sound requirements. To be considered for this exception, a
remote mounted fan must be mounted outside the habitable spaces, bathrooms, toilets, and hallways, and there must be at least 4 ft (1
m) of ductwork between the fan and the intake grille.
7.2.1 Dwelling Unit Ventilation or Continuous Local Exhaust Fans. These fans shall be rated for sound at a maximum of 1.0 sone.
7.2.2 Demand -Controlled Local Exhaust Fans. Bathroom exhaust fans used to comply with Section 5.2 shall be rated for sound at a
maximum of 3 sone, Kitchen exhaust fans used to comply with Section 5.2 shall be rated for sound at a maximum of 3 sone at one or
more airflow settings greater than or equal to 100 cfm (47 L/s).
Exceptions:
1. Fans with minimum airflow settings exceeding 400 cfm (189 L/s) need not comply.
2. Kitchen Range hoods may be rated for sound at the static pressure determined at working speed as specified in HVI 916 section 7.
03
7.3 Exhaust Ducts.
7.3.1 Multiple Exhaust Fans Using One Duct. Exhaust fans in separate dwelling units shall not share a common exhaust duct. If more
than one of the exhaust fans in a dwelling unit shares a common exhaust duct, each fan shall be equipped with a back draft damper to
prevent the recirculation of exhaust air from one room to another through the exhaust ducting system.
7.3.2 Single Exhaust Fan Ducted to Multiple Inlets. Where exhaust inlets are commonly ducted across multiple dwelling units, one or
more exhaust fans located downstream of the exhaust inlets shall be designed and intended to run continuously, or a system of one or
more backdraft dampers shall be installed to isolate each dwelling unit from the common duct when the fan is not running.
04
7.4 Supply Ducts. Where supply outlets are commonly ducted across multiple dwelling units, one or more supply fans located upstream
of the supply inlets shall be designed and intended to run continuously, or a system of one or more backdraft dampers shall be installed
to isolate each dwelling unit from the common duct when the fan is not running.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 27012A-0000
Registration Date/Time: 2023-07-18 08:31:46 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:31:47
2019 Residential Compliance Schema Version: rev 20200401
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 27012A-0000
Registration Date/Time: 2023-07-18 08:31:46 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:31:47
2019 Residential Compliance Schema Version: rev 20200401
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-32-H
Local Mechanical Exhaust
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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/ASHRAE Standard 62.2-2010
A. Local Mechanical Exhaust - General Information
01
Dwelling Unit Name
Single Family Dwelling
02
Building Type
Single family detached
03
Total Kitchen Floor Area
1000
04
Kitchen Average Ceiling Height
10
05
Kitchen Total Conditioned Volume
10000
06
Kitchen Type
Non -Enclosed
Registration Number:
422-P01020603 2A-000-001-M 32010A-0000
Registration Date/Time: 2023-07-17 12:59:01 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 12:59:01
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-32-H
Local Mechanical Exhaust
(Page 2 of 4)
B. 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
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:
422-P01020603 2A-000-001-M 32010A-0000
Registration Date/Time: 2023-07-17 12:59:01 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 12:59:01
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-32-H
Local Mechanical Exhaust
(Page 3 of 4)
C. Kitchen Exhaust Systems
01
02
03
04
05
06
07
08
09
10
11
System
Name
Manufactur
er Name
System
Type
HVI or
AHAM
Directory
Listed
Model
Number
HVI or
AHAM
Directory
Listed Rated
Airflow
HVI or
AHAM
Directory
Listed
Sound
Rating
Minimum
Airflow
(defaults to
rated
airflow)
Operation
Schedule
Required
Minimum
Ventilation
Rate (if
demand
controlled)
Maximum
Sound
Rating
Compliance
Statement
KITCHEN
HOOD
WOLF
Vented
Range
Hood
W428-345
425
1
375
Demand
Control
100
3 sone
Complies
D. Continuous Kitchen Exhaust
01
Total Continuous Ventilation Airflow
n/a
02
Required Minimum Continuous Ventilation Airflow
n/a
03
Compliance Statement
n/a
E. Other Requirements
01
Demand control exhaust system shall be provided with at least one of the following:
1. A readily accessible occupant -controlled on -off control.
2. An automatic control that does not impeded occupant on control.
02
Nonenclosed kitchens shall be provided with a demand -controlled mechanical exhaust system.
03
Each continuous mechanical exhaust system shall be provided with a readily accessible manual on -off control. (Multifamily dwellings are
exempt from readily accessible requirement. )
04
Continuous mechanical exhaust systems shall be designed to operate during all occupiable hours.
05
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.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 32010A-0000
Registration Date/Time: 2023-07-17 12:59:01 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 12:59:01
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-32-H
Local Mechanical Exhaust
(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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-17
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-17
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 32010A-0000
Registration Date/Time: 2023-07-17 12:59:01 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 12:59:01
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 11
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned
from CF1R?
Space (VLLDCS) Credit
No, credit is not taken
06
Verified Low Leakage Air Handling
Unit Credit from CF1R?
Low Leakage Air Handling
used
Unit (LLAHU) method Mch20c should be
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
422-P01020603 2A-000-001-M 20013A-0000
Registration Date/Time: 2023-07-18 08:48:49 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:48:50
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
5
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1642
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.02
10
Calculated Target Allowable Duct Leakage (cfm)
40
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
36
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
422-P01020603 2A-000-001-M 20013A-0000
Registration Date/Time: 2023-07-18 08:48:49
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:48:50
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20013A-0000
Registration Date/Time: 2023-07-18 08:48:49 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:48:50
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 11
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Indoor Unit Name
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23014A-0000
Registration Date/Time: 2023-07-18 08:49:17
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:49:18
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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)
1882
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:
422-P01020603 2A-000-001-M 23014A-0000
Registration Date/Time: 2023-07-18 08:49:17 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:49:18
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23014A-0000
Registration Date/Time: 2023-07-18 08:49:17 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:49:18
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 11
02
System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
589.4
02
Actual Tested Airflow from MCH-23 (cfm)
1882
03
Required Fan Efficacy (Watts/cfm)
0.38
04
Actual Fan Efficacy (Watts/cfm)
0.31
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22015A-0000
Registration Date/Time: 2023-07-18 08:50:06
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:50:07
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of+- 2% of reading or+- 10 Watts whichever is greater
systems (i.e. sensor plus data
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 22015A-0000
Registration Date/Time: 2023-07-18 08:50:06 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:50:07
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22015A-0000
Registration Date/Time: 2023-07-18 08:50:06 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:50:07
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
HVAC System 11
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Condenser (or package unit) Make or Brand
DAIKIN
04
Condenser (or package unit) Model Number
DZ9VCA6010AA
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) Serial Number
2304135135
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer).
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
422-P01020603 2A-000-001-M 25041A-0000
Registration Date/Time: 2023-07-18 09:34:16
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 09:34:16
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
LIVING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25041A-0000
Registration Date/Time: 2023-07-18 09:34:16 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:34:16
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
73.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
99.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
94.9
05
Measured Liquid Line Pressure (Piiquid) (psig)
348.2
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
107.3
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
12.4
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
65.9
02
Measured Suction Line Pressure (Psuction) (psig)
114.3
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.2
04
Measured Superheat (Line G01- Line G03) (°F)
21.7
05
Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25041A-0000
Registration Date/Time: 2023-07-18 09:34:16
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:34:16
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25041A-0000
Registration Date/Time: 2023-07-18 09:34:16 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:34:16
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25041A-0000
Registration Date/Time: 2023-07-18 09:34:16 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:34:16
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 11
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609988
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
11
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DAIKIN
DMVE6ODP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26043A-0000
Registration Date/Time: 2023-07-18 09:58:24
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:58:25
Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
11
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DMVE6ODP1
400
2302042344
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
21
02
Installed SEER
21
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
59000
02
Installed Heating BTU Output at 47 Degrees F
59000
03
Required Heating Output at 17 Degrees F
49500
04
Installed Heating Output at 17 Degrees F
49500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
Registration Number:
422-P01020603 2A-000-001-M 26043A-0000
Registration Date/Time: 2023-07-18 09:58:24 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:58:25
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
11
02
Installed HSPF
11
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
J. Verified Space Conditioning System TXV
01
If a TXV is specified by the Directory
document that the TXV is properly
of Certified Product Performance, the responsible person certifies
installed and has been visually verified, including proper placement
by signing this compliance
of the sensing bulb
Registration Number:
422-P01020603 2A-000-001-M 26043A-0000
Registration Date/Time: 2023-07-18 09:58:24 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:58:25
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26043A-0000
Registration Date/Time: 2023-07-18 09:58:24 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:58:25
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 22
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned
from CF1R?
Space (VLLDCS) Credit
No, credit is not taken
06
Verified Low Leakage Air Handling
Unit Credit from CF1R?
Low Leakage Air Handling
used
Unit (LLAHU) method Mch20c should be
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
422-P01020603 2A-000-001-M 20016A-0000
Registration Date/Time: 2023-07-18 08:50:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:50:26
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
5
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1303
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.02
10
Calculated Target Allowable Duct Leakage (cfm)
40
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
34
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
422-P01020603 2A-000-001-M 20016A-0000
Registration Date/Time: 2023-07-18 08:50:25
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:50:26
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20016A-0000
Registration Date/Time: 2023-07-18 08:50:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:50:26
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 22
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Indoor Unit Name
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23017A-0000
Registration Date/Time: 2023-07-18 08:50:52
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:50:53
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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)
1868
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:
422-P01020603 2A-000-001-M 23017A-0000
Registration Date/Time: 2023-07-18 08:50:52 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:50:53
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23017A-0000
Registration Date/Time: 2023-07-18 08:50:52 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:50:53
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 22
02
System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
573.8
02
Actual Tested Airflow from MCH-23 (cfm)
1868
03
Required Fan Efficacy (Watts/cfm)
0.38
04
Actual Fan Efficacy (Watts/cfm)
0.31
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22018A-0000
Registration Date/Time: 2023-07-18 08:51:16
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:51:17
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of+- 2% of reading or+- 10 Watts whichever is greater
systems (i.e. sensor plus data
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 22018A-0000
Registration Date/Time: 2023-07-18 08:51:16 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:51:17
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22018A-0000
Registration Date/Time: 2023-07-18 08:51:16 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:51:17
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
HVAC System 22
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Condenser (or package unit) Make or Brand
DAIKIN
04
Condenser (or package unit) Model Number
DZ9VCA6010AA
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) Serial Number
2304130069
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer).
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
422-P01020603 2A-000-001-M 25042A-0000
Registration Date/Time: 2023-07-18 09:40:31
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 09:40:32
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
LIVING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25042A-0000
Registration Date/Time: 2023-07-18 09:40:31 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:40:32
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
74.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
98.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
93.4
05
Measured Liquid Line Pressure (Piiquid) (psig)
339.8
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
105.3
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11.9
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
66.2
02
Measured Suction Line Pressure (Psuction) (psig)
115.3
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.9
04
Measured Superheat (Line G01- Line G03) (°F)
21.3
05
Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25042A-0000
Registration Date/Time: 2023-07-18 09:40:31
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:40:32
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25042A-0000
Registration Date/Time: 2023-07-18 09:40:31 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:40:32
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25042A-0000
Registration Date/Time: 2023-07-18 09:40:31 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:40:32
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 22
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609988
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
22
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DAIKIN
DMVE6ODP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26044A-0000
Registration Date/Time: 2023-07-18 10:02:58
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:02:59
Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
22
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DMVE6ODP1
400
2212112050
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
21
02
Installed SEER
21
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
59000
02
Installed Heating BTU Output at 47 Degrees F
59000
03
Required Heating Output at 17 Degrees F
49500
04
Installed Heating Output at 17 Degrees F
49500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
Registration Number:
422-P01020603 2A-000-001-M 26044A-0000
Registration Date/Time: 2023-07-18 10:02:58 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:02:59
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
11
02
Installed HSPF
11
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
J. Verified Space Conditioning System TXV
01
If a TXV is specified by the Directory
document that the TXV is properly
of Certified Product Performance, the responsible person certifies
installed and has been visually verified, including proper placement
by signing this compliance
of the sensing bulb
Registration Number:
422-P01020603 2A-000-001-M 26044A-0000
Registration Date/Time: 2023-07-18 10:02:58 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:02:59
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26044A-0000
Registration Date/Time: 2023-07-18 10:02:58 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:02:59
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 33
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned
from CF1R?
Space (VLLDCS) Credit
No, credit is not taken
06
Verified Low Leakage Air Handling
Unit Credit from CF1R?
Low Leakage Air Handling
used
Unit (LLAHU) method Mch20c should be
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
422-P01020603 2A-000-001-M 20028A-0000
Registration Date/Time: 2023-07-18 08:57:14 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:57:15
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
5
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1400
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.02
10
Calculated Target Allowable Duct Leakage (cfm)
40
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
32
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
422-P01020603 2A-000-001-M 20028A-0000
Registration Date/Time: 2023-07-18 08:57:14
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:57:15
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20028A-0000
Registration Date/Time: 2023-07-18 08:57:14 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:57:15
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 33
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Indoor Unit Name
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23029A-0000
Registration Date/Time: 2023-07-18 08:57:47
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:57:47
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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)
1873
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:
422-P01020603 2A-000-001-M 23029A-0000
Registration Date/Time: 2023-07-18 08:57:47 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:57:47
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23029A-0000
Registration Date/Time: 2023-07-18 08:57:47 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:57:47
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 33
02
System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
489.6
02
Actual Tested Airflow from MCH-23 (cfm)
1873
03
Required Fan Efficacy (Watts/cfm)
0.28
04
Actual Fan Efficacy (Watts/cfm)
0.26
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22030A-0000
Registration Date/Time: 2023-07-18 08:58:42
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:58:42
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of+- 2% of reading or+- 10 Watts whichever is greater
systems (i.e. sensor plus data
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 22030A-0000
Registration Date/Time: 2023-07-18 08:58:42 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:58:42
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22030A-0000
Registration Date/Time: 2023-07-18 08:58:42 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:58:42
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
HVAC System 33
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Condenser (or package unit) Make or Brand
DAIKIN
04
Condenser (or package unit) Model Number
DZ9VCA6010AA
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) Serial Number
2304136736
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer).
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
422-P01020603 2A-000-001-M 25045A-0000
Registration Date/Time: 2023-07-18 10:04:34
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:04:35
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
SLEEPING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25045A-0000
Registration Date/Time: 2023-07-18 10:04:34 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:04:35
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
74.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
98.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
95.2
05
Measured Liquid Line Pressure (Piiquid) (psig)
348.5
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
107.3
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
12.1
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
65.2
02
Measured Suction Line Pressure (Psuction) (psig)
121.3
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.7
04
Measured Superheat (Line G01- Line G03) (°F)
20.5
05
Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25045A-0000
Registration Date/Time: 2023-07-18 10:04:34
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:04:35
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25045A-0000
Registration Date/Time: 2023-07-18 10:04:34 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:04:35
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25045A-0000
Registration Date/Time: 2023-07-18 10:04:34 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:04:35
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 33
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609988
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
33
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DAIKIN
DMVE6ODP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26046A-0000
Registration Date/Time: 2023-07-18 10:06:30
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:06:31
Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
33
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DAIKIN
DMVE6ODP1
400
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
22
02
Installed SEER
22
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
45000
02
Installed Heating BTU Output at 47 Degrees F
45000
03
Required Heating Output at 17 Degrees F
42500
04
Installed Heating Output at 17 Degrees F
42500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
Registration Number:
422-P01020603 2A-000-001-M 26046A-0000
Registration Date/Time: 2023-07-18 10:06:30 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:06:31
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
10.5
02
Installed HSPF
11
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
J. Verified Space Conditioning System TXV
01
If a TXV is specified by the Directory
document that the TXV is properly
of Certified Product Performance, the responsible person certifies
installed and has been visually verified, including proper placement
by signing this compliance
of the sensing bulb
Registration Number:
422-P01020603 2A-000-001-M 26046A-0000
Registration Date/Time: 2023-07-18 10:06:30 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:06:31
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26046A-0000
Registration Date/Time: 2023-07-18 10:06:30 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:06:31
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 44
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned
from CF1R?
Space (VLLDCS) Credit
No, credit is not taken
06
Verified Low Leakage Air Handling
Unit Credit from CF1R?
Low Leakage Air Handling
used
Unit (LLAHU) method Mch20c should be
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
422-P01020603 2A-000-001-M 20031A-0000
Registration Date/Time: 2023-07-18 08:59:01 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:59:01
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
4
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1505
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.03
10
Calculated Target Allowable Duct Leakage (cfm)
48
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
44
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
422-P01020603 2A-000-001-M 20031A-0000
Registration Date/Time: 2023-07-18 08:59:01
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:59:01
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20031A-0000
Registration Date/Time: 2023-07-18 08:59:01 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:59:01
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 44
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Indoor Unit Name
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
4
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23032A-0000
Registration Date/Time: 2023-07-18 08:59:25
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:59:25
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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)
1400
03
Actual System Airflow Rate Measurement (cfm)
1569
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:
422-P01020603 2A-000-001-M 23032A-0000
Registration Date/Time: 2023-07-18 08:59:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:59:25
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23032A-0000
Registration Date/Time: 2023-07-18 08:59:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:59:25
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 44
02
System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
359.6
02
Actual Tested Airflow from MCH-23 (cfm)
1569
03
Required Fan Efficacy (Watts/cfm)
0.28
04
Actual Fan Efficacy (Watts/cfm)
0.23
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22033A-0000
Registration Date/Time: 2023-07-18 08:59:51
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:59:51
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of+- 2% of reading or+- 10 Watts whichever is greater
systems (i.e. sensor plus data
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 22033A-0000
Registration Date/Time: 2023-07-18 08:59:51 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:59:51
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22033A-0000
Registration Date/Time: 2023-07-18 08:59:51 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:59:51
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
HVAC System 44
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Condenser (or package unit) Make or Brand
DAIKIN
04
Condenser (or package unit) Model Number
DZ9VCA4810AA
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser (or package unit) Serial Number
2304042201
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer).
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
422-P01020603 2A-000-001-M 25049A-0000
Registration Date/Time: 2023-07-18 10:10:54
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:10:55
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
SLEEPING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25049A-0000
Registration Date/Time: 2023-07-18 10:10:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:10:55
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
72.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
97.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) ( °F)
93.1
05
Measured Liquid Line Pressure (Piiquid) (psig)
336.2
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
104.7
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11.6
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
65.1
02
Measured Suction Line Pressure (Psuction) (psig)
117.2
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.3
04
Measured Superheat (Line G01- Line G03) (°F)
20.8
05
Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25049A-0000
Registration Date/Time: 2023-07-18 10:10:54
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:10:55
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25049A-0000
Registration Date/Time: 2023-07-18 10:10:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:10:55
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25049A-0000
Registration Date/Time: 2023-07-18 10:10:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:10:55
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 44
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609976
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
44
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA4810
AA
DAIKIN
DMVE48140
0
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26050A-0000
Registration Date/Time: 2023-07-18 10:12:25
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:12:26
Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
44
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA4810
AA
DAIKIN
DMVE48140
0
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
22
02
Installed SEER
22
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
45000
02
Installed Heating BTU Output at 47 Degrees F
45000
03
Required Heating Output at 17 Degrees F
42500
04
Installed Heating Output at 17 Degrees F
42500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
Registration Number:
422-P01020603 2A-000-001-M 26050A-0000
Registration Date/Time: 2023-07-18 10:12:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:12:26
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
10.5
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
J. Verified Space Conditioning System TXV
01
If a TXV is specified by the Directory
document that the TXV is properly
of Certified Product Performance, the responsible person certifies
installed and has been visually verified, including proper placement
by signing this compliance
of the sensing bulb
Registration Number:
422-P01020603 2A-000-001-M 26050A-0000
Registration Date/Time: 2023-07-18 10:12:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:12:26
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26050A-0000
Registration Date/Time: 2023-07-18 10:12:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:12:26
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 55
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned
from CF1R?
Space (VLLDCS) Credit
No, credit is not taken
06
Verified Low Leakage Air Handling
Unit Credit from CF1R?
Low Leakage Air Handling
used
Unit (LLAHU) method Mch20c should be
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
422-P01020603 2A-000-001-M 20019A-0000
Registration Date/Time: 2023-07-18 08:52:08 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:52:09
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
4
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1370
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.02
10
Calculated Target Allowable Duct Leakage (cfm)
32
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
28
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
422-P01020603 2A-000-001-M 20019A-0000
Registration Date/Time: 2023-07-18 08:52:08
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:52:09
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20019A-0000
Registration Date/Time: 2023-07-18 08:52:08 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:52:09
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 55
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Indoor Unit Name
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
4
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23020A-0000
Registration Date/Time: 2023-07-18 08:52:39
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:52:39
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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)
1400
03
Actual System Airflow Rate Measurement (cfm)
1548
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:
422-P01020603 2A-000-001-M 23020A-0000
Registration Date/Time: 2023-07-18 08:52:39 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:52:39
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23020A-0000
Registration Date/Time: 2023-07-18 08:52:39 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:52:39
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 55
02
System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
389.5
02
Actual Tested Airflow from MCH-23 (cfm)
1548
03
Required Fan Efficacy (Watts/cfm)
0.28
04
Actual Fan Efficacy (Watts/cfm)
0.25
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22021A-0000
Registration Date/Time: 2023-07-18 08:53:10
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:53:10
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of+- 2% of reading or+- 10 Watts whichever is greater
systems (i.e. sensor plus data
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 22021A-0000
Registration Date/Time: 2023-07-18 08:53:10 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:53:10
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22021A-0000
Registration Date/Time: 2023-07-18 08:53:10 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:53:10
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
HVAC System 55
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Condenser (or package unit) Make or Brand
DAIKIN
04
Condenser (or package unit) Model Number
DZ9VCA4810AA
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser (or package unit) Serial Number
2304042208
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer).
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
422-P01020603 2A-000-001-M 25047A-0000
Registration Date/Time: 2023-07-18 10:07:37
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:07:37
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
LIVING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25047A-0000
Registration Date/Time: 2023-07-18 10:07:37 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:07:37
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
74.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
99.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
94.2
05
Measured Liquid Line Pressure (Piiquid) (psig)
351.9
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
106.3
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
12.1
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
66.1
02
Measured Suction Line Pressure (Psuction) (psig)
119.4
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
45.3
04
Measured Superheat (Line G01- Line G03) (°F)
20.8
05
Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25047A-0000
Registration Date/Time: 2023-07-18 10:07:37
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:07:37
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25047A-0000
Registration Date/Time: 2023-07-18 10:07:37 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:07:37
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25047A-0000
Registration Date/Time: 2023-07-18 10:07:37 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:07:37
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 55
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609976
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
55
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA4810
AA
DAIKIN
DMVE48140
0
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26048A-0000
Registration Date/Time: 2023-07-18 10:09:11
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:09:12
Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
55
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA4810
AA
DAIKIN
DMVE48DP1
400
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
22
02
Installed SEER
22
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
45000
02
Installed Heating BTU Output at 47 Degrees F
45000
03
Required Heating Output at 17 Degrees F
42500
04
Installed Heating Output at 17 Degrees F
42500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
Registration Number:
422-P01020603 2A-000-001-M 26048A-0000
Registration Date/Time: 2023-07-18 10:09:11 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:09:12
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
10.5
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
J. Verified Space Conditioning System TXV
01
If a TXV is specified by the Directory
document that the TXV is properly
of Certified Product Performance, the responsible person certifies
installed and has been visually verified, including proper placement
by signing this compliance
of the sensing bulb
Registration Number:
422-P01020603 2A-000-001-M 26048A-0000
Registration Date/Time: 2023-07-18 10:09:11 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:09:12
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26048A-0000
Registration Date/Time: 2023-07-18 10:09:11 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:09:12
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 66
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned
from CF1R?
Space (VLLDCS) Credit
No, credit is not taken
06
Verified Low Leakage Air Handling
Unit Credit from CF1R?
Low Leakage Air Handling
used
Unit (LLAHU) method Mch20c should be
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
422-P01020603 2A-000-001-M 20034A-0000
Registration Date/Time: 2023-07-18 09:00:14 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:00:14
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
3
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
944
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.03
10
Calculated Target Allowable Duct Leakage (cfm)
36
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
30
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
422-P01020603 2A-000-001-M 20034A-0000
Registration Date/Time: 2023-07-18 09:00:14
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 09:00:14
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20034A-0000
Registration Date/Time: 2023-07-18 09:00:14 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:00:14
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 66
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Indoor Unit Name
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23035A-0000
Registration Date/Time: 2023-07-18 09:00:40
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:00:41
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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)
1174
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:
422-P01020603 2A-000-001-M 23035A-0000
Registration Date/Time: 2023-07-18 09:00:40 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:00:41
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23035A-0000
Registration Date/Time: 2023-07-18 09:00:40 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:00:41
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 66
02
System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
252.4
02
Actual Tested Airflow from MCH-23 (cfm)
1174
03
Required Fan Efficacy (Watts/cfm)
0.23
04
Actual Fan Efficacy (Watts/cfm)
0.21
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22036A-0000
Registration Date/Time: 2023-07-18 09:01:22
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 09:01:23
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of+- 2% of reading or+- 10 Watts whichever is greater
systems (i.e. sensor plus data
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 22036A-0000
Registration Date/Time: 2023-07-18 09:01:22 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:01:23
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22036A-0000
Registration Date/Time: 2023-07-18 09:01:22 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:01:23
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
HVAC System 66
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Condenser (or package unit) Make or Brand
DAIKIN
04
Condenser (or package unit) Model Number
DZ9VCA3610AA
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser (or package unit) Serial Number
2304062626
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer).
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
422-P01020603 2A-000-001-M 25051A-0000
Registration Date/Time: 2023-07-18 10:13:31
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:13:32
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
SLEEPING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25051A-0000
Registration Date/Time: 2023-07-18 10:13:31 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:13:32
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
74.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
98.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
93.7
05
Measured Liquid Line Pressure (Piiquid) (psig)
344.8
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
105.3
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11.6
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
64.9
02
Measured Suction Line Pressure (Psuction) (psig)
112.4
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
43.8
04
Measured Superheat (Line G01- Line G03) (°F)
21.1
05
Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25051A-0000
Registration Date/Time: 2023-07-18 10:13:31
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:13:32
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25051A-0000
Registration Date/Time: 2023-07-18 10:13:31 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:13:32
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25051A-0000
Registration Date/Time: 2023-07-18 10:13:31 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:13:32
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 66
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210669964
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
66
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26052A-0000
Registration Date/Time: 2023-07-18 10:15:50
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:15:54
Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
66
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
20
02
Installed SEER
20
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
33400
02
Installed Heating BTU Output at 47 Degrees F
33400
03
Required Heating Output at 17 Degrees F
31730
04
Installed Heating Output at 17 Degrees F
31730
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
Registration Number:
422-P01020603 2A-000-001-M 26052A-0000
Registration Date/Time: 2023-07-18 10:15:50 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:15:54
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
11.5
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
J. Verified Space Conditioning System TXV
01
If a TXV is specified by the Directory
document that the TXV is properly
of Certified Product Performance, the responsible person certifies
installed and has been visually verified, including proper placement
by signing this compliance
of the sensing bulb
Registration Number:
422-P01020603 2A-000-001-M 26052A-0000
Registration Date/Time: 2023-07-18 10:15:50 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:15:54
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26052A-0000
Registration Date/Time: 2023-07-18 10:15:50 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:15:54
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 77
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned
from CF1R?
Space (VLLDCS) Credit
No, credit is not taken
06
Verified Low Leakage Air Handling
Unit Credit from CF1R?
Low Leakage Air Handling
used
Unit (LLAHU) method Mch20c should be
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
422-P01020603 2A-000-001-M 20037A-0000
Registration Date/Time: 2023-07-18 09:01:42 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:01:42
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
3
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1047
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.03
10
Calculated Target Allowable Duct Leakage (cfm)
36
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
33
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
422-P01020603 2A-000-001-M 20037A-0000
Registration Date/Time: 2023-07-18 09:01:42
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 09:01:42
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20037A-0000
Registration Date/Time: 2023-07-18 09:01:42 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:01:42
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 77
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Indoor Unit Name
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23038A-0000
Registration Date/Time: 2023-07-18 09:02:10
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:02:11
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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)
1183
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:
422-P01020603 2A-000-001-M 23038A-0000
Registration Date/Time: 2023-07-18 09:02:10 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:02:11
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23038A-0000
Registration Date/Time: 2023-07-18 09:02:10 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:02:11
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 77
02
System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
318.4
02
Actual Tested Airflow from MCH-23 (cfm)
1183
03
Required Fan Efficacy (Watts/cfm)
0.28
04
Actual Fan Efficacy (Watts/cfm)
0.27
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22039A-0000
Registration Date/Time: 2023-07-18 09:02:47
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 09:02:48
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of+- 2% of reading or+- 10 Watts whichever is greater
systems (i.e. sensor plus data
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 22039A-0000
Registration Date/Time: 2023-07-18 09:02:47 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:02:48
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22039A-0000
Registration Date/Time: 2023-07-18 09:02:47 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:02:48
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
HVAC System 77
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Condenser (or package unit) Make or Brand
DAIKIN
04
Condenser (or package unit) Model Number
DZ9VCA3610AA
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser (or package unit) Serial Number
2304062431
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer).
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
422-P01020603 2A-000-001-M 25053A-0000
Registration Date/Time: 2023-07-18 10:19:19
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:19:19
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
SLEEPING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25053A-0000
Registration Date/Time: 2023-07-18 10:19:19 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:19:19
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
72.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
95.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) ( °F)
92.1
05
Measured Liquid Line Pressure (Piiquid) (psig)
329.4
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
103.6
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11.5
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
65.1
02
Measured Suction Line Pressure (Psuction) (psig)
119.4
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.3
04
Measured Superheat (Line G01- Line G03) (°F)
20.8
05
Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25053A-0000
Registration Date/Time: 2023-07-18 10:19:19
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:19:19
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25053A-0000
Registration Date/Time: 2023-07-18 10:19:19 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:19:19
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25053A-0000
Registration Date/Time: 2023-07-18 10:19:19 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:19:19
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 77
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609984
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
77
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26054A-0000
Registration Date/Time: 2023-07-18 10:21:50
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:21:50
Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
77
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
22
02
Installed SEER
22
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
45000
02
Installed Heating BTU Output at 47 Degrees F
45000
03
Required Heating Output at 17 Degrees F
42500
04
Installed Heating Output at 17 Degrees F
42500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
Registration Number:
422-P01020603 2A-000-001-M 26054A-0000
Registration Date/Time: 2023-07-18 10:21:50 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:21:50
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
10.5
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
J. Verified Space Conditioning System TXV
01
If a TXV is specified by the Directory
document that the TXV is properly
of Certified Product Performance, the responsible person certifies
installed and has been visually verified, including proper placement
by signing this compliance
of the sensing bulb
Registration Number:
422-P01020603 2A-000-001-M 26054A-0000
Registration Date/Time: 2023-07-18 10:21:50 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:21:50
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26054A-0000
Registration Date/Time: 2023-07-18 10:21:50 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:21:50
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 88
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned
from CF1R?
Space (VLLDCS) Credit
No, credit is not taken
06
Verified Low Leakage Air Handling
Unit Credit from CF1R?
No, credit is not taken
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High
Velocity (SDHV) ?
No
MCH-20a - Completely New Duct System
Registration Number:
422-P01020603 2A-000-001-M 20022A-0000
Registration Date/Time: 2023-07-18 08:53:32 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:53:33
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 4)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
3
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1169
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.05
10
Calculated Target Allowable Duct
Leakage (cfm)
60
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
52
12
Compliance Statement
System passes leakage test
Registration Number:
422-P01020603 2A-000-001-M 20022A-0000
Registration Date/Time: 2023-07-18 08:53:32 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:53:33
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 4)
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA
ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
03
All supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the
air handler and the supply and return plenums are completely
sealed.
Visual Inspection at Final Construction
After installing the interior finishing wall
Stage (applicable if system was tested at rough -in).
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
handler and the supply and return
test was conducted without an air handler installed, inspect the
plenums to verify that the connection points are properly sealed.
connection points between the air
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:
422-P01020603 2A-000-001-M 20022A-0000
Registration Date/Time: 2023-07-18 08:53:32 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:53:33
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20022A-0000
Registration Date/Time: 2023-07-18 08:53:32 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:53:33
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 88
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Indoor Unit Name
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
3
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23023A-0000
Registration Date/Time: 2023-07-18 08:53:56
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:53:56
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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)
1172
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:
422-P01020603 2A-000-001-M 23023A-0000
Registration Date/Time: 2023-07-18 08:53:56 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:53:56
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23023A-0000
Registration Date/Time: 2023-07-18 08:53:56 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:53:56
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 88
02
System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
312.4
02
Actual Tested Airflow from MCH-23 (cfm)
1172
03
Required Fan Efficacy (Watts/cfm)
0.58
04
Actual Fan Efficacy (Watts/cfm)
0.27
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22024A-0000
Registration Date/Time: 2023-07-18 08:54:44
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:54:44
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of+- 2% of reading or+- 10 Watts whichever is greater
systems (i.e. sensor plus data
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 22024A-0000
Registration Date/Time: 2023-07-18 08:54:44 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:54:44
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22024A-0000
Registration Date/Time: 2023-07-18 08:54:44 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:54:44
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 88
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609984
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
88
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26055A-0000
Registration Date/Time: 2023-07-18 10:23:23
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:23:23
Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
88
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
19.3
02
Installed SEER
19.3
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
34800
02
Installed Heating BTU Output at 47 Degrees F
34800
03
Required Heating Output at 17 Degrees F
27300
04
Installed Heating Output at 17 Degrees F
27300
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
Registration Number:
422-P01020603 2A-000-001-M 26055A-0000
Registration Date/Time: 2023-07-18 10:23:23 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:23:23
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
8.3
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
J. Verified Space Conditioning System TXV
01
If a TXV is specified by the Directory
document that the TXV is properly
of Certified Product Performance, the responsible person certifies
installed and has been visually verified, including proper placement
by signing this compliance
of the sensing bulb
Registration Number:
422-P01020603 2A-000-001-M 26055A-0000
Registration Date/Time: 2023-07-18 10:23:23 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:23:23
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26055A-0000
Registration Date/Time: 2023-07-18 10:23:23 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:23:23
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 99
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned
from CF1R?
Space (VLLDCS) Credit
No, credit is not taken
06
Verified Low Leakage Air Handling
Unit Credit from CF1R?
Low Leakage Air Handling
used
Unit (LLAHU) method Mch20c should be
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
Registration Number:
422-P01020603 2A-000-001-M 20025A-0000
Registration Date/Time: 2023-07-18 08:55:05 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:55:05
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
3
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
715
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.02
10
Calculated Target Allowable Duct Leakage (cfm)
24
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
22
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:
422-P01020603 2A-000-001-M 20025A-0000
Registration Date/Time: 2023-07-18 08:55:05
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:55:05
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20025A-0000
Registration Date/Time: 2023-07-18 08:55:05 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:55:05
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 99
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Indoor Unit Name
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23026A-0000
Registration Date/Time: 2023-07-18 08:55:49
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:55:50
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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)
1168
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:
422-P01020603 2A-000-001-M 23026A-0000
Registration Date/Time: 2023-07-18 08:55:49 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:55:50
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23026A-0000
Registration Date/Time: 2023-07-18 08:55:49 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:55:50
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 99
02
System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
249.5
02
Actual Tested Airflow from MCH-23 (cfm)
1168
03
Required Fan Efficacy (Watts/cfm)
0.23
04
Actual Fan Efficacy (Watts/cfm)
0.21
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22027A-0000
Registration Date/Time: 2023-07-18 08:56:54
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 08:56:55
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of+- 2% of reading or+- 10 Watts whichever is greater
systems (i.e. sensor plus data
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
Registration Number:
422-P01020603 2A-000-001-M 22027A-0000
Registration Date/Time: 2023-07-18 08:56:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:56:55
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22027A-0000
Registration Date/Time: 2023-07-18 08:56:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 08:56:55
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 5)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
Space Conditioning System Identification or Name
HVAC System 99
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Condenser (or package unit) Make or Brand
DAIKIN
04
Condenser (or package unit) Model Number
DZ9VCA3610AA
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser (or package unit) Serial Number
2304665421
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer).
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
Registration Number:
422-P01020603 2A-000-001-M 25056A-0000
Registration Date/Time: 2023-07-18 10:24:24
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:24:25
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 5)
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
LIVING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25056A-0000
Registration Date/Time: 2023-07-18 10:24:24 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:24:25
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 5)
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
74.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
99.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
93.9
05
Measured Liquid Line Pressure (Piiquid) (psig)
352.4
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
105.7
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11.8
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
66.1
02
Measured Suction Line Pressure (Psuction) (psig)
117.4
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.3
04
Measured Superheat (Line G01- Line G03) (°F)
21.8
05
Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement
Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25056A-0000
Registration Date/Time: 2023-07-18 10:24:24
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:24:25
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 5)
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
Registration Number:
422-P01020603 2A-000-001-M 25056A-0000
Registration Date/Time: 2023-07-18 10:24:24 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:24:25
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25056A-0000
Registration Date/Time: 2023-07-18 10:24:24 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:24:25
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 99
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609984
09
Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from nameplate of installed system component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
99
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26057A-0000
Registration Date/Time: 2023-07-18 10:25:38
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:25:38
Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
99
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400AA
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
20
02
Installed SEER
20
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
33400
02
Installed Heating BTU Output at 47 Degrees F
33400
03
Required Heating Output at 17 Degrees F
31730
04
Installed Heating Output at 17 Degrees F
31730
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
Registration Number:
422-P01020603 2A-000-001-M 26057A-0000
Registration Date/Time: 2023-07-18 10:25:38 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:25:38
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
11.5
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
J. Verified Space Conditioning System TXV
01
If a TXV is specified by the Directory
document that the TXV is properly
of Certified Product Performance, the responsible person certifies
installed and has been visually verified, including proper placement
by signing this compliance
of the sensing bulb
Registration Number:
422-P01020603 2A-000-001-M 26057A-0000
Registration Date/Time: 2023-07-18 10:25:38 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:25:38
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-MCH-26-H
Rated Space Conditioning System Equipment 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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
Butch White (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Davahvus,e
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Breeze Air Conditioning LLC
Position With Company (Title):
Contractor/Installer
Address:
75-145 Street Charles Place
CSLB License:
1045015
City/State/Zip:
Palm Desert CA 92211
Phone:
(760) 346-0855
Date Signed:
2023-07-18
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26057A-0000
Registration Date/Time: 2023-07-18 10:25:38 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:25:38
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-PLB-22-H
HERS Verified Single Dwelling Unit Hot Water System Distribution
(Page 1 of 5)
Project Name: Kaintz Residence
Enforcement Agency:
La Quinta, City of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Design HERS Verified Dwelling Unit Water Heating Systems Information
This table reports the water heating system features that were specified on the registered CF1R compliance document for this project.
01
02
03
04
05
06
07
08
09
10
11
12
Dwelling Unit
Name
Water Heating
System ID or
Name
Water Heating
System Type
Water -Heater
Type
# of Like (or
Identical) Water
Heaters in
System
Fuel Type
Rated Input Type
Rated Input
Value
Central DHW
System
Distribution
Type
Dwelling Unit
DHW System
Distribution
Type
Compact Distrib.
Drain Water
Heat Recovery
Single Family
Dwelling
DHW Sys 1
Domestic Hot
Water (DHW)
Commercial
Storage
1
Natural Gas
Btu/Hr
85000.00
NA
HERS Verified
Pipe Insulation
credit
None
None
B. Installed HERS Verified Dwelling Unit Water Heating Systems Information
This table reports the water heating system features that were installed in this project.
01
02
03
04
05
06
07
08
09
10
11
12
Dwelling Unit
Name
Water Heating
System ID or
Name
Water Heating
System Type
Water -Heater
Type
# of Like (or
Identical) Water
Heaters in
System
Fuel Type
Rated Input Type
Rated Input
Value
Central DHW
System
Distribution
Type
Dwelling Unit
DHW System
Distribution
Type
Compact Distrib.
Drain Water
Heat Recovery
Single Family
Dwelling
DHW Sys 1
Domestic Hot
Water (DHW)
Commercial
Storage
1
Natural Gas
Btu/Hr
85000
NA
HERS Verified
Pipe Insulation
credit
None
None
C. Design HERS Verified Dwelling Unit Water Heating Efficiency Information
This table reports the water heater(s) efficiency features specified on the registered CF1R compliance document for this project.
01
02
03
04
05
06
07
Water Heating System
ID or Name
Heating Efficiency Type
Heating Efficiency
Value
Standby Loss (%)
Exterior Insul. R-Value
Water Heater Storage
Volume (gal)
Tank Location
DHW Sys 1
TE
0.82
0.02
0
75.00
n/a
Registration Number: 422-P010206032A-000-001-B22007A-0000 Registration Date/Time: 2023-07-17 11:05:06 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 11:05:06
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-PLB-22-H
HERS Verified Single Dwelling Unit Hot Water System Distribution
(Page 2 of 5)
D. Installed HERS Verified Dwelling Unit Water Heating Efficiency Information
This table reports the water heating system features that were installed in this project.
01
02
03
04
05
06
07
Water Heating System
ID or Name
Heating Efficiency Type
Heating Efficiency
Value
Standby Loss (%)
Exterior Insul. R-Value
Water Heater Storage
Volume (gal)
Tank Location
DHW Sys 1
TE
0.82
0.02
0
75
n/a
E. Installed Water Heater Manufacturer Information
01
02
03
Water Heating System ID or Name
Manufacturer
Model Number
DHW Sys 1
NAVIEN
NPE-180A2 (NG)
F. Mandatory Measures For All Domestic Hot Water Distribution Systems
01
Equipment shall meet the applicable requirements of the Appliance Efficiency Regulations (Section 110.3(b)1).
02
Unfired storage tanks are insulated with an external R-12 or combination of R-16 internal and external Insulation. (Section 110.3(c)4).
03
All domestic hot water pipes shall be insulated as specified in Section 609.11 of the California Plumbing Code. In addition, the following piping conditions shall have a minimum
insulation wall thickness of 1 inch or a minimum insulation R-value of 7.7 (RA4.4.1)
• The first 5 feet (1.5 meters) of cold water pipes from the storage tank.
• All piping with a nominal diameter of 3/4 inch (19 millimeter) and less than 1 inch..
• All hot water pipes from the heating source to the kitchen fixtures.
• Piping from the heating source to storage tank or between tanks.
• All piping associated with a recirculation system.
• All underground piping.
• Insulation buried below grade must be installed in a waterproof and non -crushable casing or sleeve.
• Piping that penetrates framing members shall not be required to have pipe insulation for the distance of the framing penetration. Piping that penetrates metal framing shall use
grommets, plugs, wrapping or other insulating material to assure that no contact is made with the metal framing. Insulation shall butt securely against all framing members.
• Piping installed in interior or exterior walls that is surrounded on all sides by at least 1 inch (2.5 cm) of insulation.
• Piping installed in crawl space with a minimum of 1 inch (2.5 cm) of crawl space insulation above and below.
• Piping installed in attics with a minimum of 4 inches (10 cm) of attic insulation on top
• Piping insulation shall fit tightly and all elbows and tees shall be fully insulated.
Registration Number: 422-P010206032A-000-001-B22007A-0000 Registration Date/Time: 2023-07-17 11:05:06 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 11:05:06
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-PLB-22-H
HERS Verified Single Dwelling Unit Hot Water System Distribution
(Page 3 of 5)
F. Mandatory Measures For All Domestic Hot Water Distribution Systems
04
For Gas or Propane Water Heaters: Ensure the following are installed (Section 150.0(n))
1. A dedicated 120V, 20A electrical receptacle connected to the electrical panel with a 120/240V 3 conductor, 10AWG copper branch circuit, within 3 feet from the water heater
and accessible with no obstructions
1. The conductor shall be labeled with the word "Spare" on both ends; and
2. A reserved single pole circuit breaker space next to the circuit breaker next to the branch circuit labeled "Future" 240V shall be provided.
2. A Category III or IV vent, or a Type B vent with straight pipe between outside and water heater
3. A condensate drain no more than 2 inches higher than the base on water heater for natural draining
4. A gas supply line with capacity of at least 200,000 Btu/Hi-
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. HERS Verified Compact Hot Water Distribution Expanded Credit (CHWDS-H-EX) RA3.6.5
This section does not apply to this project.
H. Compact Hot Water Distribution (CHWDS) RA4.4.6
This section does not apply to this project.
I. HERS -Verified Drain Water Heat Recovery System (DWHR-H) (RA3.6.9)
This section does not apply to this project.
J. HERS -Verified Pipe Insulation Credit Requirements (PIC-H) (RA3.6.3)
Systems that utilize this distribution type shall comply with these requirements
01
HERS rater shall perform a visual inspection that all hot water piping comply with the insulation requirements in 150.0(1)
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
K. HERS -Verified Parallel Piping Requirements (PP-H) (RA3.6.4)
This section does not apply to this project.
Registration Number: 422-P010206032A-000-001-B22007A-0000 Registration Date/Time: 2023-07-17 11:05:06 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 11:05:06
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-PLB-22-H
HERS Verified Single Dwelling Unit Hot Water System Distribution
(Page 4 of 5)
L. Parallel Piping Requirements (PP) (RA4.4.4)
This section does not apply to this project.
M. Point of Use Requirements (POU) (RA4.4.5)
This section does not apply to this project.
N. Mandatory Requirements For All Recirculation Systems (RA4.4.7)
This section does not apply to this project.
O. Recirculation Non -Demand Controls Requirements (R-ND) (RA4.4.8)
This section does not apply to this project.
P. Demand Recirculation Manual Control (R-DRmc) (RA4.4.9)/ Sensor Control Requirements (RDRsc) (RA4.4.10)
This section does not apply to this project.
Q. HERS -Verified Demand Recirculation Manual Control (RDRmc-H) (RA3.6.6)/ Sensor Control (RDRsc - H) (RA3.6.7)Requirement
This section does not apply to this project.
Registration Number: 422-P010206032A-000-001-B22007A-0000 Registration Date/Time: 2023-07-17 11:05:06 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-17 11:05:06
Schema Version: rev 20210501
CERTIFICATE OF INSTALLATION
CF2R-PLB-22-H
HERS Verified Single Dwelling Unit Hot Water System Distribution
(Page 5 of 5)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Dctivejeriwotervil
Company:
Dave Johnston
Signature Date:
2023-07-17
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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:
John Quinn (authorized Dave Johnston)
Responsible Builder/Installer Signature:
aive'Tdhil tr,-v j
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Quinn Enterprises inc
Position With Company (Title):
Address:
3 Oak Tree Dr
CSLB License:
725864
City/State/Zip:
Rancho Mirage CA 92270
Phone:
7147853885
Date Signed:
2023-07-17
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 422-P010206032A-000-001-B22007A-0000 Registration Date/Time: 2023-07-17 11:05:06 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-17 11:05:06
CERTIFICATE OF INSTALLATION
CF2R-PVB-01-E
Photovoltaic Systems
(Page 1 of 3)
Project Name:
Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address:
Madison
81325 Columbus Way
Club CC
City:
La Quinta
Zip Code:
92253
A. General Information
01
Project Location (City)
La Quinta
02
Building type
Single family
03
Climate Zone
15
04
Method of Compliance:
Performance
05
Qualifying Exceptions
Battery storage (Trigger
CF2R-PVB-02)
06
Community Solar
n/a
B. Design Photovoltaic Systems Information
01
02
03
04
05
06
07
08
09
10
11
12
13
PV Array
ID or
Name
Adjusted
Minimum
PV Size
(kW)
Adjusted
Value
from
Exception
Module
Type
CFI
Azimuth
(deg)
Tilt Input
(deg/Pitc
h)
Angle/Tilt
Annual
Solar
Access
(%)
Inverter
Efficiency
(%)
Shading
Requirem
ent
Complian
ce Path
Array
Type
Module
Level
Power
Eletronics
1
20
20
Premium
(-18-
20%)
false
210
TiltDegre
es
5
100
96
MinimalS
hadingCri
tierion
Fixed
Microinv
erters
14
Total DC System Size
(kW)
20
C. Installed Photovoltaic Systems Information
01
02
03
04
05
06
07
08
09
10
PV Array ID
or Name
DC System
Size (kW)
Module Type
Azimuth
(deg) deg)
Tilt Input
( de /Pitch
g )
Angle/Tilt
Annual Solar
AccessEfficiency
(%)
Inverter
(% )
Array Type
Module Level
Power
Eletronics
1
20
Premium
(18 20%)
210
TiltDegrees
5
100
96
Fixed
Microinverte
rs
11
Total DC System Size (kW)
20
D. Shading Requirement
Annual Solar Access Input
The shading condition of the PV array must be properly accounted for in the performance calculation by the annual solar access input.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
422-P010206032A-000-001-P01008A-0000
Registration Date/Time: 2023-07-17 11:06:33 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:06:33
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-PVB-01-E
Photovoltaic Systems
(Page 2 of 3)
E. Solar Access Verification
01
The installer shall provide documentation that demonstrates the shading condition of the actual installation of the PV module is
consistent with the shading requirement in Table D. The verification must be done by measurements from an approved solar assessment
tool or other CEC approved alternative methods. The satellite, drone or other digital image of the obstructions that cast shadows on the
PV array must be created and dated after the installation of the photovoltaic system. If the image is dated before the installation, then
additional on -site pictures must be attached to clearly show that the installed system matches the system modeled in the solar
assessment report.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
F. System Monitoring Requirements
All installed PV systems must have a working web based portal and a mobile device application provide access to the following information:
01
Nominal kW rating of the PV system
02
Number of PV modules and nominal watt rating of each module
03
Hourly (or 15 min), daily, monthly and annual kWh production in numeric and graphic format
04
Running toal of daily kWh production
05
Daily kW peak power production
06
Current kW production of the entire PV system
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Qualifying Exception Requirement
This section does not apply to this project.
H. SMUD Solar Share Program
This section does not apply to this project.
I. Compliance Statement
01
Pass - dwelling does comply with the Photovoltaic System requirements
Registration Number:
422-P010206032A-000-001-P01008A-0000
Registration Date/Time: 2023-07-17 11:06:33 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:06:33
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-PVB-01-E
Photovoltaic Systems
(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:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-17
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
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
responsibility for the system design, construction, or installation of features, materials, components, or manufactured
identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized
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
conforms to all applicable codes and regulations and the installation conforms to the requirements given
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
building, and made available to the enforcement agency for all applicable inspections. I understand that a
Installation is required to be included with the documentation the builder provides to the building owner
classification to accept
devices for the scope of work
representative of the responsible
on this Certificate of Installation
on the Certificate of Compliance, plans, and
the building permit(s) issued for the
registered copy of this Certificate of
at occupancy.
Responsible Builder/Installer Name:
John Quinn (authorized Dave Johnston)
Responsible Builder/Installer Signature:
'Dave'.j-o-hirustavii
Position With Company (Title):
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Quinn Enterprises inc
Address:
3 Oak Tree Dr
CSLB License:
725864
City/State/Zip:
Rancho Mirage CA 92270
Phone:
7147853885
Date Signed:
2023-07-17
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P010206032A-000-001-P01008A-0000
Registration Date/Time: 2023-07-17 11:06:33 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:06:33
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-PVB-02-E
Battery Storage Systems
(Page 1 of 2)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. General Information
01
Project Location (City)
La Quinta
02
Building type
Single family
03
Climate Zone
15
04
Method of
Compliance:
Performance (CF1R-PRF)
B. Design Battery Storage Systems Information
01
02
03
04
Battery Capacity (kWh)
Control
Charging Efficiency (%)
Discharging Efficiency (%)
20
Basic
0.95
0.95
C. Installed Battery Storage Systems Information
01
02
03
04
05
06
Manufacturer
Model #
Battery Capacity
(kWh)
Control
Charging Efficiency (%)
Discharging Efficiency
(%)
20
Basic
0.95
0.95
07
Battery Storage System
Certified and listed by CEC
/1 Yes ■ No
D. Compliance Statement
01
Pass - dwelling does comply with the Battery Storage System requirements
Registration Number:
422-P010206032A-000-001-P02009A-0000
Registration Date/Time: 2023-07-17 11:07:02 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:07:04
2019 Residential Compliance Schema Version: rev 20190501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF INSTALLATION
CF2R-PVB-02-E
Battery Storage Systems
(Page 2 of 2)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
Ll el ahil(14-t0 1(1!
Company:
Dave Johnston
Signature Date:
2023-07-17
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury,
1. The information provided on this
2. I am either: a) a responsible person
responsibility for the system design,
identified on this Certificate of Installation,
person and attest to the declarations
3. The constructed or installed features,
conforms to all applicable codes
specifications approved by the enforcement
4. I will ensure that a registered copy
building, and made available to the
Installation is required to be included
under the laws of the State of California:
Certificate of Installation is true and correct.
eligible under Division 3 of the Business and Professions Code in the applicable
construction, or installation of features, materials, components, or manufactured
and attest to the declarations in this statement, or b) I am an authorized
in this statement on the responsible person's behalf.
materials, components or manufactured devices (the installation) identified
and regulations and the installation conforms to the requirements given
agency.
of this Certificate of Installation shall be posted or made available with
enforcement agency for all applicable inspections. I understand that a
with the documentation the builder provides to the building owner
classification to accept
devices for the scope of work
representative of the responsible
on this Certificate of Installation
on the Certificate of Compliance, plans, and
the building permit(s) issued for the
registered copy of this Certificate of
at occupancy.
Responsible Builder/Installer Name:
John Quinn (authorized Dave Johnston)
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
Quinn Enterprises inc
Position With Company (Title):
Address:
3 Oak Tree Dr
CSLB License:
725864
City/State/Zip:
Rancho Mirage CA 92270
Phone:
7147853885
Date Signed:
2023-07-17
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P010206032A-000-001-P02009A-0000
Registration Date/Time: 2023-07-17 11:07:02 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-17 11:07:04
2019 Residential Compliance Schema Version: rev 20190501
r,1 T CThjs er t en enerated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
(f J i RS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION CF3R-ENV-20-H
Building Air Leakage Diagnostic Test - Building Enclosures and Dwelling Unit Enclosures (Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency: La Quinta,
City of
Permit Number: BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City: La Quinta
Zip Code: 92253
A. Enclosure Air Leakage - General Information
01
Is HERS verification of building enclosure air leakage to outside
required by CF1R?
Required
02
Is HERS verification of dwelling compartmentalization leakage <=
0.3 CFM5o/ft2 of enclosure area required by CF1R?
N/A
03
Target Enclosure Air Leakage from CF1R (CFM50)
4438
04
Indoor Temperature During Test (°F)
73.5
05
Outdoor Temperature During Test (°F)
97.5
06
Blower Door Location
FRONT DOOR
07
Building Elevation Above Sea level (ft)
500
08
Total dwelling unit floor area (ft2)
n/a
09
Total dwelling unit ceiling area (ft2)
n/a
10
Total dwelling unit exterior wall area (ft2)
n/a
11
Total dwelling unit wall area shared with other dwelling units (ft2)
n/a
12
Total dwelling unit enclosure area (ft2)
n/a
13
Target dwelling unit compartmentalization leakage (CFM50)
n/a
14
Date of Diagnostic Test for this Dwelling
2023-07-12
15
Test Procedure Used
Single -Point Test with Automatic Meter
B. Diagnostic Equipment Information
01
Number of Manometers Used to Measure Home Pressurization
1
02
03
04
05
06
Manometer Make
Manometer Model
Manometer Serial
Number
Manometer Calibration
Date
Manometer Calibration
Status
MINNIAPOLIS
DG-700
36500-7-700
2022-07-22
Manometer Calibration is
valid
Registration Number:
422-P010206032A-000-001-E20040A-E20A
Registration Date/Time: 2023-07-18 10:27:20
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:20
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-20-H
Building Air Leakage Diagnostic Test - Building Enclosures and Dwelling Unit Enclosures
(Page 2 of 4)
07
Number of Fans Used to Pressurize Home
1
08
09
10
11
Fan Make
Fan Model
Fan Serial Number
Fan Configuration (rings)
MINNIAPOLIS
MODEL 3
42866
A
ENV20b Single Point Air Tightness Test With Automatic Meter
C. Enclosure Air Leakage Diagnostic Test
01
Time Average Period of Meter (seconds)
360
02
Test Methodology
Pressurization
03
Pre -test Baseline Enclosure Pressure (Pa) (may be positive or
negative)
-24.0
04
Induced Enclosure Pressure Difference from Manometer (Pa) Goal
= 50 +- 3 (Pressurization is positive; Depressuriation is negative)
-49.2
05
Induced Enclosure Pressure Check
Induced pressure within range for single point test
06
Calculated Nominal CFM50
1389
D. Altitude and Temperature Correction
01
Altitude and Temperature Correction Factor
0.992
02
Corrected CFM50
1378
E. Accuracy Adjustment
01
Adjusted CFM50 (measured air leakage rate)
1516
F. Compliance Statement
01
Passes Enclosure Air Leakage Test
G. Additional Requirements For Compliance
01
The procedure for preparing the enclosure for testing is detailed in RESNET 380-2016 Section 3.2.
02
When multifamily attached dwelling units must comply with the maximum dwelling unit enclosure air leakage specified in Standards
Section 150.0(o)1Eii, the test shall be conducted with the dwelling unit as if it were exposed to the outdoor air on all sides, top and
bottom by opening doors and windows of adjacent dwelling units as specified by RA3.8.3.1.
Registration Number:
422-P010206032A-000-001-E20040A-E20A
Registration Date/Time: 2023-07-18 10:27:20
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:20
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-20-H
Building Air Leakage Diagnostic Test - Building Enclosures and Dwelling Unit Enclosures
(Page 3 of 4)
G. Additional Requirements For Compliance
03
The test procedure for installation of the test apparatus, and preparations for measurement shall conform to RESNET 380-2016 Section
3.3
04
The procedure for the conduct of the enclosure air leakage test shall conform to the One -Point Airtightness Test specified in RESNET
380-2016 Section 3.4.1
05
05
Verification Status
Pass - all applicable requirements are met.
06
Correction Notes
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P010206032A-000-001-E20040A-E20A
Registration Date/Time: 2023-07-18 10:27:20 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:20
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-20-H
Building Air Leakage Diagnostic Test - Building Enclosures and Dwelling Unit Enclosures
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Quinn Enterprises inc
Responsible Builder or Installer Name:
John Quinn (authorized Dave Johnston)
CSLB License:
725864
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P010206032A-000-001-E20040A-E20A
Registration Date/Time: 2023-07-18 10:27:20 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:20
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 1 of 6)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Air Barrier Materials
01
A continuous sealed exterior air barrier is required in all thermal envelope assemblies to limit air movement between unconditioned/
outside spaces and conditioned/ inside spaces, and must comply using one of the following methods:
1. Using individual materials that have an air permeance not exceeding 0.004 cfm/ft2 under a pressure differential of 0.3 in. w.g.
(1.57 pcf) (0.02 L/s.m2 at 75 pa) when tested in accordance with ASTM E2178; or
2. Using assemblies of materials and components that have an average air leakage not to exceed 0.04 cfm/ft2 under a pressure
differential of 0.3 in. w.g. (1.57 pcf) (0.2 L/s.m2 at 75 pa) when tested in accordance with ASTM E2357, ASTM E1677, ASTM E1680,
or ASTM E283; or
3. Testing the complete building and demonstrating that the air leakage rate of the building envelope does not exceed 0.40 cfm/ft2
under a pressure differential of 0.3 in. w.g. (1.57 pcf) (2.0 L/s.m2 at 75 pa) when tested in accordance with ASTM E779 or an
equivalent approved method.
02
Method of Compliance
Method 1 (Individual Materials)
03
Verification Status
Pass - all applicable requirements are met.
04
Correction Notes
Note:
SPF insulation is an acceptable air barrier and sealant when installed to a minimum thickness of 2 inches for closed cell and 5.5 inches for
open cell, except where not allowed by manufacturer (e.g. flues, vents, can lights, etc).
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
B. Raised Floor Adjacent to Unconditioned Space or Separate Dwelling Units
01
All gaps in the raised floor are sealed.
02
All chases sealed at floor level using a sealed hard cover.
03
All holes (e.g. for plumbing and electrical wires) that penetrate the floor or bottom plates of walls are sealed.
04
Subfloor sheathing is glued or sealed at all panel edges to create a continuous air tight subfloor air barrier.
05
Verification Status
Pass - all applicable requirements are met.
06
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
C. Walls Adjacent to Unconditioned Space
01
All penetrations through the exterior wall air barrier are sealed to provide an air -tight envelope to unconditioned spaces such as the
outdoors, attic, garage and crawl space.
Registration Number:
422-P010206032A-000-001-E21004A-E21A
Registration Date/Time: 2023-07-18 10:27:36
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2023-07-18 10:27:36
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 2 of 6)
C. Walls Adjacent to Unconditioned Space
02
Exterior wall air barrier is sealed to the top plate and bottom plate in each stud bay.
03
All electrical boxes, including knockouts that penetrate the air barrier to unconditioned space are sealed.
04
All openings in top and bottom plate, including all interior and exterior walls, to unconditioned space are sealed; such as holes drilled for
electrical and plumbing.
05
Exterior bottom plates (all stories) are sealed to the floor.
06
All gaps around windows and doors are sealed. The sealant used follows manufacturer specifications.
07
Rim joist gaps and openings are fully sealed.
08
Fan exhaust duct outlet/ damper at the exterior wall are sealed.
09
Knee walls have solid and sealed blocking at the bottom, top, left and right sides to prevent air movement into insulation.
10
Verification Status
Pass - all applicable requirements are met.
11
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. Ceiling Air Barrier Adjacent to Unconditioned Space
01
There is a continuous air barrier at the ceiling level. All openings into walls, drops, chases or double walls are sealed.
02
All penetrations through the top plate of interior and exterior walls are sealed.
03
Fire sprinklers penetrating a ceiling air barrier shall be sealed to prevent air movement according to the manufacturer's instructions.
04
All fixtures cut into the ceiling air barrier (e.g. HVAC registers, electrical boxes, fire alarm boxes, exhaust fan housing, and recessed
lighting fixtures) are sealed to the surrounding dry wall. If it is not possible to seal the fixture directly, a secondary air barrier shall be
created around the fixture.
05
All installed recessed lighting fixtures that penetrate the ceiling to unconditioned space are rated to be Insulation Contact and Airtight (IC
and AT) which allow direct contact with insulation.
06
All dropped ceiling areas are covered with hard covers that are sealed to the framing, or else the bottom and sides of dropped ceiling
areas are all insulated and sealed as ceilings and walls as required on the Certificate of Compliance.
07
All vertical chases (e.g. HVAC ducts and plumbing) and soffits are sealed at the ceiling level.
08
Chimneys and flues require sheet metal flashing at the ceiling level. The flashing shall be sealed to the chimney/flue with fire rated caulk.
The flashing shall be sealed to the surrounding framing.
09
Framing locations where air may move down into the walls from the attic (e.g. double walls, pocket doors, architectural bump -outs, etc)
have a sealed hard cover to prevent air movement.
Registration Number:
422-P010206032A-000-001-E21004A-E21A
Registration Date/Time: 2023-07-18 10:27:36 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:36
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 3 of 6)
D. Ceiling Air Barrier Adjacent to Unconditioned Space
10
Attic access forms an airtight seal between the conditioned space and unconditioned space. Vertical attic access requires mechanical
compression using screws or latches.
11
Verification Status
Pass - all applicable requirements are met.
12
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
E. Roof Air Barrier - Unvented Attics Adjacent to Unconditioned Space
01
There is a continuous air barrier at the roof deck and gable ends.
02
Chimneys and flues require sheet metal flashing at the roof deck. The flashing shall be sealed to the chimney/flue with fire rated caulk.
The flashing shall be sealed to the surrounding framing.
03
All penetrations in the roof deck and gable ends for plumbing, electrical, etc. are sealed.
04
Verification Status
Pass - all applicable requirements are met.
05
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
F. Conditioned Space Above Or Adjacent To Garage Air Barrier
01
All penetrations in the subfloor above the garage into conditioned space must follow the raised floor air barrier requirements above.
02
Infiltration between the space above the garage and subfloor is prevented by one of the following methods:
• Seal all edges of garage ceiling (typically drywall) at the perimeter of the garage to create a continuous air tight surface between
the garage and adjacent conditioned envelope. Seal all plumbing, electric and mechanical penetrations between the garage and
the adjacent conditioned space. For an open -web truss, airtight blocking is added on four sides of the garage perimeter.
Insulation can be placed on the garage ceiling.
• Seal the band joist above the wall at the garage to conditioned space transition. Seal all subfloor seams and penetrations
between the garage and adjacent conditioned space. Insulation must be placed in contact with the subfloor below the
conditioned space.
03
Verification Status
Pass - all applicable requirements are met.
04
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Cantilevered Floor Air Barrier
01
Airtight blocking is installed between joists where the wall rim joist would have been located in the absence of a cantilever.
02
Exterior sheathing is installed to the bottom of the cantilever so that there is a continuous air and weather barrier for the cantilever. The
cantilevered joist must be insulated to the same R value as would be required for the subfloor prior to closing.
Registration Number:
422-P010206032A-000-001-E21004A-E21A
Registration Date/Time: 2023-07-18 10:27:36
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:36
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 4 of 6)
G. Cantilevered Floor Air Barrier
03
Any gaps, cracks or penetrations in the air barrier of the cantilever are sealed. Recessed can lights in the cantilever are IC and AT and
properly sealed to the sheathing.
04
Verification Status
Pass - all applicable requirements are met.
05
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
H. Walls For Attached Porch, Attic, Double Wall Air Barrier
01
An exterior wall air barrier is required at the intersection of the porch and exterior wall when there is conditioned space on the other
side. The exterior wall includes an air barrier where the attic attaches to the conditioned space.
02
Truss framing blocking is used at the top and bottom of each wall/ roof section.
03
Verification Status
Pass - all applicable requirements are met.
04
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
I. Air Barriers in Multifamily Dwellings
01
Each dwelling unit must be sealed to stop air movement between dwelling units. Treat adjacent dwelling units as unconditioned space for
air sealing.
02
All penetrations through the floor and ceiling of each dwelling unit are sealed including, electric and gas utilities, water pipes, drain pipes,
fire protection service pipes, and communication wiring.
03
Elevator penthouse, mechanical penthouse, stairwell doors, roof access hatches, and plumbing stacks that separate conditioned and
unconditioned space are all sealed.
04
Vertical chases for garbage chutes, elevator shafts, HVAC ducting and plumbing shall be treated as unconditioned space for sealing.
05
Common hallways shall be treated as unconditioned space for sealing.
06
Verification Status
Pass - all applicable requirements are met.
07
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
J. Special Requirements for SIPs
01
SIPs are considered an air barrier when properly sealed at top, bottom, sides and all penetrations.
Registration Number:
422-P010206032A-000-001-E21004A-E21A
Registration Date/Time: 2023-07-18 10:27:36 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:36
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 5 of 6)
J. Special Requirements for SIPs
02
Air barrier is continuous across all surfaces, including between SIPs and non -SIP sections.
03
Verification Status
Pass - all applicable requirements are met.
04
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
K. Special Requirements for ICF
01
ICF sections are considered an air barrier when properly sealed at top, bottom, sides and all penetrations.
02
Air barrier is continuous across all
surfaces, including between ICF and non-ICF sections.
03
Verification Status
Pass - all applicable requirements are met.
04
Correction Notes
The responsible person's signature on this
compliance document affirms that all applicable requirements
in this table have been met.
L. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P010206032A-000-001-E21004A-E21A
Registration Date/Time: 2023-07-18 10:27:36 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:36
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage
(Page 6 of 6)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Quinn Enterprises inc
Responsible Builder or Installer Name:
John Quinn (authorized Dave Johnston)
CSLB License:
725864
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P010206032A-000-001-E21004A-E21A
Registration Date/Time: 2023-07-18 10:27:36 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:36
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-22-H
QII - Insulation Installation
(Page 1 of 7)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Insulation Materials Installed
01
Roof Deck Insulation Material Installed
Batt and Blanket
02
Ceiling Insulation Material Installed
Batt and Blanket
03
Exterior Wall Insulation Material Installed
Batt and Blanket
04
Raised Floor Insulation Material Installed
n/a
05
Slab Edge Insulation Material Installed
n/a
06
Verification Status
Pass - all applicable requirements are met.
B. All Surfaces
01
Air barrier installation and preparation for insulation was done and verified prior to insulation being installed.
02
All surfaces between conditioned and unconditioned space are sealed and insulated to meet or exceed the levels specified on the
Certificate of Compliance
03
All structural framing areas shall be insulated in a manner that resists thermal bridging through the assembly separating conditioned
from unconditioned space. Structural bracing, tie -downs, and framing of steel, or specialized framing used to meet structural
requirements of the CBC are allowed and must be insulated. These areas shall be called out on the building plans with diagrams and/ or
specified design drawings indicating the R-value of insulation and fastening method to be used.
04
All insulation was installed according to the manufacturer's installation instructions.
05
Labels or specification/ data sheets for each insulation material shall be provided to the HERS rater. Loose -fill material includes insulation
material bag labels or coverage charts.
06
Loose -fill insulation - the installed depth and density of insulation is verified in at least 6 random locations to ensure that the minimum
thickness and installed density meet R-value specified on the Certificate of Compliance, and are consistent with the manufacturer's
coverage chart.
07
If kraft paper faced insulation is used, paper is installed on the conditioned (warm in winter) side of surface. Paper must be in contact
with air barrier to within 2" framing (stud, joists, etc.).
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
C. Raised Floor Adjacent to Unconditioned Space
01
Insulation is in full contact with the subfloor.
Registration Number:
422-P010206032A-000-001-E22005A-E22A
Registration Date/Time: 2023-07-18 10:27:27
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2023-07-18 10:27:27
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-22-H
QII - Insulation Installation
(Page 2 of 7)
C. Raised Floor Adjacent to Unconditioned Space
02
Insulation hangers are spaced at 18 inches or less. Insulation hangers do not compress insulation.
03
Netting, or mesh, can be used if the cavity under the floor is filled and in contact with the subfloor.
04
When daylight basements are adjacent to crawlspaces, if the basement is conditioned the walls adjacent to the crawlspace are insulated
to the R-value listed on the Certificate of Compliance. This includes framed stem walls, and vertical concrete retaining walls.
05
If access to the crawlspace is from the conditioned area the raised floor includes an airtight insulated access hatch. Where possible locate
crawl space access on the exterior.
06
Verification Status
Pass - all applicable requirements are met.
07
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. Walls Adjacent to Unconditioned Space
01
Insulation quality was verified prior to the installation of the interior air barrier (typically gypsum board).
02
Loose -fill and batt insulation is in contact with all six sides of wall cavities (top, bottom, back, left, right, front [to be installed later]) with
no gaps, voids or compression. Special Situation: Where framing depth is greater than required insulation thickness (e.g., double walls or
framed bump -outs) a secondary air barrier shall be installed and in contact with the insulation, so that the insulation fills the cavity
formed by the additional air barrier.
03
Insulation fits snuggly around obstructions (e.g., electrical boxes, plumbing and wiring) with no gaps, voids or compression.
04
Structural metal tie -downs and shear panels are insulated between exterior air barrier and metal.
05
Hard to access wall stud cavities, such as corner channels or wall intersections, are insulated to the proper R-value prior to the
installation of exterior sheathing or exterior stucco lathe.
06
Insulation and interior air barrier are installed behind tub, shower, fireplace enclosures and stairwells to the R-value listed on the
Certificate of Compliance when located against exterior walls.
07
All single -member window and door headers shall be insulated to a minimum of R-3 for a 2x4 framing, or equivalent width, and a
minimum of R-5 for all other assemblies. No header insulation is required for single -member headers that are the same width as the wall,
provided that the entire wall has at least R-2 insulation.
08
After insulation is installed: All insulated walls have interior and exterior air barriers, including kneewalls and walls of skylight wells.
Exception: Rim joists. Interior air barrier (typically gypsum board) is sealed to top plate.
09
Verification Status
Pass - all applicable requirements are met.
10
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
E. Cei ing Adjacent to Unconditioned Space
01
Insulation extends to the outside surface of the exterior wall.
Registration Number:
422-P010206032A-000-001-E22005A-E22A
Registration Date/Time: 2023-07-18 10:27:27
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2023-07-18 10:27:27
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-22-H
QII - Insulation Installation
(Page3of7)
E. Cei ing Adjacent to Unconditioned Space
02
Insulation is in direct contact with the ceiling air barrier so there are no gaps, voids or compression.
03
Chimneys and flues (except zero clearance) have a sheet metal collar at the ceiling level to prevent contact with the insulation. The collar
is at least as tall as the depth of the insulation. There is a minimum 1" clearance between the collar and the chimney/flue for double wall
vent, and 6" for single wall vent, unless manufacturer's instructions require otherwise. The collar is sealed to the ceiling with high
temperature sealant to prevent air leakage. The insulation is in contact with the sheet metal collar.
04
Recessed can lights penetrating the ceiling air barrier are covered with insulation to the depth needed to meet the ceiling R-value
specified on the Certificate of Compliance.
05
External surfaces of steel studs, steel -framed kneewalls, skylight shafts, and gable ends are covered with insulation.
06
Verification Status
Pass - all applicable requirements are met.
07
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
F. Cei ing Insulation in Vented Attics
01
Required eave ventilation shall not be obstructed. The net -free ventilation area of the eave vent is maintained.
02
Eave vent baffles and dams are installed to prevent air movement under or into the ceiling insulation.
03
Attic access is insulated to the same R-value required by the Certificate of Compliance for ceiling insulation and the insulation is
permanently attached using adhesive or mechanical fasteners.
04
Attic access must have a dam around the access to at least the same depth as the insulation.
05
Attic rulers specified to the installed loose -fill material (brand and type) are installed and evenly distributed throughout the attic to verify
depth (one ruler for every 250 ft2). The rulers are clearly readable and scaled to read inches of insulation and the R-value installed.
06
Verification Status
Pass - all applicable requirements are met.
07
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Insulation in unvented Attics
01
The roof sheathing is the air barrier and is sealed to prevent air movement to the outside.
02
Insulation is in full contact with the air barrier (roof sheathing).
03
If insulated using air permeable insulation, gable end walls are sealed and insulated the same as exterior walls, including interior air
barrier.
04
Verification Status
Pass - all applicable requirements are met.
05
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
422-P010206032A-000-001-E22005A-E22A
Registration Date/Time: 2023-07-18 10:27:27
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2023-07-18 10:27:27
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-22-H
QII - Insulation Installation
(Page 4 of 7)
H. Insulation in Vented Attics (High Performance Vented Attics)
01
Insulation is in full contact with roof sheathing and firmly supported to prevent sagging.
02
Batt insulation between roof trusses is acceptable with minimal gaps and voids caused by roof truss members.
03
Insulation is not required on gable end walls.
04
Required roof deck insulation over any conditioned space, or HVAC ducts, is installed on the entire attic roof deck; even over
unconditioned spaces (e.g., garage, covered porch). Roof deck of attic over unconditioned space without HVAC ducts and separated from
other attics by a sealed air barrier do not need to be insulated.
05
Verification Status
Pass - all applicable requirements are met.
06
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
I. Special Requirements for Skylight Shafts and Attic Knee Walls
01
Insulation must meet all the requirements for walls and insulation is in contact with the air barrier on all six sides unless SPF is used.
02
Insulation shall be in full contact with the interior wall finish. Batt insulation must be cut to fit around 2x4's that are laid flat.
03
Skylight shafts and attic knee walls shall be completely enclosed by vertical and horizontal framing, including horizontal plates at the top
and bottom of the insulation.
04
Verification Status
Pass - all applicable requirements are met.
05
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
J. Special Requirements for Floors Above Garages
01
If the air barrier is at the perimeter of the garage below the conditioned subfloor, then the insulation may be placed on the garage
ceiling. The perimeter of the subfloor must also be insulated.
02
Verification Status
Pass - all applicable requirements are met.
03
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number:
422-P010206032A-000-001-E22005A-E22A
Registration Date/Time: 2023-07-18 10:27:27 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:27
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-22-H
QII - Insulation Installation
(Page5of7)
K. Special Requirements for Cantilevered Floors
01
Sealed blocking shall be installed between joists where the wall rim joist would have been located in the absence of a cantilever.
Insulation shall be placed on both sides of the block.
02
Verification Status
Pass - all applicable requirements are met.
03
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
L. Special Requirements for Attached Porches
01
Exterior wall at the intersection of the porch roof is fully insulated above, below and behind the roof line.
02
Where truss framing is used, airtight blocking is used at the top and bottom of each wall/ roof section and is insulated.
03
Verification Status
Pass - all applicable requirements are met.
04
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
M. Special Requirements for SPF Insulation
01
Installed product meets the claimed R-value per inch. Non-standard values are supported by an ICC Evaluation Service Report (ESR)
number (e.g., ESR-xxxx) and documented on the CF2R-ENV-03. Non-standard values are anything greater than R-5.8/inch for closed cell
and R-3.6/inch for open cell.
02
Installed thickness meets the required R-value from the Certificate of Compliance. Verified in at least 6 random places for each surface
type: floors, walls and ceilings.
03
Insulation is spray applied to fully adhere to structural assembly framing, floor and ceiling joists, and other framing surfaces within the
construction cavity.
04
If multiple layers are applied, each foam lift (e.g., spray application) adheres to the substrate and foam interfaces.
05
Closed cell SPF: In area where an air barrier is required the foam is at least 2" thick.
06
Open cell SPF: In area where an air barrier is required the foam is at least 5.5" thick.
07
Open cell SPF: Depressions in the foam insulation are not greater than 1/2" of the required thickness provided these depressions do not
exceed 10% of the surface area being insulated.
08
Open cell SPF: Insulation completely fills cavities of 2x4 framing.
Registration Number:
422-P010206032A-000-001-E22005A-E22A
Registration Date/Time: 2023-07-18 10:27:27 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:27
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-22-H
QII - Insulation Installation
(Page6of7)
M. Special Requirements for SPF Insulation
09
SPF insulation is not applied directly to recessed lighting fixtures unless specifically allowed by manufacturer's instructions. when not
allowed, can lights are:
A. Covered with a minimum of 1.5" of mineral fiber insulation or
B. Enclosed in a manufacturer's approved box fabricated from an approved material, such as 18 gauge sheet metal or 1/2" gypsum
board.
10
Verification Status
Pass - all applicable requirements are met.
11
Correction Notes
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
N. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verificz
tion protocol requirements on this document are met.
Registration Number:
422-P010206032A-000-001-E22005A-E22A
Registration Date/Time: 2023-07-18 10:27:27 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:27
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-ENV-22-H
QII - Insulation Installation
(Page 7 of 7)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Quinn Enterprises inc
Responsible Builder or Installer Name:
John Quinn (authorized Dave Johnston)
CSLB License:
725864
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P010206032A-000-001-E22005A-E22A
Registration Date/Time: 2023-07-18 10:27:27 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:27:27
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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.-2016 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings subject to amendments specified by Title 24, Part 6
Section 150.0(0)1.
A. Dwelling Mechanical Ventilation - General Information
01
Dwelling unit name
Single Family Dwelling
02
Building Type
Single family detached
03
Project scope
Newly Constructed
04
Total Conditioned Floor Area of Dwelling Unit
(For addition projects the conditioned floor area equals existing
area plus addition area. )
11095
05
Number of Bedrooms in Dwelling Unit
(For addition projects the number of bedrooms equals the existing
bedrooms plus addition bedrooms)
5
06
Ventilation System Type
Exhaust
07
Ventilation Operation Schedule
Continuous
Note.
Non -dwelling units do not meet the definition for a dwelling unit as defined in Section 100.1(b). Non -dwelling units are not designed to provide
independent living facilities and do not provide permanent provisions for living, sleeping, eating, cooking and sanitation.
[H27a - Single Family Attached/Detached
B. Single Family Attached/Detached General Information
01
Average Ceiling Height
8
02
Total Conditioned Volume
88760
03
Vertical distance between the lowest and highest above grade
points within the pressure boundary in feet
8
04
Air Changes Per Hour at 50 Pa
Default
05
Name of ANSI/ASHRAE Standard 62.2-2016 weather station for
climate zone
Palm Springs Intl
06
Weather and shielding factor (wsf) (Based on city identified above)
0.45
Registration Number:
422-P010206032A-000-001-M27012A-M27A
Registration Date/Time: 2023-07-18 10:29:59
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2023-07-18 10:31:11
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 2 of 3)
C. Ventilation - Total Ventilation Rate
A mechanical supply system, exhaust system or combination thereof shall provide whole -building ventilation with outdoor air each hour at no
less than the rate in 150.0(o)1Ci
01
Total Required Ventilation Rate (Qtot)
377.85
02
Enclosure Leakage Rate (Q5o)
2958.67
03
Effective Annual Average Infiltration Rate (Qinf
68.55
04
Total Exterior Envelope Surface Area
n/a
05
Unshared Exterior Envelope Surface Area (exclude surface areas
attached to garages or other dwelling units)
n/a
06
Required Mechanical Ventilation Rate (Qfan)
365.41
D. Installed Ventilation - Total Ventilation Rate
A mechanical supply system, exhaust system, or combination thereof shall provide whole -building ventilation with outdoor air
each hour at no less than the rate in 150.0(o)1Ci
01
02
03
04
05
Fan Name
Fan Location
Runtime (min/hr)
Installed Mechanical
Ventilation Rate (CFM)
Equivalent Continuous
Ventilation (CFM)
NUTONE
LAUNDRY ROOM
60
425
425
06
Total Installed Continuous Ventilation (CFM)
425
E. Compliance Statement
01
Building Passes Mechanical Ventilation RateTest
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P010206032A-000-001-M27012A-M27A
Registration Date/Time: 2023-07-18 10:29:59 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:31:11
2019 Residential Compliance Schema Version: rev 20200401
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P010206032A-000-001-M27012A-M27A
Registration Date/Time: 2023-07-18 10:29:59 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:31:11
2019 Residential Compliance Schema Version: rev 20200401
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-32-H
Local Mechanical Exhaust
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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/ASHRAE Standard 62.2-2010
A. Local Mechanical Exhaust - General Information
01
Dwelling unit name
Single Family Dwelling
02
Building Type
Single family detached
03
Total Kitchen Floor Area
1000
04
Kitchen Average Ceiling Height
10
05
Kitchen Total Conditioned Volume
10000
06
Kitchen Type
Non -Enclosed
B. Kitchen Exhaust System
01
02
03
04
05
06
07
08
09
10
11
System
Name
Manufacturer
Name
System
Type
HVI or
AHAM
Directory
Listed
Model
Number
HVI or
AHAM
Directory
Listed
Rated
Airflow
HVI or
AHAM
Directory
Listed
Sound
Rating
Minimum
Airflow
(defaults
to rated
airflow)
Operation
Schedule
Required
Minimum
Ventilation
Rate (if
demand
controlled)
Maximum
Sound
Rating
Compliance
Statement
KITCHEN
HOOD
WOLF
Vented
Range
Hood
W428-345
425
1
375
Demand
Control
100
3 sone
Complies
C. Continuous Kitchen Exhaust
01
Total Continuous Ventilation Airflow
n/a
02
Required Minimum Continuous Ventilation Airflow
n/a
03
Compliance Statement
n/a
Registration Number:
422-P01020603 2A-000-001-M 32010A-M 32A
Registration Date/Time: 2023-07-18 10:35:41 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:41
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-32-H
Local Mechanical Exhaust
(Page 2 of 3)
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 32010A-M 32A
Registration Date/Time: 2023-07-18 10:35:41 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:41
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-32-H
Local Mechanical Exhaust
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 32010A-M 32A
Registration Date/Time: 2023-07-18 10:35:41 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:41
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 11
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
5
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1642
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.02
10
Calculated Target Allowable Duct Leakage (cfm)
40
Registration Number:
422-P01020603 2A-000-001-M 20013A-M 20A
Registration Date/Time: 2023-07-18 10:30:04
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:05
Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
36
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA
ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are met.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 20013A-M 20A
Registration Date/Time: 2023-07-18 10:30:04 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:05
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20013A-M 20A
Registration Date/Time: 2023-07-18 10:30:04 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:05
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 11
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Indoor Unit Name
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23014A-M 23A
Registration Date/Time: 2023-07-18 10:30:35
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:35
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 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)
1882
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform
calibrated in accordance with the apparatus manufacturer's
RA3.3.1.
the airflow
specifications
rate measurement identified on this Certificate of Verification was
and conforms to the instrumentation specifications given in
03
A visual inspection shall confirm that bypass ducts that
duct airflow are not used on newly constructed zonally
deliver conditioned supply air directly to the space conditioning system return
controlled systems unless the Performance Certificate of Compliance indicates an
is accounted for on the Performance Certificate of Compliance, the airflow rate
of Compliance.
allowance for use of a bypass duct. When a bypass duct
shall conform to the specifications listed on the Certificate
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 23014A-M 23A
Registration Date/Time: 2023-07-18 10:30:35
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:35
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23014A-M 23A
Registration Date/Time: 2023-07-18 10:30:35 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:35
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 11
02
System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
589.4
02
Actual Tested Airflow from MCH-23 (cfm)
1882
03
Required Fan Efficacy (Watts/cfm)
0.38
04
Actual Fan Efficacy (watts/cfm)
0.31
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22015A-M 22A
Registration Date/Time: 2023-07-18 10:30:42
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 10:30:43
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of +- 2% of reading or +- 10 Watts whichever is greater
systems (i.e. sensor plus data
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
E. Determination of HERS Verification
All applicable sections of this docurr
this Certificate of Verification as
01
Compliance
ment shall indicate compliance with the specified verification protocol requirements in order
a whole to be determined to be in compliance.
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 22015A-M 22A
Registration Date/Time: 2023-07-18 10:30:42 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:43
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22015A-M 22A
Registration Date/Time: 2023-07-18 10:30:42 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:43
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
HVAC System 11
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Condenser (or package unit) make or brand
DAIKIN
04
Condenser (or package unit) model number
DZ9VCA6010AA
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) serial number
2304135135
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer)
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
Subcooling
Registration Number:
422-P01020603 2A-000-001-M 25041A-M 25A
Registration Date/Time: 2023-07-18 10:36:25
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:25
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
LIVING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25041A-M 25A
Registration Date/Time: 2023-07-18 10:36:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:25
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
73.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
99.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
94.9
05
Measured Liquid Line Pressure (Piiquid) (psig)
348.2
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
107.3
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
12.4
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
65.9
02
Measured Suction Line Pressure (Psuction) (psig)
114.3
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.2
04
Measured Superheat (Line G01- Line G03) (°F)
21.7
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 25041A-M 25A
Registration Date/Time: 2023-07-18 10:36:25
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:36:25
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25041A-M 25A
Registration Date/Time: 2023-07-18 10:36:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:25
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 11
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609988
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
11
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DAIKIN
DMVE6ODP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26043A-M 26A
Registration Date/Time: 2023-07-18 10:36:29
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:29
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name on
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
11
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DMVE6ODP1
400
2302042344
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
21
02
Installed SEER
21
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
59000
02
Installed Heating BTU Output at 47 Degrees F
59000
03
Required Heating BTU Output at 17 Degrees F
49500
04
Installed Heating BTU Output at 17 Degrees F
49500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF2R.
Registration Number:
422-P01020603 2A-000-001-M 26043A-M 26A
Registration Date/Time: 2023-07-18 10:36:29 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:29
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
11
02
Installed HSPF
11
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes:
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 26043A-M 26A
Registration Date/Time: 2023-07-18 10:36:29 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:29
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26043A-M 26A
Registration Date/Time: 2023-07-18 10:36:29 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:29
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 22
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
5
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1303
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.02
10
Calculated Target Allowable Duct Leakage (cfm)
40
Registration Number:
422-P01020603 2A-000-001-M 20016A-M 20A
Registration Date/Time: 2023-07-18 10:30:10
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:10
Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
34
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA
ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are met.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 20016A-M 20A
Registration Date/Time: 2023-07-18 10:30:10 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:10
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20016A-M 20A
Registration Date/Time: 2023-07-18 10:30:10 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:10
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 22
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Indoor Unit Name
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23017A-M 23A
Registration Date/Time: 2023-07-18 10:30:15
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:16
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 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)
1868
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform
calibrated in accordance with the apparatus manufacturer's
RA3.3.1.
the airflow
specifications
rate measurement identified on this Certificate of Verification was
and conforms to the instrumentation specifications given in
03
A visual inspection shall confirm that bypass ducts that
duct airflow are not used on newly constructed zonally
deliver conditioned supply air directly to the space conditioning system return
controlled systems unless the Performance Certificate of Compliance indicates an
is accounted for on the Performance Certificate of Compliance, the airflow rate
of Compliance.
allowance for use of a bypass duct. When a bypass duct
shall conform to the specifications listed on the Certificate
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 23017A-M 23A
Registration Date/Time: 2023-07-18 10:30:15
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:16
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23017A-M 23A
Registration Date/Time: 2023-07-18 10:30:15 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:16
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 22
02
System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
573.8
02
Actual Tested Airflow from MCH-23 (cfm)
1868
03
Required Fan Efficacy (Watts/cfm)
0.38
04
Actual Fan Efficacy (watts/cfm)
0.31
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22018A-M 22A
Registration Date/Time: 2023-07-18 10:30:25
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 10:30:26
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of +- 2% of reading or +- 10 Watts whichever is greater
systems (i.e. sensor plus data
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
E. Determination of HERS Verification
All applicable sections of this docurr
this Certificate of Verification as
01
Compliance
ment shall indicate compliance with the specified verification protocol requirements in order
a whole to be determined to be in compliance.
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 22018A-M 22A
Registration Date/Time: 2023-07-18 10:30:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:26
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22018A-M 22A
Registration Date/Time: 2023-07-18 10:30:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:26
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
HVAC System 22
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Condenser (or package unit) make or brand
DAIKIN
04
Condenser (or package unit) model number
DZ9VCA6010AA
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) serial number
2304130069
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer)
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
Subcooling
Registration Number:
422-P01020603 2A-000-001-M 25042A-M 25A
Registration Date/Time: 2023-07-18 10:36:34
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:34
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
LIVING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25042A-M 25A
Registration Date/Time: 2023-07-18 10:36:34 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:34
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
74.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
98.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
93.4
05
Measured Liquid Line Pressure (Piiquid) (psig)
339.8
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
105.3
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11.9
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
66.2
02
Measured Suction Line Pressure (Psuction) (psig)
115.3
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.9
04
Measured Superheat (Line G01- Line G03) (°F)
21.3
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 25042A-M 25A
Registration Date/Time: 2023-07-18 10:36:34
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:36:34
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25042A-M 25A
Registration Date/Time: 2023-07-18 10:36:34 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:34
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 22
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609988
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
22
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DAIKIN
DMVE6ODP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26044A-M 26A
Registration Date/Time: 2023-07-18 10:36:38
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:38
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name on
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
22
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DMVE6ODP1
400
2212112050
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
21
02
Installed SEER
21
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
59000
02
Installed Heating BTU Output at 47 Degrees F
59000
03
Required Heating BTU Output at 17 Degrees F
49500
04
Installed Heating BTU Output at 17 Degrees F
49500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF2R.
Registration Number:
422-P01020603 2A-000-001-M 26044A-M 26A
Registration Date/Time: 2023-07-18 10:36:38 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:38
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
11
02
Installed HSPF
11
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes:
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 26044A-M 26A
Registration Date/Time: 2023-07-18 10:36:38 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:38
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26044A-M 26A
Registration Date/Time: 2023-07-18 10:36:38 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:38
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 33
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
5
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1400
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.02
10
Calculated Target Allowable Duct Leakage (cfm)
40
Registration Number:
422-P01020603 2A-000-001-M 20028A-M 20A
Registration Date/Time: 2023-07-18 10:30:47
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:47
Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
32
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA
ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are met.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 20028A-M 20A
Registration Date/Time: 2023-07-18 10:30:47 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:47
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20028A-M 20A
Registration Date/Time: 2023-07-18 10:30:47 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:47
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 33
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Indoor Unit Name
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23029A-M 23A
Registration Date/Time: 2023-07-18 09:51:55
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:51:56
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 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)
1873
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform
calibrated in accordance with the apparatus manufacturer's
RA3.3.1.
the airflow
specifications
rate measurement identified on this Certificate of Verification was
and conforms to the instrumentation specifications given in
03
A visual inspection shall confirm that bypass ducts that
duct airflow are not used on newly constructed zonally
deliver conditioned supply air directly to the space conditioning system return
controlled systems unless the Performance Certificate of Compliance indicates an
is accounted for on the Performance Certificate of Compliance, the airflow rate
of Compliance.
allowance for use of a bypass duct. When a bypass duct
shall conform to the specifications listed on the Certificate
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 23029A-M 23A
Registration Date/Time: 2023-07-18 09:51:55
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:51:56
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23029A-M 23A
Registration Date/Time: 2023-07-18 09:51:55 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 09:51:56
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 33
02
System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
489.6
02
Actual Tested Airflow from MCH-23 (cfm)
1873
03
Required Fan Efficacy (Watts/cfm)
0.28
04
Actual Fan Efficacy (watts/cfm)
0.26
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22030A-M 22A
Registration Date/Time: 2023-07-18 10:30:54
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 10:30:54
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of +- 2% of reading or +- 10 Watts whichever is greater
systems (i.e. sensor plus data
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
E. Determination of HERS Verification
All applicable sections of this docurr
this Certificate of Verification as
01
Compliance
ment shall indicate compliance with the specified verification protocol requirements in order
a whole to be determined to be in compliance.
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 22030A-M 22A
Registration Date/Time: 2023-07-18 10:30:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:54
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22030A-M 22A
Registration Date/Time: 2023-07-18 10:30:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:54
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
HVAC System 33
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Condenser (or package unit) make or brand
DAIKIN
04
Condenser (or package unit) model number
DZ9VCA6010AA
05
Nominal Cooling Capacity (tons) of Condenser
5
06
Condenser (or package unit) serial number
2304136736
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer)
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
Subcooling
Registration Number:
422-P01020603 2A-000-001-M 25045A-M 25A
Registration Date/Time: 2023-07-18 10:36:42
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:42
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
SLEEPING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25045A-M 25A
Registration Date/Time: 2023-07-18 10:36:42 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:42
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
74.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
98.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
95.2
05
Measured Liquid Line Pressure (Piiquid) (psig)
348.5
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
107.3
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
12.1
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
65.2
02
Measured Suction Line Pressure (Psuction) (psig)
121.3
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.7
04
Measured Superheat (Line G01- Line G03) (°F)
20.5
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 25045A-M 25A
Registration Date/Time: 2023-07-18 10:36:42
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:36:42
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Twuto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25045A-M 25A
Registration Date/Time: 2023-07-18 10:36:42 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:42
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 33
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609988
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
33
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DAIKIN
DMVE6ODP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26046A-M 26A
Registration Date/Time: 2023-07-18 10:36:46
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:46
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name on
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
33
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA6010
AA
DAIKIN
DMVE6ODP1
400
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
22
02
Installed SEER
22
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
45000
02
Installed Heating BTU Output at 47 Degrees F
45000
03
Required Heating BTU Output at 17 Degrees F
42500
04
Installed Heating BTU Output at 17 Degrees F
42500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF2R.
Registration Number:
422-P01020603 2A-000-001-M 26046A-M 26A
Registration Date/Time: 2023-07-18 10:36:46 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:46
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
10.5
02
Installed HSPF
11
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes:
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 26046A-M 26A
Registration Date/Time: 2023-07-18 10:36:46 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:46
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26046A-M 26A
Registration Date/Time: 2023-07-18 10:36:46 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:46
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 44
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
4
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1505
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.03
10
Calculated Target Allowable Duct Leakage (cfm)
48
Registration Number:
422-P01020603 2A-000-001-M 20031A-M 20A
Registration Date/Time: 2023-07-18 10:30:59
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:59
Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
44
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA
ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are met.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 20031A-M 20A
Registration Date/Time: 2023-07-18 10:30:59 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:59
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20031A-M 20A
Registration Date/Time: 2023-07-18 10:30:59 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:30:59
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 44
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Indoor Unit Name
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
4
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23032A-M 23A
Registration Date/Time: 2023-07-18 10:31:06
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:31:13
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 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)
1400
03
Actual System Airflow Rate Measurement (cfm)
1569
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform
calibrated in accordance with the apparatus manufacturer's
RA3.3.1.
the airflow
specifications
rate measurement identified on this Certificate of Verification was
and conforms to the instrumentation specifications given in
03
A visual inspection shall confirm that bypass ducts that
duct airflow are not used on newly constructed zonally
deliver conditioned supply air directly to the space conditioning system return
controlled systems unless the Performance Certificate of Compliance indicates an
is accounted for on the Performance Certificate of Compliance, the airflow rate
of Compliance.
allowance for use of a bypass duct. When a bypass duct
shall conform to the specifications listed on the Certificate
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 23032A-M 23A
Registration Date/Time: 2023-07-18 10:31:06
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:31:13
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23032A-M 23A
Registration Date/Time: 2023-07-18 10:31:06 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:31:13
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 44
02
System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
359.6
02
Actual Tested Airflow from MCH-23 (cfm)
1569
03
Required Fan Efficacy (Watts/cfm)
0.28
04
Actual Fan Efficacy (watts/cfm)
0.23
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22033A-M 22A
Registration Date/Time: 2023-07-18 10:32:37
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 10:33:23
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of +- 2% of reading or +- 10 Watts whichever is greater
systems (i.e. sensor plus data
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
E. Determination of HERS Verification
All applicable sections of this docurr
this Certificate of Verification as
01
Compliance
ment shall indicate compliance with the specified verification protocol requirements in order
a whole to be determined to be in compliance.
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 22033A-M 22A
Registration Date/Time: 2023-07-18 10:32:37 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:33:23
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22033A-M 22A
Registration Date/Time: 2023-07-18 10:32:37 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:33:23
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
HVAC System 44
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Condenser (or package unit) make or brand
DAIKIN
04
Condenser (or package unit) model number
DZ9VCA4810AA
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser (or package unit) serial number
2304042201
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer)
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
Subcooling
Registration Number:
422-P01020603 2A-000-001-M 25049A-M 25A
Registration Date/Time: 2023-07-18 10:36:50
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:50
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
SLEEPING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25049A-M 25A
Registration Date/Time: 2023-07-18 10:36:50 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:50
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
72.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
97.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) ( °F)
93.1
05
Measured Liquid Line Pressure (Piiquid) (psig)
336.2
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
104.7
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11.6
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
65.1
02
Measured Suction Line Pressure (Psuction) (psig)
117.2
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.3
04
Measured Superheat (Line G01- Line G03) (°F)
20.8
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 25049A-M 25A
Registration Date/Time: 2023-07-18 10:36:50
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:36:50
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25049A-M 25A
Registration Date/Time: 2023-07-18 10:36:50 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:50
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 44
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609976
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
44
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA4810
AA
DAIKIN
DMVE48140
0
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26050A-M 26A
Registration Date/Time: 2023-07-18 10:36:54
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:54
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name on
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
44
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA4810
AA
DAIKIN
DMVE48140
0
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
22
02
Installed SEER
22
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
45000
02
Installed Heating BTU Output at 47 Degrees F
45000
03
Required Heating BTU Output at 17 Degrees F
42500
04
Installed Heating BTU Output at 17 Degrees F
42500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF2R.
Registration Number:
422-P01020603 2A-000-001-M 26050A-M 26A
Registration Date/Time: 2023-07-18 10:36:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:54
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
10.5
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes:
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 26050A-M 26A
Registration Date/Time: 2023-07-18 10:36:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:54
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26050A-M 26A
Registration Date/Time: 2023-07-18 10:36:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:54
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 55
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
4
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1370
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.02
10
Calculated Target Allowable Duct Leakage (cfm)
32
Registration Number:
422-P01020603 2A-000-001-M 20019A-M 20A
Registration Date/Time: 2023-07-18 10:34:37
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:34:37
Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
28
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA
ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are met.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 20019A-M 20A
Registration Date/Time: 2023-07-18 10:34:37 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:34:37
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20019A-M 20A
Registration Date/Time: 2023-07-18 10:34:37 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:34:37
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 55
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Indoor Unit Name
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
4
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23020A-M 23A
Registration Date/Time: 2023-07-18 10:34:45
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:34:45
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 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)
1400
03
Actual System Airflow Rate Measurement (cfm)
1548
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform
calibrated in accordance with the apparatus manufacturer's
RA3.3.1.
the airflow
specifications
rate measurement identified on this Certificate of Verification was
and conforms to the instrumentation specifications given in
03
A visual inspection shall confirm that bypass ducts that
duct airflow are not used on newly constructed zonally
deliver conditioned supply air directly to the space conditioning system return
controlled systems unless the Performance Certificate of Compliance indicates an
is accounted for on the Performance Certificate of Compliance, the airflow rate
of Compliance.
allowance for use of a bypass duct. When a bypass duct
shall conform to the specifications listed on the Certificate
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 23020A-M 23A
Registration Date/Time: 2023-07-18 10:34:45
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:34:45
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23020A-M 23A
Registration Date/Time: 2023-07-18 10:34:45 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:34:45
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 55
02
System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
389.5
02
Actual Tested Airflow from MCH-23 (cfm)
1548
03
Required Fan Efficacy (Watts/cfm)
0.28
04
Actual Fan Efficacy (watts/cfm)
0.25
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22021A-M 22A
Registration Date/Time: 2023-07-18 10:34:52
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 10:34:52
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of +- 2% of reading or +- 10 Watts whichever is greater
systems (i.e. sensor plus data
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
E. Determination of HERS Verification
All applicable sections of this docurr
this Certificate of Verification as
01
Compliance
ment shall indicate compliance with the specified verification protocol requirements in order
a whole to be determined to be in compliance.
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 22021A-M 22A
Registration Date/Time: 2023-07-18 10:34:52 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:34:52
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22021A-M 22A
Registration Date/Time: 2023-07-18 10:34:52 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:34:52
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
HVAC System 55
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Condenser (or package unit) make or brand
DAIKIN
04
Condenser (or package unit) model number
DZ9VCA4810AA
05
Nominal Cooling Capacity (tons) of Condenser
4
06
Condenser (or package unit) serial number
2304042208
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer)
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
Subcooling
Registration Number:
422-P01020603 2A-000-001-M 25047A-M 25A
Registration Date/Time: 2023-07-18 10:37:03
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:37:03
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
LIVING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25047A-M 25A
Registration Date/Time: 2023-07-18 10:37:03 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:37:03
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
74.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
99.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
94.2
05
Measured Liquid Line Pressure (Piiquid) (psig)
351.9
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
106.3
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
12.1
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
66.1
02
Measured Suction Line Pressure (Psuction) (psig)
119.4
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
45.3
04
Measured Superheat (Line G01- Line G03) (°F)
20.8
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 25047A-M 25A
Registration Date/Time: 2023-07-18 10:37:03
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:37:03
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25047A-M 25A
Registration Date/Time: 2023-07-18 10:37:03 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:37:03
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 55
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609976
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
55
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA4810
AA
DAIKIN
DMVE48140
0
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26048A-M 26A
Registration Date/Time: 2023-07-18 10:37:08
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:37:08
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name on
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
55
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA4810
AA
DAIKIN
DMVE48DP1
400
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
22
02
Installed SEER
22
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
45000
02
Installed Heating BTU Output at 47 Degrees F
45000
03
Required Heating BTU Output at 17 Degrees F
42500
04
Installed Heating BTU Output at 17 Degrees F
42500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF2R.
Registration Number:
422-P01020603 2A-000-001-M 26048A-M 26A
Registration Date/Time: 2023-07-18 10:37:08 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:37:08
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
10.5
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes:
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 26048A-M 26A
Registration Date/Time: 2023-07-18 10:37:08 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:37:08
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26048A-M 26A
Registration Date/Time: 2023-07-18 10:37:08 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:37:08
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 66
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
3
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
944
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.03
10
Calculated Target Allowable Duct Leakage (cfm)
36
Registration Number:
422-P01020603 2A-000-001-M 20034A-M 20A
Registration Date/Time: 2023-07-18 10:34:56
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:34:56
Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
30
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA
ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are met.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 20034A-M 20A
Registration Date/Time: 2023-07-18 10:34:56 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:34:56
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20034A-M 20A
Registration Date/Time: 2023-07-18 10:34:56 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:34:56
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 66
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Indoor Unit Name
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23035A-M 23A
Registration Date/Time: 2023-07-18 10:35:02
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:02
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 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)
1174
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform
calibrated in accordance with the apparatus manufacturer's
RA3.3.1.
the airflow
specifications
rate measurement identified on this Certificate of Verification was
and conforms to the instrumentation specifications given in
03
A visual inspection shall confirm that bypass ducts that
duct airflow are not used on newly constructed zonally
deliver conditioned supply air directly to the space conditioning system return
controlled systems unless the Performance Certificate of Compliance indicates an
is accounted for on the Performance Certificate of Compliance, the airflow rate
of Compliance.
allowance for use of a bypass duct. When a bypass duct
shall conform to the specifications listed on the Certificate
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 23035A-M 23A
Registration Date/Time: 2023-07-18 10:35:02
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:02
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23035A-M 23A
Registration Date/Time: 2023-07-18 10:35:02 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:02
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 66
02
System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
252.4
02
Actual Tested Airflow from MCH-23 (cfm)
1174
03
Required Fan Efficacy (Watts/cfm)
0.23
04
Actual Fan Efficacy (watts/cfm)
0.21
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22036A-M 22A
Registration Date/Time: 2023-07-18 10:35:10
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 10:35:10
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of +- 2% of reading or +- 10 Watts whichever is greater
systems (i.e. sensor plus data
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
E. Determination of HERS Verification
All applicable sections of this docurr
this Certificate of Verification as
01
Compliance
ment shall indicate compliance with the specified verification protocol requirements in order
a whole to be determined to be in compliance.
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 22036A-M 22A
Registration Date/Time: 2023-07-18 10:35:10 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:10
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22036A-M 22A
Registration Date/Time: 2023-07-18 10:35:10 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:10
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
HVAC System 66
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Condenser (or package unit) make or brand
DAIKIN
04
Condenser (or package unit) model number
DZ9VCA3610AA
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser (or package unit) serial number
2304062626
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer)
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
Subcooling
Registration Number:
422-P01020603 2A-000-001-M 25051A-M 25A
Registration Date/Time: 2023-07-18 10:37:59
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:37:59
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
SLEEPING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25051A-M 25A
Registration Date/Time: 2023-07-18 10:37:59 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:37:59
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
74.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
98.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
93.7
05
Measured Liquid Line Pressure (Piiquid) (psig)
344.8
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
105.3
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11.6
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
64.9
02
Measured Suction Line Pressure (Psuction) (psig)
112.4
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
43.8
04
Measured Superheat (Line G01- Line G03) (°F)
21.1
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 25051A-M 25A
Registration Date/Time: 2023-07-18 10:37:59
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:37:59
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25051A-M 25A
Registration Date/Time: 2023-07-18 10:37:59 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:37:59
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 66
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210669964
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
66
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26052A-M 26A
Registration Date/Time: 2023-07-18 10:38:03
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:03
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name on
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
66
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
20
02
Installed SEER
20
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
33400
02
Installed Heating BTU Output at 47 Degrees F
33400
03
Required Heating BTU Output at 17 Degrees F
31730
04
Installed Heating BTU Output at 17 Degrees F
31730
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF2R.
Registration Number:
422-P01020603 2A-000-001-M 26052A-M 26A
Registration Date/Time: 2023-07-18 10:38:03 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:03
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
11.5
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes:
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 26052A-M 26A
Registration Date/Time: 2023-07-18 10:38:03 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:03
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26052A-M 26A
Registration Date/Time: 2023-07-18 10:38:03 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:03
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 77
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
3
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1047
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.03
10
Calculated Target Allowable Duct Leakage (cfm)
36
Registration Number:
422-P01020603 2A-000-001-M 20037A-M 20A
Registration Date/Time: 2023-07-18 10:35:14
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:14
Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
33
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA
ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are met.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 20037A-M 20A
Registration Date/Time: 2023-07-18 10:35:14 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:14
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20037A-M 20A
Registration Date/Time: 2023-07-18 10:35:14 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:14
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 77
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Indoor Unit Name
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23038A-M 23A
Registration Date/Time: 2023-07-18 10:35:19
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:19
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 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)
1183
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform
calibrated in accordance with the apparatus manufacturer's
RA3.3.1.
the airflow
specifications
rate measurement identified on this Certificate of Verification was
and conforms to the instrumentation specifications given in
03
A visual inspection shall confirm that bypass ducts that
duct airflow are not used on newly constructed zonally
deliver conditioned supply air directly to the space conditioning system return
controlled systems unless the Performance Certificate of Compliance indicates an
is accounted for on the Performance Certificate of Compliance, the airflow rate
of Compliance.
allowance for use of a bypass duct. When a bypass duct
shall conform to the specifications listed on the Certificate
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 23038A-M 23A
Registration Date/Time: 2023-07-18 10:35:19
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:19
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23038A-M 23A
Registration Date/Time: 2023-07-18 10:35:19 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:19
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 77
02
System Location or Area Served
SLEEPING AREA
03
Indoor Unit Name or Description of Area Served
SLEEPING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
318.4
02
Actual Tested Airflow from MCH-23 (cfm)
1183
03
Required Fan Efficacy (Watts/cfm)
0.28
04
Actual Fan Efficacy (watts/cfm)
0.27
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22039A-M 22A
Registration Date/Time: 2023-07-18 10:35:25
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 10:35:25
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of +- 2% of reading or +- 10 Watts whichever is greater
systems (i.e. sensor plus data
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
E. Determination of HERS Verification
All applicable sections of this docurr
this Certificate of Verification as
01
Compliance
ment shall indicate compliance with the specified verification protocol requirements in order
a whole to be determined to be in compliance.
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 22039A-M 22A
Registration Date/Time: 2023-07-18 10:35:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:25
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22039A-M 22A
Registration Date/Time: 2023-07-18 10:35:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:25
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
HVAC System 77
02
Space Conditioning System Location or Area Served
SLEEPING AREA
03
Condenser (or package unit) make or brand
DAIKIN
04
Condenser (or package unit) model number
DZ9VCA3610AA
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser (or package unit) serial number
2304062431
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer)
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
Subcooling
Registration Number:
422-P01020603 2A-000-001-M 25053A-M 25A
Registration Date/Time: 2023-07-18 10:38:07
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:08
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
SLEEPING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25053A-M 25A
Registration Date/Time: 2023-07-18 10:38:07 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:08
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
72.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
95.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) ( °F)
92.1
05
Measured Liquid Line Pressure (Piiquid) (psig)
329.4
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
103.6
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11.5
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
65.1
02
Measured Suction Line Pressure (Psuction) (psig)
119.4
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.3
04
Measured Superheat (Line G01- Line G03) (°F)
20.8
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 25053A-M 25A
Registration Date/Time: 2023-07-18 10:38:07
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:38:08
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25053A-M 25A
Registration Date/Time: 2023-07-18 10:38:07 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:08
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 77
02
Space Conditioning System Description of Area Served
SLEEPING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609984
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
77
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26054A-M 26A
Registration Date/Time: 2023-07-18 10:38:12
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:12
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name on
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
77
SLEEPING
AREA
SLEEPING
AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
22
02
Installed SEER
22
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
45000
02
Installed Heating BTU Output at 47 Degrees F
45000
03
Required Heating BTU Output at 17 Degrees F
42500
04
Installed Heating BTU Output at 17 Degrees F
42500
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF2R.
Registration Number:
422-P01020603 2A-000-001-M 26054A-M 26A
Registration Date/Time: 2023-07-18 10:38:12 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:12
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
10.5
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes:
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 26054A-M 26A
Registration Date/Time: 2023-07-18 10:38:12 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:12
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26054A-M 26A
Registration Date/Time: 2023-07-18 10:38:12 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:12
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 88
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned
from CF1R?
Space (VLLDCS) Credit
No, credit is not taken
06
Verified Low Leakage Air Handling
Unit Credit from CF1R?
No, credit is not taken
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High
Velocity (SDHV) ?
No
MCH-20a - Completely New Duct System
Registration Number:
422-P01020603 2A-000-001-M 20022A-M 20A
Registration Date/Time: 2023-07-18 10:35:47 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:48
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 4)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
3
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1169
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.05
10
Calculated Target Allowable Duct Leakage (cfm)
60
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
52
12
Compliance Statement
System passes leakage test
13
Notes:
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts
used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
03
All supply and return register boots were sealed to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
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.
Registration Number:
422-P01020603 2A-000-001-M 20022A-M 20A
Registration Date/Time: 2023-07-18 10:35:47
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:48
Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 4)
09
Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
10
Verification Status:
Pass - all applicable requirements are met.
11
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 20022A-M 20A
Registration Date/Time: 2023-07-18 10:35:47 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:48
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20022A-M 20A
Registration Date/Time: 2023-07-18 10:35:47 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:48
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 88
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Indoor Unit Name
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
3
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23023A-M 23A
Registration Date/Time: 2023-07-18 10:35:52
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:52
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 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)
1172
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform
calibrated in accordance with the apparatus manufacturer's
RA3.3.1.
the airflow
specifications
rate measurement identified on this Certificate of Verification was
and conforms to the instrumentation specifications given in
03
A visual inspection shall confirm that bypass ducts that
duct airflow are not used on newly constructed zonally
deliver conditioned supply air directly to the space conditioning system return
controlled systems unless the Performance Certificate of Compliance indicates an
is accounted for on the Performance Certificate of Compliance, the airflow rate
of Compliance.
allowance for use of a bypass duct. When a bypass duct
shall conform to the specifications listed on the Certificate
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 23023A-M 23A
Registration Date/Time: 2023-07-18 10:35:52
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:52
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23023A-M 23A
Registration Date/Time: 2023-07-18 10:35:52 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:52
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 88
02
System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser Speed Type
Single Speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
312.4
02
Actual Tested Airflow from MCH-23 (cfm)
1172
03
Required Fan Efficacy (Watts/cfm)
0.58
04
Actual Fan Efficacy (watts/cfm)
0.27
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22024A-M 22A
Registration Date/Time: 2023-07-18 10:35:58
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 10:35:58
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of +- 2% of reading or +- 10 Watts whichever is greater
systems (i.e. sensor plus data
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
E. Determination of HERS Verification
All applicable sections of this docurr
this Certificate of Verification as
01
Compliance
ment shall indicate compliance with the specified verification protocol requirements in order
a whole to be determined to be in compliance.
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 22024A-M 22A
Registration Date/Time: 2023-07-18 10:35:58 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:58
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22024A-M 22A
Registration Date/Time: 2023-07-18 10:35:58 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:35:58
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 88
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609984
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
88
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26055A-M 26A
Registration Date/Time: 2023-07-18 10:38:33
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:33
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name on
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
88
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
19.3
02
Installed SEER
19.3
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
34800
02
Installed Heating BTU Output at 47 Degrees F
34800
03
Required Heating BTU Output at 17 Degrees F
27300
04
Installed Heating BTU Output at 17 Degrees F
27300
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF2R.
Registration Number:
422-P01020603 2A-000-001-M 26055A-M 26A
Registration Date/Time: 2023-07-18 10:38:33 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:33
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
8.3
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes:
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 26055A-M 26A
Registration Date/Time: 2023-07-18 10:38:33 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:33
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26055A-M 26A
Registration Date/Time: 2023-07-18 10:38:33 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:33
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
01
Space Conditioning System Identification or Name
HVAC System 99
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
Building Type from CF-1R
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07
Duct System Compliance Category
New
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20c - Low Leakage Air -Handling Unit (LLAHU)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
3
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity (kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
715
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.02
10
Calculated Target Allowable Duct Leakage (cfm)
24
Registration Number:
422-P01020603 2A-000-001-M 20025A-M 20A
Registration Date/Time: 2023-07-18 10:36:04
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:04
Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 3)
B. Duct Leakage Diagnostic Test
11
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
22
12
Air Handling Unit Manufacturer Name
13
Air Handling Unit Model Number
14
Compliance Statement
System passes leakage test
15
Notes:
C. Additional Requirements for Compliance
01
The Low Leakage Air -handling Unit Model identified on this compliance document is included in the list of certified Low Leakage
Air -Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/equipment cert/Ilahu/low leakage air handling units.pdf
02
System was tested in its normal operation condition. No temporary taping allowed.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA
ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize
dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the
closed position during duct leakage testing.
04
All supply and return register boots were sealed to the drywall.
05
Building cavities were not used as plenums or platform returns in lieu of ducts.
06
If cloth backed tape was used it was covered with Mastic and draw bands.
07
All connection points between the air handler and the supply and return plenums are completely sealed.
08
Verification Status:
Pass - all applicable requirements are met.
09
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 20025A-M 20A
Registration Date/Time: 2023-07-18 10:36:04 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:04
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 20025A-M 20A
Registration Date/Time: 2023-07-18 10:36:04 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:04
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
Space Conditioning System Identification or Name
HVAC System 99
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Indoor Unit Name
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons)
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol Utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01
Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01
Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
MINNIAPOLIS
03
Model number of Airflow Measurement Apparatus
DG-700
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:
422-P01020603 2A-000-001-M 23026A-M 23A
Registration Date/Time: 2023-07-18 10:36:09
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:09
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 2 of 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)
1168
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform
calibrated in accordance with the apparatus manufacturer's
RA3.3.1.
the airflow
specifications
rate measurement identified on this Certificate of Verification was
and conforms to the instrumentation specifications given in
03
A visual inspection shall confirm that bypass ducts that
duct airflow are not used on newly constructed zonally
deliver conditioned supply air directly to the space conditioning system return
controlled systems unless the Performance Certificate of Compliance indicates an
is accounted for on the Performance Certificate of Compliance, the airflow rate
of Compliance.
allowance for use of a bypass duct. When a bypass duct
shall conform to the specifications listed on the Certificate
04
All registers were fully open during the diagnostic test.
05
System fan was set at maximum speed during the diagnostic test.
06
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
08
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy
(Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met.
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless
otherwise noted in the Verification Status and the Corrections Notes in this table
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 23026A-M 23A
Registration Date/Time: 2023-07-18 10:36:09
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:09
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 23026A-M 23A
Registration Date/Time: 2023-07-18 10:36:09 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:09
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Ducted Cooling System Information
01
System Identification or Name
HVAC System 99
02
System Location or Area Served
LIVING AREA
03
Indoor Unit Name or Description of Area Served
LIVING AREA
04
System Installation Type
New
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser Speed Type
Multi -speed
07
Cooling System Zonal Control Type
Not Zonal
08
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
09
System Bypass Duct Status
No Bypass Duct
10
Date of System Airflow Rate Measurement
2023-07-18
11
Airflow Rate Protocol utilized
RA3.3 procedures for airflow rate measurement
12
Central Fan Ventilation Cooling System Status
Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01
Fan Watt Verification Device Used.
Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor
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
249.5
02
Actual Tested Airflow from MCH-23 (cfm)
1168
03
Required Fan Efficacy (Watts/cfm)
0.23
04
Actual Fan Efficacy (watts/cfm)
0.21
05
Compliance Statement:
System fan efficacy complies
Registration Number:
422-P01020603 2A-000-001-M 22027A-M 22A
Registration Date/Time: 2023-07-18 10:36:16
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2023-07-18 10:36:16
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-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.
07
Portable watt meters used for measurements
acquisition system) having an accuracy
of air handler watt draws shall be true power measurement
of +- 2% of reading or +- 10 Watts whichever is greater
systems (i.e. sensor plus data
08
Verification Status
Pass - all applicable requirements are met.
09
Correction Notes
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
E. Determination of HERS Verification
All applicable sections of this docurr
this Certificate of Verification as
01
Compliance
ment shall indicate compliance with the specified verification protocol requirements in order
a whole to be determined to be in compliance.
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 22027A-M 22A
Registration Date/Time: 2023-07-18 10:36:16 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:16
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 22027A-M 22A
Registration Date/Time: 2023-07-18 10:36:16 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:36:16
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
City:
La Quinta
Zip Code:
92253
A. System Information
HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry.
01
Space Conditioning System Identification or Name
HVAC System 99
02
Space Conditioning System Location or Area Served
LIVING AREA
03
Condenser (or package unit) make or brand
DAIKIN
04
Condenser (or package unit) model number
DZ9VCA3610AA
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser (or package unit) serial number
2304665421
07
Refrigerant Type
R-410A
08
Other Refrigerant Type (if applicable)
n/a
09
Liquid Line Filter Drier Installed According to Manufacturers
Specifications (if applicable)
Yes
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with a FID
must have refrigerant charge verified by installer)
This system does not have a FID device installed
12
Is the system of a type that the minimum airflow can be verified for
all indoor units using an approved measurement procedure (RA3.3
or RA3.3.3)?
Yes
13
Is the system of a type that approved refrigerant charge verification
procedures can be used to verify compliance with the refrigerant
charge verification requirements when temperatures are >= 55 °F
(RA3.2.2, or RA1)?
Yes, one of the Refrigerant charge verification procedures from
RA3.2.2 or RA1 is applicable to this system and can be used to
verify compliance
14
Date of Refrigerant Charge Verification for this system
2023-07-18
15
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16
Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17
HERS Verification Compliance Requirement Status
System qualifies for group sampling
18
Refrigerant charge verification method used by HERS Rater.
Subcooling
Registration Number:
422-P01020603 2A-000-001-M 25056A-M 25A
Registration Date/Time: 2023-07-18 10:38:16
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:17
Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 2 of 4)
MCH-25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2023-07-05
02
Date of Digital Thermocouple Calibration
2023-07-05
03
Digital Refrigerant Gauge Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01
Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01
02
03
Indoor Unit Name or Description of Area
Served
Minimum Required System Airflow Rate (cfm)
System Airflow Rate Verification Status
LIVING AREA
1750
System complies with minimum airflow rate
requirements
04
SC System complies with Minimum System Airflow Rate Verification
Notes:
Registration Number:
422-P01020603 2A-000-001-M 25056A-M 25A
Registration Date/Time: 2023-07-18 10:38:16 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:17
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 3 of 4)
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure (°F)
74.5
02
Measured Condenser Air Entering Dry -Bulb Temperature
(Tcondenser,db)
99.5
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
93.9
05
Measured Liquid Line Pressure (Piiquid) (psig)
352.4
06
Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 (°F)
105.7
07
Measured Subcooling (Line F06 - Lilne F04 (°F)
11.8
08
Target Subcooling from Manufacturer (°F)
10
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified
in RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuction) (°F)
66.1
02
Measured Suction Line Pressure (Psuction) (psig)
117.4
03
Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 (°F)
44.3
04
Measured Superheat (Line G01- Line G03) (°F)
21.8
05
Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06
Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Yes, documentation to be provided upon request
07
Compliance Statement:
Metering device verification passes
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 25056A-M 25A
Registration Date/Time: 2023-07-18 10:38:16
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2023-07-18 10:38:17
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H
Refrigerant Charge Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 25056A-M 25A
Registration Date/Time: 2023-07-18 10:38:16 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:17
2019 Residential Compliance Schema Version: rev 20200901
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4)
Project Name: Kaintz Residence
Enforcement Agency:
City
La Quinta,
of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way
Madison Club CC
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 requiring verification
must use a separate form.
01
Space Conditioning System Identification or Name
HVAC System 99
02
Space Conditioning System Description of Area Served
LIVING AREA
03
Status: SEER Performance Compliance Credit Check
Yes
04
Status: EER Performance Compliance Credit Check
No
05
Status: Heat Pump Heating Output Performance Compliance Check
Yes
06
Status: HSPF Performance Compliance Credit Check
Yes
07
Directory used to certify product performance
AHRI
08
AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
210609984
09
Does the directory used to certify product performance require a
specific air handler/furnace make and model?
No
10
Does the directory used to certify product performance require a
time delay relay (+TDR)?
Yes
11
Does the directory used to certify product performance require a
TXV (+TXV)?
Yes
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to
certify product performance in order to demonstrate compliance.
01
02
03
04
Data from Nameplate of Installed System Component
05
06
07
08
09
10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
99
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400
n/a
n/a
Registration Number:
422-P01020603 2A-000-001-M 26057A-M 26A
Registration Date/Time: 2023-07-18 10:38:23
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:23
Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 2 of 4)
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01
02
03
04
Data from the Directory used to certify product performance for the rated system
component
05
06
07
08
09
10
SC System
ID/Name on
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
HVAC System
99
LIVING AREA
LIVING AREA
HP Coil
DAIKIN
DZ9VCA3610
AA
DAIKIN
DMVE36CP1
400AA
n/a
n/a
D. Verified Cooling System SEER
01
Required minimum SEER
20
02
Installed SEER
20
03
Compliance Statement:
System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF2R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01
Required Heating BTU Output at 47 Degrees F
33400
02
Installed Heating BTU Output at 47 Degrees F
33400
03
Required Heating BTU Output at 17 Degrees F
31730
04
Installed Heating BTU Output at 17 Degrees F
31730
05
Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF2R.
Registration Number:
422-P01020603 2A-000-001-M 26057A-M 26A
Registration Date/Time: 2023-07-18 10:38:23 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:23
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 3 of 4)
G. Verified Heat Pump HSPF
01
Required minimum HSPF
11.5
02
Installed HSPF
11.5
03
Compliance Statement:
System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil
This section does not apply to this project.
I. Verified Space Conditioning System Time
Delay Relay
01
If a Time Delay Relay is specified
compliance document that the Time
RA3.4.3.
by the Directory of Certified Product Performance, the responsible
Delay Relay is installed and has been tested to operate correctly
person certifies by signing this
according to the protocols of
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes:
The responsible person's signature on this
otherwise noted in the Verification Status
compliance document affirms that all applicable requirements
and the Corrections Notes in this table.
in this table have been met unless
J. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01
Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-P01020603 2A-000-001-M 26057A-M 26A
Registration Date/Time: 2023-07-18 10:38:23 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:23
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
De1 l o-Ttivvsto-v1/
Company:
Dave Johnston
Date Signed:
2023-07-18
Address:
60815 NATOMATRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip:
JOSHUA TREE CA 92252
Phone:
7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Breeze Air Conditioning LLC
Responsible Builder or Installer Name:
Butch White (authorized Dave Johnston)
CSLB License:
1045015
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
V AUV21 falq4/14401/11
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed:
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of
this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number:
422-P01020603 2A-000-001-M 26057A-M 26A
Registration Date/Time: 2023-07-18 10:38:23 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:23
2019 Residential Compliance Schema Version: rev 20191201
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document.
CERTIFICATE OF VERIFICATION
CF3R-PLB-22-H
HERS Verified Single Dwelling Unit Hot Water System Distribution
(Page 1 of 6)
Project Name: Kaintz Residence
Enforcement Agency:
La Quinta, City of
Permit Number:
BRES2020-0218
Dwelling Address: 81325 Columbus Way Madison Club CC
City:
La Quinta
Zip Code:
92253
A. Design HERS Verified Dwelling Unit Water Heating Systems Information
This table reports the water heating system features that were specified on the registered CF1R compliance document for this project.
01
02
03
04
05
06
07
08
09
10
11
12
Dwelling Unit
Name
Water Heating
System ID or
Name
Water Heating
System Type
Water -Heater
Type
# of Like (or
Identical)
Water Heaters
in System
Fuel Type
Rated Input
Type
Rated Input
Value
Central DHW
System
Distribution
Type
Dwelling Unit
DHW System
Distribution
Type
Compact
Distrib.
Drain Water
Heat Recovery
Single Family
Dwelling
DHW Sys 1
Domestic Hot
Water (DHW)
Commercial
Storage
1
Natural Gas
Btu/Hr
85000.00
NA
HERS Verified
Pipe Insulation
credit
None
None
B. Installed HERS Verified Dwelling Unit Water Heating Systems Information
This table reports the water heating system features that were installed in this project.
01
02
03
04
05
06
07
08
09
10
11
12
Dwelling Unit
Name
Water Heating
System ID or
Name
Water Heating
System Type
Water -Heater
Type
# of Like (or
Identical)
Water Heaters
in System
Fuel Type
Rated Input
Type
Rated Input
Value
Central DHW
System
Distribution
Type
Dwelling Unit
DHW System
Distribution
Type
Compact
Distrib.
Drain Water
Heat Recovery
Single Family
Dwelling
DHW Sys 1
Domestic Hot
Water (DHW)
Commercial
Storage
1
Natural Gas
Btu/Hr
85000
NA
HERS Verified
Pipe Insulation
credit
None
None
Registration Number: 422-P010206032A-000-001-B22007A-B22A Registration Date/Time: 2023-07-18 10:38:40 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:40
Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-PLB-22-H
HERS Verified Single Dwelling Unit Hot Water System Distribution
(Page 2 of 6)
C. Design HERS Verified Dwelling Unit Water Heating Efficiency Information
This table reports the water heater(s) efficiency features specified on the registered CF1R compliance document for this project.
01
02
03
04
05
06
07
Water Heating
System ID or Name
Heating Efficiency
Type
Heating Efficiency
Value
Standby Loss (%)
Exterior Insul.
R-Value
Water Heater
Storage Volume
(gal)
Tank Location
DHW Sys 1
TE
0.82
0.02
0
75.00
n/a
D. Installed HERS Verified Dwelling Unit Water Heating Efficiency
This table reports the water heating system features that
Information
were installed in this project.
01
02
03
04
05
06
07
Water Heating
System ID or Name
Heating Efficiency
Type
Heating Efficiency
Value
Standby Loss (%)
Exterior Insul.
R-Value
Water Heater
Storage Volume
(gal)
Tank Location
DHW Sys 1
TE
0.82
0.02
0
75
n/a
08
Compliance Statement
System complies
E. Installed Water Heater Manufacturer Information
01
02
03
Water Heating System ID or
Name
Manufacturer
Model Number
DHW Sys 1
NAVIEN
NPE-180A2 (NG)
F. Mandatory Measures For All Domestic Hot Water Distribution Systems
01
Equipment shall meet the applicable requirements of the Appliance Efficiency Regulations (Section 110.3(b)1).
02
Unfired storage tanks are insulated with an external R-12 or combination of R-16 internal and external Insulation. (Section 110.3(c)4).
Registration Number: 422-P010206032A-000-001-B22007A-B22A Registration Date/Time: 2023-07-18 10:38:40 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:40
Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-PLB-22-H
HERS Verified Single Dwelling Unit Hot Water System Distribution
(Page 3 of 6)
F. Mandatory Measures For All Domestic Hot Water Distribution Systems
The following pipes are insulated, to the thicknesses required by Table 120.3A, except for those sections of pipe that are subject to one of the exceptions below: All domestic hot
water pipes shall be insulated as specified in Section 609.11 of the California Plumbing Code. In addition, the following piping conditions shall have a minimum insulation wall
thickness of 1 inch or a minimum insulation R-value of 7.7 (RA4.4.1)
• The first 5 feet (1.5 meters) of cold water pipes from the storage tank.
• All piping with a nominal diameter of 3/4 inch (19 millimeter) and less than 1 inch..
• All hot water pipes from the heating source to the kitchen fixtures.
• All underground piping.
• Insulation buried below grade must be installed in a waterproof and non -crushable casing or sleeve.
03
• Piping from the heating source to storage tank or between tanks.
• Piping that penetrates framing members shall not be required to have pipe insulation for the distance of the framing penetration. Piping that penetrates metal framing
shall use grommets, plugs, wrapping or other insulating material to assure that no contact is made with the metal framing. Insulation shall butt securely against all framing
members.
• Piping installed in interior or exterior walls that is surrounded on all sides by at least 1 inch (2.5 cm) of insulation.
• Piping installed in crawl space with a minimum of 1 inch (2.5 cm) of crawl space insulation above and below.
• Piping installed in attics with a minimum of 4 inches (10 cm) of attic insulation on top
• Piping insulation shall fit tightly and all elbows and tees shall be fully insulated.
For Gas or Propane Water Heaters: Ensure the following are installed (Section 150.0(n))
1. A dedicated 120V, 20A electrical receptacle connected to the electrical panel with a 120/240V 3 conductor, 10AWG copper branch circuit, within 3 feet from the water
heater and accessible with no obstructions
1. The conductor shall be labeled with the word "Spare" on both ends; and
04
2. A reserved single pole circuit breaker space next to the circuit breaker next to the branch circuit labeled "Future" 240V shall be provided.
2. A Category III or IV vent, or a Type B vent with straight pipe between outside and water heater
3. A condensate drain no more than 2 inches higher than the base on water heater for natural draining
4. A gas supply line with capacity of at least 200,000 Btu/Hr
Pass - all applicable requirements are met.
0
05
Verification Status:
Fail - one or more applicable requirements are not met. Enter reason for failure in corrections notes field below
■
n/a
■
06
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number: 422-P010206032A-000-001-B22007A-B22A Registration Date/Time: 2023-07-18 10:38:40 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:40
Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-PLB-22-H
HERS Verified Single Dwelling Unit Hot Water System Distribution
(Page 4 of 6)
G. HERS Verified Compact Hot Water Distribution Expanded Credit (CHWDS-H-EX) RA3.6.5
This section does not apply to this project.
H. Compact Hot Water Distribution (CHWDS) RA4.4.6
This section does not apply to this project.
I. HERS -Verified Drain Water Heat Recovery System (DWHR-H)
This section does not apply to this project.
J. HERS -Verified Pipe Insulation Credit Requirements (PIC-H) (RA3.6.3)
01
HERS rater shall perform a visual inspection that all hot water piping comply with the insulation requirements in 150.0(J)
02
Verification Status:
Pass - all applicable requirements are met.
03
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and
the Corrections Notes in this table.
K. HERS -Verified Parallel Piping Requirements (PP-H) (RA3.6.4)
This section does not apply to this project.
L. Parallel Piping Requirements (PP) (RA4.4.4)
This section does not apply to this project.
M. Point of Use Requirements (POU) (RA4.4.5)
This section does not apply to this project.
Registration Number: 422-P010206032A-000-001-B22007A-B22A Registration Date/Time: 2023-07-18 10:38:40 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:40
Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-PLB-22-H
HERS Verified Single Dwelling Unit Hot Water System Distribution
(Page 5 of 6)
N. Mandatory Requirements For All Recirculation Systems (RA4.4.7)
This section does not apply to this project.
O. Recirculation Non -Demand Controls Requirements (R-ND) (RA4.4.8)
This section does not apply to this project.
P. Demand Recirculation Manual Control (R-DRmc) (RA4.4.9)/ Sensor Control Requirements (RDRsc) (RA4.4.10)
This section does not apply to this project.
Q. HERS -Verified Demand Recirculation Manual Control (RDRmc-H) (RA3.6.6)/ Sensor Control (RDRsc - H) (RA3.6.7)Requirements
R. Determination of HERS Verification Compliance
01
Complies: All specified verification protocol requirem
This section does not apply to this project.
ents on this document are met.
Registration Number: 422-P010206032A-000-001-B22007A-B22A Registration Date/Time: 2023-07-18 10:38:40 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:40
Schema Version: rev 20210501
CERTIFICATE OF VERIFICATION
CF3R-PLB-22-H
HERS Verified Single Dwelling Unit Hot Water System Distribution
(Page 6 of 6)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Dave Johnston
Documentation Author Signature:
r) e T ahinistavii
Company: Dave Johnston
Date Signed: 2023-07-18
Address:
60815 NATOMA TRAIL
CEA/ HERS Certification Identification (if applicable):
RCN13822
City/State/Zip: JOSHUA TREE CA 92252
Phone: 7605670082
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the
applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements
specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Quinn Enterprises Inc
Responsible Builder or Installer Name:
John Quinn (authorized Dave Johnston)
CSLB License:
725864
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name: Dave Johnston
Responsible Rater Name:
Dave Johnston
Responsible Rater Signature:
Dave/ rre.�ru
Responsible Rater Certification Number w/ this HERS Provider:
RCN13822
Date Signed: ✓
2023-07-18
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided 'n 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: 422-P010206032A-000-001-B22007A-B22A Registration Date/Time: 2023-07-18 10:38:40 HERS Provider: CHEERS
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for,
and cannot guarantee, the accuracy or completeness of the information contained in this document.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006 Report Generated: 2023-07-18 10:38:40
Schema Version: rev 20210501